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City of Santa Aria City <br />Manager's24Civic Conte), Plaza <br />Donation Request N-2018-172-04 ROo Box 1988 <br />Santa Ana, CA 92702 <br />8 (714) 847.5200 <br />Name: 11Citerttrat?leVentures ofOrange County (fiscal sponsor for Downtown Neighborhood Association) <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as Selact One; <br />iefined under Section 501(c)(3) of the Internal Revenue Code? i Yes t3- 1 No <br />If Aid, you will only qualifylor a credit for City -related costs For your request (+".e. pormfffees,'120-8756660 <br />0 <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and If ((IIff `Y�e's, �('�), (�� Q (� "'` (� ("� <br />approved, credit may or may not cover full cost of requested City services. Tax to <br />t L V `:J L.! L„T iJ V <br />Services <br />(Event"Location: <br />Address, City, State, Zip <br />M <br />1911/2018 <br />...mow.._.._.-�, <br />('t 011/2018 <br />Birch Park/SA Senior Center <br />424 W. 3rd: St 92701 <br />Martinez <br />10-2 <br />3rd Annual International Older Adults Health Fair <br />To celebrate the diversity & culture of the Seniors in SA, the seniors will be the performers and participants. <br />Both Seniors centers will participate and all senior apartments will receive flyer's to participate <br />There will be booths with resources for the seniors, plus a health fair that will provide services for all in <br />attendance. There will be food tracks that will provide lunch for $5 for each senior. Funds are needed to <br />help with meals, and other essentials to put on the event. <br />City Manager's Office - M-31 <br />20 Civic Center Plaza <br />P.O. Box 1900 <br />Santa Ana, CA 92702 <br />Donation. Rt4juest 4: <br />Eligibility Mot: <br />City Manager Signature: <br />BE <br />YESINO YES <br />dodationrequest@santo-ana.org <br />(714)847.5954 <br />Council Meeting Date: <br />Approved Aarount <br />OMW <br />Exhibit 4 <br />August 21, 2018 <br />$500 <br />Revised 01/05/2017 <br />