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a 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 />-- (714) 647.5200 <br />s m <br />fNama: ml LorenLighthallride: <br />[AssistantPrincipal <br />Address: <br />520 W Walnut _ <br />City, State, zip: <br />Santa Ana, CA, 92701 Phone: 714-567-4902 <br />Email: —� loren.lighthal@sausd.us� Fax: [715-567-4952–�� <br />1-ion Information <br />ri <br />Name: [Santa Ana Athletic Foundation <br />Tax-Exempt Status: Is your organization a non-profit or public tax-exempt organization as S elect One: — <br />defined under Section 501(c)(3) of the Internal Revenue Code? r F Yes No <br />If No, you will only qualify for a credit for City-related costs for your request (i. e. permit fees, If Yes, <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if (� 36 (� 5 <br />approved, credit may or may not cover full cost of requested City services. Tax ID #: V V V J <br />`— _ ✓�9121 <br />Donatton, Resuest <br />City Services Credit <br />�^(T <br />� r <br />$ 1 000 Date Needed: ASAP MayorlCouncilmember: Martinez ^ <br />Amount Requested: <br />+ <br />Direct Payment Amount [$1,000 Event Date: <br />Requested:[01 /28/2017 _ <br />f Event Time: 1:30-4:30 <br />Ev°nt°tali°": :Yost <br />Theater, 307 N. Spurgeon, Santa Ana, CA 92701 <br />Address, Cify, State, Zip <br />Description of <br />SANS Football Celbration - 1st time in 30 years an SAUSD high school has been <br />Event I Purpose: <br />to the CIF finals in football <br />Hundreds of community members will engage in a celebration in Downtown Santa <br />Community Benefit: <br />Ana, providing an economic boost and demonstrate positive pride in the City. <br />Applicant Signature:. <br />_. v10ate:__101 <br />/26/2017 - <br />all: 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 />_ , _ _._ , <br />r2e,erenrekrnadrela:etlDr^V5� � � � <br />Donation Request #: Fort - Council Meeting Date: <br />_ <br />[Eligibility Met. YES I NO Approved Amount: <br />LCity Manager Signature: — Date: --) <br />Revised 01/05/2017 <br />rAIJ wg%� <br />