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City of Santa Ana <br />Donation Request <br />CIlyManager's offlce-M-31 <br />20 Civic Cenferplaxs <br />P.O. Box 1888 <br />Senor Ank CA 82702 <br />(7f4) 647.6200 <br />Organization <br />Name: jArtesfa Pilar Neighborhood Association (APNA)/Charitable Ventures of Orange County <br />ame: I Ruby Gonzales -Woo <br />ua: <br />President <br />ddress: 12234 N. Pacific Ave <br />ItNo,youa411onlyquaWforacmdltforCi&,mlafedcostsforyourrequest(La.pemr8feea, stafYes, <br />ro'ms,rendtmtayormfor aynot ovefullcott,etcq.Costs aded �Byvice& vary and lf <br />approved, credit m or may not ocverfullcost olm casted C earvlcea. <br />ctty,state, zip: <br />I Santa Ana, CA 92706 <br />hens: 714-835-8925 <br />� au.-- <br />wooruby@yahoo.com <br />Fax: none <br />Organization <br />Name: jArtesfa Pilar Neighborhood Association (APNA)/Charitable Ventures of Orange County <br />Tax -Exempt Status: Is your orgonlzatlonanon-profit or public fax-exemptolganlzallon as <br />defined under Section 301(c)(3) of the Internal Revenue Code? . <br />elect One: <br />�— <br />DR - <br />Council Meeting Date: <br />®Yea No <br />ItNo,youa411onlyquaWforacmdltforCi&,mlafedcostsforyourrequest(La.pemr8feea, stafYes, <br />ro'ms,rendtmtayormfor aynot ovefullcott,etcq.Costs aded �Byvice& vary and lf <br />approved, credit m or may not ocverfullcost olm casted C earvlcea. <br />ax ID 0: <br />208756660 <br />Eligibility Met: <br />YES / NO YeS Approved Amount: <br />$250 <br />Mail: City Manager's Office -M-31 Email: donatlonmquost@santo-ona.org <br />20 Civic Center Plaza Fax: (714) 047.6964 <br />P.O. Box 1888 <br />Santa Ana, CA 92702 <br />.1 <br />qty Services Credit I Date Needed: t)@C. 1 O, 2018 i eyodCouncilmember. <br />mound Requested: <br />Pieesa Choose From the Llst Below <br />DR - <br />Council Meeting Date: <br />12/18/19 <br />Dlmct Payment Amount $250 Event Data: � Venl7lme: <br />I Joioiio <br />Requested: Dec. 15, 2078 12:0D noon <br />Eligibility Met: <br />YES / NO YeS Approved Amount: <br />$250 <br />Event Location:FY <br />dia Romero Cruz, 27.01 W. 5th Street, Santa Ana, CA 92703 <br />MUMS, top; slate, as <br />nrM.m—duwmaomnnw,net.bm.-mrgmnb mramwmie.�u+umaw.seem.awm.mnmm�basa.a.Lowaaaar..�mmwanu..nw emontmmmea <br />ofurpose: <br />NYlrbn LaAxYPM1 W dMmYaYeeYlLabt4eM.pIA Mdbgpa.pJml.bWYmwP�,.N4mbM1bbyb,Np4T,®albpp,aal0uvnvangvmbombvb.q�,mGmpbrb, <br />Ft,pesc.9on <br />bammamtnrmmoew,.>mca®ewY.awawomPmwnmvm'•i °.PamL'b mum mb(m-m..w�"¢"ems-.w""bdnm�ne�samvemn.ab <br />mm,.a+�i�`m <br />G,P,l�bIbIDYP W mpfMppaalWam®,IVMhmiW bbp{eyl,. <br />Community Involvement of 300-@00 youth and residents that worts with them to build strong healthy <br />Community Benefit <br />communities and help families thrive. <br />ItDillf�e�efgnpCtrta= <br />4 �' L74R 5 !rS rs " <br />IZ;ite <br />IVi�Veri�ib�r�,�lht <br />�{. t+�13 l.� �Tr._ •Z n.{.. <br />ip � <br />�.S P�..i. !`.'=i. Y.. <br />d':.e.. I <br />:.a 1 <br />m.!..c. : .. ...(J. :Y.:< <br />.'t F.,...A f _,..ti <br />i3, :S- e C,. <br /><.tl.. )e <br />Mail: City Manager's Office -M-31 Email: donatlonmquost@santo-ona.org <br />20 Civic Center Plaza Fax: (714) 047.6964 <br />P.O. Box 1888 <br />Santa Ana, CA 92702 <br />Revised 1111012018 <br />29A-16 <br />.1 <br />Donation Request#: <br />DR - <br />Council Meeting Date: <br />12/18/19 <br />Reference x on alt ralat DWs <br />Eligibility Met: <br />YES / NO YeS Approved Amount: <br />$250 <br />City Manager Signature: <br />Date: <br />Revised 1111012018 <br />29A-16 <br />