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City of Santa Ana Powered by Submittable v <br />Title 0039 01 /11 /2022 <br />by Ana Jimenez -Hama in Arts & Culture - Special id. 22226960 <br />Event Sponsorship Request Form (SESRF) - <br />2021 <br />ana@occtac.org <br />Original Submission 01/11/2022 <br />Name of Primary Ana <br />Contact Jimenez -Ham! <br />Contact Title Founder & Executive Director <br />Name of Entity Orange County Children's Therapeutic Arts Center <br />(organization, <br />business, <br />neighborhood <br />association) <br />Check the box that Nonprofit 501(c)(3) <br />applies to your entity: <br />Additional Applicant Carlos Beltran, Director of Arts Education at OCCTAC <br />Names (if applicable) <br />Physical Address 2215 North Broadway, 1st floor <br />Santa Ana <br />CA <br />92706 <br />us <br />Mailing Address <br />2215 North Broadway, 1st floor <br />Santa Ana <br />CA <br />92706 <br />us <br />Phone <br />+17145475468 <br />Email <br />ana@occtac.org <br />Website <br />www.occtac.org <br />Event Name/Title <br />Santa Ana Latin Jazz Festival of Arts & Culture <br />Event Date(s) <br />June 4, 2022 <br />