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e:�,' City Manager's Office–M-31 <br />r ri City of Santa Ana <br />20 Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />u;.� _� Santa Ana, CA 92702 <br />—" (714) 647.5200 <br />Contacts <br />'Name e: John Herpy itt'r a President <br />ddress: <br />24 Via Bella, Suite 1000 <br />IClty, stale, zip: <br />Rancho Mirage, CA 92270 <br />Phone: <br />1562.221.7145 <br />lEmal�l: �jherpy@ix.netcom.com <br />Fax: <br />F <br />r r. <br />Name: <br />Roadrunner Football Boosters <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as Selr ect One: <br />defined under Section 601(c)(3) of the Internal Revenue Code? I [—Z Yes ❑ No <br />If No, you will only qualify lora credit for City -related costs ror yourrequest (i.e. permit fees,laff If Yes, <br />rental rates rmaynotsovequipment,freq este for City services vary and if �14 37 090546 <br />credit may ormaynotcover lull cost of requested City services. ax lD#: <br />Iapprelme, <br />(approved, <br />=ti•ry Request <br />f <br />City Services Credit I� <br />Pmount Requested: $ Date Needed: July 2018Mayor/Councilmember. <br />Tinajero <br />Direct Payment Amount ,815 0 Event Date: 2018 <br />[July <br />Ever nt Time: <br />Various <br />Requested: <br />i <br />Event Location: <br />Saddleback High School, 2802 South Flower St, Santa Ana, CA 92707 <br />Address, City, State, Zip <br />Description of <br />Saddleback High School Varsity Football Team support. <br />Event / Purpose: <br />PROVIDING SUPPORT FOR ON-GOING SERVICES TO THE SADDLEBACK HIGH <br />Community Benefit: (SCHOOL <br />FOOTBALL TEAM, WHICH PROMOTES HEALTH, FITNESS, AND ACADEMICS. <br />Applicant Signature: '.'Dat Q]��Q�2018� <br />Mall: City Manager's Office–M-31 .Email: donationrequest@santa-ana.org <br />20 Civic Center Plaza Fax: (714) 647.6964 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation <br />Donation Requestel <br />peneast #: doPVs <br />- <br />DR - <br />Council MeetingDate: I <br />August 21, 2018 <br />9 <br />Eligibility Met: YES I NO Yss I Approved Amount: 51,500 <br />City Manager Signature: Date: <br />Revised 01/0512017 <br />ExYXO44 <br />