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City of Santa Ana <br />Donation Request <br />Kevin Cabrera <br />3101 W Harvard St <br />cmy, State, zip: Santa Ana, Ca. 92704 <br />IEmall:'I'kcabrera@Oheritagemuseuilnoo.org <br />City Manager's Office - 11,741 <br />20 Civic Center Plaza <br />P.O. Box 1968 <br />Santa Ana, CA 92702 <br />(714) 647.6200 <br />Director <br />714-733-0709 <br />Name: I Heritage Museum of Orange County <br />Tax•Exompt Status: Is your organization anon -profit or public tax-exempt organization es g®lett One: r -""II" �_,_"�_.______..M,...._,.,-..,._ <br />1ef ned under Section 501(c)(3) of the Internal Revenue Code? i . i Yes ❑ No <br />If No, you will only qualify far a credit for City-refatod costs for your request (i, e. permit fees,"-"'""""""'�"" <br />staff time, rental rates for facilities or equipment, etc,). Costs for City services vary and if if Yes, 1195-3665050 <br />approved,Wr <br />credit may or may not cover full cost of requested City services, Tax ID #: <br />i� � •r <br />City Services Credit <br />'!Amount <br />$ Date Needed: I October Irv^ <br />( <br />�MayorlCouncilmember: <br />Requested: <br />IBenavides <br />�Direct Payment Amount <br />_.. ._.._............. <br />5p® IEvent Date; <br />F.__.......__....._.____"___ <br />QCtOber 26 <br />.._._....._._,_............._..__......1 p <br />(Event Time: 3 rYl - 9 ril <br />Requestetl_...._.._.m__.,..,....�_._...._...m___ <br />fEvsnt Location; <br />I Heritage Museum of OC <br />,address, City, state, zip ( 3101 W Harvard St, Santa Ana, CA, 92704 <br />Description of Sugar skull class showing youth how to make and decorate sugar skulls as part <br />Event/ Purpose; Iof Dia de Los Muertos, and Ghosts of OC Trick or Treat on the museum property. <br />Community Benefit: (These event will be free to the community and we will be inviting SAUSD schools <br />Ito participate. <br />-- uu <br />Applicant Signature: IDato: I yy <br />Mail: City Manager's Office -M-81 <br />20 Civic Center Plaza <br />P.Q. Box 1988 <br />Santa Ana, CA 92702 <br />E+nail: ctonationraquosi�aanta-ana.org <br />Fax: (714) 647-6964 <br />Revised 01/05/2017 <br />EXHIBIT 2 <br />