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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 />Santa Ana, CA 92702 <br />(9) (714) 647-5200 <br />Name: Victor _ de- lo s Santos (Title; - ----- Director - . - o - f - Ba - i <br />I A - ddre - ss: -------- 1520 - West W a In ut Street <br />!City, State, Zip: (Santa Ana, CA 92701 pl, <br />lEmall: iFax: 714-567-4998 <br />I- <br />Name sara -Ana High School Marching -Band -Boosters <br />- - - - <br />0 <br />iSelect - - , One <br />Tax-Exempt Status: Is your organization a non-profit or public tax - exempt organization as <br />defined under Section 501(c)(3) of the Internal Revenue Code? I Y" ❑ No <br />If No, you will only qualify for a credit for City-related costs for your request (i. a. permit fees, Y s —a <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if 95 6002823 <br />approved, credit may or may not cover full cost of requested City services. �Tax ID 4. <br />i I <br />ClivY_&;;_ice_1C1ed_ft —_ ­___ - - , I ­­­­­­_ ­­ . ­­­ Amount Requested: Date Needed: MayorlCouncilmember: I ------ - -- ---- - - - -Reyna <br />Dino­ct Payment Amount -------- -- <br />Re $1,000 lEvent Date: 12/14/16 Event Time: 7:00 pm <br />Event Location: Santa Ana High School <br />Address, City, Slate, Zip 520 West Walnut Street, Santa Ana, CA, 92701 <br />Description of Santa Ana High School's Winter Concert. The concert is to bring our community to <br />I together for an evening full of music performed by the youth of Santa Ana High School. <br />Event /Purpose: <br />ITF�e_ co- m—m u-n-i-t-y- will -benefit from — their own family - members perform a high <br />Community Benefit: I level of music. Instead of bring outside groups, this educate our community about <br />Ithe high leve of music being offered in our public school system. <br />lApplicant Signature: i Date: 19/13116 <br />Mail: City Manager's Office -M31 <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 />29B-3 Revised 11/16/2015 <br />