Laserfiche WebLink
City of Santa Ana <br />Donation Request <br />City Manager's Office — M -31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647.5200 <br />Organization Infs s <br />Name: •rBrlan <br />I- <br />J Leal mm ^(Title: _ — Advisor n <br />�daress :_11311 <br />N French St #F T <br />City, State, zip: <br />Santa Ana, Ca 92701 --^-- <br />Phone: <br />1714656 -8203 <br />[Email _ <br />(lealbrian3 @gmail.com <br />�EventTime: ~�� <br />On GOing <br />Organization Infs s <br />Name: YMAF: Youth Development Through Martial Arts and Fitness _ e <br />Tax - Exempt Status: Is your organization a non -profit or public tax - exempt organization as <br />darned under Section 501(c)(3) of the Internal Revenue Code? <br />Select One: <br />❑v <br />Yes No <br />If No, you will only qualify for a credit for City- related costs for your request (1. e. permit fees, <br />stafft ime, rental rates for facilitiesovequipment ,etc.).este for City services vary and if <br />approved, credit mayor may not cover full cost of requested City services. <br />[TYals #: <br />33- 1168575 <br />�� <br />$1500 <br />Event Date: <br />D <br />On Going e_ <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 - ana.org <br />Fax: (714) 647.6954 <br />EXhihit i Revised 11/16/2015 <br />City Services Credit <br />mount Requested: <br />^— �____._____���__..L� <br />I� <br />Date Needed: <br />12/15/15 <br />�_ <br />Mayor /Councilmember: <br />�_ <br />Amezcua <br />Direct Payment Amount <br />Requested <br />�� <br />$1500 <br />Event Date: <br />D <br />On Going e_ <br />�EventTime: ~�� <br />On GOing <br />Event Location <br />Address, City, Slate, Zip <br />718 W McFadden Ave, Santa Ana, CA 92707 <br />Description of <br />The purpose of the program is to empower youth in high school with leadership training and civic <br />engagement opportunities. Students learn about local and state government and participate in 3 statewide <br />Event / Purpose: <br />conferences as well as conduct a an average of 4 conferences for elementary and middle school students. <br />Community Benefit: <br />The community benefits from this program through the amount of engagement from the program in the community. Through this program <br />students have been able to put together and assist in community events such as conferences, toy drives, toy giveaways, city sponsored <br />events, and school carnivals /celebrations. This program also directly impacts students in they abilities to public speak, network, and critically <br />think. <br />Applicant Signature: <br />®IDatl e'2�1�15 <br />v <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 - ana.org <br />Fax: (714) 647.6954 <br />EXhihit i Revised 11/16/2015 <br />