1. P O L I O P L U S DISTRICT 5240 FOUNDATION GIVING P A U L H A R R I S S O C I E T Y ANNUAL GIVING – PERMANENT FUND M A J O R D O N O R S A R C H K L U M P H S O C I E T Y

2. Group Rep,- DAVID SAINT ARMAND, CHINA LAKE CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC OF CHINA LAKE 2,000 RC OF TEHACHAPI 1,100 100 RC OF INYOKERN 350 1,000 RC OF KERN RIVER VALLEY 1,000 TOTAL AS OF JAN 2010 $4,450 $1,100 Rotary District 5240 GROUP 1, POLIO PLUS AS OF JAN 2010

3. Group Rep,- DAVID SAINT ARMAND, Rotary Club of China Lake CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC OF CHINA LAKE 14,000 RC OF TEHACHAPI 2,700 1,526 RC OF INYOKERN 2,000 RC OF KERN RIVER VALLEY 4,250 TOTAL AS OF Jan 2010 22,950 $1,526 Rotary District 5240 GROUP 1, ANNUAL GIVING AS OF JAN 2010

4. Rotary District 5240 GROUP 2, POLIO PLUS AS OF JAN 2010 Group Rep, HARLEY PINSON, Rotary Club of Bakersfield East CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI BAKERSFIELD 1,000 BAKERSFIELD BREAKFAST 2,000 BAKERSFIELD EAST 2,000 100 BAKERSFIELD NORTH 2,000 BAKERSFIELD SOUTH 2,000 BAKERSFIELD TWILIGHT 700 BAKERSFIELD WEST 2,000 1,000 FRAZIER PARK MT. 500 TOTAL AS OF JAN 2010 $13,200 $1,100

5. Rotary District 5240 GROUP 2, ANNUAL GIVING AS OF JAN 2010 Group Rep, HARLEY PINSON, Rotary Club of Bakersfield East CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI BAKERSFIELD 9,800 2,000 BAKERSFIELD BREAKFAST 8,800 BAKERSFIELD EAST 12,600 6,337.96 BAKERSFIELD NORTH 6,110 BAKERSFIELD SOUTH 4,250 250 BAKERSFIELD TWILIGHT 2,000 BAKERSFIELD WEST 6,750 1,000 FRAZIER PARK MT. 500 TOTAL AS OF January 2010 $50,810 $9,362.96

6. Rotary District 5240 GROUP 3, POLIO PLUS AS OF JAN 2010 Group Rep, MITCH WOOD, Rotary Club of Frazier Park Mt. Communities CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC OF DELANO 2,000 RC OF SHAFTER 2,500 1,000 RC OF TAFT 1,000 RC OF WASCO 2,000 TOTAL AS OF JAN 2010 $7,500 $1,000

7. Rotary District 5240 GROUP 3, ANNUAL GIVING AS OF JAN 2010 Group Rep, MITCH WOOD, Rotary Club of Frazier Park Communities CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC OF DELANO 1,400 RC OF SHAFTER 4,000 RC OF TAFT 5,000 RC OF WASCO 2,000 2025 TOTAL AS OF JAN 2010 $12,400 $2,025

8. Rotary District 5240 GROUP 4, POLIO PLUS AS OF JAN 2010 Group Rep, EVIE GREENE, Rotary Club of Westlake Village Sunrise CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC ROTARY CLUB OF CONEJO VALLEY 1,313 RC OF NEWBURY PARK 2,000 1,000 RC OF THOUSAND OAKS 45,000 22,500 RC OF WESTLAKE 2,000 1,250 RC OF WEST LAKE VILLAGE SUNRISE 2,2,40 1,000 TOTAL AS OF JAN 2010 $52,553 $22,750

9. Rotary District 5240 GROUP 4, ANNUAL GIVING AS OF JAN 2010 Group Rep, EVIE GREENE, Rotary Club of Westlake Village Sunrise CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI ROTARY CLUB OF CONEJO VALLEY 5,200 RC OF NEWBURY PARK 3,200 3,209 RC OF THOUSAND OAKS 25,000 52,200 RC OF WESTLAKE 9,000 2,960 RC OF WEST LAKE VILLAGE SUNRISE 8,200 TOTAL AS OF JAN 2010 $50,600 $58,369

10. CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC OF MOORPARK 3,500 RC OF MOORPARK MORNING 1,000 RC OF SIMI SUNRISE 2,000 400 RC OF SIMI SUNSET 700 100 RC SIMI VALLEY 2,000 5000 TOTAL AS OF JAN 2010 $9,200 $5,500 ROTARY DISTRICT 5240 GROUP 5, POLIO PLUS AS OF JAN 2010 Group Rep, CINDY BELMONTE, Rotary Club of Simi Sunset

11. CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC OF MOORPARK 5,000 3,108 RC OF MOORPARK MORNING 2,200 33 RC OF SIMI SUNRISE 14,880 10,160 RC OF SIMI SUNSET 5,000 3,305 RC SIMI VALLEY 14,518 7,541 TOTAL AS OF JAN 2010 $41,518 $ 24,147 ROTARY DISTRICT 5240 GROUP 5, ANNUAL GIVING AS OF JAN 2010 Group Rep, CINDY BELMONTE, Rotary Club of Simi Sunset

12. Rotary District 5240 GROUP 6, POLIO PLUS AS OF JAN 2010 Group Rep, PATRICK MULLIN, Rotary Club of Oxnard CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC OF CAMARILLO 2,300 RC OF CAMARILLO BREAKFAST 1,000 OXNARD 2,000 OXNARD SUNRISE 1,313 TOTAL AS OF JAN 2010 $6,658 $00000

13. Rotary District 5240 GROUP 6, ANNUAL GIVING AS OF JAN 2010 Group Rep, PATRICK MULLIN-OXNARD CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC OF CAMARILLO 8,500 RC OF CAMARILLO BREAKFAST 4,500 OXNARD 9,200 500 OXNARD SUNRISE 12,000 2,898 TOTAL AS OF JAN 2010 $34,200 $3,398

14. Rotary District 5240 GROUP 7, POLIO PLUS AS OF JAN 2010 Group Rep, PAUL BLATZ, Rotary Club of Ojai West CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC OF OJAI 10,000 2,095 RC OF OJAI WEST 1,313 RC FILLMORE 1,000 RC OF FILLMORE SUNRISERS 800 100 RC OF SANTA PAULA 2,000 220 RC OF VENTURA 3,500 3,000 RC OF VENTURA EAST 2,000 762 RC OF VENTURA MARINA 800 RC OF VENTURA SOUTH 1,600 TOTAL AS OF JAN 2010 $23,013 $6,177

15. Rotary District 5240 GROUP 7, ANNUAL GIVING AS OF JAN 2010 Group Rep, PAUL BALTZ Rotary Club of Ojai West CLUB GOAL $$$ SENT TO RI CLUB GOAL $$$ SENT TO RI RC OF VENTURA 13,500 200 RC OF VENTURA EAST 11,000 RC OF VENTURA SOUTH 4,655 RC OF VENTURA MARINA 800 RC OF OJAI 8,100 3,795 RC OF OJAI WEST 12,500 RC OF SANTA PAULA 10,395 7,515 RC FILLMORE 2,000 2,500 RC OF FILLMORE SUNRISERS 2,000 2,350 TOTAL AS OF JAN 2010 $64,950 $16,360

16. Rotary District 5240 GROUP 8, POLIO PLUS AS OF JAN 2010 Group Rep, JOAN YOUNG, Rotary Club of Santa Barbara North CLUB GOAL $$$ SENT TO RI RC OF CARPINTERIA 2,000 100 RC OF CARPINTERIA MORING 2,000 250 RC OF GOLETA 805 RC OF GOLETA NOONTIME 875 250 RC OF MONTECITO 1,500 3,020 RC OF SANTA BARBARA 3,000 6,000 RC OF S.B. NORTH 1,575 4,340 RC OF S.B. SUNRISE 2,065 270 TOTAL AS OF JAN 2010 $ 13,820 $13,940

17. Rotary District 5240 GROUP 8, ANNUAL GIVING AS OF JAN 2010 Group Rep, JOAN YOUNG, Rotary Club of Santa Barbara North CLUB GOAL $$$ SENT TO RI RC OF CARPINTERIA 4,100 RC OF CARPINTERIA MORING 2,800 -1,750 RC OF GOLETA 2,300 RC OF GOLETA NOONTIME 3,125 250 RC OF MONTECITO 4,875 2,725 RC OF SANTA BARBARA 17,250 9,905 RC OF S.B. NORTH 4,500 1,000 RC OF S.B. SUNRISE 8,378 2,450 TOTAL AS OF JAN 2010 $48,328 $14,580

18. Rotary District 5240 GROUP 9, POLIO PLUS AS OF JAN 2010 Group Rep, SHERRY THORE, Rotary Club of Solvang CLUB GOAL $$$ SENT TO RI RC OF BUELTON 300 RC OF LOMPOC 2,000 RC OF LOS OLIVOS 2,000 RC OF SANTA YNEZ VALLEY 1,000 70 RC OF SOLVANG 2,000 RC OF Vandenberg Village 1,313 595 TOTAL AS OF JAN 2010 $8,538 $665

19. Rotary District 5240 GROUP 9, ANNUAL GIVING AS OF JAN 2010 Group Rep, SHERRY THORE, Rotary Club of Solvang CLUB GOAL $$$ SENT TO RI RC OF BUELTON 170 1,100 RC OF LOMPOC 7,500 7,100 RC OF LOS OLIVOS 3,700 1,000 RC OF SANTA YNEZ VALLEY 6,000 637 RC OF SOLVANG 6,400 2,700 RC OF Vandenberg Village 3,000 495 TOTAL AS OF JAN 2010 $26,770 $10,932

20. Rotary District 5240 GROUP 10, POLIO PLUS AS OF JAN 2010 Group Rep, JOHN EICHLER, Rotary Club of San Luis Obispo Daybreak CLUB GOAL $$$ SENT TO RI RC OF ARROYO GRANDE 1,925 1,600 RC OF PISMO BEACH FIVE CITIES 2,000 RC OF SAN LUIS OBISPO 4,025 RC OF SAN LUIS OBISPO DAYBREAK 2,000 154 RC OF SAN LUIS OBISPO De TOLSO 2,000 RC GROVER BEACH 500 84 TOTAL AS OF JAN 2010 $12,450 $1,638

21. Rotary District 5240 GROUP 10 ANNUAL GIVING AS OF JAN 2010 Group Rep, JOHN EICHLER, Rotary Club of San Luis Obispo Daybreak CLUB GOAL $$$ SENT TO RI RC OF ARROYO GRANDE 8,500 RC OF PISMO BEACH FIVE CITIES 8,550 2,000 RC OF SAN LUIS OBISPO 11,500 12,250 RC OF SAN LUIS OBISPO DAYBREAK 7,800 375 RC OF SAN LUIS OBISPO De TOLSO 9,570 150 RC GROVER BEACH 3,100 150 TOTAL AS OF JAN 2010 $49,200 15,175

22. Rotary District 5240 GROUP 11, POLIO PLUS AS OF JAN 2010 Group Rep, PATRICK HAMPTON, Rotary Club of Cambria CLUB GOAL $$$ SENT TO RI RC OF ATASCADERO 1,313 500 RC OF CAYUCOS –SEASIDE 560 RC OF CAMBRIA 2,000 1,005 RC OF CAMBRIA SUNRISE CENTENNIAL 400 RC OF LOS OSOS 2,000 250 RC OF MORRO BAY 2,000 RC OF PASO ROBLES 2,000 RC OF PASO ROBLES SUNRISE 2,000 1,550 RC OF TEMPLETON 2,000 TOTAL AS OF JAN 2010 $13,960 $3,305

23. Rotary District 5240 GROUP 11, ANNUAL GIVING AS OF JAN 2010 Group Rep, PATRICK HAMPTON, Rotary Club of Cambria CLUB GOAL $$$ SENT TO RI RC OF ATASCADERO 3,550 375 RC OF CAMBRIA 9,760 2,200 RC OF CAYUCOS –SEASIDE 2,000 RC OF CAMBRIA SUNRISE CENTENNIAL 2,000 RC OF LOS OSOS 3,000 RC OF MORRO BAY 10,000 6,000 RC OF PASO ROBLES 20,000 150 RC OF PASO ROBLES SUNRISE 4,000 1,355 RC OF TEMPLETON 2,250 100 TOTAL AS OF JAN 2010 $56,560 $4,450

24. Rotary District 5240 GROUP 12, POLIO PLUS AS OF JAN 2010 Group Rep, MARK JACKSON, Rotary Club of Santa Maria Breakfast CLUB GOAL $$$ SENT TO RI RC OF NIPOMO 2,000 1,300 RC OF SANTA MARIA 1,350 RC OF SAMTA MARIA BREAKFAST 1,000 RC OF SANTA MARIA SOUTH 1,250 3.000 TOTAL AS OF JAN 2010 $5,600 $4,300

25. Rotary District 5240 GROUP 12, ANNUAL GIVING AS OF JAN 2010 Group Rep, MARK JACKSON, Rotary Club of Santa Maria Breakfast CLUB GOAL $$$ SENT TO RI RC OF NIPOMO 6,000 600 RC OF SANTA MARIA 4,000 1,000 RC OF SAMTA MARIA BREAKFAST 8,125 RC OF SANTA MARIA SOUTH 4,500 100 TOTAL AS OF JAN 2010 $22,625 $1,700

26. DISTRICT 5240 POLIO PLUS GOAL ALL GROUPS GOAL $170,942 COLLECTED $65,700 As of January 2010 (Interm)

27. DISTRICT 5240 ANNUAL GIVING GOAL ALL GROUPS GOAL $480,911 COLLECTED $167,960.40 As of January 31,2010 (Interim)

28. Your Clubs Name & Year of Award Special Additional Foundation Giving Award

29. ADDITIONAL CLUB FOUNDATION GIVING COMMITMENT AGREEMENT FOR SPECIAL FOUNDATION AWARD THE ROTARY CLUB OF __________________________ HERE BY COMMITS TO THE FOLLOW INCREASED LEVELS OF FOUNDATION GIVING FOR THE ROTARY YEAR 2009 -2010. THE ANNUAL FUND $_____________________ ($200.00 per member district goal) THE POLIO PLUS PROGRAM $_______________ ($35.00 per member district goal) THE PERMANENT FUND, BENEFACTORS # OF NEW _______ (15% increase requested) BEQUEST SOCIETY # NEW ______ (15% increase requested) MAJOR DONORS # NEW _______ (15% increase requested) PAUL HARRIS SOCIETY _________ (15% increase requested) *THIS PROGRAM IS ABOVE AND BEYOND THE DISTRICT AWARDS CRITERIA* President Rotary Club of _______________________________ Date ______________________ Club Foundation Chair _________________________________Date ______________________ Club Secretary ______________________________________ Date ______________________ CLUB MUST MEET OR EXCEED ALL THE ABOVE TO QUALIFY FOR THIS AWARD Please complete and return by e mail to Marc Vertin PDG, DRFC 2009. loverotary@aol. com.loverotary@aol. com

30. Best Large Medium & Small Club Total Annual Foundation Giving Will Also Receive a Special Crystal Award *BENEFACTORS* *BEQUEST * *ANNUAL FUND* *PERMANENTE FUND* *PAUL HARRIS SOCIETY*