The URL can be used to link to this page

Home My WebLink AboutNon Res Block Party - Jonathan Jones - Urban Adventure Games"fx INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT 7/6/2017 TO: 'V, Gleckler, Traffic & Lighting i�G e Eyster, Police Department Longfellow, Engineering hris Dressel, Community Investment F derico Rodriguez, Fire Department arcia Qualls, Engineering K Wood, Park Department ill Sciccitana, DownfowVPartvy-2017 h Bend FROM: Linda M. Martin, Clerk SUBJECT: Non- Residential Bloc Urban Adventure Games Four Winds Field (_501W_South St LOCATION: South St from Taylor St to Lafayette Blvd DATE AND TIME: July 29, 2017 5:00am to 1:00pm SPONSOR: DATE DUE: FAX OR E-MAIL TO: Jonathan Jones July 18,201 236-9171 1 Imartin(a_southbendin.gov RECOMMENDATIONS AND COMMENTS: By Date APPLICATION FOR USE OF, AND BLOCKING OF ACCESS TO, THE PUBLIC RIGHT-OF-WAY FOR NON-RESIDENTIAL BLOCK PARTIES The Board of Public Works must have FOUR (4) weeks prior notice of the event. A NON-REFUNDABLE APPLICATION FEE OF $125.00, IN THE FORM OF A CERTIFIED CHECK OR MONEY ORDER, PAYABLE TO THE CITY OF SOUTH BEND, MUST BE INCLUDED WITH APPLICATION. ❑ Fee Paid Applicant Name: JONATHAN JONES Address: 2203 BASIN ST. City: South Bend State: IN Zip: 46614 Phone: (574) 707-5345 This application is made to the City of South Bend, Indiana, Board of Public Works, for the use of the specified public right-of-way by Applicant for the holding of the hereinafter described event: Event Name 2017 Urban Adventure Games Location Four Winds Field (501 W. South St., South Bend, IN 46601 (Describe Area/Route) Street Closure Name of Street South St. From Taylor St. To Lafayette Blvd. plus a temporary blocking of intersection w/ South St. for 15 min. Date of Event 7-29 20 17 N a.m. N a.m. ❑ a'M Time: Registration/Setup 5:00 ❑ p.m. Start 7:50 ❑ p.m. End 1:00 ® p.m. Approximate Number of Attendees 800 Answer the following appropriately: 1. This event will have music (live or other). N Yes ❑ No a. I understand the Noise Ordinance described in the Agreement/Permit N Yes ❑ No ' 2, Required Information to Accompany Application a. Certified Check or Money Order in the Amount of $125.00, or: b. For Certified Nonprofit Organizations: Copies of the 501(c)(3) Internal Revenue Exemption Status Document and a current copy of Form 990 of Form 990-EZ are included with this application, and ® Yes ❑ No additionally filed with the Office of the City Clerk, 4" Floor, County - City Building, 227 W. Jefferson Blvd., South Bend, Indiana. c. Certificate of Insurance d. Maps, drawings of the area and setup plan ® Yes ❑ No 3. a. This event involves City streets ® Yes ❑ No b. This event involves County roads ❑ Yes ® No c. This event involves State highways ❑ Yes N No d. This event involves the use of the sidewalk ® Yes ❑ No Updated 4/2015 1 e. This event is a local/regional/national event (Please circle the ® Yes ❑ No appropriate event type) f-. Affected property/business owners have been notified of this event. ® Yes ❑ No g. I understand that I must arrange a meeting with all affected governmental agencies to organize the above event (Call Marcia ® Yes ❑ No Qualls, Customer Service Manager, 235-5939 to organize meeting). IF ALCOHOL IS TO ]BE SERVED OR SOLID Alcoholic beverages will be served ❑ Alcoholic beverages will be sold ❑ Certified Check or Money Order for $400.00 must be submitted with application. ❑ ® Application cannot be processed without deposit. ® Deposit will be returned upon inspection of event area by the Board of Public Works. Names and phone numbers of THREE security guards ❑ ® To monitor underage drinking, Qualifications must be listed (e.g. Off -duty police officer, professional security guard, or event APPLICANT). A drawing must be submitted showing: ❑ Fencing around serving area Trash receptacles. o Ample trash receptacles must be provided to ensure proper disposal of refuse. Temporary liquor license. ❑ ® Call the Alcohol & Tobacco Commission at (317) 234-4315 for more information. ® Application cannot be processed without a copy of this license. ..,..�>,s .e. �'�� er�+w1. ••v - .._.�_ � -7-- • y� . -, >. �,._.�:�,. � x� ' "'tee• `� ., ��..�-' �i 770, � e;.� •_. r Iwo- 'r,,1w111p 4". � _.- E <. s � .,�, �; fig., ; "' ,-s-• r „ � '� � ` 1% 2-r �,� 'r S: =ysrr � .� _ .. . �' �;.rb=•lea, t�' 3'iY� ...-=ri-�. `;a a r "7. Aftmw� "I cot" 77R77 , pp I ; 3 c _` � s �`•�.�i'>e �C`=L� �1 `�` �r.rr� 'rasrq��..,fe�a....'YT%',,�"iOriYlr/F=�.�.jir''°��yp,._J�'il..�,�_. `�..� .... i �� ,`..'��.�!�v'is�Yr :F` � „1''C ��"��.fs�➢�ii��-� - r 3. 1 ��¢•-��r��ll�*tw"�'�,�„"►'�,�'�',�'�'.::'__�* �. - r� ��,.',,am�s._� ,ia�4w+�llAw�"'"�,�'ll I u F.�� , �_ .wt: Y,�,. E -r�yy� ! - "v'� �� ,.... NY .`v.. _ y�gY � :w ��LSf�e�r. _.nidRT^-_^ �� Tr.^•�T' y_ �.s" J� •-` i' IL�shws•°. _. -� fYi'�`�'�4•-. .•°'ii�l ''"+'. 'R -"4M g ' ^ � E lev�� El T) 0 INO• SECRV VXRY Of STA►'1'1' ARTICLES Or INCORPORATION OF URBAN. ADVENTURE GAMINS, INC. �D1 Pi " ,3 'The undersigned incorporator, desiring to form a corporation (hereinafter referred to as the "Corporation') pursuant to the provisions of the Indiana Nonprofit Corporation Act of 1991 (hereinafter referred to as the "Act"), executes the following Articles of Incorporation: 46545, ARTICLE I. Nance The name of the Corporation is: URBAN AD'vENTURE GAMES, INC. ARTICLE II. Principal Office The principal office of the Corporation is: 54438 Old Bedford Trail, Mishawaka, Indiana ARTICLE III. Purposes The organization is organized exclusively for charitable, religious, educational, and scientific purposes under section 501(c)(3) of the Internal Revenue Code, or corresponding section of any future federal tax code. ARTICLE IV. Type of Corporation The Corporation is a public benefit corporation, which is organized for a public or charitable purpose. ARTICLE V. Limitations Upon Powei-s No part of the net earnings of the Corporation shall inure to the benefit of any Director' or Officer of the Corporation or to any private individual, except that the Corporation shall be authorized and empowered to pay reasonable compensation for services rendered by a Director, Officer or employee and to pay principal and interest at a reasonable rate not exceeding current market rates on funds loaned or advanced by a Director or Officer to the Corporation. No substantial part of the activities of the Corporation shall consist of attempting to propose, support, oppose, advocate the adoption or rejection of, or otherwise influence legislation by propaganda or otherwise, and the Corporation shall not participate in or intervene in (including the publication or distribution of statements) any political campaign on behalf of any candidate for public office. Notwithstanding any other provision of these Articles, the Corporation shall not conduct or carry on any activities not permitted to be conducted or carried on by an ARTICLES OF INCORPORATION - URBAN ADVENTURE GAMES, INC. PAGE 1 AN II. ks the proceeding, in the manner specified by the Act, The foregoing indemnification and advance of expenses for each Indernnitee shall apply only to services provided by the Indemnitce in his or her official capacity on behalf of the Corporation. ARTICLE IX. Incorporator The name and street address of the Corporation's incorporator is: Lynn Kachmarik, 54438 Old Bedford Trail, Mishawaka, Indiana 46545, ARTICLE X. Distribution of Assets on Dissolution or Final Liquidation Upon the dissolution of this organization, assets shall be distributed for one or more exempt purposes within the meaning of section 501(c)(3) of the Internal Revenue Code, or corresponding section of any future federal tax code, or shall be distributed to the federal government, or to a state or local government, for a public purpose. [Signature Page Follows] ARTICLES OF INCORPORATION — URBAN ADVENTURE GAMES, INC. PAGE 3 IN 'U rMSS W. MREOF, the undersigned incorporator of said Corporation, executes these Articles of Incorporation and verifies, subject to penalties of perjury, that the statements contained herein are tote. gxecuied 66 00 44y oi` sg e� ' A4. L uclunarlk, Inc rporator 59n502a 2"M ARTICLES OC INCORPORA'"ON — UrwAN AmNTm C mr-s, INC. PArm 4 State of Indiana Office of the Secretary of State CERTIFICATE OF INCORPORATION of URBAN ADVENTURE GAMES, INC, I, CONNIE LAWSON, Secretary of State of Indiana, hereby certify that Articles of Incorporation of the above Non -Profit Domestic Corporation have been presented to me at my office, accompanied by the fees prescribed by law and that the documentation presented conforms to law as prescribed by the provisions of the Indiana Nonprofit Corporation Act of 1991. NOW, THEREFORE, with this document I certify that said transaction will become effective Wednesday, December 03, 2014. I In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, December 3, 2014. CONNIE LAWSON, SECRETARY OF STATE 2014120402819 / 2014120485862 II ik I wY