Laserfiche WebLink
City of Santa Ana <br />Donation Request <br />Name; Karen arabia <br />(Address: 837 N Ross St. <br />City, State, zip: [Santa Ana, Ca. 92701 -- <br />(Email:(karen@elcentroculturaldemexico.org <br />City Manager's Office — M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647.5200 <br />�7itle: � Executive Director <br />Phone: 1(949) 205-3954 <br />..._.. ..__[Fax: _..., .._. _ _. __......_. <br />Name: f El Centro Cultural de Mexico del Condado de Orange <br />I Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as ISelect One: <br />�lefined under Section 501(c)(3) of the Internal Revenue Code? I <br />f No, you will only qualify for a credit for City -related costs /or yourrequest (i.e. permit fees, �If Yes, <br />IstaB time, rental rates for facilities or equipment, etc.). Costs /or City services vary and i/ <br />approved, credit may or may not cover full cost of requested City services. :Tax ID #: <br />Yes ❑ No <br />33-0614169 <br />lClty Services Credit04/29/2018 <br />'M <br />�gAmount Requested: Date Needed: ayor/Councilmember. I Benavides <br />Direct Payment <br />Ym Amount ig 500 <br />Requested: Event Date: 104/29/2018 iEvent Time: 11:00 am - 3:00pm <br />; <br />(Event Location: j Blrch Park __400 W�3rd St, Santa Ana, C -A 92701 '.. <br />Address, City, State, Zip <br />El Dia del Nino is a traditional family holiday celebrated in Mexico that honors <br />j Description of !children, celebrates their importance in society and promotes their well—being. <br />iEventl Purpose: <br />[S -Dia dE F Nino it's a free commun'lty event thatpromotes arts and culture. <br />lCommunity Benefit, Hosting art workshops and performances by community artists, local arts <br />organizations, schools and community groups. Funds will be directed towards <br />LnL n nn l nn.F .----nn nn non <br />'Applicant Signature:. --'Date: 05/07/2018 <br />r r I form via: <br />Mail: City Manager's Office — M31 Email: donationrequest@santa-ana.org , <br />20 Civic Center Plaza Fax: (714) 647-6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request #: DR • - <br />Eligibility Met: <br />City Manager Signature: <br />VES/NO YES <br />Council Meeting Date: <br />Approved Amount: <br />Date: <br />EXHIBIT 2 <br />.lune 5 2019 <br />t <br />4 <br />Revised 01105/2017 <br />