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►._.I <br />• <br />City of South Bend Special Event Application <br />City and Regional Event <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Please Brine Completed Application and Payment to: <br />Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN <br />Review the Instructions on the Special Events page before completing the application. City and Regional Special <br />Event applications must be submitted more than 30 days in advance of the event date or the application will not <br />be accepted. <br />Section A - Applicant Information <br />Date of Application: February 12, 2024 Organization Name: Beacon Health System/Sunburst Races <br />Applicant (Contact) Name: Courtney Kipker <br />Applicant (Contact) Phone: cell 574.514.4176 Contact Email: ckipker@beaconhealthsystem.org <br />Address: 111 W. Jefferson Blvd., Suite 300 City/State/ZIP: South Bend, IN 46601 <br />List any professional event organizer, event service provider or commercial fundraiser that is authorized to work <br />on your behalf to plan, produce and/or manage your event. <br />Organization Name: <br />Contact Phone: <br />Contact Name: <br />Contact Email: <br />Address: City/State/ZIP: <br />Section B - Event Information <br />Event Name: Sunburst Races Event Type: (Festival, Race, Parade, Other): race <br />Event Classification: E Non -Profit` ❑ For -Profit <br />❑ City (Civic) Sponsored ❑ Other (If Other, please describe): <br />"The Special Events Committee may request proof of non-profit status. <br />Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this <br />application. The description should be a summary overview.) <br />Race day is 6/1/24, starting and finishing at the Century Center. Current plan - 5K run @ <br />7AM, half marathon @ 7:15 AM, 10K run at 7:45 AM, 5K walk @ 9 AM. Sunburst staff will <br />Date of Event Setup[mm/dd/yy]: 6/1/24 Time: by 5 AM <br />Begin Date of Event[mm/dd/yy]: 6/1/24 Time: 1st event @ 7 AM (5K run) <br />End Date of Event[mm/dd/yy]: 6/1/24 Time: finish line closes @ 11 AM <br />Event Cleanup Completion [mm/dd/yy]: 6/1 /24 <br />Total anticipated attendance: 5,000 <br />Time: 4 PM <br />The proposed event will require the closing of: 0 Streets 0 Sidewalks <br />