Special Event - Fallen Officer Scholarship Ride - August 26

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"E TH,iJ City of South Bend Special Event Application City and Regional Event $50 application fee if filed 60 days or greater (up to 360 days) in advance of event $100 expedited application fee if filed 30-59 days in advance of event Please Bring Completed Application and Payment to: Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN Review the Instructions on the Special Events page before completing the application. City and Regional Special Event applications must be submitted more than 30 days in advance of the event date or the application will not be accepted. mg •1_ .i r • u. •� Date of Application: 05/10/2023 Applicant (Contact) Name: Dominick Rodriquez Organization Name: FOP #36 Applicant (Contact) Phone: 574-310-0495 Contact Email: drodriquez@southbendin.gov Address: 701 W. Sample St City/State/ZIP: South Bend, IN, 46601 List any professional event organizer, event service provider or commercial fundraiser that is authorized to work on your behalf to plan, produce and/or manage your event. Organization Name: Contact Phone: • Address: Contact Name: Contact Email: City/State/ZIP: Section B - Event Information Event Name: Fallen Officer Scholarship Ride Event Type: (Festival, Race, Parade, Other): Motorcycle Ride Event Classification: ® Non -Profit" ❑ For -Profit ❑ City (Civic) Sponsored ❑ Other (If Other, please describe): "The Special Events Committee may request proof of non-profit status. Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this application. The description should be a summary overview.) - This is a scholarship fund raiser to provide graduating high school seniors a scholarship in honor of the Scott Lee Severns Memorial Scholarship Fund and our fallen SBPD officers. Registration at SBPD from noon to 1345 hrs. ride starts at 1400 making two stops. The first stop is the City Cemetery to honor a fallen officer and the second stop is out at the Southlawn Cemetery prior to ending up at the FOP 36 lodge. 08/26I2023 1200 hours Date of Event Setup [mm/dd/yy): Time: Begin Date of Event [mm/dd/yy): 08/26/202 3 Time: 1200hours End Date of Event [mm/dd/yy): 08/26/2023 Time: 1700 hours Event Cleanup Completion [mm/dd/yy): 08/26/2023 Time: 2200 hours • Total anticipated attendance: 150 The proposed event will require the closing of: ® Streets 0 Sidewalks