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EXHIBIT 6 <br />City Manager's Office — M-31 <br />_ City of Santa Ana N-2019-018-06 20 Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647.5200 <br />Contact Information <br />Name: Fallpe Guerrero tle: iPresident <br />,Addrss� s. 1204 Susan Street <br />ity, stats, zip: IS tan a Ana, CA 92703 Phe It'ta) <br />265-2071 <br />mail: ,godfnano@aol.com pax: [— <br />Organization <br />Name: !Charitable Ventures of OC on behalf of the Santa Anita Neighborhood Assoc. <br />Tax-Exempt Status: Is your organization a non-profit or public tax-exempt organization as Gloat One: ! ❑ a <br />defined under Section 501(c)(3) of the Internal Revenue Code? Yu No <br />If No, you will only quality for a credit for City-related costs for your request (l.e, permit fees, --- <br />s, ^ O _� O <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if Polli:L <br />full <br />,approved, credit may or may not cover cost of requested City services. 120-8756660 <br />s. <br />City es Credit 1� 1 <br />Creditequested: <br />� <br />Amountunt RRS ;Data Needed: <br />ayodCouncilmember: <br />VlBegse <br />Amount s1g Event Date: +12/1 SJ�8 Eventnm- e: <br />Maquet <br />E};OOpfll <br />stud ent <br />..Event Location: Santa Anita Center 300 S. Figueroa Street Santa Ana <br />Addreas, Gly. State, Zip <br />2nd Annual Santa Anita Neighborhood - Noche de Paz Christmas Event for the Community. <br />Description of Donation will cover the cost of the balloon artist to entertain children at the event. I <br />Event I Purpose: <br />The <br />The Noche de Paz is intended to bring our community together and celebrate <br />Community Benefit: we share in common. <br />Applicant signature: I <br />Q ` Date: <br />-- <br />Return completed form via: <br />„Malt: City Manager's Office -M-31 (Email: donatlonmquest@sentaane.org <br />20 Civic Center Plaza Fax: (714) 6474954 <br />P.C. Box 1968 <br />1 Banta Ana, CA 92702 <br />`..:^, :�.:� �,.�' �.^.xs`s ib 5.,:, �.:... �aY:.x"-"a"�S."c.a.•;��r= _� 4;�. 4'� - �. <br />Donation Request #: DR- <br />ra - a en z, rvtated nPV5 Council Meeting Date: 12116/16 <br />Eligibility Met: YES; NO YES Approved Amount: $150 <br />City Manager Signature: Date: • I �f _ IQ <br />Revised 01/0512017 <br />EXHIBIT 6 <br />