Laserfiche WebLink
City of Santa Ana <br />Donation Request <br />City Managers Office- M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647-5200 <br />Clintacf fnf0rrtatiorrs <br />Roman Reyna / Mario Rodriguez (CEO) ile: Lead Advisor <br />dares,: <br />PO Box 194 <br />FIty, s� tate, zip <br />San Clemente, CA 92674 <br />none: (714) 865-9118 <br />lEmall <br />mrod262@yahoo.com or roman_reyna@hotmail.comiFax <br />On -Going <br />(' <br />Name:. I Hispanic 100 Foundation , <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as elect One: 1:1efined under Section 501(c)(3) of the Intemai Revenue Code? Yes No <br />If No, you will only qualify for a credit for City -related costs for your request (l e. permit fees, I <br />staff time, rental rates for facilities or equipment,etc.).Costs for City services vary and ifIIf Yes, <br />approved, credit may or may not cover full cost of requested City services. ax to #: 46-1962620 <br />ity SarvlcrC es Credit — F_ <br />Amount Requested: Date Needed: <br />ASAP Mayor/Couneilmembar. <br />IEvent'r,a: <br />— <br />Dl eet Paymant Amount —l�v�nt <br />December 19,2017 <br />Eligibility Met: <br />YESI NO YES <br />Date: <br />equestea; � <br />On -Going <br />(' <br />On -Going <br />Event location: <br />nds will help cover on-going cost for the youth program, but will specifically cover <br />[the <br />Address, City, State, Zip <br />cost of conferences to prep youth for legislation training in Nov., Jan, and Febr. <br />a Ana youth will participate in the Youth & Government program/activites <br />Description of <br />Fthane training on how to create a bill and help it pass. There are three <br />Event/ Purpose: <br />conferences that will train youth and help them launch the bills. <br />Santa Ana youth will become empowered by the education, training, and leaderships i <br />community senenb <br />that they will learn from the Youth & Government Program. This will also provide <br />insight o gislation, networking, self-esteem and public speaking skills. <br />ate: <br />1/6/17Appa1 <br />V <br />Mall: City Managers Office -M-31 Email: donationrequest@santa-ana.org I <br />20 Civic Center Plaza Fax: (714) 647-6954 1 <br />P.O. Box 19811 <br />Santa Ana, CA 92702 <br />v170P?1g4r 11a1N.`.. <br />Donation Request 91: <br />Retarenca H an ail relay=d OPV, <br />DR- <br />Council Meeting. Date: <br />December 19,2017 <br />Eligibility Met: <br />YESI NO YES <br />I Approved Amount: <br />$1,500 <br />City Manager Signature: <br />Date: <br />Revised 01/05/2017 <br />