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Cit of Santa Ana City Manager's Office–M-31 <br />' y 20 Civic Center Plaza <br />?` }' Donation Request P.O. Box 1986 <br /><:•.L'– Santa Ana, CA 92702 <br />-- (714) 647-5200 <br />Name: IlCommunity Engagement Inc. 1:1 <br />empt Status: Is your organization a non-profit or public tax-exempt organization as <br />under Section 501(cX3) of the Internal Revenue Code? <br />ou will only qualify for a credit for City -related costs for your request (i.e. permittees, <br />e, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />d, credit may or may not cover full cost of requested City services. <br />:ct One: F/_1 Yes ❑ No <br />'ID#: 47-4600334 <br />.. .I I - <br />'Nam <br />Allen Moon ! ide: <br />Program Director <br />/lddresl s: <br />3920 Birch Street, Suite 103 <br />(city, Std ate, zip:: <br />I Newport Beach, CA 92660 j <br />Phone: 323-449-4823 <br />mall: <br />aiienscottmoon@gmail.com <br />Fax: <br />i <br />Name: IlCommunity Engagement Inc. 1:1 <br />empt Status: Is your organization a non-profit or public tax-exempt organization as <br />under Section 501(cX3) of the Internal Revenue Code? <br />ou will only qualify for a credit for City -related costs for your request (i.e. permittees, <br />e, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />d, credit may or may not cover full cost of requested City services. <br />:ct One: F/_1 Yes ❑ No <br />'ID#: 47-4600334 <br />.. .I I - <br />cityServicesCreditDates <br />Needed: <br />� <br />�—I <br />ayor/Cou'M ncilmember:' <br />Pulido <br />([mount Requested: <br />Approved Amount: <br />$7,500 <br />City Manager Signature: <br />irgectPaymentAmount ��� 5pm <br />7,500 Event Date: 5/12/18 vent Time: <br />Re nested: <br />Event Location: <br />Bowers Museum 2002 N, Main St., Santa Ana, CA 92706 <br />Address, City, State, Zip <br />rday, May 12th, Santa Ana Sites presented Cufiao's EI Cancion del Inmigrante at the Bowers Musueum. <br />Description of <br />FTOheconcertwas free to the public and was produced by Santa Ana Sites, under the fiscal and administrative i <br />Event I Purpose: <br />a of Community Engagement, a non-profit that facilitates culttural activities within the city of Santa Ana. <br />and culture provides an array of community benefits from community pride, to historical information, <br />Community Benefit: <br />rappryec iationofthe arts, and motivation to the community to express their talents through the arts. Santa Ana has <br />ntalented artists and the events sponsored through these funds acknowledge arts 8 culture. <br />Applicant Signature: <br />n�_ nta <br />a& -It <br />Date: <br />rand .encourage <br />6/ 13/ 18 <br />Mail: City Manager's Office–M-31 i 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 />L�WifF�C)1W <br />Donation Request #: <br />Reference # on all related DPVs <br />DR • <br />Council Meeting Date: <br />June 10, 2018 <br />Eligibility Met: <br />YES I NO YES <br />Approved Amount: <br />$7,500 <br />City Manager Signature: <br />Date: <br />Revised 01/05/2017 <br />