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City of Santa Ana <br />Donation Request <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 />f ama: Karen Sarabia arritle: Executive Director <br />[Address: _ 313 N Birch St. Santa Ana, CA Mailing Address: P.O. Box 133, Santa Ana, CA 92702 <br />citY, state, zip: Santa Ana, CA 92701 Pnone: 949 205 3954 <br />_ _ __ ) <br />(Email: karen@elcentroculturaldemexico.org ��fFax: <br />• � e Information <br />Name: v El Centro Cultural de Mexico <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? <br />Select One: <br />ZYes No <br />❑ <br />If No, you will only qualify for a credit for City - related costs for your request (i.e. permit fees, <br />If Yes, <br />�� <br />Event Time: <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />Requested: <br />33- 0614169 <br />approved, credit may or may not cover full cost of requested City services. <br />Tax ID #: <br />1• • a <br />ices Crted:Y__.__� <br />(City Services Credit $ 0 Date Needed: 11 /19/2016 M ayor /Councilmember: Sarmiento <br />Amount <br />Direct Payment Amount <br />��� <br />$ 500 <br />—� <br />Event Date: <br />11 /20/2016 <br />�� <br />Event Time: <br />5 0-op rn W �y <br />�' <br />Requested: <br />[Address, vent Location. <br />313 N Birch Santa Ana, CA. 92701 <br />City, State, Zip <br />D2sorlpflOn Of <br />Pancho Villa's lecture by Gregorio Luke ..__.__________ <br />Ed Contra 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 />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: <br />Ev <br />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 special performances by dancers and musicians to amplify the listener's experience of being presentwith the subject <br />community event will invite families to come together, learn, discuss, and enjoy this outdoor <br />[Community Benefit: <br />rThis <br />sentation. Gregorio Luke's dynamic presentations offer a public lecture event designed for community <br />mbe'rrs of all ag"es". <br />Applicant Signature: <br />"'� <br />i , /tQ}(,(�,/Z Jpl2ll�lCi Di ate: 110/23/2016 <br />Mail: City Manager's Office -M -31 <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 />EXHIBIT 1 <br />Revised 11/16/2015 <br />