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EXHIBIT "A" <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application did you attend the Grant Application Workshop - 2017 hosted by the KAitas County Chanber of Comrerce? <br />Workshop - 2017 * M Yes <br />Ci No <br />Submittal Instructions 0 Yes, <br />& General I have read and understand Subrrittal Instructions and General Inforrration for the 2017 Lodging Tax Grant Funding <br />Information * Process <br />YOU aro sfrtlr�l 1( rmi�cmugHr��gi �liti >ara�mnp�> � >wv�o m fey' fii� 21�al Jtiilra�is�arfrilflhfiis,dwsma�s xfhidi[tle� l +al�lP t, <br />c i.i i t or and sfl v/e, y0tur Wwafrlk„ t! eo c � py7 ' g9njdl PC-Ste,Rum, Vmit El} (JU Mif byj EPAR-Ufrj&g <br />1. � .: illkti 5��u�i!�U�II�ai��i�t�i���sairs���I�la2�ri�rirbsi��iryiilil Lrt(�41rra��;-,..rr,�iC�'11��:r�s��r�r�urrtE8. ,�`iRhur rrKsiii��ioti��riiu���s�h����r�ir✓_ r�•dln�€ilYil,,,, li�st�i��I�V��7� <br />rcrluc��rr•�.i itiz Ua�itdllir�t�r i9)a,�:�h��iorrura, a.Tbu��1� �� 11�g� iilan.4�+uart�ar tt1� �mrra�. llvti�e, sa�tu.�IB�� }��o»i s;rtve� ft�tr�9iinro� a� 6ri���9�. '�Ibi� <br />lig is Gill <br />-.iso lae ,SrL-iM ta"'ye')LI, In zo,oz"m. <br />Organization Information <br />Mame of Organization* KITTITAS COUNTY CHAMBER OF COMMERCE <br />Organization Address* Street Address <br />609 N MAIN STREET <br />Address Line 2 <br />city <br />State / Province / Pegion <br />ELLENSBURG <br />WA <br />Postal / Zip code <br />Country <br />98926 <br />USA <br />Website WWW.KITTITASCOUNTYCRAMBER.COM <br />Federal Tax ID #* 91-0210430 <br />UBI # * <br />Organization is a:* <br />601-133-921 <br />O Government Entity <br />O 501(c)3 <br />d 501(c)4 <br />G 501(c)6 <br />O 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 proof of nonprofit.pdf <br />Organization Status* Acceptable file fomiatsinclude: JFG,FDForw.. <br />Contact Information <br />First Name* AMY <br />Last Name* MCGUFFIN <br />34.72KB <br />