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City of Sanaa Ana <br />Donation Request <br />(Name: !John Herpy <br />(Address. �24 Via Bella, Suite 43 <br />City, State, zip: Rancho Mirage, CA 92270 <br />Email: 'john.herpy@RainmakerEffect.Org <br />_ _. <br />1Name: !Rainmaker Effect, Inc <br />City Manager's Office — M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 847.5200 <br />Title: President <br />Phone: 1562.221 <br />Fax: <br />7145 <br />i Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as 'P��,-�°;1� <br />'Palmed under Section 501(c)(3) of the Internal Revenue Code? I Select Ono: 4'L--1 Yes ❑ No <br />' If No, you will only qualify for a credit for City -related costs for your request flat permit fees, f -- " <br />;staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and it ilf Yes' yj _ /t4 ! <br />approved, credit may or may not cover full cost of requested City services. (Tax ID #: 4 I. <br />City Services Credit S Date Needed: June 30, 2018 Neyonctunoilmember: 1Tinajero <br />Amount Requested: <br />_...__.._ _....__.--- ---- .___._.. <br />Direct Payment Amount Event Time: <br />warlOUS <br />Requested. $ 1000.00 (Event Date: <br />On -Going <br />iEvent Location: Saddleback High School, 2802 South Flower St, Santa Ana, CA 92707 <br />(Address, City, State, Zip <br />10eacdpdon of , Rainmaker Effect Leadership program (Reaching Outwards for Outrageous <br />Event I Purpose: Team Results - ROOTS) <br />' I <br />Providing program support for fourth consecutive year of high school student (8th through 12th grade) leadership and character building at <br />Community Benefit: Saddleback High School. Program continues to foster and grow mentors both inside the school and outside Including on campus staff, <br />outside adult volunteers, and graduated SHS seniors that have participated in the program and have returned to support the ROOTS <br />program - <br />,Applicant <br />._......_ _ _ a Applicant Signature:'Date: 106/07/2018 <br />Mail: City Manager's Office—M-31 Email: donationregaest@santa-ana.org <br />20 Civic Center Plaza = Fax: (714) 647-6964 <br />i P.O. Box 1988 <br />j Santa Ana, CA 92702 <br />i <br />Donation Request #: DR- <br />�t Council Meeting Date: JUNE 19, 2018 <br />Eligibility Met: YES I NO Approved Amount: > $1,000 <br />City Manager Signature: _ r✓- Date: _ <br />Revised 01/05/2017 <br />EXHIBIT 13 <br />