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�+ i /� N-2018-172-10 <br />� City of Santa Ana <br />r� w <br />City Manager's Office-M-31 <br />20 Civic Center Plaza <br />rr,,t Donation Request <br />;+s`. <br />.ry, <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />..�"':•:., <br />(714) 847.5200 <br />s pul <br />Name: John Herpy tde: �rPresident <br />aaress: 24 Via Bella, Suite 1000 <br />_.._.___.______—._.___..__...._— _ _.__ <br />ty, St state, zip: Rancho Mirage, CA 92270 Prone: <br />562.2?1.714b <br />mad: erpy( ix.netcom.com ax: <br />Name: Roadrunner Football Boosters <br />Tax-Exempt Status Is your organization a non-profit or public tax-exempt organization as - aleat One: <br />defined under Section 501(c)(3) of the Internal Revenue Code? <br />r ✓ Yes No <br />If No, you will only qualify for a credit for City-related costs for your request (i.e. permit fees, es,—'^ <br />time, rental rates for facilities or equipment etc.). Costs for City services vary and if <br />/I 7�� (1 it �1 A f„m <br />4 09 0 46 <br />I4i-3090546 <br />staff <br />approved, credit may or may not cover full cost of requested City services. ax ID #: <br />t <br />( <br />b a ♦ ^ ♦ <br />(City Services Credit <br />$ DateNeeded: JUIy 2018 ayorlCounciimember: <br />Tinajero <br />Amount Requested: <br />_ r-��-_._ <br />Direct Payment Amount $1500.00 Event Date: [Event Time' <br />July 2018 Event Time: <br />VarlOus <br />Requested: <br />[Event Location: <br />Saddleback High School, 2802 South Flower St, Santa Ana, CA 92707 <br />ddress, City, State, Tip <br />IDescriptfon of <br />Saddleback High School Varsity Football Team support <br />Event I Purpose: <br />3 <br />.PROVIDING <br />FommunityBenefit <br />l <br />SUPPORT FOR ON-GOING SERVICES TO THE SADDLEBACK HIGH <br />SCHOOL FOOTBALL TEAM, WHICH PROMOTES HEALTH, FITNESS, AND ACADEMICS. <br />Applicant Signature.. <br />4— _—.-- — rv: pate: <br />07/10/01$....._ ...�-- <br />i—_---''-- <br />Maii: CIty MManager's--- Officcee —MM-31-31Emaii: donatlonmqueatsantaana.arg <br />24 Civic Center Plaza .Fax: (714) 847-8854 <br />P.O. Box 1988 <br />Santa Ana, CA 82782 <br />Donation Request #: r DR - <br />ftelerettce # onalt related VPVv Council Meeting Date <br />..Yes <br />1 August 21, 2018 <br />I NO YE <br />Eli ibllit Mot Amount <br />gY..-. Mo <br />81,500 <br />City Manager Signature: Date <br />�: <br />----_ <br />Revised 0110512017 <br />Exhibit 10 <br />