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..................................................................................... - EXHIBIT "A„ <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Did you attend the Grant Application V\brkshop - 2017 hosted by the KU as County Chanber of Corrr wce? <br />Workshop - 2017 * C7 Yes <br />C No <br />Submittal Instructions O Yes, <br />& General I have read and understand Subrrittal Instructions and General Information for the 2017 Lodging Tax Grant Funding <br />Information * Process <br />You are do ivowpose wurmoe to tho g1ae-5411mItsrtfrits ?rwiloI�rlflt <br />ed it or a I td s av R� rttr %Vorf k.. >I' iefgi -vo alrt i1i ps€4a the lnife rnaWj tfn..e f4irmrr 'conn sr iw, ,� trtna)tf 14�i� � a�I�t4ifli�l <br />II.. bi.-II.,-- 1 -1tllm� rfrc rfnal�r/:Fvi1a'11111trnnuRlolil40a a�i�thmiutur)hm�r'rsrti��,r <br />.tr} �a 0 ai rr:[t � Mw W11 VI LN 6� Pf('n46G'.'a o'C)nnLilII@1Ci1Eirf?fu)'; 4` T Vriti')I(111i""rl1flili(74 'u vi�lvi, 4.[1vfl W"o)rsai�li��)Ks <br />iG'�1Tewk@d i��ar 9d9 g 1 4�1 1+ 'fflD ?p3z�litt � U 'ft1r tlttlill 147jaw. 7r tis ry t,Ihsls Iltlk sJ Eai��t� <br />Organization Information <br />Name of Organization* Kittitas County Chamber of Commerce <br />Organization Address* Street Address <br />609 N Main Street <br />Address Line 2 <br />Cfly State / Province / P--gion <br />Ellensburg WA <br />Fbstal / Zip Code Country <br />98926 United States <br />Website www.kittitascountychamber.com <br />Federal Tax ID #* 91-0210430 <br />UBI #* 601-133-921 <br />Organization is a: * C Government Entity <br />C 501(c)3 <br />C 501(c)4 <br />0 501(c)6 <br />C Other <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 Chamber_EIN Form.pdf 46.69KB <br />Organization Status* Acceptable fileformats include: JFG,RDF orTFF. <br />Contact Information <br />First Name* Jarred <br />Last Name* Fudacz <br />A <br />