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DocuSian Envelope ID: DB13B736-8FBD-4F2C-A123-96CC38440A03 <br />w. <br />City of Santa Ana <br />s Donation Request <br />Contact Information <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: Janny Kum (alternate contact Victor Payan) <br />_ <br />itle.. ___JI Director of Finance J <br />aareaa: 1000 N. Alameda Street, Suite 240 <br />Ed - - — <br />- -- - -- J <br />--- --- - __m <br />city, sta e, I Los Angeles, CA 90012 <br />- - <br />Pnone: 213-346=3200 <br />- -- ---- - - --- <br />Email: I <br />Fax: 213-808-1009 <br />Mail: City Manager's Office -M31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Email: donationrequest@santa-ana.org <br />Fax: (714) 647.6954 <br />.. <br />City Services Credit i <br />$ <br />Date Needed: '111/15/17 <br />Ma orlCouncdmember: <br />Martinez <br />ount Re nested: <br />YES! NO YES <br />Approved Amount: <br />$500 <br />Dlrect Payment Amount II <br />Requested_ g500- <br />Event Date: <br />10/6-10/15/17 Event Time: 111:45am-10pm <br />��IF <br />Location° <br />FAdd <br />2017 Film Fiesta locations in Santa Ana include: OC Musicians' Association, <br />, City, State, Zip <br />_.__—_ <br />Heritaae Museum. Santa Ana Colleae_Main_P_lace_Mall_and_Mexican Consulate_ <br />Description of <br />The Film Fiesta will showcase Santa Ana to the region and to SA residents via <br />Event/ Purpose: <br />events throughout the city, and offer free and low-cost screenings to the Santa <br />Ana_rnmml miff/ inrll lriinn. CA_rPclripntc- ch iAantc f_aar•harc_milita nh{ataranc <br />Community Benefit:' <br />The Film Fiesta will provide $5 admission and free events for the Santa Ana <br />community, including award-winning films and artists such as SNL head writer <br />Applicant Signature: <br />DOGI${ <br />V� Date 11/1/2017 <br />- <br />n45]➢Aa356aA4 - <br />Mail: City Manager's Office -M31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Email: donationrequest@santa-ana.org <br />Fax: (714) 647.6954 <br />Revised 01/05/2017 <br />Donation Request #: <br />Reference # on aff rely led DPVs <br />DR - <br />Council Meeting Date: <br />12/19/17 <br />Eligibility Met: <br />YES! NO YES <br />Approved Amount: <br />$500 <br />City Manager Signature: <br />Date: <br />Revised 01/05/2017 <br />