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City Manager's Office - M-31 <br />City Of Santa Ana 20 Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />Santa Ana, CA 92702 <br />-- (714) 647-5200 <br />o e a <br />fName: Karen Sarabia arTitle: f Executive Director <br />[Address: _ <br />313 N Birch St. Santa Ana, CA Mailing Address: P.O. Box 133, Santa Ana, CA 92702 <br />city, state, zip: <br />Santa Ana, CA 92701 Pnone: 949 205 3954 <br />) <br />_ _ __ <br />(Email: karen@elcentroculturaldemexico.org ��[Fax: <br />• g. eInformation <br />Name: v EI Centro Cultural de Mexico <br />Tax-Exempt Status: Is your organization a non-profit or public tax-exempt organization as <br />defined under Section 501(c)(3) of the Internal Revenue Code? <br />Select One: <br />ZYes No <br />❑ <br />If No, you will only qualify for a credit for City-related costs for yourrequest (i.e. permit fees, <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />If Yes, <br />33-0614169 <br />approved, credit may or may not cover full cost of requested City services. <br />Tax ID #: <br />Donation'Resuest <br />— ------- <br />(City Services Credit so Date Needed:. 1 1 /19/2016 Mayoncouncilmember: Sarmiento <br />Amount Requested;Y__.__._..______ <br />Direct Payment Amount S 500 Event Date: 11 /20/2016 Event Time: 5 00 prn W �y <br />���—� �� �' <br />Requested: <br />-N-Birch <br />vent°tori°^: <br />[Address, <br />313 Santa Ana, CA. 92701 <br />City, state, Zip <br />DeserlpflOn Of <br />Pancho Villa's lecture by Gregorio Luke.T_-________.__ <br />EI Centro Cultural de Mexico is pleased to celebrate the 106th Anniversary of the Mexican Revolution by hosting a lecture featuring Pancho Villa, one of the main <br />characters of this historical event. Gregorio Luke is an expert an Mexican and Latin American art and culture. Presented as an evening outdoor event utilizing powerful <br />Event / Purpose: <br />digital projectors, the audience Is awed by the magnificence of the visual life sized images projected onto an inflatable portable screen, The presentation will include <br />additional film clips, historic not. recordings, or special performances by dancers and musicians to amplify the listener's experience of being presentwith the subject <br />community event will invite families to come together, learn, discuss, and enjoy this outdoor <br />[Community Benefit: <br />rThis <br />sentation. Gregorio Luke's dynamic presentations offer a public lecture event designed for community <br />mbe'rrs of all ag"es"."'� <br />Applicant Signature: <br />i , /tQ}(,(�,/Z Jpl2ll�lCi Di ate: 110/23/2016 <br />s e - • sfills <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 />Donation Request#: DR • <br />Donaticenonanrelated onvs Council Meeting Date: <br />Eligibility Met: I YES / NO Approved Amount: <br />City Manager Signature Date: <br />—_ — <br />EXHIBIT 1 <br />Revised 11/16/2015 <br />