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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 />0 Santa Ana, CA 92702 <br />(714) 647 -5200 <br />r r s <br />rame:T Y— <br />(Laurie Tristan s <br />ide: Treasurer <br />Address: <br />942 W Carol Ave <br />City, state, zip: <br />Santa Ana, CA 92707 <br />Phone: <br />714- 356 -3446 <br />[Email: <br />Jaguarbaseballboosters @gmail.com T(Fax: <br />mount <br />Direct Payment Amount– <br />f <br />.. <br />j• <br />Name — Jaguar Diamond Booster Club <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? <br />Select One: <br />Yes ❑ <br />No <br />If No, you will only qualify for a credit for City - related costs for your request (l. e. permit fees, <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />mount Requested <br />"- - - -- <br />46- 4526131 <br />approved, credit may or may not cover full cost of requested City services. <br />IITr ax ID if: <br />it r -• <br />City Services Credit <br />sn�a <br />Date Needed: <br />Ir�by Apri12017 .(Mayor <br />r <br />/Councilmember: <br />Tinajero <br />mount Requested <br />- <br />mount <br />Direct Payment Amount– <br />f <br />__._.r-- <br />52 000 <br />.--- <br />Event Date: <br />r --- -- <br />March 17, 2017 <br />Event Time: <br />3:00 pm <br />Requested: <br />Event Location: <br />Seg erstrom High School, 2301 W MacArthur Boulevard, Santa Ana, CA 92704 <br />Address, City, State, Zip <br />— <br />Segerstmm High School Baseball program, comprised of 60playersand 67oaches, isone of the top baseball programs in the City of Santa Ana. To maintain and <br />Description of <br />strengthen the skills of our student athletes, all teams (Flosh/SOph, JV, Varsity) play in leagues and tournaments year round. Due to limited funding our pmgrram <br />receives from the school district, our parent booster group looks to community sponsors to enhance and support our student - athletes and baseball program. The <br />EVent/PnrpOSe: <br />donation of funds from the City of Santa Ana would go toward suffering the purchase of new game jerseys for our student athletes. <br />Our players and on r es take greal pride in representing Segersirom at on and off campus events. Participating in baseball teaches our boys teamwork, good <br />sportsmanship, builds corrections and self- esteem, and provides a safe environment to participate in a sport that they lave. This event will be attended by our 00 <br />Community Benefit: <br />student athletes, as well as our larger school community. Playing in new jerseys will encourage team bonding and bring pride to our boys and program. The event <br />further allows for increasing school eight and building community within our larger Segerslrom family approximately 1000 Segarstrom <br />studentelparents /staff are expected to attend in support of Segerstrom Baseball. <br />Applicant Signature:: <br />�./l ix,t ii,GLcrdy�J. tDate: <br />` <br />January 12, 2017 <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 Request M DR ° <br />Reference# on all related DPVs Council Meeting Date: — -- <br />Eligibility Met: YES / NO I Approved Amount: <br />City Manager Signature:— l7VU10 T 4 1 Date: <br />Revised 01/05/2017 <br />29A -3 <br />