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City of Santa A <br />F yclDonation Roquess <br />City manacpoe s Office — 4'A31 <br />20 Civic Conker Ptaxe <br />P.O. Box 1088 <br />San Fa Ann, CA 92702 <br />(114) 047.5200 <br />Name: Luz Mdndez Title: Relarripago del Carlo, Inc. Vice President <br />3750 W, McFadden Suite E <br />City, State, zip: Santa Ana, Ca. 92704 Phone: (951)850-8858 <br />Email: 1pmendezll @aol.com Pax: <br />s-avr s. x=' e.'' .',,.Me K `is r re!�.•i'�.;n Eg' i. < :,:. z ,4,. 1 E u.;f'cc9``-'..#�tvi ate' <br />- pag• del Cielo, <br />Tax -Exempt Status: is your organization a non-profit or public tax-exempt organization as Select one: <br />defined under Section 501(o)(3) of the Internal Revenue Code? 0 Yes ❑ No <br />If No, you will only qualify for a credit for City -related costs foryourrequest(i.e. permit fees, if Yes, <br />P. nx <br />staff time, rental rates forfacilitias or equipment,etc.).Costs for City services vary and if 95-3t783493 <br />approved, credit may or may not cover full cost of requested City services. Tax 1D <br />City Services Credit <br />Date Needed: MayorlCouncilmember: Amazoua <br />Amount Requested: <br />Direct Payment Amount <br />Requested: <br />Event Location: <br />Address, City, State, Zip <br />Description of <br />Event/Purpose: <br />Community Benefit: <br />Applicant Signature: <br />$2,500 Eventuate: April -June 20Event Time: Saturdays, 8:00-1:00 PM <br />1010 N. Main St. Santa Ana, CA 92701 <br />Orange County School of the Arts/Annex, <br />Purpose: To support the study and proservarron of tmdltional Mexican performing ads through music and holders dance. Our objectives and efforts are <br />reneged on having the children and youth of our community strengthen their cultural pride and sense of self confidence through the instruction of Meedcan <br />folkloric dance. We achieve these goals by providing a structured dance program wilh high quality instruction that demands concentration, hard work and <br />dedication in an enjoyable formal. The organization takes pride in offering classes to children, regardless of their ability to pay by providing scholarships. <br />Community Benefit: During its 40 years of hlatary, Rei3mpago has been earvi.q. a cultural enrkirmoni oarvim to Via community, of Santa Ana, which has shealeusly suppoded and <br />applauded the orgamheflan, euratedems parts=in educallonal, sufloi business and community events tMoughaul Orange County. Relampago inangb believes trial eaching <br />the slutlenlx' famib-edeelod veWea pke dedication, VaUAion, tllsrlpilna and education, will M1ava a posglve inguvnca In 9teirllves and help them reaUi iheV aeaUemic and adlslic gonb. <br />Mail: City Manager's Office — M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Dater ac. <br />Email: donationrequest(-dtsanta-ana.org <br />Fax: (714) 647.U9 4 <br />Exhibit 1 <br />Revised 11/16/2015 <br />