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CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Did you attend the Grant Application Workshop - 2017 hosted by the Kditas County Chanber of Comrerce? <br />Workshop - 2017 * C Yes <br />C5 No <br />Submittal Instructions O Yes, <br />& General I have read and understand Subnittal Instructions and General Inforrretion for the 2017 Lodging Tax Grant Funding <br />Information * Process <br />YQu nre strQ11r)17a ncozrraCDd to c 111110 c your responsos to the ques.lions of Utis form wWt a clesMop text <br />editor and sn.v(r yourwork- t -ion _i';r lnl: fa�+:1t'' tin; irlf,�fn•.ttlorl ;rl;- 11-L- F: rlri. Ynl_i rr:a; ai5:: srtve --1 eraft, by srd' C1111g <br />ti1L-' b.Lftial` -I1. 1.1 L I '11' • II 1 II i:1: .-tiln,:fl SCSI • 1f II:: (Il, �,ii - 1 +:I'1& _ -.II _lrl!;I t' r pt Ir:. -i i Ili ��"�nllni.r�,.. 'I •rei;I�F <br />ir: sa-.T.e'- if'll', . '.1 1I� i � I�r.evr{1•: ;lrl' I I�I' , .I+.....� Ili .' �.� �� �r�.. -� l�:l i'• �l-li• �' 11 :I I r. +II':I��, � I dill <br />fcJlre.ct'ed to. la idlnU pori l l .:O; 11-"11 fllfl�1 ?i ,i 111.. 1 log t].3 i lilto the fl?r1j). 1'Vu s,.ig j:;st `:� rl 5•i A4 fl ii- I n ;ss e 1} 3Lzi;fnaCi.. TFTe <br />!ir* 15111 atr-o-1?o 5-.,nt t11.:'.7i1 in F,i :•I 111. <br />Organization Information <br />Name of Organization* Hospice Friends <br />Organization Address* Street Address <br />302 S. Main Street <br />Address Line 2 <br />Cty <br />Ellensburg <br />Rbstal / Zip Code <br />98926 <br />Website mm. hospice-friends.org <br />Federal Tax ID #* 91-1246307 <br />UBI #* 601-150-158 <br />Organization is a: * O Government Entity <br />M 501(c)3 <br />O 501(c)4 <br />a 501(c)6 <br />O Other <br />State / Province / P-agion <br />WA <br />Cbuntry <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 Hospice Friends Tax Exempt IRS Verification.pdf <br />Organization Status* Acceptable fflee forrrats include: JFG, FDF or TIFF. <br />Contact Information <br />First Name* Ginny Ann <br />Last Name* Blackson <br />338.22KB <br />