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EXHIBIT "A" <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Dd you attend the Grant Application Workshop - 2017 hosted by the IGttitas County Chanber of Can-rerce? <br />Workshop - 2017 * O Yes <br />0 No <br />Submittal Instructions 97 Yes, <br />& General I have read and understand Submttal Instructions and General Information for the 2017 Lodging Tax Grant Funding <br />Information * Process <br />Yoo nre st:rcnjl1ya's1'courzsed la] cwnpose your respunsL�- to tir3 questions of ilii; rorm veitlf a.iesktop tr t <br />edilor and save your work. Hien ca�3y and , -rste Vin it r'+irrl.cwor� wv, ;tin �,ci'!t, Y—i,n=,: jI n r a dmFt 1•.; -c-1 finK <br />I i Ilt•II, lI;ClIII - II 1'!• '."I . ?"'.'1i; fi ynLJ d" i1111ll .:I I1"•r I"r.',1L'I 4l -II 'I 1 1-':. had" 1't 1 i_I'1111 111•. II _ •.!• <br />1 , rl kill `10, i 1 . i v'-;',:tr 7.7 M1n u[ j-':Cir(:n ..I 1.='ssw. '•t. ".h: l: II111'11 :nave . • i h. , ,1 <br />page cd)t tarnjrtq a !I1 1. to lob ija'k II'ilr, I'Ic fzrm. Vel Slagpest yctt r-nv� tlr6 Ilnk as -�, I:o,gl:r=,irk, li'Is <br />llfil• '011 :'1 or: i":Ii J x:[!1.1 III -irf :}I _i,1. <br />Organization Information <br />Name of Organization* John Ford Clymer Museum and Gallery <br />Organization Address* Street Address <br />416 N Pearl Street <br />Address Line 2 <br />aty <br />Ellensburg <br />Postal/Zip Code <br />98926 <br />Website www.clymermuseum.org <br />Federal Tax ID #* 91-1470664 <br />UBI #* 601-211-240 <br />Organization is a: * O Government Entity <br />(; 501(c)3 <br />O 501(c)4 <br />O 501(c)6 <br />O Other <br />State/ Province / Region <br />WA <br />Country <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 Articles of Incorporation. pdf <br />Organization Status* Certificate of incorporation. pdf <br />Acceptable file forrrats include: JPG, FDF or TIF. <br />Contact Information <br />First Name* Jami -Lynn <br />3.02MB <br />360.04KB <br />