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City of Santa Ana <br />Donation Request <br />City Manager's office — M•31 <br />20 Civic Center Plaza <br />P.O, Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647-5200 <br />Name: Latin American Arts Council of Bowers Museum <br />--------- - ---- -- 1- .- --- I­ --- ---- -- ---- - -- ---- - -- - ---- <br />Tax-Exempt Status; Is your organization a non-profit of public tax-exempt organization as 16elect One: y,, <br />;defined under Section 601(c)(3) of the Internet Revenue Code? ONo <br />If No, you will only qualify fore credit for City - related costs foryournequest (i.e. permit fees, ------ <br />staff time, rental miss for facilities or equipment, etc.). Costs for City services vary and it <br />approved, credit may or may not cover full cost of requested City services. I Yale 133-0106161 <br />17ax to <br />City Services Credit <br />$ Data Needed: Mayorfcouncilmombar; Sarmlento <br />mount Requested: <br />!Direct Payment Amount <br />$1,000 Event Date: Event Time: <br />Requested: <br />Event Location: <br />Bowers Museum 2002 N. Main Street, Santa Ana, CA 92706 <br />Address, City. State. zip <br />To support the activities of Latin American Arts Council of Bowers Museum <br />Description of <br />Event/ Purpose: <br />pertaining to the exhibit: Virgin of Guadalupe:lmages in Colonial Mexico. <br />The Latin American Arts Council supports the Bowers Museum in presenting programs <br />iCommunity Benefit: and exhibits that display the b t <br />'7 d history of the arts and culture of Latin America. <br />'7u y an <br />Applicant Signature: Date: June 9, 2016 <br />04_�__X�­__ - — ____ -------- ---------- <br />Mail: City Manager's Office —M -31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />C"' <br />YES , 610 <br />�Hq ssynatwre <br />Email: donationrequest@santa-ana.org <br />Fax: (714) 647-6964 <br />I" <br />... JnCO IVtaetmg Dat2 <br />'l'*Pro'od '�n:ot .... <br />Revised 11/1612015 <br />