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"-�' Manager's Office – M-31 <br />City <br />City of Santa Ana20 <br />Civic Center Plaza <br />�� Donation Request P.O. Box 1989 <br />..�;�=�_. Santa Ana, CA 92702 <br />__ (714) 647-5200 <br />Contact , Information <br />Name: John Herpy Title: President <br />ddress: 24 Via Bella, Suite 43 <br />iCiry sstate, zip: <br />I Rancho Mirage, CA 92270 Phone: <br />1562.221.7145 <br />mail: <br />john.herpy@RainmakerEffect.Org Fax: <br />• •. <br />Noma: Rainmaker Effect, Inc. <br />Tax-Exempt Status: Is your organization a non-profit or public tax-exempt organization as <br />defined under Section 501(c)(3) of the Internal Revenue Code? <br />Yes No <br />Select One: I ❑ <br />II No, you will only qualify lora credit for City-related costs for your request (i.e. permit fees, <br />staff time, rental ratesforlacililles orequipment etc.).Costs for City services vary andif <br />credit mayormaynot coverfull cost of requested City services. <br />If Yes, <br />axlD [47-4654535 <br />lapproved, <br />ACity Servic( es Credit Dale' Needed: QUI 2018 <br />mount Requested: P—I <br />Ma orlCoul ncilmember: Tina ero <br />y I i <br />Direct Payment Amount I— <br />81500.00 Event Date: JUIy 2018 <br />Time: Various <br />Requested: <br />(Event <br />Event Location: <br />Saddleback High School, 2802 South Flower St, Santa Ana, CA 92707 <br />Address, City, State. Zip <br />ription of <br />FE,,n <br />Rainmaker Effect Leadership program (Reaching Outwards for Outrageous <br />t)Purpose. <br />Team Results - ROOTS) <br />(� <br />Providing program support for fourth consecutive year of high school student (8th through 12th grade) leadership and character building at <br />Community Benefit: <br />Saddleback High School. Program continues to foster and grow memory both Inside the school and outside including on campus stag, <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 Signature; ' )Date. Q7/10/2018 �) <br />Mail: City Managers Office–M-31 Email: donatlonmquest@santa-ana.org <br />20 Civic Center Plaza Fax: (714) 647.6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donaton Request DR. �— <br />� i <br />J Council Meeting <br />I 0 Date: Au9us121, 2018 <br />Eligibility Met: YES I NO YES Approved Amount: 51,500 <br />City Mona gor Signature: Date: <br />Revised 0110512017 <br />MR140 <br />