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City Manager's Office -M-31 <br />rn::"•,> City of Santa Ana 20 Civic Center Plaza <br />;.i Donation Request P.O. Box 1988 <br />,i, ^ Santa Ana, CA 92702 <br />- (714) 647-5200 <br />o x <br />Name: Jenny Rios Itfe: CEO <br />dtire as: 505 E. Central Ave. <br />ctly, stale, zip: Santa Ana,CA 82707 Phone: 714-481-9601 <br />Email: jennyhos@delhicentecorg IFaI z: 714-481-9698 <br />0 . - r a a <br />Name= Delhi Center <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as <br />elect One: <br />defined under Section 501(c)(3) of the Internal Revenue Code? <br />Yes ❑ No <br />If No, you will onlyqualify fora credit for City-relatedcosts foryourrequest(i.e. permit fees, <br />(Yy es, <br />staff time, rentafrates forfac#ities orequipment, etc.).Costs for City services vary and if <br />852620952 <br />approved, credit may or may not cover full cost of requested City services. <br />ax ID #: <br />Do r —r <br />City Servic�lDateou ncilmember: <br />Needed: 11-30-17 <br />Villages <br />INlayorfc� <br />Prtlorecl <br />unt Requested: <br />Direct PayI rent Amount <br />/17-6/30/18 nt Time: M -F 2:30-$:30 pm <br />X500 Lents Date: 8/1Eve <br />Event Location:505 <br />E. Central Ave. <br />Address, City. State, Zip <br />Santa Ana, CA 92707 <br />Teens Engaged in Leaming and Leadership Is a gang prevention program that uses leadership development, Internships, and <br />Description of <br />community service to train teens to overcome risk tactors for gang involvement and to develop skills to help them succeed. <br />Event I Purpose: <br />Participants will complete 30 hours of classroom training, 80 hours of intership work, and 100 hours of volunteer service and <br />Will receive a $500 scholarship for completing all requirements. <br />Participants, ages 14-1e will gain job training and experience by assisting with the Implementation of programs and services offered at Delhi <br />Community Benefit: <br />Center. Teens will be exposed to a variety of work-related tasks and skills and will make a meaningful contribution to the community through <br />their service. A total of 22 teens will be served from throughout Santa Ana and $500 will cover the cast of a scholarship for 1 teen who lives <br />in Ward 5. <br />IjI ApplicantSignature: <br />017 <br />. ]August _7, 2017 <br />Mall: City Manager's Office -M-31 <br />Email: donationrequest@santaana.org <br />20 Civic Center Plaza <br />Fax: (714) 647.6964 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request #: DR - Council Meeting Date: NOVEMBER 7, 2017 <br />Reference # on all related DPVs <br />Eligibility MOL <br />YES I NO YES <br />Approvod Amount: <br />$500 <br />City Manager Signature: <br />Dale: <br />Revised 0 110 512 01 7 <br />EXHIBIT 13 <br />29A-29 <br />