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CLTAC: Application for Lodging Tax Grant Funding EXHIBIT A, <br />Grant Application Did you attend the Grant Application ftrkshop - 2018 hosted by the Kailas County C haniDer of Corrnprce? <br />Workshop - 2018 * f Yes <br />R No <br />Submittal Instructions r Yes, <br />& General I have read and understand SubiTittal Instructions and General Infor Tation for the 2018 Lodging Tax Grant Funding <br />Information* Rocess <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 * Hospice Friends <br />Organization Address* Street Address <br />302 S. Main St <br />Address Line 2 <br />aty <br />Ellensburg <br />Fbstal / Zip Code <br />98926 <br />Website www.hospice-friends.org <br />Federal Tax ID #* 91-1246307 <br />UBI # * 601-150-158 <br />Organization is a: * r Government Entity <br />C 501(c)3 <br />r 501(c)4 <br />r 501(c)6 <br />r 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 Hospice Friends Tax Exempt IRS Verification.pdf <br />Org a n i zat io n Statu s * AcceptaNeIilefornetsinclude JFG,PCF o,IFF. <br />Contact Information <br />First Name* Ken <br />Last Name* Grannan <br />341.59KB <br />A <br />