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:- . <br />=t^' Cit of Santa Ana City Ma <br />"�• ��a,'#CB y <br />20 CivicCene-M-31 <br />20 Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />Santa Ana, CA 92702 <br />�-- (714) 647-5200 <br />Name: James StapletonI ur a— Founder <br />Pddraas: -- <br />700 W. 3rd Street Unit B-309 <br />F- s te, np: Santa Ana, CA 92701 Phone: <br />1714-514-2322 <br />Email: <br />magic.Inc19 0@yahoo.com IFaax: <br />Name: Magic Inc. Academy of the Arts <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as Select One: <br />defined under Sectbn 501(cx3) of the Internal Revenue Code? <br />Yes No <br />❑ <br />If No, you will only qualify for a credit for City- related costs for your request (i.e. permit fees, <br />sIt <br />"- <br />Yj--as <br />staNtime, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />(approved, uedit may or may not cover full cost of requested City services. iTax ID p: 181-2098571 <br />1a <br />City Services Credit <br />m ount guested: <br />$ Data Needed: <br />1-18 <br />y j <br />BenavidesA <br />ant Amount <br />t9-29-18 <br />gCO EvenDate: <br />r— <br />meDirectd <br />�al - 6plI <br />jRquem <br />Imayor/Councilmember: <br />Event Location: <br />1400 Block of West 5th Street <br />Address, City, State, Zip <br />Santa Ana, CA 92703 <br />Provide neighborhood youth with a day of fun, resource info and community unity through arts & <br />escription ofl Purpose: <br />[Event <br />craft, face painting, carnival games, pony rides and music for all ages. Event sponsored by <br />Magic Inc. Academy of the Arts. Area Neighborhood association will be invited to participate.. <br />[Community Benefit: <br />A day of unity for local families <br />Applicant Signature: I <br />grillto SW&J= ate: 17-10-18 . <br />Mail: City Managers Office- M.31 <br />Email: dana6onrequest@sante-ana.org <br />20 Civic Center Plaza <br />Fax: (714) 647-6954 <br />P.O. Box 1968 <br />Santa Ana, CA 92702 <br />nation Request #: 1 DR - —� <br />Council Meeting Date; October 16, 2018 <br />FR <br />ibility Met: I YES / NO Yes Approved Amount• $500 <br />City Manager Signature: I Date: <br />Revised 01105/2017 <br />29A-16 <br />