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"¢-` <br />+-%� Cityof Santa Ana City Manager's Office -M-31 <br />20 Civic Center Plaza <br />QI Donation Request P.O. Box 1988 <br />Santa Ana, CA 92702 <br />—' (714) 647.5200 <br />CoritActInformation <br />Name; Johnathan R. Hernandez ule, rE.D &Founder <br />Ad rens: 714 N Raitt St <br />City, state, zip:f Santa Ana, CA, 92701 iPho� <br />657-261-1653 <br />Email l: santanaunidos@gmail.com ax: <br />Organizatibri, Information <br />Hama: <br />Santa Ana Unidos Boxing Club <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as (Select One ❑ ❑ <br />defined under Section 501(c)(3) of the Internal Revenue Code? Yes No <br />If No, you will only qualify for a credit for City -related costs for yourrequest (i.e. permit fees, <br />!r Yes' <br />aNrime,rental rates forfacilifies or equipment,etc.). Costs for City services very and if [47-5211563 <br />ppmved,credit may or may not cover full cost ofrequested City services. ax IDM <br />Donati.11-Request <br />City Services Credit $— Date Needed: <br />,Amount Requested: <br />O8 -Z5-2018 <br />Mayor/Coin neilmember: <br />YOegas <br />Direct Payment Amount <br />Z 05 00 Event Date: 08-25-2018 <br />Time: 11:00 AM - 4:30 PM <br />Requested: <br />I$ <br />iEvent <br />120-W. 5t�i St, Santa Ana. CA. 9270 <br />Event Location: <br />Address. City, State. Zip <br />- <br />The Roses Iv Concrete d cuation & Arts festival Is r61nging together muslcans, <br />on of <br />FE,ent <br />students, educators and community to celebrate youth in power. <br />urpose: <br />This event dire' ctly chat engel s negative sterotypes that kiln ear youthfrom i�nving <br />community Benefit: <br />within our city. Youth are able to perform art, music and poetry amongst some of <br />their favorite and most influential artists. <br />Applicant Signature: f_ I Date: 108-06-2018 <br />Reftftriet6d <br />Mali: City Manager's Office -M-31 Email: donationrequest@santaana.crg <br />20 Civic Center Plaza Fax: (714) 647.6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request #: DR - <br />Reference h on SII r hh.d OPVs Council Meeting Date October 16, 2018 <br />r _ 1 I <br />— <br />I Eligibility Met: YES / NO YES Approved Amount: $250 <br />----- <br />jCity <br />City Manager Signature ( I Dale <br />Revised 01/05/2017 <br />29A-28 <br />