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APPLICATION FOR 2017 LODGING TAX GRANT FUNDING <br />Name of Organization:,(IAZ, <br />Organization mailing address:42 iver anchLa <br />Organization contact person &title ÛÛL Q ÛÀ (g <br />Organization/contact phone:50 A -2(oo-o 850 <br />Organization <br />Website:Email:M/MÛL-~Î - <br />Federal Tax ID Number:UBI Number: <br />Organization is a (select one):Government Entity <br />501(c)3 <br />(note:you must submit 501(c)3,501(c)4 or 501 c)6 approval docu otation -see sample document) <br />Project/Event Name:Û i \ <br />Project/Event Date:0 \3 <br />Project/Event Location: <br />Amount of Funding Requested:s 9 .OO <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