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EXHIBIT "A" <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Dd you attend the Grant Application Workshop - 2017 hosted by the KAtitas County Chanter of Commarce? <br />Workshop - 2017 * e Yes <br />O No <br />Submittal Instructions a Yes, <br />& General I have read and understand Subrrittal Instructions and General Inforrration for the 2017 Lodging Tax Grant Funding <br />Information * Process <br />`fou rir{l ol:'Uli'sform w3ft, adask o WM <br />L• dl IC Y 7 Rl'i S7Piv/�! 3lUlr' w^J![p�l�, f41f��!'�di lCdri�l!�y' Si1fNi�l �4Wi�.,t "•, C't�R; jp,tnri"k'i �l[IUG+!q?! sll�ctik7 1�rAr'% ��tiFltTiFi. �1"�i�ltt t&Cs�;l�i ��ISi?�` �u�'�9€:, ,� t'tl)<:R�il' �%�Y �I?k�! <br />I I'i,.I l ' l i l 1�11t1'C�} MA7P1VUvd�lu[Ui �il'>� il� Qn),`?IFE�tit, �'h1i %�%•.7ifq' ;r%�(�!'P�ll U�4(l ��i`GiP��'�; rb�GifW Uili� �f)a Ti"r);F)J�d�^tti Pi)Ud[�, Y.Bll�la} 1l�fupl�If�,fi Pl�+,�l l�:.lffih �bl �d'� �iC,Fit)IolJlfl'�119$'k'. '✓illi ChRfCP�iJ`' <br />l.. 1 . _, I'' I lS 9f�I!�'•` d!nl � ETU! Y.:�(h IYG.7 ~�R(�,�il�.'��,. • ilio d.-,�,1"ri�,4 ��if AfM�I'��III�l-S.a �,I rll:�; l.li �t) .I?J�A1�Jh4f�. ���'k€'7i ���Su7fr�t�i+l�,�ila�d� �1V�IP„'�,'ll��ir? G�:fda�iG„ „jf�N1�0 0��¶JI ��h' <br />r •r}IrF :[ +rl tL7 !rF -[nl Ifniyl a 4 f rukimg mn uikf1ts +aril [ Lot;k lPFn ttjNff t110't�h graml itas111r U la,, acln4on'a*. The <br />11 r i� •s;+I t :�:� � 1:atur ��s ��IP'� tI�MaY yNy�ry':IMmt� +n�r;lll. <br />Organization Information <br />Name of Organization* Laughing Horse Arts Foundation D.B.A. Jazz in the Valley <br />Organization Address* Street Address <br />PO Box 214 <br />Address Line 2 <br />Website <br />Federal Tax ID #* <br />UBI # * <br />Organization is a: * <br />city <br />Ellensburg <br />Fbstal / Zip Code <br />98926 <br />JazzintheValley.com <br />91-1211173 <br />600-634-787 <br />O Government Entity <br />O 501(c)3 <br />O 501(c)4 <br />O 501(c)6 <br />O Other <br />State / Province / P--gion <br />WA <br />Country <br />USA <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 501 c3.pdf 1.41 MB <br />Organization Status* Acceptable fileforrrets include: JPG, FDF orl1FF. <br />Contact Information <br />First Name* Joy <br />Last Name* Solberg <br />�n/ <br />