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,.�` , Manager's Office - M-31 <br />City <br />�� City of Santa Ana 20 Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />Santa Ana, CA 92702 <br />,.t,'*` <br />(714) 647-5200 <br />Contact Information <br />Name:~ �IRamiro Barbuzano, Jr. _ [ntie: Director of Education _ <br />dress: 1815 E. Wilshire Avenue #908 <br />ity, state, zip: Santa Ana, CA, 92705 Phone: 714-352-4380 <br />Email: rbarbuzano@childcreativitylab.org Fax: <br />Organization Information <br />[Name: Child Creativity Lab <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as elect One: N <br />defined under Section 501(c)(3) of the Internal Revenue Code? � Yes F-1No <br />I(No, you will only qualify fora credit for City -related costs for your request (i.e. permit fees, If Yes, <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if 36-4746228 <br />approved, credit may or may not cover full cost of requested City services. ax ID #: <br />Donation <br />mount Requested: �r��e—� ����-4 <br />Cmount RegUerredit ren Date Needed: 11 /8/18 Mayor/Councilmembee Martinez <br />Requested: .'.___......_____.__..—�..__.___._.._..._..._._-- _ <br />Duect Payment Amount $ 1 OOO Event Date: 12/$/1$ Event Time: O.00 and ` <br />Event Location: TBD, but possibly at 1815 E. Wilshire Avenue #906, Santa Ana, CA 92705 if venue not secured. <br />Address, Cify, State, Zip <br />e <br />Description of <br />The Child Creativity Lab's mleslon is to foster the next generation of critical thinkers, problem solve rs,Innovators, and lsadam through hands-on reativityenhahung exploretlon. The <br />organinstion'a vision Is to Inspire children to challenge their comfort levels and thereby wising their potential for personal development and ocntrlbutlonsto society. <br />EVenti PUfpOae: <br />cuts <br />This event emeant to women a he conference <br />CCL and the Girlative tot Om In s County cions, byhodong gidsgretles An, andMlas- Gonanes)tole engaging <br />EmpowermentSTEAM conference will tackle the use of creative tM1inkinglnaevaral science, TecM1nology, EnglneeMg,Art, and Math concepts while engaging young women <br />ng <br />opeamaluThe <br />to create their own "Eptrepreneur" projects. <br />[COMI'lltyBenefit: <br />The Girl Scout Empowerment STEAM Conference allows young women the opportunity to use problem salving skills and come up with new and useful—� <br />solutions to modern day issues. Their entrepreneur projects will lake them through a "design -thinking" methodology where girl scouts learn the <br />'Importance <br />of planning, designing, testing, and presenting their work to a distinguished panel ofjudges from the community. Along with the Increased <br />spark in curiosity and the sense of accomplishment, the girls will have the opportunity to showcase their completed projects to the rest of the communityl <br />Applicant Signature: D.. ... I,.U•, ri,��z�•> �J`,r Date: $/6I2018 <br />LN v `/ <br />Return completed • rm vi <br />Mail: City Manager's Office -M-31 Email: tlonationrequest@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 />R• far, if elaCa,dDF1V Council Meeting Dato: September 4, 2018 <br />!'o, <br />Eligibility Met YES I NO YES Approved Amount $1,000 <br />City Manager Signature: -��/ __- �? Date: f.{7 ftp j .. <br />-' Revised 01/05/2017 <br />