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JUN 2 21011 <br />City of South Bend Special Event Application <br />' City and Regional Event <br />$50 application fee if filed 60 days or greater 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 />Section A - Applicant Information <br />5/20/21 City of South Bend VPA <br />Date of Application: _ — -------------- Organization Name: <br />---------------------------- <br />Applicant (Contact) Name: Cynthia Taylor _ Applicant (Contact) Phone: 574-235-7712— `Contact Email: Ctaylor@SOuthbendin.gov <br />Address: 301 S. St. Louis Blvd 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: Charles Black Center Contact Name: Resha Johnson <br />Contact Phone: 574-235-9446 Contact Email: Ijohnson@southbendin.gov <br />Address: 3419 W. Washington St. city/State/ZIP: South Bend, IN 46601 <br />Section B - Event Information <br />Back 2 School Parade/Boo i9e Event T Parade <br />Event Name: _� --— Type: (Festival, Race, Parade, Other):_ <br />Event Classification: . Non -Profit` ❑ For -Profit <br />M 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 />The event will be held on August 7, 2021. It will start @9am, line will be @ Washington High <br />School. The Parade will head east down Washington St. and end at the Charles Black <br />Community Center. <br />Date of Event Setup [mm/dd/yy]: 08/07/2021 <br />Begin Date of Event [mm/dd/yyl: 08/07/2021 <br />End Date of Event [mm/dd/yyl: 08/07/2021_ <br />Event Cleanup Completion imm/dd/yyl: 08/07/2021 <br />Total anticipated attendance: 500 <br />Time: 7:30am - Set-up <br />rime: 9:00am Start <br />Time: 6:00pm <br />Time: 7:00pm <br />The proposed event will require the closing of: IN Streets 0 Sidewalks <br />