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City Manager's Office - M-31 <br />City Of Santa Ana 20 Civic Center Plaza <br />L„?":li <br />Donation Request P.O. Box 1988 <br />Santa Ana, CA 92702 <br />- (714) 647-5200 <br />Contact a s <br />rame:T Y— (Laurie Tristan s <br />ide: Treasurer <br />Address: 942 W Carol Ave <br />City, state, zip: Santa Ana, CA 92707 Phone: 714-356-3446 <br />Email: <br />Jaguarbaseballboosters@gmail.com T(Fax: 7_ <br />.. jjrjization information <br />j• <br />Name — Jaguar Diamond Booster Club <br />Tax-Exempt Status: Is your organization a non-profit or public tax-exempt organization as <br />defined under Section 501(c)(3) of the Internal Revenue Code? <br />Select One: <br />Yes ❑ <br />No <br />If No, you will only qualify for a credit for City-related costs for your request (l. e. permit fees,"----- <br />staff time, rental rates for facilities or equipment,etc.). Costs for City services vary and if <br />46-4526131 <br />approved, credit may or may not cover full cost of requested City services. <br />IITr ax ID#: <br />bortation Request <br />City Services Credit Irby <br />sn�a Date Needed: Apri12017 .(Mayor/Councilmember: <br />r <br />Tinajero <br />mount Requested <br />fDirect Payment Amount <br />I-.._T __._.r--.---r----- <br />52 000 <br />Event Date: March 17, 2017 Event Time: 3:00 pm <br />Requested: <br />Event Location: <br />seg erstrom High School, 2301 W MacArthur Boulevard, Santa Ana, CA 92704 <br />Address, City, State, Zip <br />— <br />Segerstrom High School Baseball program, comprised of 60playersand6coaches, is one of the top baseball programs in the City of Santa Ana. To maintain and <br />Description of <br />strengthen the skills of our student athletes, all teams (Frosh/Soph, JV, Varsity) play in leagues and tournaments year round. Due to limited funding our prognem <br />receives from the school district, our parent booster group looks to community sponsors to enhance and support our student-athletes and baseball program. The <br />EVent/PnrpOse: <br />donation of funds from the City of Santa Ana would go toward suffering the purchase of new game jerseys for our student athletes. <br />Our players and coschestekegreal pddein re presenting Segerstrom at on and off campus events. Participating in baseball teaches our boys teamwork, good <br />sportsmanship, builds corrections and self-esteem, and provides a safe environment to participate in a sport that they lave. This event will be attended by our 00 <br />munity Benefit: <br />FC. <br />student athletes, as well as our larger school community. Playing in new jerseys will encourage team bonding and bring pride to our boys and program. The event <br />further allows for increasing school spilt and building community within our larger Segerstrom family approximately 1000 Segerstrom <br />studentelparents/staff are expected to attend in support of Segerstrom Baseball. <br />Applicant Signature:: <br />�./l ix,t ii,GLcrdy�J. tDate: <br />` January 12, 2017 <br />Return CtDmp!6ted&rm Via. <br />Mail: City Manager's Office-M-31 <br />Email: danationrequest@sante-ana.org ^- <br />20 Civic Center Plaza <br />Fax: (714) 647-6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request #: <br />Reference # on all related DPVs <br />DR <br />Council Meeting Date: <br />., ' <br />Eligibility Mei: <br />City Manager Signature: <br />YES / NO I Approved Amount: <br />_EXH].BIT '__.�ate: <br />—� <br />Revised 01/05/2017 <br />29A-3 <br />