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City of Santa Ana <br />" Donation Request <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: ;Santa Ana College Foundation <br />Tax -Exempt status: Is your organization a non-profit or public tax-exempt organization as Select One: <br />efined under Section 5Dt (c)(3) of the Internal Revenue Code? F7Yes 71No <br />If No, you K411 only qualify for a credit for Clty-related costs foryour request (i.e. permit fees, <br />staff time, rental rates for facilities or equipment, etc.). Casts for City services vary and if ,If Yes' 195-6209198 _6 %� ('� ^ <br />y <br />approved, credit may or may not cover full cost of requested City services. Tax ID #: <br />L� 1,J a7 <br />;City Services Credit 'Date Needed: IMayorlCouncllmember. %Alleges <br />!Amount Requested: <br />.___--- _.. ... _.._. .._. <br />'Direct Payment Amount 500 iEt Date: on-going goin g EEvent Time: on-going <br />!Event Location: ! The funds will support on-going scholarship funds for youth that live in the Santa Anita neighborhood <br />iAddress, City State, 7Jp <br />! Description of <br />Event I Purpose: <br />Community Benefit: <br />'Applicant Signature: <br />The designated funds will be awarded specifically for graduating high school seniors that live <br />,within the Santa Anita neighborhood, whom typically attend schools outside of SAUSD. This will <br />1 benefit the community in promoting higher education. <br />I Santa Ana College Foundation provides college scholarships to Santa Ana College students in order to <br />help ensure that they have a successful higher education career, promote community sustainability, and <br />encourage financial stability. <br />man: �itymanagarsvnme-mwi <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />;Date: 7/31/17 <br />Email: donationrequest@santaana.org <br />Fax: (714) 647-6664 <br />I <br />