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City of Santa Ana <br />Donation Request <br />'F <br />,Name: jAmerica Bracho <br />'address: kd 1450 W. 4th Street, Suite 130 <br />;City, State, Zip: !Santa Ana, CA, 92705 <br />�Emall: 'amedca@latinohealthaccess.org <br />Name: I Latino Health Access <br />Status: Is your organization a non-profit or public tax-exempt organization as <br />Section 501 (a)(3) of the Internal Revenue Code? <br />City Manager'& Office — Mt3l <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647-5200 <br />Executive Officer <br />�M�02 <br />will only quality for a credit tot City-related costs for your request (l, a. permit tees, if Yes ' <br />rental rates for facilities or equipment, etc.). Costs for City services vary and If ', <br />credit may or may not cover full cost of requested City services. 16ir ID <br />;City Services Credit <br />14r4unt Requested: <br />treat Payment Amount <br />-Event Location: <br />lAddrose, City, State, Zip <br />i <br />0 1100to Needed: <br />$1,000 iEvonl[Dats, lEvery Wed. <br />Time: <br />Latino Health Access' Green Heads Families Park, 602 E. 4th Street, Santa Ana, CA, 92701 <br />[This request Is forthe "Leyondo on Familla" (Family Literacy Program), a weekly reading program with -the goat — <br />pion of 1 increasing Ifteray among low-income Latino children In Santa Ana, The program engages parents and children in reading <br />I Purpose: !lessons dasitined to increase reading frequency. As part of the program, families also have access to a lending library <br />;with books for children from Pre-K to young adults. Attached, you will find more detailed Information about this program. <br />i <br />TK6"[eyeno on -am Tlmr;" prograr67(mgades parents <br />reading frequency and employ key reading strategies. The program Is offered to low-Income families In Santa Ana, many <br />tunity Benefit: i <br />1 of whom live In surrounding apartment complexes that average 10 people in a 1-2 bedroom apartment. Parent participants <br />cannot afford to purchase books for their children. Our program provides access to books. Please see attached, <br />Mail: City Manager's Office— M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Email: donationrequest@santa•ona.org <br />Fax*. (714) 647-6954 <br />Revised 8/25/2015 <br />