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City of Santa Ana Cult Manegar's office - M-21 <br />20 Civic Confer Pine <br />Donation Request P.O. Box 1988 <br />0 <br />Santa Ana, CA 92702 <br />(714) 647-5200 <br />t ct Information <br />IName: Lee de Leon [PrediTe�tICE_0____ <br />v <br />draw: 2501 W. Sth St <br />�Itystot , ZWiw. [ Santa Ana, �CA 927�03___[Phlrie __[(714) _54,3-371:i__' <br />Zeman:�e@tccdc.org- (714) 543-2399 <br />owanization Information - - ------- <br />IName: ITemplo Calvario Community Development Corporation - Love Santa Ana Program <br />_Tax-exempt S_ta_tu$:Is your ­drganGa_ti0n_a n—onprofft or —public tax-exempt orgaril—zationas <br />defined under Section 501(c)(3) of the Intemid Revenue Code? Fe'�e_o��rm: <br />Y08 ®Na <br />IF No, you well only qualify for a credit for City -misted costs lot your request (i.e. permit fees, <br />stsif gme, rental totes for facilities Of equipment, elc.). Costs for City Services very and if If Yea, <br />approved credit may or may not cover full cost of requested City services, ax 10 M 77-0601589 <br />Donation Request <br />City Smirvices Credi <br />m"yosunt Requested:t F AS <br />Date Needed: AP I ;;yOr/Councilmomber: I Tinajero <br />D ---'--F <br />Direct Pays ant Amount <br />_t P 'to' �Roqmisreyd. 2,000 r___ <br />_Fvent -Dot, F4/8/2017 <br />Requested: Event Thron, 17:30am-1:00pm <br />I <br />C <br />Event Location: Casa Bonita & Bella Vista Neighborhood Event Lot <br />F <br />F__ <br />Add—,, Cft�y State, Dip <br />Tha, Ia r .Santa Ana Uem a =9mm-at T-em p "a h wi o _MQ_Waj3 <br />D of on mobilizing churches, community groups and the business community to work <br />[Enescribilim <br />event( Purpose: together to bring beauty, hope and transformation to some of the most <br />hallenged areas of our city. On April 8th, hundreds of volunteers will gather at <br />�jthe <br />Bella Vista _&C ilia Bonita neighborhood <br />Nei '5C d an up, murals, working on Jerome Community Garden, <br />r W <br />IIR source i n uch more <br />Applicantlure <br />Fate- �&l 7 <br />Mail: City Manager's Office - M-31 email: donationmqumt@santa�na.org <br />20 Civic Center Plan x: (714) 647-8954 <br />P.O. Box 1908 <br />Santa Ana, CA 92702 <br />7, 'g 'Q <br />Donation Request OR <br />lF <br />Council Meeting Date - <br />: 04/18/2017 <br />Eligibility Met: YES I NO YES Approved Amount- $2,000 <br />City Manager Signature: IDate; <br />Revised 0110512017 <br />Exhibit 1 <br />29C-3 <br />