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APPUCATIONFOR 2017 LODGING TAX GRANT FUNDING <br />Name of Organization: <br />Organization mailing address: <br />Organization contact person &title: <br />Organization/contact phone: <br />Email: <br />Organization Website: <br />Federal Tax ID Number:UBI Number: <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: <br />Project/Event Date: <br />Project/Event Location: <br />Amount of Funding Requested:$ <br />For which funding category do you qualify (check one)(see instructions for definitions): <br />New Project/Event <br />Ongoing Project/Event Support <br />Estimated #of overnight stays: <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 />High season June -September <br />County-wide Lodging Tax Application P a ge |9