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1 76�'q <br />CLTAC: Application for Lodging Tax Grant Funding EXHIBIT"A" <br />Grant Application Dd you attend the Gant Application Workshop - 2018 hosted by the KKtas County Changer of Corrrrerce? <br />Workshop - 2018* r Yes <br />r No <br />Submittal Instructions r Yes, <br />& General I have read and understand Subrrittal Instructions and General Inforrration for the 2018 Lodging Tax Gant Funding <br />Information * Process <br />You are strongly encouraged to compose your responses to the questions of this form with a desktop text <br />editor and save your work, then copy and paste the information into the form. You may also save a draft by selecting <br />the button at the bottom of this page. When you do this you vall be logged out and must log back in to continue. In order <br />to save a draft you will need to provide an email address and a password. After completing the save draft, you will be <br />redirected to landing page containing a link to log back into the form. We suggest you save this link as a bookmark. The <br />link will also be sent to you in an email. <br />Organization Information <br />Name of Organization* Gallery One <br />Organization Address* Street Address <br />408 N Pearl St <br />Address Line 2 <br />City <br />Ellensburg <br />Fbstal/ Zip Code <br />98926 <br />Website <br />Federal Tax ID #* <br />UBI #* <br />Organization is a:* <br />www.gallery-one.org <br />91-0850195 <br />192-003-555 <br />r Government Entity <br />r 501(c)3 <br />r 501(c)4 <br />r 501(c)6 <br />r Other <br />State / Province / F-gion <br />WA <br />Country <br />US <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 GalleryOnelRS-1.jpg <br />Organization Status* Acceptabtefile formats include: JPG,PDF orl1FF. <br />Contact Information <br />First Name* Monica <br />Last Name* Miller <br />1.31 MB <br />