Laserfiche WebLink
City Manager's Civic Center Plaza <br />N-2019-018-07 P.O. Box 1995 <br />C) Donation Request <br />Santa Ana, CA 92702 <br />(714) 647-5200 <br />Address: <br />2618 San Miguel Drive #284 <br />FVe] Yes ❑ No <br />4 Ity, scree, zlp, <br />-— -- — <br />Newport Beach, CA 92660 <br />r <br />- -- bhone; <br />�— <br />jEmau <br />_ ---- <br />icloud-: idebjl1@.co—m-- <br />Name: <br />CHANCE Orange County <br />Tax -Exempt Status: Is your organization anon -profit or public tax-exempt organization as <br />lefined under section <br />on 501(c)(3) of the Internal Revenue Code? <br />One: <br />FVe] Yes ❑ No <br />If No, you will only qualifyfor a credit for Ci -related costs for our <br />ty y request (i e. permit lees, <br />'- <br />rre°' <br />rtaff time, rental rates for facilities or equipment etc.).Costs for City services vary and if <br />tppmved, credit may or may not cover full cost of requested City services <br />ax ID R: <br />i81-1224869 <br />rry Services Credit $ Date Needed: <br />mount Requested: <br />Direct Payment Amount <br />Requested: $500 Event Date: <br />Event Location: <br />Ad&ess. City State, Zip <br />Event Time: <br />Villegas <br />Help augment our CDBG grant in S.A. to pay for the gap in the program budget, <br />Description of we applied for more than twice the amount we received, and we have already <br />Event / Purpose: reached the number of S.A. residents in 4 months that we can serve. <br />- _— Economic vaTue, tthe» e—SW homeless or recoven'ng drug7ek—ofio a Ic s no -- <br />Community Benefit: longer use public services, we provide training, coaching/mentoring and we get <br />them jobs, they pay taxes and they are no longer on the streets. They become <br />if <br />Applicant signatum:- J_ - , ipate; (NOVEMBER 1 2018 <br />Mail: City Manager's Office—M41 ; Email: donationrequestp_santaana.org <br />20 Civic Center Plaza Fax: (714) 647-6964 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 l <br />Donation Request# �'—DR- <br />;.a•srm <br />Council Meeting Date; 12i1$i1$ <br />Eligibility Met: VES i NO Yes Approved Amount: $500 <br />City Manager Signature: ���_ Date: <br />Revised 01/05/2017 <br />EXHIBIT 7 <br />City of Santa Ana <br />