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�: City Manager's Office— M-31 <br />- City of Santa Ana 20 Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />* Santa Ana, CA 92702 <br />(714) 647-5200 <br />Name: ICentro Cultural de Mexico en el Condado de Orange <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as <br />defined under Section 501(c)(3) of the Internal Revenue Code? Select One: Oes ❑ No <br />If No, you will only qualify for a credit for City -related costs for your request (i.e. permit fees, <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and ifraxelsD <br />, 0614169 <br />approved, credit may or may not cover full cost of requested City services. M <br />LRetum completed form via:, <br />Mail: City Manager's Office—M-31 Email: donationrequest@santa-ana.org <br />20 Civic Center Plaza Fax: (714) 647.6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />,Hfn" lIIc l'o7111"t <br />IP'City Servicegs Credit 1q Date Needed: 11/03/2018 <br />Mayor/Councilmember: <br />Benavides <br />ount Re uested: I- <br />Eligibility Met: <br />YES / NO YES <br />DirectPaymentAmount <br />5500 Event Data. 11/03/ZO18 <br />Event Time: <br />1:00 PM <br />Requested: <br />4th Street and Birch <br />Event Location: <br />Address, City, State, Zip <br />Santa Ana, Ca 92701 <br />Since 2002, EI Centro Cultural de Mexico has eon organizing Noche e�AltaA res, <br />Description of <br />or a Night of Altars, a community based Dia de los Muertos celebration, where <br />Event/Purpose: <br />families, students, community organization and businesses come together to <br />create an authentic cultural exnerience that reflects Mexican tradition and what <br />For one night, families, students, community organizations, activists, artists, and <br />Community Benefit: <br />businesses are invited to build an altar in memory of a deceased loved one or to <br />bring awareness to a social issue. By making altars, participants are inviting <br />F..II...., .. ..i{., ... ...{...... i..4.. 4k—;i n..,.. IK...... 4.. .. F..... I... •..r7. .. rl. ,... <br />^^^,09/15/2018 <br />Applicant Signature: <br />`1 C`�, <br />�J ti <br />Date: <br />LRetum completed form via:, <br />Mail: City Manager's Office—M-31 Email: donationrequest@santa-ana.org <br />20 Civic Center Plaza Fax: (714) 647.6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />,Hfn" lIIc l'o7111"t <br />Donation Request #: <br />Reference llon all related DPvs <br />DR. <br />Council Meeting Date: <br />9 <br />11/20/18 <br />Eligibility Met: <br />YES / NO YES <br />Approved Amount: <br />S500 <br />City Manager Signature: <br />Date: <br />Revised 01/05/2017 <br />