Laserfiche WebLink
City of Santa Ana <br />Donation Request <br />iName: CGloria Bashara <br />�ddrasr. 5001 Newport Coast Drive <br />City Manager's Office - M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647-5200 <br />of LCC <br />City, State, zip. I Irvine, CA -8410 <br />Email: fgbaihara6WrTr�erschu-rch-.o—rg-- <br />Fax: n <br />Name, Mariners Church Lighthouse Community Centers / cORNERSTONE VILLAGE NEIGHBORHOOD <br />nPtStRtUS: IS your organization a non-profitoi—pu-b�le—tax-eXempt—o-rga—niza—tio-n —as <br />ider Section 601(c)(3) Of the Internal Revenue Code? elect One: ✓ Yes ®Na <br />t will only quality far a credit for City -related costs for your raque3t # 0 permit fees, r -- — [ — <br />rental fates libri8cillitIrs Or equipment efc) Costs for City servkOs very andif f yes, f <br />195241990 <br />credit may or may not coverial cost of requested City services, ax 10 if: -4 <br />'City Services credit <br />Amount Requested: —S <br />1 000 �Dafif Needed: TVMayor/Counclimaimbar: 3 Sarmiento <br />IDIroct Payment Amount [ <br />,Requested: :—jSpring 2017 lEvent'Thmix. <br />0:00-1:00 <br />Fevents vant atlo"j, 010 S. Minnie Street, Santa Ana, CA <br />Addlrr!`O,C��y, Stiqe, ZjP �1' <br />Description of The Cornerstone Village Block Party is a community event hosted in partnership with local <br />Event I Purpose: organizations and residents of the Cornerstone Village Neighborhood to celebrate the progress <br />and restoration of the community, <br />1commurifty-an"arit: This event promotes community livability, engagement, and community pride. <br />Applicant Signature: <br />&VA ( 00 �Shn 166/ Iiii7 <br />Limm".rm"", rMall: <br />City <br />Manager's office—M-31 Smalk do"mIOnrQquQSt@%ama-anaorg <br />20 Civic Center Plaza Fax: (714) $47-6964 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />I <br />Donation Request c OR- -- I <br />Council Meeting Date; JUNE 20, 2017 1 <br />Eligibility met: YES I NO YES <br />Approved Amount $$1,000 <br />City Manager Signaturs: <br />Date! <br />Revised 01105/2017 <br />