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City of Santa Ana <br />t % Donation Request <br />INam®: JoTiflattlan R. Hernandez <br />�ddrees: I1714 Raitt St -- <br />-- <br />�Ity, state, zip: Santa Ana, CA, 82761 <br />_ <br />Email; santanaunidos@gmail.com <br />Name: ; Santa Ana Unidos <br />,Title: <br />_ jPNone: <br />Fax: <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 />657.261-1653 <br />Tax-Exemp4 Status: Is your organization a non-profit or public tax-exempt organlza-tion as iSelect One: <br />ieffned under Section 501(c)(3) of the Inlemal Revenue Code? ® Yes <br />If No, you will only qualify for a credit for City -related costs for your request (l, e. permit fees,llf Yea, <br />ttaB time, rental rates for facilities or equipment, etc.). Costs for City services vary and If ! 147-5211563 <br />approved, credit may or may not cover full cost of requested City services. Tax ID M i <br />Credit Date Needed: 108-25-2018 <br />Sarmiento <br />I®heal Fayrrrent Amount i$-500 Event Date: 108-25-2018 Event Time: - 111:00 AM - 4:30 PM <br />Requested: , <br />;Event Location:120 W. 5th St, Santa Ana. CA. 92701 - <br />laddress, City, state. zip <br />--- - - - �,`�`he -Roses In Concrete -Education & Arts festival is br ngIng together music ans, .. <br />Description of students, educators and community to celebrate youth in power. <br />Event/ Purpose: <br />l <br />,'This event directly challenges negative sterotypes that hinder youth from thriving <br />;Community Benefit: lwithin our city. Youth are able to perform art, music and poetry amongst some of II,! <br />their favorite and most influential artists. <br />Applicant Signature: C% ` Dasal 08 06-2018 <br />., form via., <br />Mail: City Manager's Office - M-31 Email: donationrequest@eanta-ana.org <br />I 20 Civic Center Plaza Fax: (714) 847.8954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request M DR - Council Meeting Date: <br />Eligibility Met: VES I NO YDS Approved Amount: :6i A7 <br />City Manager Signature: <br />Revised 01/05/2017 <br />