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1�='' <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 <br />