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City Manager's Office - M-31
<br />City of Santa Ana 20 Civic Center Plaza
<br />Donation Request N-2018-172-06 P.O. Box 1988
<br />Santa Ana, CA 92702
<br />(714) 647.5200
<br />T
<br />Nam®: -� ativl a Alvarado itla: Executive Director
<br />{IAddress: 1920 E. 17th Suite 202
<br />State, zip, iSanta Ana, Calif, 92705 .----.____,.---jPhone: -- 714-267-7747m-
<br />ICIty,
<br />Emall: natty@ngservices.org Fax:
<br />lOrganization Information
<br />Name Natis House DBA Neutral Ground
<br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as
<br />defined under Section 601(c)(3) of the Internal Revenue Code?
<br />elect One•
<br />1 No
<br />Z yes 11
<br />IJ
<br />If No, you will only qualify for a credit for City -related costs for your request (/e, permit fees,
<br />_
<br />If Yes
<br />-----
<br />teff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if
<br />Ij45
<br />4041042
<br />approved, credit may or may not cover full cost of requested City services.
<br />ax ID #:
<br />II
<br />Donation
<br />ity services credit
<br />�
<br />I�07-15-18
<br />Date Needed:
<br />MayodCouncilmember:
<br />Villages
<br />Amount Requested:
<br />I
<br />Direct Payment Amount
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<br />5 Event Date: JUIy & AUg
<br />Time:
<br />Requested:
<br />(Event
<br />Civic Center Dr. Santa Calif 9-270--3—
<br />0Adtlress;.City,
<br />Event Location:
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<br />Address, City. Stele, Zip
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<br />I Purpose:
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<br />Y6_u_tFa_nd Families
<br />Community Benefit:
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<br />Mad: City Manager's Office – M-31
<br />Email: donationrequest@santa-ana.org
<br />20 Civic Center Plaza
<br />Fax: (714) 647-6954.
<br />P.O. Box 1988
<br />Santa Ana, CA92:Pe70s�2
<br />'x ui 1, i.
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<br />Request
<br />#4
<br />botian DR
<br />... CouclMeetineW"Co'd an nlrri,d"Y rpV� nng Date. {
<br />_.
<br />Eligibility Met: f YES/NO' Approved A mount
<br />}
<br />CIly Manager Signature: { i Date:
<br />Revised 0110512017
<br />Exhibit 6
<br />
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