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1Ih, City of Santa Ana <br />Donation Request <br />Danny Garza <br />1522 W Washington Ave <br />State, zip: ISanta Ana, CA 92706 <br />Name: ..--�- <br />adxgarza@yahoo.com <br />City Manager's Office — M-91 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, QA 92702 <br />(714) 847.5200 <br />The American Cancer Society 1940 E Deere Ave, #100, Santa Ana, CA 92705 <br />Status: Is your organization a non-profit or public tax-exempt organization as (Select One: l❑ <br />Section 501(o)(3) of the Internal Revenue Code? Yes No <br />If No, you will only qualify for a credit for City -related costs for your request I'Le, permit fees, If Yes, <br />;tall time, rental rates forfacllities or equipment, etc.).Costs for City services vary and If <br />approved, credit may or may not cover full cost of requested City services. ITax ID 9: <br />rices Credit <br />Requested: <br />ayment Amount <br />Location: <br />B City, State, Zip <br />Description of <br />Event/Purpose: <br />Community Benefit: <br />Needed: <br />1000,00IlEventDate; it 04-22-2017 ;Event Time: <br />Santa Ana College <br />1630 W 17th Street <br />Santa Ana, CA 92706 <br />13-1788491 <br />12:00 pm <br />The American Cancer Society Relay for Life event is a life -changing experience that gives everyone a moment to Celebrate <br />the lives of people who have battled cancer, remembered loved ones lost, and "Fight Back" against the disease. Funds raised <br />go to research, transportation to and from treatment, Hope Lodge facilities to provide a comfortable place for patients and their <br />caregivers to stay so ttlrery can stay ffle.free or at a reduced rate se they can focus on getting well. <br />Cancer has touched so m2ny peopfe In our community and the Relay for Life event Is so Inspiring, uplifting, and is a great way :c help fight <br />d <br />this disease.'fhe A!dericen Can r Society, proilides information, programa, and services that are available to patients and caregivers, This <br />is also a groat oppdto let ,our brave fighters and caregivers know that they are not alone, they can get educational resources to help <br />them on theirjournk tjiey can also meet otporfighters and caregivers. <br />t,G ' '' `�'f - �gu tr �' s r",�'v n-,7�zn`�t i I `ti'd', �"n 's' vf'Q2m Or NOR`t�' ,+ , <br />,E ,�[I{fiiitiY� > s e k „. d { t r .,. , s,tfir F a,,,,d k <br />Mail: City Manager's Office—M-31 <br />20 Civic Center Plaza <br />P.Q. Box 1988 <br />Santa Ana, CA 92702 <br />Email: donationrequest@santa-ana.org <br />Fax: (714) 647-6954 <br />Revised 11/1612015 <br />