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0 <br />City of Santa Ana <br />Donation Request <br />City Mangers Office - M-21 <br />20 Civic Canter Pine <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 947.8200 <br />1Address: 12501 W. 5th St. <br />iCit�y, �taca ta, zip: Santa Ana, CA 92703 -- Pn ®ne: (714)543- 3711 <br />Zeman: N�e @tCCdC.or9 Fax: 1(714) 543-2399 <br />1Name: 1Templo Calvario Community Development Corporation - Love Santa Ana Program <br />Tax - Exempt Status: Is your arganlza8on a non -pr"Is <br />r pblic tax - exempt arganlzatfon as elect pne: j� <br />nod under Section 50t(c)(8) of the intemai Revenue Codo9 �i I �® Yaa ® No <br />If No, you will only qualify for a credit for City - misted casts tot your request (i.e. permit fees, ' <br />stafftime, rental rates for facilities or equipment, etc.). Costs for City services vary and if If Yea, <br />approved, credit may or may not cover full cost of requested City services. ax ID M [77"0601589 <br />l3onation Request <br />City Sarvlcea Credit <br />mount Requested: <br />r Y ��� <br />Ie Date Needed: ASAP a aricanM�_ n nmember Tinajero <br />Direct Paymank Amoun4 <br />Requestad: <br />2,000 vent Data: 4/8!2017 evamrlme: 17:30am-1 :00pm <br />Event Location: <br />Address, City, State, lip <br />Casa Bonita & Bella Vista Neighborhood -T <br />hs a r .Santa Ana Initiates a�alv�rjaC 1Jy® fo, .krs _ <br />escriptlan of <br />on mobilizing churches, community groups and the business community to work <br />vent/ Purpose: <br />[ED <br />together to bring beauty, hope and transformation to some of the most <br />_ <br />Challenged areas of our city. On April 8th, hundreds of volunteers will gather at <br />jthe Bella Vista &Casa Bonita neighborhood to do various beautiticatlon projects: <br />-- _._ __ ... _.-� <br />Comrnuulty Benefit: <br />Nel d an up, murals, working on ,lerome Community Garden, <br />I <br />_ <br />R SOU_PCe I n UCh more <br />_ .._.._...� .._. _ - ��._�.- .- _..,.._..�..�_ <br />Applicant Signature: <br />Y. <br />�, <br />3/30/2017 <br />Man: Ciry Manager's office -M -81 email: dmmflekionfaquPBt@santa- ana.org <br />20 Civic Center Plaza Fax: (714) 647.5854 <br />P.O. Box 1985 <br />Santa Ana, CA 92702 <br />Donation Request 1P: <br />Eligibility Met —� <br />City Manager Signature: <br />iE <br />YES INO YES <br />Council Meeting Date: <br />Approved Amount: <br />Date: <br />Exhibit 1 <br />29C -3 <br />04/18/2017 <br />$2,000 <br />Revised 01105/2017 <br />