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' City of Santa Ana <br />Donation Request <br />City Managars e _ M -W <br />20 Civic ContarPiaza <br />P.O. Box 1985 <br />Sande Ana, CA 92702 <br />(714) 647--5200 <br />*liana: f llpeGuerrero <br />- Mail Donation Check to <br />;Address: 1204-N. Susan St. Charitable Ventures of Change <br />_:._.___ ....... _._.__ ... _,. County. _ <br />city, state, zip. ,Santa Ana, Calif. 9703 Pttora {714-566-5513 <br />1505 E. 17th Street Suite 101,_ <br />;=matt Igodfnano@aol.com Santa Ana, CA 92709 <br />*erne: Santa Anita Neighborhood Association Fiscal sponsor is Charitable Ventures of 01 <br />176x -Exempt StaN18; t4.yaW organtzetlon a non-rrefil or public tax-exempt organization as <br />defined raider Rection 6alicX3) of ft internal Revenue Code? select D�: W Yea El No <br />If No, you wN only, quaW fora MW fix-Crty-+ Wedcone rorpWretluest 0,0.penn3t fees. <br />i Mew, remalnatas rorfaditlas or equipment etcj.Costs for My seMces vary andX if Yes, i <br />approved, credit mer ormay not cover A& cost of requested Cry servkes. Tax]D#: j �C`L '1�'V <br />AnoentR t" <br />oamxawixi: {,Punt*8,2018 Mayonic imr. sdodo <br />Direct Payment Amount <br />$1,000 Evontpate: ,June 15, 2818 Evont'fime: <br />112:00prn-5:00pfn <br />fisted; <br />EventLocation: <br />`300 Figueroa st. San( Ani, Calif. 92703 <br />'Addnrw W eta. Zia <br />The Santa Anita fieigItborhand Association will b6 hosting a small event on June 15th Eo <br />Dowdption a1 <br />celebrate the new TV and DVO player that will be installed in the canter for the <br />lEventIPurpose;. <br />;community to use. <br />Community will benefit from the event, an opportunity to engage children and families <br />conuaunttyBeealis= <br />'.. to use the center more ofteri, promote cotrtmumity pride, and get to know other <br />i neighbors. <br />;Applicant Signature: ,pate: June 6t2018 <br />20 cfivtc Center Plaza For t7141847.6954 i <br />P.O. Box 1966 <br />sante Arta, CA 82762 <br />Utsnaf[en Ftaquext ll: FSE C^ uncia Meeting Rate: JUri2 192fi lip <br />, <br />Eligibility (Asir: YE47PnC1 E-Ec Ap(a*vad Amount <br />City Nanagur S43nntua: _ rate: <br />Revised 0170.5#2617 <br />EXHIBIT 6 <br />