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City of Santa Ana City Ma20Civic Center Plaza <br />Donation Request P.O. Box 1988 <br />(9) Santa Ana, CA 92702 <br />(714) 647.5200 <br />Santa Ana, CA 92701 <br />karen @elcentroculturaldemexico.org <br />I- <br />Name: IEI Centro Cultural de Mexico <br />(949) 205 3954 <br />- - -- -- -- - r --- - - - - --- - <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? Select One: i Yes ❑ No <br />fl No, you will only qualify for a credit for City - related costs for your request (i.e. permit fees, - _ -- "------- ____ -" <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if f Yes, <br />approved, credit may or may not cover full cost of requested City services Tax ID #: 33-0614169 <br />I I <br />Donation Request <br />(City Services Credit Date Needed: 1 9/2016 ir a <br />yor /COUncdmember; Ame <br />mount Requested. 1$0 <br />Direct Payment Amount i <br />Requested: 1$750 (Event Date 11/20/2016 (Event Time 15:00 pm <br />Event vocation: 313 N Birch Santa Ana, CA. 92701 <br />Address, City, State, Zip <br />Pancho Villa's lecture by Gregorio Luke <br />El Centro Cultural de Mexico Is pleased to celebrate the 106th Anniversary of the Mexican Revolution by hosting a lecture featuring Pancho Villa, one of the main <br />Description of characters of this historical event. Gregorio Luke is an expert on Mexican and Latin American art and culture. Presented as an evening outdoor event utilizing powerful <br />Event / Purpose: digital projectors, the audience is awed by the magnificence of the visual life sized Images projected onto an inflatable portable screen. The presentation will include <br />additional film clips, historic audio recordings, or spacial performances by dancers and musicians to amplify the listener's experience of being present with the subject. <br />This community event will invite families to come together, learn, discuss, and enjoy this outdoor <br />community Benefit: I presentation. Gregorio Luke's dynamic presentations offer a public lecture event designed for community <br />members of all ages. <br />Applicant Signature: <br />Mail: City Manager's Office — M -31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request #: DR- <br />Reference # un all related °PVs <br />Eligibility Met: I YES / NO <br />City Manager Signature: <br />10/23/2016 <br />Email: donationrequest@santa- ana.org <br />Fax: (714) 647 -6954 <br />Council Meeting Date: <br />Approved Amount: <br />Date <br />EXHIBIT 1 <br />Revised 11/16/2015 <br />