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City of Santa Ana City Manager's Office-M•31 <br />20 Civic Center Plaza <br />Donation Request P.o. Sam 196E <br />(s) <br />Santa Ana, CA 02702 <br />(7f4) 647.5200 <br />Name• as�� j -�---- <br />i � •�Y'CfY_'1_Gy.�.�.t��.-..��t �.�k7_t7.�._ � �L7t✓U2�] <br />�ddr-� ._.�m _�...�it <br />......._..._.W.r.__� <br />�y,,-7Lr- <br />City, State,2ip. •„� phone '}yy <br />-t-i-1•f µ«.i I,_.! wiy�tdLG.�...�—.�.._,............�.......�. _......o. <br />Name: <br />` <br />yo <br />Tax-exempt Status:: is Is your organization anon-pmfl or public tax-exempt organization as Select One: <br />dented under Section 501(c)(3) of the Internal Revonue Code9 � � Yes ❑ No <br />lfNO, you will only qualllyforacreditforClty-relat�dcosts7oryourrequestp.e.permitleas, <br />staff time, rental rates for fecililiea or equipment, em.).Costs for City services vary and 11 Ilf Yes, <br />approved, credit mayor may not cover NI! cost olrequestad Clty servfeet. lax ID #: <br />nCilyBtcao Credit <br />urReguaated: 1 1 cilmemheyFmali r )artt-° tr <br />- - - - <br />- _.. Direct Paymani Amaunl Eveni Data: - �... vent Time: <br />iCiatyueated: �tJ�. (JG � ' I 1 1 <br />Event Location: <br />Address,'Cily State, Zip /�'1. G[ . �j��t�Cam} LA 17-70-7 <br />Ana PC Corp will allocate resources from this sponsorship towards on -going <br />FEvenSanta <br />scdptian of youth soccer activities for Santa Ana Youth throughout the season beginning May 18, <br />t) Purposes <br />2018. The sponsorship will he allocated to facility rentals, coaches, and programming. <br />Chii�reh -eS 3- I� q(4 jt eraC+ �yi�h r l ie r <br />Community Senelit: ry tjt �Jlr) �e1U� VI'' J whi� <br />JJ �l pit <br />Y__. Wlyn ho^+�"�i�Dw "v i woaK tvl-�amwr-4k,cfnd ct��e.ldp leticl�rshi�s <br />i1 , <br />Applicant Signature; �_�('�-'��Y <br />ate: 5 .�-.. <br />�� � �, ate¢ � _ �� <br />r s • rT. <br />Mail: City Manager's Office-M31 Email: donationrequest@senaa•ana,org <br />20 Civic Center Plaza Fax: (714)647.6954 <br />P.O. Sox 19116 <br />Santa Ana, CA 92702 i <br />Donation Request M OR- <br />li AN on;0.4 , ,,.,,_ -,, Council Meeting Date: ! JUNE 5, 2018 <br />Eligibility Met. YES / NO YES Approved Amount. $500 <br />City Manager Signature: Date: <br />Revised 01 /05/2017 <br />EXHIBIT 1 <br />