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City of Santa Ana <br />City Manager's Office- M-31 <br />20 Civic Center Plaza <br />F IZ, Donation Request <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 847-5200 <br />Contact• • <br />Name: _ jl1oren Lighthall <br />it�e:m�4 -Assistant Principal <br />,4ddress 520 W Walnut <br />City, stae, zip; <br />tSanta Ana, CA, 92701 <br />Phone: 714-567-4902 <br />Email: loren.lighthall@sausd.us <br />Fax: 715-5674952 <br />Organization Information <br />Name: Santa Ana Athletic Foundation <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as ��Fz <br />defined under Section 501(c)(3) of the Internal Revenue Code?Yes ❑ No <br />If <br />o, you will only qualify Fora <br />t for <br />#:� 912163665 v' � IX <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />approved, credal may ormaynot cod er fullcos t, City -related quested C ry ity se vice (i. e. permit fees, rael <br />Donation Request <br />Amount Requested: , __.®�_ <br />City Services Credit 1 000 Date Needed: ASAP <br />MayorlCouncllmem6er: [Martinez <br />Requested: _ r __F_ <br />�� <br />Direct Payment Amount 000 Event Date: 01/28/2017 <br />lYost <br />��-._a <br />Event Time: _ 1:30-4 30 <br />nt Location; Theater, 307 N. Spurgeon, Santa Ana, CA 92701 <br />F <br />ess, City, State, Zip <br />Description of SAHS Football Celbration - 1st time in 30 years an SAUSD high school has been <br />Event I Purpose: 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: 8 <br />Data:'01/2612017 <br />Retum completed form via: <br />Mail: City Manager's Office- M-31n� Email: <br />donation request@santa-ana.org�� <br />20 Civic Center Plaza Fax: <br />(714) 647-6964 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Bequest # DR - Counc0l Meeting Date: <br />Ft it rs nr #t can 01 relwad Dpvt <br />Ellglbiilty Met; ES! O Approved Amount: <br />City Manager Signature: <br />Dato: <br />Revised 0110512017 <br />