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w City of Santa Ana <br />City Manager's Office- M-31 <br />:,:✓; <br />20 Civic Center Plaza <br />is Donation Request <br />'L- <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />- <br />(714) 847.5200 <br />. B Y <br />(Name:- Jenny Rios — -- �rele: �8Q <br />�ddreas: 1505 E. Central Ave. <br />i <br />Icily, state, zip: 1Santa Ana,CA 827 1. 07 (Phone: - I714-481-9801 <br />- <br />(Emaa: (jennynos@delhlcenter.org Fax, 1714-481-9598 <br />Name: G2]hIBntG'C <br />Tax•Exempt Status: Is your organization anon-prorit or public taz-exempt organization as <br />defined under Section 501(c)(3) of the Internal Revenue Code? <br />elect Ona: <br />Yes ❑ No <br />If No, you will only <br />y <br />-----._-.__-___._ <br />- <br />fypg <br />rates equipment, Cityervicesivaryarm8tees, <br />tall time, rental rates for facilities or aqulprnent, 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 />1r • •r <br />IfC'iity Services Credit <br />Oats Needed: <br />11-30-17 <br />�MayorlCounciirtembae: <br />villegas <br />;Amount Requested: <br />Direct Payment Amount <br />Requested: <br />.r®® <br />Event pate: <br />$(1117 6/30/1$ <br />Event Time: <br />M Z:30-�:3® Ill <br />Event Location: jI505 E. Central Ave. <br />Address, City, State, Zfs Banta Ana, CA 92707 <br />Teens Engaged in Leaming and Leadership is a gang prevention program that uses leadership development, Internships, and <br />Description of community service to train teens to overcome risk factors for gang involvement and to <br />develop skills to help them succeed. <br />Event 1 Purpose: Participants will complete 30 hours of classroom training, 80 hours of internship work, <br />and 100 hours of volunteer service and <br />will receive a $500 scholarship for completing all requirements. <br />Ponicipants, ages 14-19 will gain job training and experience by assisting with the implementation of programs and services offered at Delhi <br />Community Benefit. Center. Teens will be exposed to a vadety of work-related tasks and skills and tlwill make a meaningful contribution to the community through <br />heir service. A total of 22 teens will be served from throughout Santa Ana and $500 will cover the <br />coat of a sobolarship for 1 teen who lives <br />n Ward 5. .. <br />�Appllcant Sig -nature: � — ate: lhAUgust 7,-201-7, <br />Mail. City Manager's Office -M-31 rl5rhl donationrequest@santa-ana.org — <br />29 Civic Center Plaza Fax: (714) 847.8954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request #: DR - <br />I 1Council MeetingDate: <br />}7C 4f ili"4 Y e? dt tQ'1 iF6i DPW - <br />NOVEMBER 7, 2017 <br />EtigVnnity Met; i YES t N!J YES i Approved Amount: I <br />$500 <br />I City Manager Signature: Y Data: i <br />Revised 01105/2017 <br />EXHIBIT 13 <br />