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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 l4ttitas County Chanber of Comnarce? <br />Workshop - 2017 * O Yes <br />C No <br />Submittal Instructions C Yes, <br />& General I have read and understand Subnittal Instructions and General Inforrration for the 2017 Lodging Tax Grant Funding <br />Information * Process <br />You are tOOD V06se, 4`ti'u t fawn �r lk'll' t �l s .tie _ <br />P.0itorand 5w£`'4,cAjrwo)rk,hwr�n'pov.!2)iliiNllnfepimlPlie3t'!"Shci�Yt.Y>Ilzs' P1i9 i;'Vdlt' r=V ]& Srlhi rltF.�t�lsS j'u95ii <br />ii',�: I:i I � : ,� a,t t�lrii.y�„rnhuo��rt�irrr�Ur �7� dl4 qar,���.`ttu;;him 2;a�6° �1�fitsi « yi�a,,tl �n��IV �i���t�d(�aatwlVtatul ��nitr ��� fi�7.NSak3.,tivh ��nM'�•wu�l�ie;. dVtr ratr�r�t <br />r•� <br />"r : t It .illi p'�(JAI Af ll uro���t� �i� tau ,ia b �iuf�.:, u n rrrr l aJldltip ativj al raww.,; t, AAW Ma S.A&kw a1gt; 'G,. AXw ' Alit t ' <br />rpoleaut n t� t1 a eYd�3 ; �t � tur tntd�:1 �tii ; f l � tt t� fhe f, ura��. W tg€ s1 r w1i s .4 .lffa Ba a .tY i� X Via <br />Organization Information <br />Name of Organization* RTown Communtity <br />Organization Address* Street Address <br />PO Box 197 <br />Address Line 2 <br />CRY <br />Roslyn <br />Fbstal/Zip Code <br />98941 <br />Website <br />Federal Tax ID #* <br />UBI # * <br />Organization is a:* <br />under constuction <br />27-2048655 <br />603-040-766 <br />0 Government Entity <br />M 501(c)3 <br />b 501(c)4 <br />O 501(c)6 <br />C Other <br />State / Province / Pegion <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 IRS 501 C3 doc001.pdf <br />Organization Status* Acceptable file fornstsinclude: JPG,PCF orTFF. <br />Contact Information <br />First Name* Janine <br />Last Name* Brodine <br />1.53MB <br />