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City of Santa Ana <br />Donation Request <br />City Manager's Office — M-31 <br />20 Civic Center Plaza <br />P.O. Box 1188 <br />Santa Ana, CA 92702 <br />(7f4) 647-5200 <br />Name: Sake Diaz <br />Flue: Neighborhood Leader <br />address: 207 S Orange St Apt #201 <br />pity, State, zip; Santa Ana, CA 92701 1714785-1681 -" <br />lEmall: <br />sel d O.Com Fax: <br />............. ...... . ..... .... ... <br />Olrqanliation-lnforrrlation- <br />Paritable Ventures OC I Eastside neighborhood association <br />u <br />,defined nder Section 501(r)(3) of the Internal Revenue Code? Select One: Yes [:] No <br />If No, you will only qualify for a credit for CY"Isted costs foryourrBiluest go. Perm# fam <br />Waff time, rental miss for facilities or equipment, etc.). Costs for 011y services vaiy and If If Yes <br />�;provsd, credit may ormay not cover full cost of requested Co services. 6x ID' #: 120-8756660 <br />......... . . .... . - ... . ...... <br />Services . Credit <br />mayoicouncilmem er Marenez <br />Needs r <br />��lCity <br />ount Requested: <br />Pate <br />ant Amount <br />500.00 <br />vent Data: <br />lEve <br />August 18,201 <br />Event Time: am - 1:00 Pm <br />JE <br />R.equested: <br />lEvent Lace <br />c f: <br />Pacific -Electric Park and Bike Trail <br />!Address, City, State, Zip <br />. ......... . .... <br />Eastside NA will be holding a community clean up day and walking activity <br />[There <br />Deecrlpfion of <br />will be 11 booths along the bike bell with Infoirnation on city services and programs. <br />Event I Purpose, <br />People who participate will be given a map to got stamped at each of the booths and then turn <br />In for a chance to win prizes. <br />clean up and get Informed on city programs and services. <br />Community Benefit: <br />(Community <br />jApplicant I lure <br />Dale! 1.6/22L201 <br />Re'dirn dbmp le te d <br />f0im <br />Mall: CltyManager's Offlea—M-31 <br />15m,11: donationraquest@santa-anmorg <br />20 Civic Center Pima <br />Fax; (714) 647-6954 <br />P.O. 13" 1988 <br />Santa Ana, CA 92702 <br />Revised 01105/2017 <br />