Laserfiche WebLink
city Manager's Office–M-31 <br />City of Sana Anja 20 Civic Center Plaza <br />•9 <br />P.O. Box 1988 <br />s Donation. Request salla Ana, CA 92702 <br />t - <br />(714) 6474200 <br />— Yvonne Olivares-itle (F�ceculive Director <br />Maldonado! <br />Name: <br />adress: <br />3600 Lime Street, Suite #725 <br />Fit,, state, np: Riverside, CA 92501 '877 10-0576 <br />IF= <br />Email:lyvonne@caiptc.org IFl ax; 951-782-0878 <br />Nama: Califo nia Independent Provider Training Center (CAIPTC) <br />-Tax-Exempt Status: Is your organiza8onanon-profit or public tawmcempt organization as elect Onac Yes ❑ No <br />efined under Section 501(0)(3) of the Internal Revenue Code? <br />if No, you wl/lon1, qualify(ore credft for City-r elated costs foryourraquest (i.e. permit fees, �f Yes, <br />aNtime, reniafrates /orfacl7rties or equlpment,etc.).Casts for City services vary artdff <br />145-5147214 <br />�ax lD# <br />ppmved, credit may ormaynot wverfull cost of requested City services. : <br />by Services Credit {� y <br />runounl Requested: I <br />ate Needed r_ � dlI IayorlCoundlmember. <br />I I <br />E $aIm12nto' <br />,blrect Payment ""t $rJ00 QD Event Date: j12/13/2017 �Evene 7l� a: �10am - 3pm <br />equested: ( ; <br />i <br />(Event Local— 333 Civic Center W, Santa Ana, CA 92701 <br />(Address, city, .State, Zip <br />�— <br />American Red cross Adult and Child First Ald/CPR/AED Training <br />Description of <br />Upon successful completion of the course, participants wi0 earn a certificate from the American Red Cross that is valid for <br />3 <br />Event/Pu rpose: <br />two years from the date that the class was taken. <br />Participants learn life-saving skills on how to handle cardiac, breathing or first aid emergencies. <br />Community Benefit !Many of the participants that attend our classes care for seniors and people with disabilities, <br />!including disabled children in Santa Ana and the surrounding communities. <br />Applicant Signature: Date: I 1 J (L 1 <br />'den <br />Mail: City Manager's Office–M-31 Email: , nrequest@santaa a.org <br />20 Civic Center Plaza Fax: (714) 6478954 <br />P.O. Box 1988 1 <br />Santa Ana CA 92702 <br />Donation Request #: Dtt - Council Meeting Date: <br />Refarerce Fon all mfarddOPYs I <br />December 19, 2017 <br />Eligibility Met: YES I NO 1'E$ Approved Amount: <br />$500 <br />1 City Manager Signature: Date: <br />1 _ <br />I <br />_ <br />Revised 01/0512017 <br />29W45 <br />