Special Event - Mind Body Spirit Festival-May 3 2025

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• • is x„ e City of South Bend Special Event Application City and Regional Event `4F:;7a% $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 Brine 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. Section A - Applicant Information Date of Application: 2/17/2025 Applicant (Contact) Name: Jamila Thomas Applicant (Contact) Phone: 574-339-3743 Address: 2626nIn 39 #4 Organization Name: Conscious Michiana, Inc. Contact Email: lamila.blue@gmail.com City/State/ZIP: LaPorte, IN 46350 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: Contact Name: Contact Address: City/State/ZIP: Section B - Event Information Event Name: Mind, Body, Spirit Festival Event Type: (Festival, Race, Parade, Other): Festival 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: Adetailed map plan is required in Section H of this application. The description should be a summary overview.) Date of Event Setup [mm/dd/yy]: 5/3/2025 Time: Gam Begin Date of Event [mm/dd/yy]: 5/3/2025 End Date of Event [mm/dd/yy]: 5/3/2025 Event Cleanup Completion [mm/dd/yy]: 5/3/2025 Total anticipated attendance: 500 Time: 11:00am Time: 5pm Time: 6pm The proposed event will require the closing of: ®Streets El Sidewalks