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STATE OF CALIFORNIA DEPARTME NT OF JUSTIC E

BGC 203 PAGE 1 of4MAJOR LEAGUE SPORTS RAFFLE ELIGIBLE ORGANIZATION RAFFLE REPORT

T TO:

(Rev 10/2018 )

PLEASE SEND COMPLETED REPORBureau of Gambling Control P. 0. Box 168024 Sacramento , CA 95816-8024 Phone: 916-830-1700

Raffle Report Period: D Season or ~ Calendar Year Dates:

Eligible Organization's Name: San Francisco 49ers Foundation

Eligible Organization's Registration Number: 18-000019

Pursuant to Penal Code section 320.6, subdivision (o)(13)(A), once registered, an eligible organization shall file with the Department of Justice, each season or year thereafter, a report that includes all of the following information. Pursuant to Penal Code section 320.6, subdivision (o)(13)(B), failure to submit the seasonal or annual report shall be grounds for denial of an annual registration and for the imposition of penalties under Government Code section 12591.1.

SECTION 1: SEASON OR ANNUAL RAFFLE TOTALS

The gross receipts generated from the sale of Total number of raffles conducted for the $759,60010 raffle tickets for the season or calendar year. season or calendar year.

The average per raffle gross receipts The prize total for the season or calendar year,

$379,800generated from the sale of raffle tickets for $75,960 including any prize that was not claimed.

the season or calendar year.

The average per-raffle prize total for the The prize total that was not claimed, if any, during $90,535 season or calendar year, including any prize $37,980 the season or calendar year.

that was not claimed.

For each raffle in which the raffle prize was not claimed , list the name of the eligible recipient organization that received the prize (attach additional sheets, if needed) .

10/21/18 - One Love Foundation/ Next Door Solutions/ La Casa de las Mad res

11/12/18 - North Valley Community Foundation

STATE OF CALI FORN IA DEPARTMENT OF JUSTI CE BGC 203 PAGE 2 of 4 MAJOR LEAGUE SPORTS RAFFLE (Rev. 10/2018)

ELIGIBLE ORGANIZATION RAFFLE REPORT

SECTION 2: COST RELATED INFORMATION

Provide a total of the direct costs of conducting the raffles for:

Labor Consulting Software Marketing Raffle Equipment

$72,264 $0 $0 $0 $8,371

Provide a schedule of vendors used to operate the raffles and total payments made to each vendor. (Attach additional sheets if needed.) Amount Paid

- Bump Worldwide, Inc. 63,231

STATE OF CALIFORNIA DEPARTME NT OF JUSTICE BG C 203 PAGE3of4MAJOR LEAGUE SPORTS RAFFLE (Rev. 10/2018)

ELIGIBLE ORGANIZATION RAFFLE REPORT

SECTION 3: FOR EACH RAFFLE EVENT PLEASE PROVIDE THE FOLLOWING INFORMATION (attach additional sheets, if needed)

Gross Receipts Prize StatusAmount EachBenefitting Organization (Eligible Organization or Eligible Generated by Winning Ticket Registered

Organization (Claimed/Event Date Recipient Organization) the Sale of NumberEvent ID# Received Unclaimed)

Raffle Tickets

Fresh Lifelines for Youth (FLY) 48,100 24,050 4274849025 :laimed180000119 ~ug 9, 2018

38,590 19,295 6989244033 Claimed180000219 ~ug 30, 2018 K:ity Year

43,830 7737391035 :laimed180000319 ISep 16, 2018 iSan Francisco 49ers Foundation 87,660

88,300 44,150 7151656028 :laimedAmerican Cancer Society 180000419 !Oct 7, 2018

98,430 6859909028 Unclaimed180000519 !Oct 21, 2018 One Love Foundation/ Next Door Solutions/ La Casa de las ~ 98,430

San Francisco 49ers Foundation 76,020 38,010 7718428045 :laimed180000619 Nov 1, 2018

North Valley Community Foundation 82,640 82,640 6979714014 Unclaimed180000719 Nov 12, 2018

38,660 8899161009 :laimed180000819 Dec 9, 2018 STEM Leadership Institute 77,320

Dec 16, 2018 San Francisco 49ers Foundation 71,440 35,720 9099000008 :laimed180000919

Dec 23, 2018 :enter for Youth Wellness 91,100 45,550 7600633025 :laimed180001019

CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true, correct, and complete. First Name Last Name Middle Initial

Fiduciary's Printed Name . _J_us_t_in____q_,_______________ Prettyman

Fiduciary's Signature: '-£, .A <5f.-==+-6--+/__=1_ '---",l.... -- --+--------- Date: 2/27/2019

~ 0

STATE OF CALI FORNIA DEPARTME NT OF JUSTICE BGC 203 PAGE 4 of 4MAJOR LEAGUE SPORTS RAFFLE (Rev. 10/2018)

ELIGIBLE ORGANIZATION RAFFLE REPORT

Privacy Notice on D~ta Collection Forms As Required by Civil Code§ 1798.17

Collection and Use of Personal Information The Division of Law Enforcement, Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by California Penal Code section 320.6. The Bureau uses this information to establish grounds for the license, permit or other approval indicated on this application form. In addition, any personal information collected by state agencies is subject to the limitations in the Information Practices Act and state policy. The Department of Justice's general privacy policy is available at htt.Q)/oag_, ca.gov/12rivacy-_p~lic_y_.

Providing Personal Information All the personal information requested in this form must be provided.

Access to Your Information You may review the records maintained by the Division of Law Enforcement, Bureau of Gambling Control in the Department of Justice that contain your personal information as permitted by the Information Practices Act. (See below for contact information.)

Possible Disclosure of Personal Information In order to process your application, we may need to share the information you give us with law enforcement or regulatory agencies.

The information you provide may also be disclosed in the following circumstances:

With other persons or agencies where necessary to perform their legal duties, and their use of your information is compatible and complies with state law, such has for investigations or for licensing, certification, or regulatory purposes;

To another government agency as required by state or federal law.

Contact Information For questions about this notice or access to your records, you may contact the Special Agent Supervisor of Special Programs at the Department of Justice, Bureau of Gambling Control, at P. 0. Box 168024, Sacramento, CA 95816-8024, (916) 830-1700 or e-mail at GamblingControl@doj.CfL.9-QV