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a t✓ /t ®f $fit A(�r� City Manager's Office —M-39 <br />City A 20 Civic Center Plaza <br />Donation Request P.O. sox 1900 <br />Santa Ana, CA 92702 <br />(714) 647.5200 <br />Name: <br />ddress: ---- <br />(C ity, State,. Zip.... <br />mall: <br />Luis D. Vega <br />13252 Garden Grove Boulevard, Suite 204 <br />Garden Grove, CA 92843 <br />Ivega @occord.org <br />Citizenship Program Coordinator <br />(714) 621 -0919, ext. 14 <br />Name: Orange County Communities Organized for Responsible Development (OCCORD) <br />Tax- Exempt Status: Is your organization a nan- profile or pubiiclax- exempt organlzatlon as II�S elect One: <br />Iiefined under Section 501(c)(3) of the Internal Revenue Code? Yes ❑ No <br />If NO, You will only - ----_--------------- <br />y y quality for a credit far City-related costs for year request (i.e, permit fees, i Y, <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if f <br />� 4 3 "'2 (� (� <br />V �J 2 8 � 7 <br />approved, credit may or may not cover full cost of requested City services. ax! IS id: <br />(City Services Credit <br />Amount Requested: <br />" Date Needed: 64/69/16 (Mayor /Counciimember: Sarmiento <br />Direct Payment Amount <br />(Requested: <br />a (� — <br />Fs, 500 (Event Date: 64/69/16 (Event Time: 9;00 AM <br />Event Location: <br />Address, city, stare, zip <br />Southwest Senior Center, 2201 W McFadden Avenue, Santa Ana, CA 92704 <br />__ <br />Description of <br />_..._. <br />In partnership with OCCORD the Orange County Labor Federation, the Public Law Center NALEO and Active Learning, and <br />the City of Santa Ana will be hosting a tree citizenship fair to provide one-on-one assistance, including citizenship application <br />Event I Purpose: <br />assistance (N-400), legal advice on the naturalization process citizenship courses and educational materials, photos for the <br />citizenship application, and additional Information shout OACA and DAPA. <br />Community Benefit. <br />..._.__ - <br />This event will serve as an opportunity to educate Santa Ana residents on necessary steps to apply for <br />citizenship. Additionally, this event will bring stakeholders together to provide direct assistance and <br />resources to assist residents with the citizenship application process. <br />Apj,p.i4 tSlgnature:, <br />I <br />^ 4`CDate .' 103>�t81' 6 , <br />� U!s U. 1 jt .' <br />#teftrrnrritnptetitpr tla� �.�, . a 'r <br />Mail: City Manager's Office —M -31 <br />20 Civic Center Plaza <br />P.O. Box 1900 <br />Santa Ana, CA 92702 <br />Donation Request #: DR- <br />I'dahra'+co T u ,droll cal: +ten UW7;': <br />Email: donationrequest @ santa- ana.org <br />Fax: (714) 647-6954 <br />Council Meeting Date: <br />Eligibility Met: YES I NO ! Approved Amount: <br />City Manager Signature: Date: <br />Revised 11/1612015 <br />EXHIBIT 1 <br />