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City Manager's Office — M-31 <br />City of Santa Ana 20 Civic Center Plaza <br />P.{y - Box 1988 <br />Donation Request Santa Ana, CA 92702 <br />0��4,_w_r (714) 047.5200 <br />IName: ;ISanta <br />Anita Neighborhood c/o of Charitable Ventures of Orange County <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as <br />defined under Section 501(c)(3) of the Internal Revenue Code? <br />-Select One: <br />Yes ❑ No <br />If No, you will only qualify for a credit for City -related costs for your request (i.e. permit fees, <br />tafftime, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />approved, credit may or may not cover full cost of requested City services. <br />ax lD#: ' <br />'[20-8756660 <br />'IClty Services Credit lc 'JDate Needed:I (Mayor/Councilmemher: IVlllegas ,I <br />Amnnnf Rem,nsted: r' <br />... <br />Irecl Payment Amount <br />12CJ <br />Event Date: <br />1Z/16I�% I(Ev�ent Time: :4 <br />pili <br />equested: <br />'YES.1 NO YES <br />Approved Amount: <br />I. .. _. .., <br />...._...,. _ .. <br />Senta Anita t7enter <br />Event Location: <br />.. <br />ddress, City, stato 71p <br />300 S. Figueroa Street <br />Free annual holiday / Christmas event for the benefit of the children of the Santa Anita Including Santa's Village, toy <br />Descrlption of <br />distribution, food, crafts with Child Creativity Lab, choral group and booths from the Santa Ana Police and Orange County <br />Event / Purpose: . <br />Fire Authority. Cosponsor 7 -Eleven Corp. Council donation requested to cover cost of a Face Painter at the event. <br />of continued effort to re-establish Santa Anita Park as the community center <br />Community BeneFlt: <br />[Part <br />local families to enjoy new traditions. <br />Appllc*ant <br />¢ E r <br />IJ <br />Mail: City Manager's Office—M-31 Email: donationrequest@santa-ana.arg <br />20 Civic Center Plaza Fax: (714) 647-6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Revised 0 110 5/2 01 7 <br />'k. ! <br />DR. <br />I <br />S iy'\1 v�f. yiL f <br />1111 <br />Council Mooting Date: <br />+1''Y>t ; -' l { iJAI eG tTFe <br />becerrib6r 19, 2017 <br />Donation Request#: <br />Reference # on all related DPVs <br />Eligibility Met: <br />'YES.1 NO YES <br />Approved Amount: <br />.$125.00 <br />City Manager Signature: <br />Data: <br />.. <br />Revised 0 110 5/2 01 7 <br />