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City of Santa Ana Povrered by Submittable <br />Title 0059 02/06/2022 <br />by Jose Luis Hernandez in Arts & Culture - id. 22501848 <br />Special Event Sponsorship Request Form <br />(SESRF) - 2021 <br />grupodeautismoangelesoc@gmail.com <br />Original Submission 02/05/2022 <br />Name of Primary Jose Luis <br />Contact <br />Hernandez Casillas <br />__.. ....._..... ..._....... <br />Contact Title <br />....._.......... ............... _....____ ._........_ _.... _....._._.. -- . ._.......,.._......_-- <br />President and Founder <br />... ....... ........._.......... <br />Name of Entity <br />_.. .. ...--- ....._...--_... _..... _........... ..... _....... ...._......... <br />Grupo de Autismo Angeles OC <br />(organization, <br />business, <br />neighborhood <br />association) <br />Check the box that <br />Nonprofit 501(c)(3) <br />applies to your entity: <br />Additional Applicant <br />o i <br />Names (if applicable) <br />__. ._._..._. _._... <br />_......._ <br />Physical Address <br />....... ..... <br />421 N Brookhurst St #130 <br />Anaheim <br />CA <br />92801 <br />us <br />Mailing Address <br />421 N Brookhurst St #130 <br />Anaheim <br />CA <br />92801 <br />u5 <br />Phone <br />+17147376612 <br />Email <br />grupodeautismoangelosoc@gmaii.com <br />Website <br />https.1/www.facebook.com/GrupoDeAutismoAngeles <br />Event Name/Title <br />Grupo de Autismo Angeles OC's 20th Annual Picnic at Santa Ana Zoo <br />Event Date(s) <br />June 18th 2022 <br />