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CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Lid you attend the Grant ApOication Workshop - 2018 hosted by the Kititas County Chanter of CaTirrarce? <br />Workshop - 2018* r Yes <br />r No <br />Submittal Instructions G Yes, <br />& General I have read and understand Subrrittal Instructions and General Infornation far the 2018 Lodging Tax Grant Funding <br />Information * Process <br />17 `� ""'C <br />EXHIBIT "A" <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* Junk-tiquen in the Burg - Becky Sherley <br />Organization Address* Street Address <br />2830 S. Thorp Hwy <br />Address Line 2 <br />City State / Province / Region <br />ELLENSBURG Washington <br />Postal / Zip Code Country <br />98926 Kittitas <br />Website www.junk-tiquenintheburg.com <br />Federal Tax ID #* 00-0000000 <br />UBI #* 000-000-000 <br />Organization is a:* r Government Entity <br />r 501(c)3 <br />r 501(c)4 <br />r 501(c)6 <br />r Other Individual <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 Proof of organization.pdf 160.85KB <br />Organization Status* Acceptable filefornats include: JFG, PDF or TIFF <br />Contact Information <br />First Name* Becky <br />Last Name* Sherley <br />n <br />