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CLTAC: Application for Lodging Tax Grant Funding EXHIBIT "A" <br />Grant Application Ltd you attend the Gant Application Workshop - 2018 hosted by the KRitas County Ciantuer of Cotmerce? <br />Workshop - 2018 * IT Yes <br />r No <br />Submittal Instructions r•' Yes, <br />& General I have read and understand Submittal Instructions and General Infornation for the 2018 Lodging Tax Gant Funding <br />Information * Recess <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 will 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 * Clymer Museum and Gallery <br />Organization Address * Street Address <br />416 North Pearl Street <br />Address Line 2 <br />Qty <br />Ellensburg <br />Fastal / Zip Code <br />98926 <br />Website www.clylmermuseum.org <br />Federal Tax ID #* 91-1470664 <br />UBI # * 601-211-240 <br />Organization is a:* r Government Entity <br />IT 501(c)3 <br />f 501(c)4 <br />* 501(c)6 <br />f Other <br />State / Frovince / Region <br />Washington <br />Country <br />United States <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 doc01704220180924160425.pdf <br />Organization Status* Acceptable f ile forrrats include: JFG, FDF or TIFF. <br />Contact Information <br />First Name* Mia <br />Last Name* Merendino <br />674.19 KB <br />