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yaw., . City Managers Otrce-M-31 <br />City of Santa Ana 20 Civic Center Plaza <br />P.O. Box 1908 <br />Donation Request _ Santa Ana, CA 92702 <br />(714) 647.5200 <br />114, le <br />17-7 f Jerry Witte -~— nla_ Head Football CDach <br />�ddress: 12802 S. Flower - <br />I�stata,2lp: Santa Ana, Ca. 92707-3935 <br />lana,-: —1714.569.6300 <br />sh5witte@yahoo.corrl <br />ifmau.--- <br />r_.._ <br />Name: Rainmaker Effect 8632 Masters Drive Suite 1000, HunfingtonlBeach, EA 9264 <br />Tax-Ex-mpt Status: Is your organteallon a non-pro01 ar public lax -exempt organization as select no: <br />Brined under Section 501(c)(3) of the Internal Revenue Code? I f Yes ❑ No <br />If No, you will only qualify fora credit for Cily-related costs for yourrequest (i.e. peand fees, ('-- <br />fyes <br />staff flow, rental rates forfacrlitiesatequipment, etc.).Costsfor Cityservieesvaryand if <br />[47-4654535 <br />approved, credit may ormay not coverfull cost orrequesled City services. ax ID 9: <br />D e r <br />Ito Credit Ie <br />y Ser is <br />atoDl Needed: <br />ayorlCaunctlmamher, <br />ASAP <br />Tina)ero <br />Amount Requested: <br />�t nested: l" <br />I <br />�� <br />tract Payment Amount 2 500 <br />I _ __ <br />vast Data Fall 2017 (Event Tlma: —J <br />�- �_- <br />reason <br />I <br />lRagJ-sled: <br />Event Location: S StromHlgh School <br />AddesACRY, State. II�p --—��— — <br />I <br />!Request support for the Segerstrom Football Team that will have a . <br />Description of <br />Event l purpose:. successful season providing health, fitness, and encouraging academics <br />�gf all players and families. The season will promote communeride. <br />Ir Community will benefit by having healthy youth that are healthy, strong, <br />Com <br />Community Benefit:_ <br />are committed to their academics. <br />IAPPllbant Slgpetura (Date 8-23 - <br />1,.av <br />- 1 7; <br />LLLLLL •krr v�+'.__. �._;_,� _ .' ..: s.•�,'-.�,..._.. '... - - ._.,, .,. .: 511 .-�t. <br />n <br />y Manager's Office -M-31 Email: donationrequest@santa-ana.arg <br />Civic Center Plaza Fax: (714)647.6954O. <br />n <br />Box Igee <br />nta Ana, CA 92702 -----•----- <br />A ----`_--_—.—.__..�_._._--.— <br />,,�f....rl. Y f ri:�i^,d; �1"R .-✓T.,wvY't' ¢-ly ?^'.T-� ., �`--Y-..,-a:c_�_'.S-if .+->-1P; ;1511_: <br />bo,feyonco a an Raquost}k DR Council Meeting Date AUGUST 15, 2017 <br />'•Fa <br />Y, mr aft raW.ed OPV- I <br />I Eligibility Mot: � YES f NO YES �-•�-------'--T____----� _-- ---- <br />Approval Amount: $500 <br />-_.._.._.. �i_-.-----.__-_._-_-' <br />City Manager Signature: .I Dale: _1 <br />Revised 01105/2017 <br />29J(yI -5 <br />