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CLTAC: Application for Lodging Tax Grant Funding EXHIBIT „a„ <br />Grant Application Cid you attend the Grant Application Workshop - 2017 hosted by the Mitas County Chanber of Comrerce? <br />Workshop - 2017 * e Yes <br />O No <br />Submittal Instructions 17 Yes, <br />& General I have read and understand Subrrittal Instructions and General Inforiration for the 2017 Lodging Tax Grant Funding <br />Information * Process <br />%'ou Ljrc strongly e1rr.uurarled t.O ccIrrrl)nse yvLtr responses tD fire yutstlons of this fiorrnwith a du5ktop text <br />c.dilov and save your work men Cr'i'b :1fICl 1-'1=ir [lie nfDri,i,-A'i!n into the fp.ml. Veli Illsv also 5lnvqa:dr il: f:'; <<•1-ilc.11rlC7 <br />IIIL- I•..:1•an al IN: ll Uhl- 1� LI .'111 ra I,.n-.rehl 0ut-5rlrl 1h116[ lo•:.; I):ic.1I•I is ,tui I'll1v. III :'�':11 r <br />.I:� .. ... _ ':I "�_II� ..�' I '.:' I�I I: �: '. l '.I •: -17 _: r'l •: 1�1.-:� it :I _:�:3: -1I-I .1 �,` lC _:7.�C1. nf1�_•f ��-llll!!f:II: I� 1111•:• 3'. �• fir: 111. �. .. � ",111 :I' <br />roc,•re.:tod m lanrino p:�nc rrnn[_nning o 11nr. To Ion racl. into ilia form. `,Vo suclest yo.1 savo I.Lis 1i11k as nh :nl•1rlalrh. i 11? <br />link :.Ill rilk ] l:,_' '0111: 'jou In In S r711. <br />Organization Information <br />Name of Organization* Kittitas County Historical Society, Inc <br />Organization Address* Street Address <br />114 East Third Avenue <br />Address Line 2 <br />City <br />State / Province / Region <br />Ellensburg <br />WA <br />Postal / Zip Code <br />Country <br />98926 <br />USA <br />Website <br />Federal Tax ID #* <br />UBI #* <br />Organization is a: * <br />http://www.kchm.org <br />91-6037783 <br />600-167-001 <br />d Government Entity <br />M 501(c)3 <br />Q 501(c)4 <br />C 501(c)6 <br />O Other r <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 letter.pdf <br />Organization Status* Acceptable file fornatsinclude: JPG,PDF orTIFF <br />Contact Information <br />First Name* Sadie <br />Last Name* Thayer <br />44.31 KB <br />