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EXHIBIT "Ah, <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Did you attend the Grant Application Webrkshop - 2017 hosted by the IGttitas County Charrber of Corrrerce? <br />Workshop - 2017 * Q Yes <br />M, No <br />Submittal Instructions f3 Yes, <br />& General I have read and understand Subrrittal Instructions and General hforrration for the 2017 Lodging Tax Grant Funding <br />Information Process <br />trcumigfgy/ m o cavi rra eif to —meq. posa� Amirr �,1[nrh��� d1���a i cr, Mile q eirr��TIlerl's, of 111u1f1S fjQ.fltR'Mff't 3, dc'S1401�: . <br />c d I t c r a n d sift your, rk, Den m'-'Iu'Id.:pFaqc� •the" (Eifel muullim *My tI rF Ii mr rrttl y4rall "viv 00M, wn a dtoftl br St 1Rwhtlq <br />'I Ih�tl liliti�l)'i 7df�3�1-�11 jd.'4f 4iitlwY��,xiti4��tLSol�� y8li")�4�Qr�l ilk a,11I(�d�yi �liNl"�PaUu�: fi811LR�;�rc�fo> lin {IMIti:6ifirvS'iPu�i��fr��A. �rg i�)1t�F�1P <br />�Iil:You nPJPl �mrtiil 44111 t)r5t4�)If17J1�)�>>�'i�ll[tl«l1t 1":r�""JV! l ii4�lf, ��)�p"1t1id71��Q)f��) <br />GL1 i'C'clBd tv fl�l•1�Fiii)il�,p4k�lfs; 4�3CI��7fllli�ilh? kr: j�Ilr�iM y'�" t'Cu,� i�a�SN;�r(7�ti"YJi ��'ftL ifl,�irit"t}� 'ylyht/r 1ll!K�t 11`.J { ,�f:�'3JI �IIL`t3. J;f�f!��- ��Iff''}!F ct1�$i it tiJ�$li}i3'G";.*d$ii� �ji liil[T <br />lili� .S.�lj ,:I3i7 1 «r �dt7111t�1 tva� �r,�uli i'mri ."Eltro �,`dL'41iM� <br />Organization Information <br />Name of Organization * Plum Crazy Events <br />Organization Address* Street Address <br />42 River Ranch Lane <br />Address Line 2 <br />Website <br />Federal Tax ID #* <br />UBI # * <br />City <br />Cie Elum <br />Fbstal / Zip Code <br />98922 <br />plumcrazyevents.org <br />81-3791434 <br />604-068-100 <br />State / Province / Region <br />WA <br />Country <br />Kittitas <br />Organization is a: * O Government Entity <br />O 501(c)3 <br />C 501(c)4 <br />O 501(c)6 <br />M Other I, prd ss sur obtaining 501(A stales <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 Capture.JPG <br />Organization Status* Acceptable file forrrats include: JPG, FDF or TIFF. <br />Contact Information <br />First Name* Shawna <br />Last Name * Graham <br />131.23KB <br />t^) <br />