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APPLICATION FOR 2017 LODGING TAX GRANT FUNDING <br />Name of Organization: HIGH COUNTRY LOG SHOW <br />Organization mailing address: PO BOX 462 <br />ROSLYN, WA 98941 <br />Organization contact person & title: BEN FLOWERS <br />PRESIDENT <br />Organization/contact phone: (509) 674-8161 <br />Email: highcountrylogshowroslyn@gmail.com <br />Organization Website: highcountrylogshow.com <br />Federal Tax ID Number: LD' 0 10951 14 UBI Number: (.POFD <br />Organization is a (select one): Government Entity <br />✓ 501(c)3 <br />501(c)6 <br />Other <br />(Note: you must submit 501(c)3, 501(c)4, or 501(c)6 approval documentation —see sample document) <br />Project/Event Name: HIGH COUNTRY LOG SHOW <br />Project/Event Date: SEPTEMBER 2 & 3, 2017 <br />Project/Event Location: RUNJE FIELD, ROSLYN, WA <br />Amount of Funding Requested: $ 6,500.00 <br />For which funding category (ies) do you qualify (see instructions for definitions): <br />New Project/Event <br />❑✓_ Ongoing Project/Event Support <br />Estimated # of overnight stays: HOD <br />Tourism Seasons: From the list below, what season will your project enhance tourism? Please <br />indicate the appropriate season. <br />Season: Months: <br />Year-round January— December <br />Off season November — February <br />Shoulder season October or March — May <br />FHigh season June — September <br />County -wide Lodging Tax Application P a g e 19 <br />