Current through Register 2024 Notice Reg. No. 38, September 20, 2024
The following items shall accompany the Application
Form:
(a) Financial Information. The
Children's Hospital or the California nonprofit corporation of which the
Children's Hospital is an operating entity shall submit its Most Recent Audited
Financial Statements.
(b)
Organization Information.
(1) If the Applicant
is a Non University of California Children's Hospital, the Applicant shall
submit both of the following:
(A) A copy of
the Applicant's 501(c)(3) determination letter from the Internal Revenue
Service and a copy of either the tax-exemption letter or Letter of Good
Standing from the Franchise Tax Board. For Children's Hospitals that are
operating entities of a California nonprofit corporation, the Internal Revenue
Service and Franchise Tax Board Letters are required for the parent
corporation.
(B) A copy of the
Applicant's Articles of Incorporation and Bylaws. For Children's Hospitals that
are operating entities of a California nonprofit corporation, the Articles of
Incorporation and Bylaws are required for the parent
corporation.
(2) For all
Applicants, a copy of its current general acute care hospital license from the
California Department of Public Health or a copy of the general acute care
hospital license of the California nonprofit corporation of which the
Children's Hospital is an operating entity.
(c) Legal Information. Applicant shall
complete a legal status questionnaire.
(d) Agreement and Certification. Within the
Application Form and as memorialized in a separate Grant Agreement, the Chief
Executive Officer, Chief Financial Officer or other authorized officer of the
Applicant, on behalf of the Applicant, shall agree and certify to the following
terms and conditions as a requirement of receiving any Grant:
(1) The information contained in the
Application Form and attachments is true and correct to the best of its
knowledge and belief and understands that any misrepresentation may result in
the cancellation of a Grant and other actions permitted by law and the Grant
Agreement.
(2) Applicant may be
required to return all or a portion of the Grant including any unused
investment earnings if the Applicant fails to complete the Project as approved.
In cases where the Grant will fund architect, design, or engineering fees or
land acquisition costs as part of an approved Project, the Applicant may be
required to return all Grant funds and any unused investment earnings if the
Authority cannot determine that the associated larger Project has been
completed, based on timelines provided within the Application Form.
(3) Grant funds will only be used for the
Project described in the Application Form unless a change in the Project is
approved in writing by the Authority pursuant to Section
7064.
(4) The Project and financial records of the
Applicant's Project are subject to audit and inspection by the Authority staff
and the Bureau of State Audits.
(5)
Applicant has disclosed all information requested by the legal status
questionnaire.
(6) Applicant will
notify the Authority in writing at the time of Project completion with evidence
of completion included.
(7)
Applicant will provide all documents and information required by law and meet
all necessary requirements prior to the release of the
Grant.
1. New section
filed 7-31-2009; operative 7-31-2009 pursuant to Government Code section
11343.4
(Register 2009, No. 31).
2. Change without regulatory effect
amending subsections (b)(1), (b)(2) and (d)(4) filed 8-13-2014 pursuant to
section 100, title 1, California Code of
Regulations (Register 2014, No. 33).
Note: Authority cited: Sections
1179.55,
1179.57
and
1179.61,
Health and Safety Code. Reference: Sections
1179.55,
1179.57,
1179.58
and
1179.61,
Health and Safety Code.
