Bainbridge Youth Services - Cultural Funding Application 2025 COMBINEDCultural Funding Application
Applicant Organization Name*
Grant Request Type*
Total Amount Requested (over 2-year period)*
One Sentence Description of Request (e.g., "To support...")*
Applicant Organization Name*
Proposal Contact Person*
Position/Title*
Mailing Address*
Phone Number *
Applicant Organization Legal Status*
Year Established*
Proposal Summary
Bainbridge Youth Services
General Operating Support
Project Support
Capital Project
$20,000
To support Bainbridge Youth Services’ arts-based mental
health programs that help Bainbridge Island youth build
emotional strength, improve well-being, and reduce the
stigma around mental health through creative expression.
Applicant Organization Information
Bainbridge Youth Services
Courtney Oliver
Executive Director
City
Bainbridge Island
State / Province / Region
WA
Postal / Zip Code
98110
Country
USA
Street Address
8533 Madison Ave N
Address Line 2
206.842.9675
Legal Status of Applicant Organization
IRS 501(c)(3) nonprofit
1962
Organization Tax ID #*
Fiscal Sponsor Organization Name
Fiscal Sponsor Contact/Title
Fiscal Sponsor Email
Fiscal Sponsor Phone
Fiscal Sponsor Tax ID #
Fiscal Sponsor Mailing Address
City of Bainbridge Island Funding
Please list year(s) and award amount of other funding received from the City of Bainbridge Island. Include HumanServices (HS), Lodging and Tourism Tax (LTAC) funding, Cultural Funding (CF), and/or any other grant or contractfunding.
2025 2024 2023 2022 2021
LTAC
HS
CF
Other
23-7396474
Fiscal Sponsor Information (If applying with fiscal sponsor)
City State / Province / Region
Postal / Zip Code Country
Street Address
Address Line 2
1000
57000 53000 53000 51250 51250
I. Organizational Overview*
IIa. Diversity, Equity, Inclusion, And Accessibility*
IIb. Diversity, Equity, Inclusion, And Accessibility*
Please provide a brief history of your organization and an overview of the programs and services you currently provide.(Limit 1,500 Characters)
Bainbridge Youth Services’(BYS) mission is to promote the mental health and wellness of youth and their
families through support, education, and resources.
BYS was founded in 1962 when a group of community members met to discuss the need for a local childmental health therapy program. At that time, youth therapy was only available in Bremerton. The group
partnered with the Bremerton Child Guidance Center to open a space for weekly professional therapy foryouth on Bainbridge Island. In 1970, the organization expanded its mission to supporting the social and
emotional wellbeing of youth.
Today, BYS provides free mental health therapy, peer tutoring, and other youth-centered services for 600+
youth, ages 13-21, each year. Our programs include: 1) free mental health therapy services (both in-personand virtual); 2) a peer tutoring program; 3) a Youth Jobs Board; and 4) leadership and community serviceprograms. We also provide support services and counseling for parents and caretakers of children of all ages
so they can better support the youth in their lives to thrive. All services are offered at no cost for youth and
families.
BYS integrates creative arts-based programming into our mental health services to foster emotionalexpression and promote healing. Through expressive arts therapy groups and a mental health awareness art
initiative, we expand access to creative coping strategies and break down the stigma surrounding mentalhealth to improve youth well-being.
Does the work of your organization contribute to a more diverse, equitable, inclusive, and accessible Bainbridge Island?Is so, please describe. (Limit 1,500 Characters)
BYS exists to promote the mental health and wellness of Bainbridge Island youth and their families through
accessible support, education, and resources. Our services are all free and available both in-person and
virtually—making them accessible to youth and families from diverse socio-economic, racial, and ethnic
backgrounds and from across Bainbridge Island.
Each year, BYS serve 600+ local youth across all of our programs, including 30% who identify as LGBTQIA+.
We have developed a GEDI (Gender, Equity, Diversity, Inclusion) support group—a weekly space for high
school students to discuss gender identity, expression, and diversity in a safe and affirming environment.
Our services are trauma-informed and rooted in equity. Many of our clients face serious challenges: 29%report suicidal thoughts and 20% report self-harm. Our accessible, no-cost model ensures that support is
available to all who need it, regardless of background.
Outcomes reflect our impact: In 2024, 95% of youth reported learning strengths and skills that supported their
mental health, and 93% reported an increase in overall well-being as a result of participating in BYS
programs.
Have members of your organization (staff, leadership, board, etc.) worked towards greater understanding of diversity,
equity, inclusion, and accessibility issues? This may include trainings, conversations, workplans, actions taken, or other
strategies you have employed to address sociocultural barriers to equity within your organization and its programs and
services. If so, please describe. (Limit 1,500 Characters)
All BYS licensed mental health therapists complete at least 36 hours of continuing education every 2 years.
Through continuing education classes, therapists learn about how diversity, equity, inclusion, and social justice
challenges translate into our clients’ individual lives and incorporate that learning into their therapeutic
relationships.
BYS also works to reduce linguistic and cultural barriers to access. We collaborate with community partners—
including Bainbridge Island School District and Bainbridge Psychotherapy Guild—and use multilingualvolunteers to provide interpretation and translation support for limited-English-speaking clients.
At the organizational level, we’re committed to fostering a culture of inclusion and learning. Our GEDI youth
group is one example of how we embed equity directly into our programming. We continuously evaluate how
our services meet the needs of the communities we serve and adapt accordingly.
III. Scope of Work*
Please provide a scope of work to the services you plan to provide for your project or general operating, whichever youare applying for. A scope of work lists the activities, deliverables, outcomes, and goals to be accomplished under anagreement.
Activities: This is the work that will be accomplished with the requested budget. It should include the who, what, when,
where, and how the recipient implements the work.
Deliverables are the items produced under the agreement. These are tangible evidence of the work done and alignedthe activity’s progress with meeting the expected outcomes. This can include reports, workshops, outreach materials,
evaluations, and other relevant products.
Outcomes are the measurable results of your work. Outcomes can be estimated based on the planned activities and
schedule and should be measured and reported on throughout the agreement period. Your application should alsoindicate how you plan to measure these outcomes to track success.
Goals are the big-picture benefits or changes you anticipate as a result of meeting your estimated outcomes.
All applications should include a goal statement that identifies a community need and how the organization works toaddress it. Keep the following in mind:
- Categorize your task work into activities. - Determine the cost for each activity and a plan to track spending. - Align your activities with a schedule that provides sufficient time to complete the planned work.
- Identify key deliverable(s) for each activity and target dates for their completion.- Identify and estimate at least one measurable outcome and how it will be measured. - Relate each activity to a specific goal.
(Limit 6,000 Characters)
GOAL STATEMENT
BYS expands access to arts-based mental health programming that empowers youth with lifelong coping
tools, reduces s gma around mental health, and strengthens community connec on through crea ve
expression. This work addresses the growing need for accessible, inclusive mental health support that
serves young people from across Bainbridge Island.
ACTIVITIES
* Ac vity 1: Group Psychoeduca on with Expressive Arts
Who: BYS’s licensed mental health therapists will lead sessions for Bainbridge 5th-8th graders.
What: Provide group therapy sessions combining psychoeduca on and expressive arts for 5th-8th grade
youth. All programming will be provided at no-cost to youth.
When: We will host,
-2 cohorts in the spring, with each cohort par cipa ng in 8-12 sessions.
-2 cohorts in the fall, with each cohort par cipa ng in 8-12 sessions.
-This will total 16+ sessions to be held annually in both 2026 and 2027.
-All sessions will be held on weekdays a er school.
Where: Sessions will be held at BYS’s facility, located at 8533 Madison Ave N. We are also reaching out to
the Bainbridge Island Museum of Art about the poten al for hos ng some of the sessions at the
museum.
How: Youth will engage in a structured curriculum that combines emo onal skill-building and therapeu c
art-making (e.g., visual art, filmmaking, movement, and storytelling) in a safe and inclusive se ng.
Budget: $7,000 per year
Deliverables:
-Schedule of group sessions with a endance logs (ongoing)
-Curriculum outlines and session plans (ongoing)
-Par cipant pre/post surveys measuring coping skills and emo onal resilience (quarterly)
-Final report summarizing a endance, feedback, and progress (annually)
Outcomes:
-32+ Bainbridge Island youth served annually.
-Youth report increased confidence in crea ve self-expression.
-85+% of par cipants will iden fy they have learned skills and strengths that have impacted their mental
health and overall wellbeing.
-85+% of par cipants will report an increase in posi ve mental health and overall wellbeing.
Goal Alignment:
This program gives youth a way to express themselves through art. It supports emo onal resilience and
healing by making crea ve opportuni es available to youth who might not otherwise take part in cultural
or mental health programs. Through this program, BYS con nues to grow our ability to offer inclusive,
accessible support for young people’s mental health.
* Ac vity 2: Community Outreach Project – Mental Health Awareness Through Art
Who: BYS youth, BYS staff, BYS board members, and community members from across Bainbridge Island
What: Teens develop and lead a community-wide project during Mental Health Awareness Month in May
that uses art to reduce s gma and raise awareness about mental health. The project will bring together
BYS youth, staff, board members, and community members to create and share art focused on emo onal
well-being.
When: Ac vi es will occur throughout the month of May, each year of the grant period.
Where: Public spaces, schools, community venues, and online pla orms across Bainbridge Island
How: Teens and community members will come together to design and install interac ve art displays,
crea ve installa ons, and public engagement ac vi es that highlight mental health in visible, meaningful,
and accessible ways.
Budget: $3,000 per year
Deliverables:
-Outreach materials, documenta on of public art installa ons or performances
-Engagement data, including a endance logs, media coverage, and social media analy cs
-A final impact report a er the conclusion of May ac vi es each year
Outcomes:
-Reach 40+ Bainbridge Island youth and community members through direct par cipa on and
engagement
-85+% of par cipants report increased awareness of mental health and reduced s gma
-Youth par cipants develop leadership and crea ve skills
Character Counter
IV. Community Needs that Your Organizations Meets*
Youth par cipants develop leadership and crea ve skills
-Strengthened collabora on between youth, community members, and local organiza ons
Goal Alignment:
This project amplifies youth voices in public spaces through crea vity and the arts, spotligh ng
underrepresented experiences and diverse forms of expression. It encourages broad community
par cipa on, strengthens partnerships across sectors, and provides free access to meaningful cultural and
mental health engagement. By sharing stories and crea ng public art together, we help normalize asking
for help and foster a more connected, s gma-free Bainbridge Island.
BUDGET SUMMARY
Group Psychoeduca on with Expressive Arts: $7,000/year
Community Outreach Project: $3,000/year
Total Annual Request: $10,000
Total Request Amount over 2-year grant period: $20,000
What needs in the community are addressed by your organization?
How does your organization meet these needs?
How does the proposed project or program specifically meet these needs? If possible, please cite relevant and up-to-date City documents, demographic or research sources, etc. For general operating support requests, describe overall
how your organization meets that community need.
Please also explain how the proposal prevents duplicating other services for Bainbridge Island residents.
(Limit 3,000 Characters)
Reports from the latest Kitsap County Healthy Youth Survey paint a disturbing picture of youth mental healthin our region. Of the Kitsap County 10th graders who participated,
56% reported being unable to stop or control worrying.19% reported they seriously considered attempting suicide in the past 12 months.
9% reported they attempted suicide in the past 12 months.
BYS’s own client data demonstrates the critical need: 29% of BYS clients report having suicidal thoughts. 20%report that they self-harm. Youth quotes:
“BYS is extremely helpful and honestly life-saving, without it I might not be here.”
“I was in a dark place ... Counseling has helped me turn my life around and realize I matter.”
This need is echoed in the City of Bainbridge Island’s latest Community Needs Assessment, which identifiedyouth mental health as a serious concern even before the COVID-19 pandemic. The report highlights high
rates of teen anxiety, substance use, and emotional disconnection from caregivers—combined with a lack ofstructured, positive outlets for youth. These findings emphasize the need for accessible mental health servicesand safe, enriching activities that reduce isolation and risky behavior.
BYS addresses these needs directly by offering free, confidential, and accessible therapy appointments with
licensed therapists alongside other youth development programs for Bainbridge Island youth. Beyond
individual therapy, BYS offers creative, group-based programs that combine psychoeducation with expressivearts, reaching youth who may not engage with traditional mental health services. Research shows creative
expression supports emotional processing, communication, and long-term well-being in adolescents.
Our Group Psychoeducation with Expressive Arts program gives 5th–8th graders space to explore emotions
through art and storytelling. Sessions focus on getting creative and building emotional resilience in a free,safe, low-barrier environment.
Likewise, our community-wide mental health awareness art initiative, which will be held each May duringMental Health Awareness Month, brings youth voices and creative work into the public sphere. Through
collaborative art installations and projects, this initiative reduces stigma, fosters dialogue, and strengthens
public understanding of the importance of youth mental health.
These programs fill a critical service gap. We are not aware of any other organization on Bainbridge Islandthat provide this combination of free professional mental health support from licensed therapists alongside
expressive arts opportunities tailored specifically to promote youth mental health.
V. City Cultural Funding Goals Alignment*
VI. Imapct*
Please describe how this proposal aligns with:
- Goals in the cultural element of the City’s Comprehensive Plan
- Values related to climate adaptation/mitigation (including sustainable transportation)
- Values related to equity and inclusion
(Limit 1,500 Characters)
This proposal aligns with the City of Bainbridge Island’s cultural and economic elements in theComprehensive Plan by advancing the City’s vision that the arts are essential to quality of life, community
identity, and economic vitality. By integrating mental health support with creative expression, BYS strengthens
the values of “invention, creativity, diversity, and generosity of spirit” highlighted in the Comprehensive Plan.
This project expands access to arts and culture programming for youth, particularly those who may notparticipate in traditional arts or therapeutic programs. Through inclusive, no-cost programs rooted inexpression through creativity and arts, we celebrate diverse voices, reduce stigma around mental health, and
bring underrepresented experiences into the public sphere. This project supports wellness, youth leadership,
and cross-sector collaboration, enhancing community livability through health, arts, and inclusion.
While this project does not focus directly on climate adaptation, it supports climate-aligned values by utilizingpublic spaces and encouraging low-impact transportation (e.g., walking or biking to installations).
How does this proposal improve services on Bainbridge Island? Specifically, how will it:
- Involve significant community participation - Create access to human services activities for underserved or underrepresented groups of people - Strengthen organizational capacity; and/or foster opportunities for collaboration with the human services sector?
(Limit 6,000 Characters)
This proposal will improve youth mental health services on Bainbridge Island by expanding inclusive, arts-based programming that centers creative expression as a tool for building emotional resilience, socialconnection, and community dialogue. Through this work, BYS will increase access, reduce stigma, and
strengthen individual and collective well-being.
ENGAGING BROAD COMMUNITY PARTICIPATIONThe annual Mental Health Awareness Through Art initiative will bring together teens and community membersacross Bainbridge Island to co-create public art installations and host creative events during Mental Health
Awareness Month each May. Activities will be interactive, visible, and collaborative, encouraging youth andresidents to contribute artistically while deepening their understanding of youth mental health.
Youth voices are central to the planning and design process, with youth participants leading concept
development and production, supported by BYS staff, board members, and community volunteers. These
shared, intergenerational experiences help foster a more connected community.
EXPANDING ACCESS TO CULTURAL OPPORTUNITIES
Our Group Psychoeducation with Expressive Arts programming is free and open to all 5th–8th grade youth on
Bainbridge Island, including those who may not traditionally access cultural or therapeutic services due to
cost, stigma, or other barriers. The structure and content of the program centers creative expression and givesyoung people space to explore identity and emotional well-being in a safe, low-barrier setting.
As a result of their participation:-85+% will report learning skills and strengths that positively impact their mental health and overall well-being.
-85+% will report an increase in positive mental health and overall wellness.
-Youth will report increased confidence in creative self-expression.
STRENGTHENING BYS’S CAPACITY
This project strengthens BYS’s capacity to reach youth beyond the clinical setting. By expanding group-based
and community-facing programming, we increase our capacity to reach more youth than is possible through
1:1 therapy alone, particularly important given that our therapy appointments are consistently at capacity.
It also provides our staff with new opportunities to reach youth and help them build resilience through trauma-
informed engagement focused around expressive arts, creativity, and self-expression. These gains positionBYS to remain agile and relevant in how we meet the evolving needs of Bainbridge Island youth.
FOSTERING COLLABORATION
This initiative will deepen partnerships with the local cultural sector, including artists, schools, and creative
organizations across Bainbridge Island. Through shared planning, workshops, and public art displays, we willposition the arts as a powerful partner in youth wellness. By integrating youth-led creative expression into
public spaces, we raise awareness and embed mental health support into the cultural life of Bainbridge Island.
VII. Organizational Capacity*
VIIIa. 2026 Proposed Contract Metrics
Awardees will enter into a contract with the City and report back quarterly on what you have achieved. Please list 2
outputs that you have the capacity to monitor and report on over the two-year contract period. These should be
“Outputs” which are defined as the number served or amounts of service provided. They are quantitative in nature. They
should be easily measurable for your organization. All organizations must provide the number of unduplicated
Bainbridge Island residents served per year, and the title of that metric is filled in for you.
Metrics*Q1 Q2 Q3 Q4 Total*
VIIIb. 2027 Proposed Contract Metrics
Awardees will enter into a contract with the City and report back quarterly on what you have achieved. Please list 2outputs that you have the capacity to monitor and report on over the two-year contract period. These should be
“Outputs” which are defined as the number served or amounts of service provided. They are quantitative in nature. They
should be easily measurable for your organization. All organizations must provide the number of unduplicated
Bainbridge Island residents served per year, and the title of that metric is filled in for you.
Metrics Q1 Q2 Q3 Q4 Total
Please explain how this service will continue operating during and after the funding period.
Please explain how the City’s funds would be used responsibly.
(Limit 1,500 Characters)
BYS has served Bainbridge Island youth for over 60 years with consistent, high-quality, trauma-informed care.
We are led by Executive Director Courtney Oliver, a Licensed Mental Health Counselor with 17+ years ofexperience in the mental health field. She has served BYS since 2016–and in that time has ensured fullcompliance for an array of BYS grant contracts–including grants with City of Bainbridge Island, Kitsap County,
Bainbridge Community Foundation, and more.BYS maintains strong partnerships with entities and organizations including the Bainbridge Island School
District, Bainbridge Police Department, Helpline House, Housing Resources Bainbridge, and Island Volunteer
Caregivers. We meet with partners monthly to coordinate services and address gaps. A BYS Youth Advisory
Board made up of participants provides valuable ongoing feedback, and over 1,000 volunteer hours are
contributed annually. Our Board of Directors offers strong financial oversight, with 100% of members donatingannually.BYS has a diverse, flexible funding strategy, including annual fundraising events, corporate sponsorships,
individual contributions ($250,000+ annually), and grants from public and private funders. We also participate
in One Call for All and Kitsap Great Give.
City funds will be used to support program delivery, covering direct costs including staffing, materials, andfacilitation. Our diversified funding base ensures these services will continue throughout and beyond the grant
period.
Number of unduplicated Bainbridge Island
youth served through project
10 10 10 10 40
% of youth participants who report
learning skills and strengths that positively
impact their mental health and overall
well-being (target: 85%+)
85 85 85 85 85
% of youth participants who report an
increase in positive mental health and
overall well-being (target: 85%+)
85 85 85 85 85
Number of unduplicated Bainbridge Island
youth served through project
12 12 12 12 48
% of youth participants who report
learning skills and strengths that positively
impact their mental health and overall
well-being (target: 85%+)
85 85 85 85 85
IXa. 2026 Proposed Use of Funds
Please complete this table below. The Total column should equal the total cost of delivering your program.
Expense Category Amount Covered
by City Cultural
Funding Request
(Column A)*
Amount Covered
by Other Funding
(Column B)*
Total (A + B)*
Staff Costs (Salaries, Benefits,Taxes, Training, etc.)
Professional Services /Consultants / Contractors
Program Supplies
Other Operating Expenses (e.g.,Technology, Rent, Equipment,Insurance)
Scholarships
Other
Total
IXb. 2027 Proposed Use of Funds
Please complete this table below. The Total column should equal the total cost of delivering your program.
Expense Category Amount Covered
by City Cultural
Funding Request
(Column A)*
Amount Covered
by Other Funding
(Column B)*
Total (A + B)*
Staff Costs (Salaries, Benefits,Taxes, Training, etc.)
Professional Services /Consultants / Contractors
Program Supplies
Other Operating Expenses (e.g.,Technology, Rent, Equipment,Insurance)
Scholarships
Other
Total
Comments on Other Funding Sources
% of youth participants who report an
increase in positive mental health and
overall well-being (target: 85%+)
85 85 85 85 85
6000 0 6000
1000 0 1000
3000 0 3000
0 0 0
0 0 0
0 0 0
10000 0 10000
7000 0 7000
0 0 0
3000 0 3000
0 0 0
0 0 0
0 0 0
10000 0 10000
Of the amounts listed in Column B, do you have any funds committed to date? If yes, please list sources and amounts
below. If no, please describe where you expect to secure these funds from, and how you know you can raise thosefunds.
N/A
X. Stories of Impact*
Board of Directors List
Include names and titles of current members, as well as any open positions.
Name *Title*
Current Staff List
Include names and titles of current members, as well as any open positions.
Name *Title*Work Status*
Please provide a testimonial(s) or narrative(s) that demonstrates the impact of your organization’s work. (Limit 750Characters)
BYS empowers youth through creative expression and youth-led initiatives. For example, our BYS Youth
Advisory Board of seven high schoolers created a video series on substance use–gaining skills in filmmaking,
film producing, and film editing.
These types of art projects give youth a platform to express their experiences and stories. Quotes from BYS
youth on how art can heal:-"I am not a person who likes to talk a lot so using art in therapy has been a great way to figure out myself."
-"I am an artist so I have been excited to share with my therapist my poetry, it has been really healing."
-"My therapist always asks me to do art in my session and it has helped me communicate in ways that I didn't
know I could."
Irv Alpert Board Co-President
Lee Moniz Board Co-President
Ed Arndt Board Vice President
Hannah Touchette Board Secretary
Jennifer Cannon Board Member
Jennifer Edwards Board Member
Kelly Field Board Member
Karen Hall Board Member
Darcy Brigham Board Member
Peter Sprung Board Member
Courtney Oliver, LMHC Executive Director Full Time
Part Time
Volunteer
Other
Kristan Weller Development Manager Full Time
Part Time
Volunteer
Other
Karis Tsolomitis Communications Manager Full Time
Part Time
Volunteer
Other
Laura Firman Office Coordinator Full Time
Part Time
Volunteer
Other
Kristin Gandee Office Coordinator Full Time
Part Time
Volunteer
Other
Helen Burke, LMHC Clinical Supervisor Full Time
Part Time
Volunteer
Other
Megan Leanderson,
LMHCA
Therapist Full Time
Part Time
Volunteer
Other
John Carleton, LMHC Therapist Full Time
Part Time
Volunteer
Other
Emily Henning, LSWAIC Therapist Full Time
Part Time
Volunteer
Other
Chase Myers, LMHCA Therapist Full Time
Part Time
Volunteer
Other
Megan Bradley, LMHCA Therapist Full Time
Part Time
Volunteer
Other
Operating Budget*
Organizational Statement of Activities*
Organizational Statement of Financial Position *
Top Five Funding Sources
Please prepare a list of your five largest income sources in your past two fiscal years – this may be a single funder,
donor, fundraising event, community appeal, etc. We are trying to get a sense of where most of your funding comes
from.
Name *Amount*
IRS Determination Letter of 501(c)(3) Nonprofit Status *
Authorized Signature Name*
Authorized Signature*
Date
Fiscal Sponsor Name (If applying with fiscal sponsor)
Fiscal Sponsor Authorized Signature (If applying with fiscal sponsor)
For your current fiscal year. If you work with a fiscal sponsor or are a division of a larger organization, please include theoperating budget specifically for your entity or division.
BYS Organizational Budget 2025.pdf 139.65KB
This is sometimes referred to as Income and Expense Statement. Please provide a statement for your most recently-completed fiscal year for your organization. If you work with a fiscal sponsor or are a division of a larger organization,
include a statement specific to your entity or division.
BYS Budget vs. Actuals Budget_FY24_P&L - FY24 P&L .pdf 37.65KB
This is sometimes referred to as a Balance Sheet. Please provide a statement for your most recently completed fiscalyear for your organization. If you work with a fiscal sponsor or are a division of a larger organization, include a
statement specific to your entity or division.
BYS Balance Sheet_2024.12.31.pdf 38.92KB
BYS Fundraising Events 317,883
Kitsap County 112,500
City of Bainbridge Island 106,000
Bainbridge Community Foundation 41,150
Pakis Family Foundation 20,000
BYS IRS 501c3 determination letter.pdf 1.18MB
Courtney Oliver
9/25/2025
Sign
Date
Is the Applicant One of the Following?*
Does the proposed fund expense occur during the two year funding cycle?*
Does the Applicant NOT have a Board Member, Officer, or Staff Member Serving on the Lodging Tax Advisory
Committee?*
Materials Checklist (Have all been provided?)
Based on the Provided Information, is the Applicant Eligible to Receive Funding?*
Review by City Staff (Insert Full Name)*
Date
Notes
9/25/2025
Eligibility Vertification
Nonprofit - 501(c)(3) with two-year history of continuous operation
Nonprofit - 501(c)(3) without two-year history of continuous operation but with a fiscal sponsor
Entity without 501(c)(3) with a fiscal sponsor that is a 501(c)(3) with two years of continuous operation
Yes
No
Yes
No
Applicant Information
Narrative
Board of Director List
Current Staff List
Operating Budget
Statement of Activities
Statement of Financial Position
Top Five Funding Sources
IRS Determination of Nonprofit Status
Authorized Signatures
Yes
No
Adam Nebenzahl
9/26/2025
Bainbridge Youth Services
2025 Organization Budget
January - December 2025
Revenue Total
General Donations $200,163.00
Fundraising/Events $147,048.00
Grants $195,150.00
Foundations $125,000.00
Total of Revenue $667,361.00
Expenses
Personnel Expenses
Personnel $478,256.00
Payroll Taxes and Benefits $67,339.00
Counseling Program Expenses
Cellphone $1,560.00
Carepaths Electronic Health Record System $3,360.00
Training $3,700.00
Counseling Supplies $500.00
Counseling License $400.00
Counseling Groups $3,000.00
Service Program Expenses
Service Club $600.00
Peer Tutoring $300.00
Compassion Action Awards $300.00
AskBYS Podcast $1,200.00
The Tyler Moniz Project $4,000.00
Operational Expenses
Bank Service Charges $120.00
Board Expenses $2,600.00
Building Maintenence $10,978.00
D and O Insurance $1,335.00
General/Professional Liability Insurance $2,085.00
Property Insurance $2,482.00
Business Licenses and Permits $400.00
Office Expenses
Technology $7,200.00
Office Equipment/Furniture $4,000.00
Office Supplies $3,000.00
Hospitality $700.00
Postage and Delivery $600.00
Rent and Utilities $13,394.00
Mileage Reimbursement $100.00
Team Building and Development $3,000.00
Professional Fees
Accounting $4,500.00
Legal $460.00
Fundraising
Fun Run $14,000.00
One Call For All $400.00
Grant Writing Contractor $7,000.00
Donor Engagement Expenses $2,000.00
Donor Software $4,192.00
Marketing
Graphic Design Contractor $6,000.00
Community Outreach $3,000.00
Social Media $6,300.00
Marketing Material $3,000.00
Total Expenses $667,361.00
Surplus/Deficit $0.00
Bainbridge Youth Services
Budget vs. Actuals: Budget_FY24_P&L - FY24 P&L
January - December 2024
Cash Basis Monday, January 13, 2025 07:02 AM GMT-08:00 1/1
TOTAL
ACTUAL BUDGET OVER BUDGET % OF BUDGET
Income
50 General Donations 236,326.29 185,904.00 50,422.29 127.12 %
60 Fundraising 174,754.38 143,000.00 31,754.38 122.21 %
70 Grants 214,500.00 254,390.00 -39,890.00 84.32 %
80 Foundations 162,500.00 125,000.00 37,500.00 130.00 %
Total Income $788,080.67 $708,294.00 $79,786.67 111.26 %
GROSS PROFIT $788,080.67 $708,294.00 $79,786.67 111.26 %
Expenses
100 Payroll 399,463.42 494,656.00 -95,192.58 80.76 %
200 Payroll Expenses 21,979.46 32,664.00 -10,684.54 67.29 %
300 Taxes 31,115.47 34,939.00 -3,823.53 89.06 %
400 Program Expense 22,028.45 27,039.00 -5,010.55 81.47 %
500 Operational Expenses 23,784.26 20,000.00 3,784.26 118.92 %
600 Office Expenses 24,242.58 32,694.00 -8,451.42 74.15 %
700 Professional Fees 5,263.00 5,160.00 103.00 102.00 %
800 Fundraising Exp.39,147.29 35,065.00 4,082.29 111.64 %
900 Marketing 23,972.64 26,077.00 -2,104.36 91.93 %
Depreciation Expense 17,138.94 17,138.94
Staff -2.20 -2.20
State Unemployment 0.14 0.14
Unapplied Cash Bill Payment Expense -639.99 -639.99
Total Expenses $607,493.46 $708,294.00 $ -100,800.54 85.77 %
NET OPERATING INCOME $180,587.21 $0.00 $180,587.21 0.00%
Other Income
Interest Income 17,202.47 5,000.00 12,202.47 344.05 %
Total Other Income $17,202.47 $5,000.00 $12,202.47 344.05 %
NET OTHER INCOME $17,202.47 $5,000.00 $12,202.47 344.05 %
NET INCOME $197,789.68 $5,000.00 $192,789.68 3,955.79 %
Bainbridge Youth Services
Balance Sheet
As of December 31, 2024
Cash Basis Monday, March 10, 2025 12:25 PM GMT-07:00 1/2
TOTAL
ASSETS
Current Assets
Bank Accounts
Kitsap Bank - Checking (**0211)198,841.06
Kitsap Bank - Investment (**2121)648,560.63
Kitsap Bank - Money Market (**0218) (deleted)55.26
Liberty Bank Holdings - 6-month CD (3/2025)105,401.46
Liberty Bay Bank Money Market (deleted)1,924.28
PayPal Bank 0.00
Umpqua Bank - Checking 78,003.83
Total Bank Accounts $1,032,786.52
Accounts Receivable
Accounts Receivable 0.00
Total Accounts Receivable $0.00
Other Current Assets
Undeposited Funds 0.00
Total Other Current Assets $0.00
Total Current Assets $1,032,786.52
Fixed Assets
Accumulated Depreciation -130,086.20
Equipment 11,110.00
Furniture and Fixtures 3,000.00
Inventory 1,470.00
Leasehold Improvements 11,300.88
Madison Ave Office 363,996.73
Net Assets 0.00
New Office-Improvements 83,199.28
Total Fixed Assets $343,990.69
TOTAL ASSETS $1,376,777.21
LIABILITIES AND EQUITY
Liabilities
Current Liabilities
Other Current Liabilities
2020 Deferred Income 0.00
Accrued Expenses 536.63
Deferred Revenue 0.00
Direct Deposit Payable 0.00
Payroll Liabilities -0.88
Payroll Liabilities - Other 973.46
Payroll Liabilities-Fed & State 6,809.18
Total Other Current Liabilities $8,318.39
Bainbridge Youth Services
Balance Sheet
As of December 31, 2024
Cash Basis Monday, March 10, 2025 12:25 PM GMT-07:00 2/2
TOTAL
Total Current Liabilities $8,318.39
Total Liabilities $8,318.39
Equity
Gain/Loss On Investment 0.00
Opening Bal Equity 0.00
Retained Earnings 1,094,477.20
Retained Earnings - Restricted 75,000.00
Net Income 198,981.62
Total Equity $1,368,458.82
TOTAL LIABILITIES AND EQUITY $1,376,777.21