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City Manager's Office - M-31 <br />City of Santa Ana 20 Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />a <br />Santa Ana , CA 92702 <br />(714) 647-5200 <br />alinforrination <br />Name: <br />Claudia Flores r kSFRC Site Supervisor <br />lAddress: —IP.0. <br />Box 53745 <br />---d-[1—rvineCA. 6276il) Phone (714 972-5763 <br />city, State, Zip: <br />— <br />Fiio res@humanoptions.org 714) 972-5781 <br />• anizationinforrinthati <br />ion <br />Name: lHuman Options <br />Tax- Exempt Status: Is your organization a n i0l�itubktax-exampt organize llon as <br />defined under Section 601(c)(3) of the Internal Revenue Code? <br />Select a On;. <br />�`Uct <br />— <br />No <br />If No, you will only quality for a credit for City-related costs for your request(. Ul. permit fees, <br />If Yes <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />pq <br />approved, credit may or may not cover full cost of requested City services. <br />Tax to <br />95-3667 <br />city services Credit <br />1$ FDat, Nodded. [06/25/20115 [fifilyor/Councilmember. [Anrarccu, <br />Amount <br />Requested: <br />1500 <br />�Ev-ent D-ate—:[0-4/23/20-16----[Event <br />— -------- - <br />Time: <br />3pm <br />Event Location: <br />Minnie Street Family Resource Center (MSFRQ) 1300 E. McFadden Ave, Rm 13, Santa Ana, 92705 <br />Address, City, State, Zip <br />The <br />The annual Blue FrIalnon Event Is a one ortwo dayrree program during the month of April that offers various activities for families in the <br />Description of <br />Santa a Ana a c <br />g community. The purpose Is to highlight areas of wellness and safety that bring awareness to Child Abuse Prevention, Activities <br />[range <br />Event /Purj <br />from educational sell for parents, youth and children, physical fitness activities, a community resource fair and fun for the whole <br />family. The Proposed ratre active donation would be used to support the MSFRC services US Well as the annual Blue Ribbon Event. <br />Participants engage In healthy and fun activities for the whole family to Increase cohesiveness and parent-child passive relationships (such <br />Community Benefit: <br />as a color run, games, Zumda, arts & crafts, free books and a corner for children and parents to read). It Is also all opportunity for parent <br />leaders and local Service providers to engage the camirl Increase connectivity and linkage to needed resources and offer community <br />service hours to high school volunteer Students. Participants Increase their knowledge about Child Abuse and Teen Dating Violence. <br />Applicant Signature: <br />ia A 4 01P <br />leted foirm Will <br />['A 0-11 M City Managers Office -M -31 Email: domationrequest@.ann -sm. —.rg <br />m 0 a <br />2, C, Vic Center Plaza �F (7ln4)647-6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 I <br />---------- <br />It iii ,j18rF 189 A° , 'T er ir. <br />EINIM , - - "', r vir <br />Donation Request III: DR Council 0 or, all related OPIle Council Meeting Date: <br />Eligibility Met: YES I NO Approved Amount: <br />Crew. <br />-- -------- <br />Revised 11116/2015 <br />