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nagr's <br />City of Santa Ana City Ma20 Civic OCenter Plaza <br />Donation Request P.O. Box 1988 <br />Santa Ana, CA 92702 <br />a <br />(714) 647.5200 <br />Contact Information <br />Name: Michael Echaves —� �rne: Teacher/ Head Football Cc1 <br />Address. 3002 Centennial Road <br />city, state, zip: Santa Ana, Ca. IPhone:� u �(714) 433-6600 <br />Email: f michael.echaves@sausd.us fFax: I(714) 433-6731 <br />Orgari. o 0 <br />Name: � Grizzly Athletic Booster Club <br />Tax rapt Status: Is your organization a non-profit or public tax-exempt organization as _ Select One: <br />defined under Section 501(c)(3) of the Internal Revenue Code? �� Yes _e ❑ No <br />�— <br />If No, you will only qualify for a credit for City -related costs for your request (i. e. permit fees, If as, <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if 26-2749598 <br />approved, credit may or may not cover full cost of requested City services. ax ID #: <br />Do o <br />City Services Credit <br />—(�-- <br />$ Date Needed: May 15, 2016 Mayor/Councilmember: Tinajero <br />mount Requested: <br />Direct Payment Amount <br />52500oquested:.00 Event Date: II�SpringandS Event Time: June21,2016 — <br />Event Location: <br />untlamental High School <br />Address, City, State, Zip <br />F.002teth Roatl <br />a, C.92704 <br />scription of <br />F <br />Our spring and summer camps are practices that focus on developing our <br />ent I Pnrpese: <br />athlete's skills, competitiveness, confidence, and character. <br />Through the use of these funds, our athletes will benefit dramatically through their ability to self reflect on <br />I <br />community Benefit: <br />their skill development.This benefit well continue on throughout the following years for the program. <br />_—� <br />- <br />—!April <br />Applicant Signature: <br />IDate: 11, 2016 '— <br />Mail: 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 RequestDR • - _ --_--—__—_'-- `_—`— _ <br />:Council Meeting Date: <br />f&verencek or, all related nnv>�� <br />—_--__�____l _—_____ <br />Eligibility Met: I YES / NO Approved Amount: <br />City Manager Signature Date: <br />IT Revised 11/16/2015 <br />