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Fi City of Santa Ana <br />�! Donation Request <br />City Manager's Office - M-21 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647-5200 <br />.Name: Andres F. Rivera Title: lCitizenstilp Program Coordinator <br />address: 13252 Garden Grove Blvd Suite 204 <br />city, state. zip: !Garden Grove, CA, 92843 Phone:X714.621-0919 ext. 10 <br />- - -- - <br />mail: arivera@occord.or9 pas: <br />(Name: Orange County Communities Organized for a Responsible Development (OCCORD) <br />Tax -Exempt Status: Is yourorganization a non-profit crpublic to Zempt organization as' ---- - — Garden Grove --- <br />defined under Section 501(c)(3) of the Internal Revenue Code? (Select One: I a Yes ❑ No <br />1 0, you will only qualify ora Credit(or Cdy-refafed casts lbryourmquesf(.e. permit fees, ----- - -- <br />staN 0me, rental rates for facilities or equipment, otc.).Colds for City services vary and N <br />Oproved, credit mayor maynof cover full cost of requested City services <br />Taro0: X143-2092827 <br />City eCredit <br />' <br />-. __ _—__— j- -_ <br />E Dale Needed: 108/18/2018 1aa 1Sarmie <br />Amount Requested: <br />I I � Iy orlCounctimember. nto <br />Direct Payment Amount <br />Event Date: A'Event event Time: I7AM - 5PM <br />Requested: <br />($11000 <br />rSalgado Community Center <br />:Event Location: <br />laddarsa, City, state, 210 <br />I <br />706 N Newhope St, Santa Ana, CA 92703 <br />; <br />j In partnership with the City of Santa Ana and the Salgado Community Center, OCCORD will be hosting a Gee citizenship <br />Description of <br />fair to provide one-on-one assistance. Including: citizenship application assistance (N-000), legal advise on the <br />Event/Purpose: <br />naturalization process, fee waiver assistance, citizenship courses and educational material, and additional information on <br />(Know, Your Rights, DACA, and family preparedness. I <br />This event will serve as an opportunity to educate Santa Ana residents on how to apply safety for <br />Icitizenship. <br />Community Benefit: <br />Additionally, this event will bring stakeholders together to provide direct assistance <br />land resources to assist legal permanent residents with the citizenship application process. <br />(Applicant signature: <br />- - - — pate: 104/05/2018 <br />. <br />, ,..ew <br />Mail: City Manager's Office —M31 iEmail: donationmquesl@sanla-ana.org <br />20 Civic Center Plus I Fax: (714) 647.6954 1 <br />P.O. Box 1986 <br />Santa Ane, CA 92702 <br />Donation Request #: DR <br />,., .% Council Meeting Date: August 21, 2018 <br />Eligibility Met: YES INO YES Approved Amount: $1,000 <br />City Manager Signature: Date: <br />Revised 01105/2017 <br />29A-24 <br />