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PhM <br />w. y City of Santa Ana <br />I Donation Request <br />City Manager's Office – M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647.5200 <br />IName: (orange County Fire Explorers fiscal sponsor is Orange County Fire Authority Foundation <br />Status: Is your organization a non-profit o <br />Section 501(x)(3) of the Internal Revenue <br />as (Select One: <br />No, you will only qualify for a credit for Cily-related costs for your request (t. is. permit fees, If Yes, <br />iff lime, rental rates for facilities or equipment, etc.).Costs for City services vary and i/ <br />proved, credit may wmay not cover full cost of requested City services. az lD#: <br />Yes ❑ No <br />27-1064774 <br />�City Servlc�s Credit P— Date Needed: <br />flmount Roquested. <br />�MayorlCou� <br />Name: <br />I Samantha Maria Soto <br />Itie. Community Relations Specialist <br />ddress: <br />1439 S. Broadway <br />F$7 <br />city, swte, zip: <br />Santa Ana, CA 92707 <br />phone: <br />1714 567 3253 <br />Email: <br />samanthasoto@ocfa.org <br />Fax: <br />IName: (orange County Fire Explorers fiscal sponsor is Orange County Fire Authority Foundation <br />Status: Is your organization a non-profit o <br />Section 501(x)(3) of the Internal Revenue <br />as (Select One: <br />No, you will only qualify for a credit for Cily-related costs for your request (t. is. permit fees, If Yes, <br />iff lime, rental rates for facilities or equipment, etc.).Costs for City services vary and i/ <br />proved, credit may wmay not cover full cost of requested City services. az lD#: <br />Yes ❑ No <br />27-1064774 <br />Return"coin feted `form;viab. <br />Mail: City Managers Office–M-31 all: donationrequest@santa-ana.org <br />20 Civic Center Plaza X. (714) 647-6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />�City Servlc�s Credit P— Date Needed: <br />flmount Roquested. <br />�MayorlCou� <br />ncilmember: <br />Villages <br />Direct�Dfrect Pay=ntAmount 5 750.00 `Event <br />iRequesled: <br />on-going Event Time: <br />OCFA Fire Explorer Program <br />F$7 <br />City Manager Signature: I <br />Event Location: <br />[120 W. Walnut <br />Address, City, State, Zip <br />anta Ana, CA <br />OCFA Fire Explorers is a GREAT way for the youth of Santa Ana to see first hand what It is to be a firefighter. <br />Description of <br />These funds will support and continue to grow the program, mentoring the youth of Santa Ana. The Explorers <br />Event I Purpose: <br />learn skills that help them in becoming a Firefighter along with life long skills to use, in any career of their choice. <br />Fite Explorers are present at community events and programs, engaging the residents and teilmv youth. They support a safe community and <br />Community Benefit: <br />encouraging Santa Ana Youth to be involved <br />Applicant Signature: <br />Data: <br />June 8,2018 <br />Return"coin feted `form;viab. <br />Mail: City Managers Office–M-31 all: donationrequest@santa-ana.org <br />20 Civic Center Plaza X. (714) 647-6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Revised 01/05/2017 <br />EXHIBIT 10 <br />29A-42 <br />Donation Request#: <br />Relurence # on all related DPVs <br />DR- <br />Council Meeting Dale: <br />19, 2018 <br />Eligibility Met: <br />YES I NO YES <br />Approved Amount: <br />F$7 <br />City Manager Signature: I <br />Date: <br />Revised 01/05/2017 <br />EXHIBIT 10 <br />29A-42 <br />