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City of Santa Ana <br />a Donation Request <br />City Manager's Office- M -31 <br />20 Civic Center Plaza <br />P.O. Box 1080 <br />Santa Ana, CA 82702 <br />(714) 847.0200 <br />;Name Christina Romero - <br />�nuts Executive Director <br />Address; 1530 W. 17th Street <br />City, state, zip: Santa Ana, CA 92706 iPhone: '714-564-6096 <br />'.,Email: rmero christina @sac.edu Fax: <br />Name: 11 Santa Ana College Foundation <br />Tax-Exam pt <br />p your organizetlon a non•pro0t or publlctax- exempt organization as (gelect One: <br />'defined under Section 601(c)(3) of the Internal Revenue Code? I" Yes Oft <br />�.� fNo. you wilt only que8fy fore credif forClty- related costs for yourrequest (i.e. permit fees, I ftafftime, rental rates for facilities or equipment. etc.). Costs for City servkes vary and If T Y95-6209198 <br />,pproved, credit mayor may not coverlull cost of requested City services. ax ID 8: <br />I � <br />IDlrect Payment Amount 6s 2,00® - <br />;Requested: Event <br />May Event 11 ®am -12pm <br />Event Location: Santa Ana College at 1530 W. 17th St., Santa Ana, CA 92706 <br />Address Clry. State Zip <br />Santa Ana College will be hosting the Scholarship Award Ceremony in May 2017 at Santa Ana College to recognize <br />Description of the hundreds of students who have earned a scholarship or award for their achievements in higher education. This <br />Event! Purpose: event will Include donors, students, families, and faculty to celebrate the various scholarships and accomplishments. <br />j The designated funds will be allocated to high school seniors that Ave In the City of Santa Ana, specifically within the Santa Anita <br />li community Benefit: Neighborhood Assoclaton, whom typically attend schools In other cities and don't qualify for the SAUSD programs or benefits. This will <br />benefit The community by promoting higher education encouraging financial stability, and promoting sustainebility, within the city. <br />i I <br />,Applicant Signature: . -... ;Date: <br />'Mall: City Manager's Office —M -31 rEmail: donallonrequestQsanta- ena.org <br />20 Civic center Plats Fax: (714) 047.8064 <br />j P.O. Box 1986 <br />Santa Ana, CA 92702 j <br />Donation Request k DR . - Counnh Meeting Date:. 04/04/2017 <br />Eligibility Met: YES/NO YES Approved Amount: $2,000 <br />City Manager Signature: Date: <br />Revised DI/06/2017 <br />EXHIBIT 1 <br />