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City Manager's Office — M -31 <br />�h' City of Santa Ana 20 Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />^,y4 Santa Ana, CA 92702 <br />�-:�scr� (714) 647 -5200 <br />iContact Information <br />Name: <br />[Cuts Sarmlent0 Title: rEX@CUtIVe DlreCtOr <br />Address: <br />PO Box 133 <br />City, State, zip: <br />Santa Ana, CA 92702 (Phone: <br />714.425 -5562 <br />Emall: <br />r.___. _ e <br />luis @elcntroculturaldemecico.org Fax: <br />---------------- <br />Organization <br />- - - - - -- <br />_ - - -- - - -- - - - -- - -------------__ <br />- I <br />Name: rrCentro Cultural de Mexico <br />Tax- Exempt Status: Is your organization a non - profit or publ ic tax - exempt organization as Select One: ❑ ❑ <br />Yes No <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 />If Yes, <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if 33- 0614169 <br />approved, credit may or may not cover full cost of requested City services. Tax ID #: <br />Donation <br />City Services Credit <br />Janua 2016 r <br />$ Date Needed: ry Mayor /Councilmember: Amezcua <br />mount Requested: <br />Direct Payment Amount <br />Di neste: <br />r-- - -- — <br />1000 F - - -- _- _ NOV 7th, 2015 _ - - -- - - -- <br />7 am - 10 m <br />$ (Event Date. Event Time: p <br />q <br />Event Locatlon: <br />Fourth Street and Broadway, Santa Ana, California <br />Address, City, State, Zip <br />Noche- d-eAltares is an open and free community based Dia de los Muertos <br />FEv,nt iptio n of <br />celebration on la Calle Cuatro in Santa Ana, California. The event hosts over <br />/Pnrpese: <br />140,000 people, including families, community organizations and businesses. <br />I <br />r <br />Noche de Alares provides inter and intra cultural dialogue, community building <br />Community Benefit: <br />across cultures, and free art and educational opportunities for over 40,000 <br />pp <br />(people including residents and families from Santa Ana. <br />j <br />_ <br />(Applicant Signature: <br />P <br />1 oate: 111.22.2015 <br />I <br />Return completed <br />Mail: City Manager's Office —M -31 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 />I <br />Donation Reques4 #: DR- <br />Council Meeting Date: <br />Reference # on all related GFVs 1 <br />Eligibility Met: YES / NO Approved Amount: <br />City Manager Signature Date: <br />Revised 11/16/2015 <br />-'�s•� Ali <br />