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(9) <br />City of Santa Ana <br />Donation Request <br />Name: Karen Sara <br />(Address: 1837 N Ross <br />State, zip: I Santa Ana, Ca 92701 <br />l: karenBelcentroculturaldemexico.ora <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 />Phone: '949 205 3954 <br />r__.__.__.__ ............. <br />Fax. <br />Name: ICentro Cultural de Mexico en el Condado de Orange <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as elect One: <br />defined under Section 501(c)(3) of the Internal Revenue Code? 0 Yes ❑ No <br />If No, you will only qualify for a credit for City -related costs for your request (i. e. permit fees,If Yes, r -'----------------"-" <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />approved, credit may or may not cover full cost of requested City services. Tax ID M 33-0614169 <br />City Services Credit $ <br />mount Requested: I� <br />Direct Payment Amount �g 800 <br />Requested: <br />(Date Needed: 11/04/2017 IMI ayor/Councilmember. IBenavides <br />Event Date: 11/04/2017 Event Time: 1 00 PM <br />Event Location 4th Street and Birch <br />Address City, State Zip <br />Santa Ana Ca 9270 <br />Description of Noche de Altares is a community celebration of Day of the Dead that reflects <br />Event/Purpose: Mexican tradition and how it lives on in our communities today. <br />For one night, community members, nonprofits, local vendors and artists are <br />Community Benefit: I <br />I invited celebrate the memory of loved ones or bring awareness social issues. <br />-- --- — <br />(APPltoanrSignatueer �� �� --Date: 10/04/2017 <br />Mail: City Manager's Office—M-31 Email: donationrequest@santaana.org <br />20 Civic Center Plaza Fax: (714) 647.6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request it: <br />I fe sacs # 011,41 related tWVs <br />Eligibility Met: <br />City Manager Signature: <br />DR " -- Council Meeting Date: -. NOVEMBER 7, 2017 <br />YES INO YES <br />II Approved Amount: <br />Date: <br />EXHIBIT 11 <br />u <br />$800 <br />- <br />I <br />Revised 01/05/2017 <br />