FULL PACKET_2018-06-19 - Laserfiche WebLink

Home Browse Search

''_` City of Santa Ana City Ma� Civc Center Plaza Donation Request P.O. Box 1988 t:--r Santa Ana, CA 92702 - - (714) 647-5200 Name: Raul Ramos itie: President Address: 120 Civic Center Plaza Ft,, state, zip: Santa Ana, CA 92701 ' Phone_ ' 714-651-6176 -- Fax:_ (Name: ')Memorial Park Neighborhood Association Tax -Exempt Status: Is your organization a non-profit or public lax -exempt organization as defined under Section 501(cx3) of the Internal Revenue Code? � Select One: ❑ Yes No If No, you will only qualify for a credit for City -related costs for your request (i.e. permit fees, If Yes, _ staff lime, rental rates for facilities or equipment, etc.).Qosts for City services vary and if approved, credit may or may not cover Poll cost of requested City services. ax ID #: Donation City Services Credit 550.0 Date Needed: 6/25/2018 Mayor/Councllmember: Martini Amount Requested: —' Direct Payment Amount Event Date: 6/30/18 Event Time: $aril-10:30am ! Requested: Event Location: [Memorial Park, Eastside NA, Sandpointe NA, & Lacy NA Address, City, State, Zip The City of Santa Ana in collaboration with various neighborhoods to conduct community Description of Event) Purpose: clean-up efforts and beautification activities on June 30, 2018 from 8am-10:30am. Volunteers will be welcomed to assist with the community clean-up. mny will benefit from the event by having clean neighborhoods, beautified parks, and Community, Benefit, FanoppormtuUnityto engagewith others in the community. The event will promote community pride. Applicant Signature:lfe rJZQf1lOJ ;Date: JUneJ, 2018 Mail: City Manager's Office -M-31 Email: donationrequest@santa-ana.org 20 Civic Center Plaza Fax: (714) 647-6954 P.O. Box 1988 Santa Ana, CA 92702 t nAlI�GT�Lk�9 ,ms �. Donation Request at Reference # on all reletl DPVS DR - Council Meeting Date: June 19r 2019 Eligibility Met: YES I NO YES Approved Amount: @e $500 City Manager Signature: Date: Revised 01/05/2017