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City of <br />Donation Request <br />o r. <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 />(Name: ,Morrison Park Neighborhood Association <br />I Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as <br />Internal Code? <br />(Select One: <br />❑Yes No <br />(defined under Section 501(c)(3) of the Revenue <br />i <br />If No, you will only qualify for a credit for City -related costs for your request (i. e. permit fees, <br />'It Yes, <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />approved, credit may or may not cover full cost of requested City services. <br />ax ID #: <br />i <br />City Services Credit <br />is 385.00 !Date Needed: (Mayor/Councilmember: I Soloric <br />!Amount Requested: <br />(Direct Payment Amount i 5:30 Ill <br />$ Event Date: !July 22, 2017 (Event Time: n <br />Requested: I Y <br />Event Location: 2801 Westwood Avenue, Santa Ana, CA 92706 <br />!Address, City, State, Zip <br />I <br />Neighborhood Summer Event and Movie Night. <br />(Description of Funds requested to cover costs of event (actual amount to be determined once City provides fees. <br />(Event l Purpose: <br />[Brings neighbors together for an afternoon of games and food followed by a <br />Community Benefit: <br />Imovie in the park. <br />i <br />Applicant Signature: ekuljtiara Dazaa-Srazt�t iDate: IJUnE 7 2017 <br />11, it lillill'ililiol'Ill'i <br />Mail: City Manager's Office - M-31 Email: donationrequest@santa-ana.org <br />I 20 Civic Center Plaza Fax: (714) 647.6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request#. DR -- _ -- AUGUST 1, 2017 <br />uAt rn-rc:e u,..r n.t rat,#ed uPv= Council Meeting Date: <br />Eligibility Met: YES I NO YES Approved Amount: $1,000 <br />City Manager Signature:'',, Date: <br />Revised 01/05/2017 <br />