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Title 0032 <br />by Temic Flores in Arts & Culture - Special Event <br />Sponsorship Request Form (SESRF) - 2023 <br />tflores@latinohealthaccess.org <br />Original Submission <br />Name of Primary Temic <br />Contact Flores <br />Contact Title Grant Writer and Coordinator <br />Powered by Submittable D <br />10/06/2023 <br />id. 44315534 <br />10/06/2023 <br />Name of Entity Latino Center for Prevention and Action in Health and Welfare DSA Latino <br />(organization, Health Access <br />business, <br />neighborhood <br />association) <br />Check the box that Nonprofit 501(c)(3) <br />applies to your entity: <br />Additional Applicant <br />Names (if applicable) <br />Physical Address <br />405 W. 4th Street <br />Santa Ana <br />California <br />92701 <br />us <br />Mailing Address 405 W. 4th Street <br />Santa Ana <br />California <br />92701 <br />us <br />....... .. ...... -... <br />Phone +17145862094 <br />Email tflores@latinohealthaccess.org <br />Website latinohealthaccess.org <br />Event Name/Title Holiday Concert <br />Event Date(s) December 15, 2023 <br />