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nager's Office – M-31 <br />City Ma20 <br />City of Santa Ana Civic Center Plaza <br />Donation Request P.O. Box 1989 <br />0 <br />Santa Ana, CA 92702 <br />(714) 6475200 <br />Contact Information <br />FN Title: — ----- -- <br />Name: Ruby Woo �T itle: [President/Chair <br />�ddnxss [2234 North Pacific Ave. <br />Icity, <br />State, Zip; Santa Ana, CA 92706 Phone: 714-835-8925 <br />[ <br />[Email: �wooruby @yahoo .corn (Fax: <br />Oricianization Information <br />Name: (Charitable Ventures of Or <br />Tax- Exempt Status: Is your organization a non-profit or public tax-exempt organization as Select One: ❑ <br />darned under Section 501 (c) (3) of the Internal Revenue Code? 1 1 Yes No <br />If No, you will only qualify for a credit for City-related costs for your request ( /.e. permit fees, 1– <br />` � 120-8756660 <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />approved, credit may or may not cover full cost of requested City services. Taxe�lsg__ <br />,Donation <br />Request <br />City Services Credit [M—'y—'r1C'U--___ <br />1 !Date Needed: 12/1/2015 ncilmember: Rayne <br />mgodurgt Requested; '000 <br />1 <br />Dirac Payment Amount [$ �Ehrint Date: 2/19/2015 (Event Time 10:00 AM to 5:00 PM <br />[Requested: <br />obi, <br />[Event vocation: <br />I El Salvador Park & Recreation Center 1825 W Civic Center Dr; Santa Ana, California <br />(Address, City, State, Zip 92703 <br />CI be 1 go I 11e Plural. Ill. r N IBm ounted M 111 Itl id, IC ICM1 ristmas Pas a do Event Atli the help of the City of S a sto Ana and I coal raddedge for law am, me families and the <br />begin "orhood for the post 22 years Th a chip a as of the eve tit is to gather the Go minum my together to � I an rate peace while shedding a I ight on file night to strengthen the commands and event <br />Description of towards building a spend vibrant healthy neighborhood. The event lehryteb family. health, oducrign and parmiumbily pride, The Poison is a repression through the calghborhood that <br />Event /Purpose: oncommigge the residdancre promote safe streets and 00plihipr7c unity, Ina lead by neighborhood residents and children. At the event the Association will encourage resident to get Inv o said In <br />activities at the Center and participate in said clean up, restoring the much an Civic Center Drive, suggesting community gardens. and readuch up the neighborhood. The celebration ..a.. <br />a 5 neighborhood care some: Promoting peace, embracing implies, building healthy communities encouraging educational areacese and instilling commands pride. <br />Community Benefit: The community benefit is to neighborhood identify <br />promote and community pride. <br />Applicant Signature: <br />i ��y 60ilzvi(es Woo (Date: 110/27/2016 <br />:Return completed form viav <br />Mall: City Manager's Office -M -31 Email: donationrequest@santa-ana.org <br />20 Civic Center Plaza Fax: (714) 647-6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request[: DR _T <br />Eligibility Met; YES I NO Approved Amount: <br />City Manager Signature: Date: <br />Revised 8/25/2015 <br />f9milgi`3 <br />