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City of Santa Ana <br />Cify A4arragar's Office-M-Si <br />20 Civic Center Plaza <br />Donation Request <br />(9) <br />PQ. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647.5200 <br />Name: (Patricia Wenskunas Isle: W��FounderCEO <br />._....._..� _.�._._._-—_ <br />a� darass: 11301 North Tustin Ave., Suite A <br />City,stats, zip: nta SaAna, CA 92705 �Pnone: <br />{$44} $53-HOPE {4673} <br />Emali: patncia( cnmesurvivors.org ax: <br />(775) 245-479$ <br />• .,Information <br />Name: crime Survivors — <br />Tax-Exempt status: Is your organization a non-profit or public tax-exempt organization aslectne: O <br />deFlnad under Section 501(c)(3) of the Internal Revenue Code? se <br />Yes No <br />If No, you will only qualify for a credit for City-related costs for your request (i.e. permit fees, If Yes, <br />staff time, rental rates for facilities or equipment, etc,), Casts for City services vary and if <br />y� <br />30-0229425 <br />approved, credit may or may not cover full cost of requested City services. ax ID M <br />mount Requested: _�_�—�_._.. <br />dy Services Credit <br />i -_.... <br />Date Needed: June 2$, 201$ �ia`yortCounciimember. <br />Solorio �# <br />Direct Payment Amount <br />Requested: <br />�— ���.�_^— <br />s 1 575 Event Date: June 2$, 201$ Event Tim®: <br />No Set Time ._.._..._..� <br />Event Location: <br />jAddress, <br />1301 North Tustin Ave., Suite A Santa Ana, CA 92705 <br />City, state, zip <br />._.__.._---------------- _.--- - ------ <br />._Birthday Fundraiser Event for Victim of Crime Programs <br />Birthday <br />Descrption <br />Event t PurPurpose: of <br />Event <br />!!!� 100% for Victims to have hope, healing, and survival! <br />Direct Program Support for Victims of Violent Crime: Art for Healing Classes, Self <br />Community Benefit. <br />Defense & Safety Classes, PEP Classes, Food, Clothing, <br />Transportation & More <br />Applicant Signatures <br />�{�"] [Date: <br />June 11, 2018 <br />Mail: City Manager's Office-M-31 —�—� <br />Email: donationrequostQsanta-ana.org <br />20 Civic Center Plaza Fax: (714) 647.6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />I i <br />Donation Roquest 4. <br />i?Gi4YYOnGJrx H on all relafad 1JpvE i Council Meeting Date: <br />June 18, 201$ <br />Eli ibilit Met: Approved Amount <br />g y <br />Y� <br />$1,575 <br />_ _... <br />City Manager Data <br />EXHIBIT 7 <br />Revised 01105r2017 <br />