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45-rra City of South Bend Special Event Application <br />City and Regional Event <br />1x�' r ct <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 />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 />Date of Application: 4/13/21 <br />Section A - Applicant Information <br />Organization Name. -Family -Justice Justice Center <br />Applicant (Contact) Name:Amy Stewart-Brown <br />317-690-8840 astewartbrown fcs c.or <br />Applicant (Contact) Phone: _________ Contact Email: @ � 1 g__ <br />Address: 533 N Niles - Ave _ city/State/zIP: South Bend, IN 46617 <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: _---------- Contact Name: <br />Contact Phone: Contact Email: _ <br />Address: --------- City/State/ZIP: __--_______ <br />Section B - Event Information <br />Bacon Around the Bend 5K Race <br />Event Name :—----------------------- ____ Event Type: (Festival, Race, Parade, Other):________ <br />Event Classification: 0 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 />This will be the 4th annual Bacon Around the Bend 5K to benefit the Family Justice Center. <br />This is a fun run/walk that starts at the FJC and ends at Corby's Irish Pub. <br />Date of Event Setup [mm/dd/yy]: 06/19/21 <br />Begin Date of Event [mm/dd/yy]: 06/19/21 <br />End Date of Event [mm/dd/yy]: 06/19/21 <br />Event Cleanup Completion [mm/dd/yy]: 06/19/21 <br />Total anticipated attendance: 250 <br />Time: 6AM <br />Time: 8AM <br />Time: 11 AM <br />Time: 12PM <br />The proposed event will require the closing of: ❑ Streets ❑ Sidewalks <br />