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<br />City of Santa Ana City Manager's Office—M-31 
<br />y 20 Civic Center Plaza 
<br />a Donation Request P.O. Box 1988 
<br />t_�P / Santa Ana, CA 92702 
<br />'-- (714) 647.5200 
<br />Name: :I Centro Cultural de Mexico en el Condado de Orange 
<br />Tax -Exempt Status: Is your organization a non-profit or public lax -exempt organization as 
<br />defined under Section 501(c)(3) of the Internal Revenue Code? 
<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 if 
<br />approved, credit may or may not cover full cost of requested City services. 
<br />alect One:1 
<br />Name; !Karen Sarabia ;t;e; 
<br />Executive Director 
<br />Address: 
<br />1837 N Ross 
<br />city, State, zip: Santa Ana, Ca 92701 phone; 
<br />1949 205 3954 
<br />FE, a, 
<br />karen@elcentroculturaldemexico.org 
<br />Fax: 
<br />families, students, community organization and businesses come together to 
<br />Name: :I Centro Cultural de Mexico en el Condado de Orange 
<br />Tax -Exempt Status: Is your organization a non-profit or public lax -exempt organization as 
<br />defined under Section 501(c)(3) of the Internal Revenue Code? 
<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 if 
<br />approved, credit may or may not cover full cost of requested City services. 
<br />alect One:1 
<br />yes 
<br />Yes, 
<br />Ix ID #: 
<br />33-0614169 
<br />No 
<br />.. . ..- 
<br />CityServicesCredit Date Needed: 11/03/2018 Mayor/Councilmember: Martinez 
<br />[Amount Requested: 
<br />Direct Payment Amount 5QQ Event Date: 11 /03/201 H Event TJme: 1:00 PM 
<br />Requested: 
<br />Event Location: 
<br />Address, City, State, Zip 
<br />4th Street and Birch 
<br />Santa Ana,Ca 92701 
<br />Eligibility Met: 
<br />Since 2002, El Centro Cultural de Mexico has been organizing Noce e A tares, 
<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 />Date: 
<br />create an authentic cultural exnerienct=, that reflects Mexican tradition -and -what 
<br />For one nig t,amilif es, students, community organizations, activists, artists, an 
<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.,11.,,., .. .. R., ... ... L...... i..M 0-i. - Hf— .. 4 .. .. f... ., L.. ,,...I .. f1. ,... 
<br />^^^,10/15/2018 
<br />Applicant Signature: 
<br />C� 
<br />Date: 
<br />Mail: City Manager's Office—M41 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 />WYI1@@ t7.4ri 
<br />Donation Request #: 
<br />Reference # on all related OPVs 
<br />DR - 
<br />Council Meeting Date: 
<br />11(20!18 
<br />Eligibility Met: 
<br />YES / NO YES 
<br />Approved Amount: 
<br />$500 
<br />City Manager Signature: 
<br />Date: 
<br />2 
<br />Revised 01/05/2017 
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