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^t++ City Manager's Office — M-31 <br />.�. City Of Santa Ana 20 Civic Center plaza <br />P.O. Box 1988 <br />tiOfB?IOiP ReCJtteSf Santa Ana, CA 92702 <br />:.„ <br />- (714) 647.5200 <br />Contactormation <br />Name: Imen Moon — -- itle: Program Director <br />Address: (3920 Birch Street, Suite 103 <br />- - ----- ---------- <br />Clty, state, zip:Newport Beach, CA 92660 Phone: 323-449-4823 <br />Email: allenscottmoon@gmail.com Fax: <br />s <br />Name: lCommunity Engagement Inc. — <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as Select One: <br />defined under Section 501(c)(3) of the Internal Revenue Code? Yes No <br />If No, you will only qualify for a credit for City -rotated costs for your request (i. e. permit fees, if Yes, s <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />approved, credit may or may not cover full cost of requested City services. ax ID #:147-4600334 <br />M o + • e <br />Amount Requested:uW4ID I r..-^ <br />City Services Credit rIpate Needed: Mayor7Councilmembee: Pulido <br />!(( <br />_- r _�__—^-- 5112118-----.IEvent Time: ��pj-jj <br />Direct Payment <br />Direct Payment Amount 7 3Vu Event Date: <br />—� — <br />Event Location: Bowers Museum 2002 N, Main St., Santa Ana, CA 92706 <br />Address, City, State, Zip <br />On Saturday, May 12th, Santa Ana Sites presented Cuitao's EI Cancibn del Immigrants at the Bowers Musueum. <br />Description of The concert was free to the public and was produced by Santa Ana Sites, under the fiscal and administrative <br />Event I Purpose: umbrella of Community Engagement, a non-profit that facilitates culttural activities within the city of Santa Ana. <br />Arts and culture provides an array of community benefits from community pride, to historical information, <br />Community Benefit: appreciation of the arts, and motivation to the community to express their talents through the arts. Santa Ana has <br />many talented artists and the events sponsored through these funds acknowledge and encourage arts & culture. <br />Applicant Signature: aum ,tA an ate; �j/'�',,�/'7 <br />Mail: City Manager's Office -M-31 Email: donationrequest@santa-am.org <br />20 Civic Center Plaza Fax: (714) 647-6954 <br />P.O. Box 1900 <br />Santa Ana, CA 92702 <br />Donation Request M DR -� 0 <br />Rerferenee 6 on ati relraNd Drys ] Council Meeting Date: June 19 ?018 <br />I <br />Eligibility Met: _. YES / NO YES Approved Amount: V J 1 $7,500 _ .... <br />1"11141— <br />City Manager Signature: , D e. <br />EXHIBIT 16 Revised 01/0512017 <br />