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City of Santa Ana CIry 820 Civic Center Plaza <br />g, <br />Donation Request P.O. Box 1988 <br />Santa Ana, CA 92702 <br />�- (714) 647.5200 <br />e . e <br />'Name Dr. Ana Jimenez-Ham! lite: I Executive Director <br />1.4ddres�---� 5-- <br />2215 North Broadway <br />c ti y, stats, Zip: Santa Ana, CA 92706 phone: 1(714) 547-5468 Ext. 307 <br />(Email: ana@occtac.org � x(714) 564 - 9690 <br />9 a <br />Name: Orange County Children's Therapeutic ARTS Center <br />(Tax•Exempt Status: Is your organization a non-profit or public tax-exempt organization as Select One: <br />defined under Section 601(c)(3) of the Internal Revenue Code? I Ir V Yes ❑ No <br />IIt No, you will ontyquelify for a credit for City-related costs for your request (r, e. permit lees, r""--� - - — <br />If Yes, � <br />lI33-0930891 <br />taffWrrie, rental ralasforfacilities orequipment, eta.). Costs for City services vary and if <br />to <br />lap You,, credit may ormay not cover full cast of requested City services. (Tax <br />City Services es Credit $ pate div eae d <br />iAmouat Requested: I i <br />Mayor/CouAmezcua <br />Direct Payment Amount I 'Event Date: <br />1 <br />_____F6 <br />June 1, 2016 Time: <br />6 00 pm <br />IRequosted: ,500 <br />(Event <br />ent Location: <br />[Addrow, <br />OCCTAC Classical Music program's Community Concert at the Ebel[ Club In Santa Ana (625 French <br />W1,, stare,z/p <br />Street, Santa Ana, CA, 02701). <br />OCGTAC will celebrate and feature the accomplishments of the Santa Ana students engaged in out first Classical Music <br />Description of <br />program sponsored by the City of Santa Ana, Community Development Block grant. These students began the program in <br />Event I Purpose: <br />July 2015 and have been learning about Classical music and how to play a musical instrumeriL violin, viola, guitar, Flute, <br />clarinet and saxophone. <br />Santa Ana parents wilt learn about Classical Musk and listen to their children perform a different style of music they are not as familiar with. <br />Community Benefit: <br />This experience will educate our families and bring new opportunities for our Santa Ana students. Also, our students will have the <br />opportunity to celebrate their accomplishments and look forward to continue their musical /artistic growth. Furlharmors, this experience wit <br />boost students level of confidence and self-esteem, as well as motivate them to continue to practice and gat betlerl <br />Applicant Signature: <br />,. _ <br />atl e; April 8,_206 <br />Mail: City Manager's OfFlce-M•31T�^ Email: donatlonrequest@santaana.org <br />20 Civic Center Plaza Fax: (714) 647.6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />, <br />Donation Request #: <br />Reforonce got) all related UPVs <br />II <br />DR I Council Meeting Date I� <br />(III <br />Eligibility Met: <br />YES/NO I Approved Amount <br />City Manager Signature. <br />Date: <br />_ <br />Revised 11/16/2015 <br />�YrkW;IT.d <br />