Laserfiche WebLink
EXHIBIT "A" <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Cid you attend the Grant Application Workshop- 2017 hosted by the KAtitas County Chamber of Commerce? <br />Workshop - 2017 * C Yes <br />r No <br />Submittal Instructions C_•5 Yes, <br />& General I have read and understand Submittal instructions and General Information for the 2017 Lodging Tax Grant Funding <br />Information * Rocess <br />Yoii arc str'stag(U . ,au r uli lemon! 1�¢o, ealI f1TA) ."m,, V air ivo p�vaaias tr�� t!Ilae u<;f1u ;.5110,,lst of"l11U,,10)A",a+�i Lb t—I"It Skit'qp tv.)X <br />eCItor and 3,njV1 3 j 6 y"urf W,aa u,, ti�eA41cppy, im3l,�an%Te 1iIp 10f>aitll fliaa 'yot. rngy also sa' u t ft: b selp.m.0mtc, <br />wkldi ,:y0U ART i %`u-kr 31eTJ G".f� inikdl msiaIt li :rji kni w,cial14411fua,r Ir(V u14, <br />i,ti�aPm6,c1k�PL,7111,�IwVl61resS .'iir 17��SSVN61hwV, �At����a'cin)Rfi�I���W�i L NYa �?;CvItE�I��. jA2)�i71��C-l�a� <br />rsdl ec:a�! l�1 I' <br />Ilia, COMMA O!, p if.a Wit : ,m s gLo +l'• womr save– utas ut dl as a is 3*—oork. The <br />r.tll .mh),-7.t inlilfW? mum Nd, ern ountiwaill. <br />Organization Information <br />Name of Organization* Washington State Horse Park <br />Organization Address* Street Address <br />1202 Douglas Munro Blvd <br />Address Line 2 <br />PO Box 278 <br />city <br />Cie Elum, WA <br />Postal / Zip Code <br />98922 <br />Website wahaorsepark.org <br />Federal Tax ID #* 33-1197391 <br />UBI # * 601-844-477 <br />Organization is a:* 0 Government Entity <br />0 501(c)3 <br />O 501(c)4 <br />Q 501(c)6 <br />O Other i <br />State/ Rovince / Legion <br />WASHINGTON <br />Country <br />United States <br />(Note: you must submit 501(c)3, 501(c)4, or 501(c)6 approval documentation.) <br />Click here to view sample documents (redacted). <br />Upload Proof of WSHPA IRS501 c3.pdf <br />Organization Status* Acceptable f ile formats include: JPG, FDF orTFF. <br />Contact Information <br />First Name* Leslie <br />594.95KB <br />