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y": 8Ap <br />o { <br />a e�Cityof i <br />y y <br />Donation Request— <br />City <br />C �! <br />tl Atl'P'p <br />Manager's Office - M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647.5200 <br />ilName: I Felipe Guerrero c/o Charitable Ventures of CC l[fitle• ;I President <br />- — <br />ddreas:. Mail to: CVOC 1505 E. 17th Street, Suite 101 <br />city, State, zip: Santa Ana, CA 9_2705 i pn_o 714-566-5_513________ <br />- -- -- I =_ _-- - . - —- - <br />Emau: go5fnano@aol.com / skutner@santa-ana.org Fax: <br />... <br />Name: 11Santa Anita Neighborhood Association c/o Charitable Ventures of CC w <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 />� <br />�' <br />asap MayorlCouncilmember. <br />Solodo <br />Yes ❑ No j <br />If No, you will only qualify for a credit for City -related costs for your request (i.e. permit fees, <br />f, <br />YesID <br />I� <br />staff time, rental rales for facilities or equipment, etc.). Costs for City services vary and if <br />Direct Payment Ameunt <br />i <br />approved, credit may or may not cover full cost of requested City services. <br />ax #: ]20-8756660 <br />Mail: City Manager's Office -M31 Email: donationrequest@santa-ana.org <br />20 Civic Center Plaza Fax: (714) 647-6954 I <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />City Services Credit <br />DR - <br />Date Needed: <br />�' <br />asap MayorlCouncilmember. <br />Solodo <br />mount Requested: <br />q <br />Approved Amount: <br />250 <br />I� <br />Direct Payment Ameunt <br />¢2551 O Event Date: I�IC <br />4/H/1H 1Oanl-ZpiTl <br />Requested: <br />�° I�ventTime: <br />Event Location: <br />Fampesino Park 3311 W. 5th Street, Santa Ana, CA <br />Address, City, State, Zip <br />The Santa Anita Neighborhood Association in collaboration with the City of Santa Ana hosted <br />Description of <br />Event) Purpose: <br />the Ces ar Chavez Celebration and Resource Fair event on 3/31/18 for the community. A total of <br />3 art-scapes were painted on the exterior walls of the facilities to beautify the park. <br />munity participated in the painting beautification project and were proud of the new artwork. In <br />Community, Benefit: <br />reserve the artwork, a anti -graffiti sealant is needed and will be provided by the local artist that . <br />rcreated <br />e artwork. The funds will go to cover the cost of the anti -graffiti paint. <br />Applicant Signature:fQQjf7g <br />.p ylq, Datee: <br />M /18 <br />Mail: City Manager's Office -M31 Email: donationrequest@santa-ana.org <br />20 Civic Center Plaza Fax: (714) 647-6954 I <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Revised 01/05/2017 <br />Donation Request #: <br />Reference ff on alf related DPVs <br />DR - <br />I Council Meeting Dale: <br />April 17, 2018 <br />Eligibility Met: <br />YES I NO YES <br />Approved Amount: <br />250 <br />City Manager Signature: <br />Date: <br />Revised 01/05/2017 <br />