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EXHIBIT "A" <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Ltd you attend the Grant Application Workshop - 2017 hosted by the Ktttitas County Charrber of Comm-rce? <br />Workshop - 2017 * <br />f• Yes <br />Huffman Farms <br />f No <br />Submittal Instructions <br />r Yes, <br />& General <br />I have read and understand Subrrittal Instructions and General hforrration for the 2017 Lodging Tax Grant Funding <br />Information * <br />Frocess <br />You are strongly encouraged to compose your responses to the questions of this form with a desktop text <br />editor and save your work, then copy and paste the information into the form. You may also save a draft by selecting <br />the button at the bottom of this page. When you do this you will be logged out and must log back in to continue. In order <br />to save a draft you will need to provide an email address and a password. After completing the save draft, you will be <br />redirected to landing page containing a link to log back into the form. We suggest you save this link as a bookmark. The <br />link will also be sent to you in an email. <br />Organization Information <br />Name of Organization* <br />Huffman Farms <br />Organization Address* <br />Street Address <br />444 Buckboard Lane <br />Address Line 2 <br />City <br />Ellensburg <br />Fbstal / Zip Code <br />98926 <br />Website <br />huffmanfarms.com <br />Federal Tax ID #* <br />46-3418867 <br />UBI #* <br />603-428-666 <br />State / Rovince / Fegion <br />WA <br />Country <br />USA <br />Organization is a;" r Government Entity <br />r 501(c)3 <br />r 501(c)4 <br />r 501(c)6 <br />r Other for profit <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 Reseller_Permit_2016.pdf <br />Organization Status* Acceptable fileforrratsinclude: JFG,FDF orTIFF <br />Contact Information <br />First Name* Hilary <br />Last Name* Huffman <br />1.94MB <br />