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_ 3 City of Santa Ana City Manager's 20Civic <br />Center <br />20 Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647-5200 <br />Noma, ^ I <br />Marytza Rubioiue: Executive Director <br />fddress: 322 Wakeham Ave <br />ity, State, zip:Santa Ana CA 92701 y Pbone: 714200462 <br />---- - --- ---- - — - -- - -- — -- <br />Email: — marytza@makaracenterarts.org <br />Fax:- -- <br />Direct Payment Amount Qn �(n /Month) <br />Event Date: Jan - OCt 201 8 Event Time: <br />Requested: g 9 Y <br />Name: <br />. - <br />Makara Center for the Arts <br />_..._. _----........ ... ......------- -----_ <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 />elect One: <br />!— <br />Direct Payment Amount Qn �(n /Month) <br />Event Date: Jan - OCt 201 8 Event Time: <br />Requested: g 9 Y <br />Yes <br />No <br />If No, you will only qualify for a credit for City -related costs heryour request (i.e. permit lees, <br />tall time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />�Yaxel`ch!. <br />Makers Center for the Ans seeks support far a citywide reading Initiative to celebrate the 200M anniversary of^Frankenstelnf Makers will <br />approved, credit may or may not cover full cost of requested City services. <br />]181-1351769` <br />l Event)Purpose: I <br />Frankenstein' will run from Jan. 2018-0ct 2018. Programs and resources will be available In English, Spanish, 8 Vietnamese, and Makers will <br />maintain a dedicalad'Frankenre.d' website with resources for additional organizations, businesses. and individuals to participate in the project. <br />Doriation Request <br />ily Services Credit i <br />i I <br />{ I <br />Date Needed: Nov. ZO18 MayorlCouncitmember:I`` Martinez i <br />ount Requested: <br />-- <br />!— <br />Direct Payment Amount Qn �(n /Month) <br />Event Date: Jan - OCt 201 8 Event Time: <br />Requested: g 9 Y <br />_ _._.-.._..-,___._—.._ <br />________ i $434..__. _ J _______-.-I <br />Event Location: f 811 N Main St Santa Ana CA 92701 <br />Address, City, Stam, Zip <br />i <br />-- <br />Makers Center for the Ans seeks support far a citywide reading Initiative to celebrate the 200M anniversary of^Frankenstelnf Makers will <br />Description of <br />distribute free copies of the novel and host free monthly STEAM programs and events for Santa Ana residents,'FrankenRead:Sanm Ana Reads <br />l Event)Purpose: I <br />Frankenstein' will run from Jan. 2018-0ct 2018. Programs and resources will be available In English, Spanish, 8 Vietnamese, and Makers will <br />maintain a dedicalad'Frankenre.d' website with resources for additional organizations, businesses. and individuals to participate in the project. <br />!'FrankenRead- <br />will offer Santa Ana residents an opportunity to read and engage with a classic novel that explores the relationship between ad <br />Community Benefit: <br />science, technology, ethics, and what makes a'monsler.' This cilyvide conversation can create new communities, renew Imaginations, and ignito <br />I <br />a lifelong love of reading. Residents will have free access to comic books, chapter books, foreign language, and classic versions.I_Frankensteln.' <br />Al least once a month (Jan'18.0c1'18), Santa Ana communities can attend free programs 8 events centered on specific themes of the novel. <br />Appgeant SignatureI' { <br />:- �.`1Date Sept 1'.5; 2017 <br />City Manager's Office -M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Email: donationrequest@santa-ana.org <br />Fax: (714)647-6954 <br />Revised 01/05/2017 <br />EXHIBIT 4 <br />29A-11 <br />