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City Manager's Office- M•91 <br />City of Santa Ana 20 Civic Center Plaza <br />Donation Request 1 u�a4ia'° P.o. Box 1968 <br />N-2018-186 Santa Ana, GA 92702 <br />__ (714) 647.5200 <br />!Name: Bevin Cabrera ITitlet !EXEC. Director <br />�ddress: 3101 W Harvard St <br />pity, state, zip; (Santa Ana, Ca. 92704 'Phone: 714-733-0709 <br />malt: kcabrera@heritagemuseumoc.org Pax <br />Name: I Heritage Museum of Orange County <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as elect One: / <br />feflned under Section 501(c)(3) of the Internal Revenue Code? Y Yea No <br />If No,ou will only y qualliy for a credit kr City-relafod calfs for your request ft e. permit fees, f--"`""" <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services very and if Ifi 01 <br />195_3665050 <br />approved, credit may or Wray not cover full cost of requested City services (Tax ID d: {i v <br />i <br />W• • - <br />. rr-- <br />Clfy Bervlces Gredlt�$ oriCouncilmember: <br />`ilDate Needed: 1(aCtOber l� l <br />MaySolorio <br />Amount Requested: <br />Direct Payment Amount <br />Requostsd; 1s 500 IEventDate: (QCtober26 IEventTimo: �, pm - 9 pm <br />Event t.ocatlon;'Heritage Museum of OC <br />Address, City, state, Zip ( 3101 W Harvard St, Santa Ana, CA. 92704 <br />_ .._.__.. _._......__. I Sugar skull class showing youth how to make and decorate sugar skulls as part <br />F0a1t I Purpription le . of Dia de Los Muertos, and Ghosts of OC Trick or Treat on the museum property. <br />4These event will be free to the community and we will be inviting SAUSD schools <br />Community Bsnefit: <br />to participate. <br />I <br />Applicant 6ignatum... !Date I t71 Z'�h I t <br />j 1 <br />Mail: City Manager's Office -M-31 Email: donationrequest@santa•ane.org <br />20 Civic Center Plaza j Fax: (714) 647.6954 <br />P.O. Box 1980 <br />Santa Ana, CA 92702 <br />Donation Request #: DR - Council Meeting Data: <br />Eligibility Met: YES 1 NO Approved Amount; <br />i <br />City Manager signature: CfaEo: <br />Revised 01/05/2017 <br />EXHIBIT 1 <br />