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""`�" City Manager's Office— MJ1 <br />=��� City of Santa Ana 20 Civic center Plaza <br />- ;6E Donation Request P.O. Box 1988 <br />�• ; _ . Santa Ana, CA 92702 <br />(714) 647-5200 <br />• r. • • <br />Name: <br />Raul Ramos <br />tie: ' President <br />ddress- <br />1505 E. 17th Street Suite 101 <br />city city, S� <br />Santa Ana, CA 92705 Phone: <br />714-651-6176 <br />Emall: <br />raulramos99b6@gmail.com <br />Pax: <br />tlaresq City, State, Tip <br />Pirg4nizatj0n <br />Name- Charitable Ventures of Orange County for Memorial Park Neighborhood Association, <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 />elect One: <br />I beet Payment Amount—� <br />'IRequested: 1,383.19 Event Date: <br />Yes Ej No <br />If No, you will only qualrfy for a credit for City -related costs foryour request (i.e. permit fees, ,If <br />Taff time, rental rotes for facilities or equipment,etc.).Costs for City services vary and if <br />Yes, , <br />I20-8756660 <br />$1,383.19 <br />approved, credit may ormaynot cover full cost of requested Cityservices. <br />ax ID 1t: <br />Memorial Park 2102 S. Flower Street, Santa Ana, CA 92707 <br />r•mrrnw...e.a.. - <br />City Services Credit <br />iAmount Requested: iS Date Needed: <br />Ma�yor/Coundl�member. <br />Sarmiento <br />I beet Payment Amount—� <br />'IRequested: 1,383.19 Event Date: <br />, l <br />June 30 2018 Event Time: <br />TBD <br />�S <br />$1,383.19 <br />City. Manager Signature: <br />Event Location: <br />Memorial Park 2102 S. Flower Street, Santa Ana, CA 92707 <br />tlaresq City, State, Tip <br />rk Neighborhood Association hosts a variety of events, activities, and informational <br />of <br />Event <br />i Event/Purpose: <br />residents and businesses. The Neighborhood will be scheduling several <br />Fentr <br />e community through June 30, 2018. <br />The community will benefit from the various events by becoming informed, leaming how <br />Community Benefit <br />to be civic -ally engaged, enhances community pride, and strengthens relationships. <br />- -. <br />Applicant Signature: _-- <br />- l ate: 16/11/18 <br />Raut✓•iarrr04 <br />Mail: City Manager's Office—M-31 Email: donationrequest@santaana.org <br />20 Civic Center Plaza Fax: (714) 647.6964 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />v,...,iFr w)li_; <br />Donation Request #: <br />Rcfcrcncc D on all rent: v CPVs <br />DR - <br />Council Meeting Date: <br />JUNE 19, 2018 <br />- Eligibility Met: <br />YES/NO YES <br />Approved Amount: <br />$1,383.19 <br />City. Manager Signature: <br />Date: <br />Revised 01/0512017 <br />