Laserfiche WebLink
'3 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 />f Name: Madison Park Neighborhood Association <br />Tax - Exempt Status: Is your organization a non - profit or public tax - exempt organization as Select One: j <br />defined under Section 501(c)(3) of the Internal Revenue Code? � Yes F] No <br />If No, you will only qualify for a credit for City - related costs for your request (l. e. permit fees, if <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />approved, credit may or may not cover full cost of requested City services. Tax IC <br />City Services Credit I <br />Amount Requested: $ 450 bate Needed: 9/24/16 Mayor /Councilmarn bar: Sarmiento <br />(Direct Payment Amount sN /A .Event Date. '9/24/'16 Event Time: 8; ®dani - 1; ®®c� iY! <br />Requested: p <br />(Event location: 400 E Edinger Avenue, Santa Ana, CA 92707 <br />Address, City, State, Zip <br />IDescripdon of ;14th annual Madison Park Neighborhood Association Walk -a -thou, resource fair, '. <br />Event l Purpose: and cultural festival <br />Promoting health, physical activity, and cultural diversity <br />Community Benefit: <br />Applicant Signature: it w-- avwz ay 'Date: 9/26/16 <br />• mss" <br />Mail: City Manager's Off ice —M -31 Email: donationrequestLsanta- ana.org <br />20 Civic Center Plaza Fax: (714) 647 -6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request 'R: DR <br />' <br />YE�be, e,res Mtw Ure(aeerf ��WS ��'+nx i vj tncj PJrl &- <br />Eligibility Met: YES 1140 Appram =n AmoonI:. <br />City Manager Signature: <br />EXHIBIT 1 <br />ne =r <br />