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City of Santa Ana Cfty Manager's Office -M-31 <br />City 20 Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />V <br />Santa Ana, CA 92702 <br />(714) 647-5200 <br />Name: jMonica V. Guillena, MSW — —Tine: — Administrative Director <br />;Address: j4041 MacArthur Boulevard, Suite 510 <br />City, state, zip: 1 Newport Beach, CA 92660 Phone: 949-5534202 ext. 253 <br />Em all: [heef@oc-d.org Fax: 949-553-4211 <br />i Name., SI Orange County Community Foundation as fiscal sponsor for Hispanic Education Endowment Fund <br />u <br />ITax-Exempt3tatus: 13 your organization a non-profit or public tax-exempt organization as ISaleet One: 1 <br />defined under Section 501(c)(3) of the Internal Revenue Code? I i Yes ❑ No <br />f lfNo. you will only qualify for a credit for City -related costs for yourrequest 09. permit fees, i-�-- `-- -- <br />'-"—- <br />�,stalf time, tergal rates forfactUfes orequipment,etc.).Costs for City services vary andN J1 Yes, 133-0378778 <br />approved, credit may or may not cover full cost of requested City services. i4ax to 0: <br />;City Sarvices Credit <br />Amount Requested: <br />— . <br />Direct Payment Amount <br />Requested: <br />lEvent Location: <br />Address, City, State. Zip <br />Ioescdption of <br />lEvent/Purpose: <br />I <br />!Community Benefit' <br />,Applicant Signature: <br />'Date Needed: i MayonlCounctimember. !Sarmiento <br />500.00 Event nam:_ <br />;Event Time: <br />i This $500 donation to the Orange County Hispanic Education Endowment Fund will help to <br />'support the overall mission which provides opportunities for OC Hispanic youth to attend <br />college. <br />I Each year, over 100 students are awarded HEEF scholarships to attend four-year universities. HEEF serves students who <br />have attended high school in Orange County, CA. HEEPs mission is to Improve access to higher education institutions for <br />OC's Hispanic/Latino youth. Since Its Inception in 1003, HEEF has awarded over 2,200 scholarships totaring over $2.7M. <br />Dam i I2 Z <br />!Mall: City Managers Officer -M-311 1 Email: donationrequest@santa-ana.org <br />20 Civic Center Plaza I Fax: (714) 647-8964 <br />P.O. Box 1980 <br />Sante Ana, CA 92702 <br />Donation Request#: DR - <br />_ Council Meeting Date: May 1, 2018 <br />Eligibility Met: YES i NO YES Approved Amount $500.00 <br />City Manager Signature: Date: <br />EXHIBIT 1 <br />