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EXHIBIT "A" <br />CLTAC:Application for Lodging Tax Grant Funding <br />Grant Application Od you attend the Grant Ap¢ication Workshop -2019 hosted by the Kittitas Gaunty Gianter of Œrmerce? <br />Workshop -2019 O Yes <br />G No <br />Submittal Instructions O Yes, <br />&General I have read and understand Subrrittal Instructions and General Infomation for the 2019 Lodging Tax G ant 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*Junk-tiquen in the Burg <br />Organization Address*street Address <br />2830 S.Thorp Hwy <br />Address Line 2 <br />Oty State /14ovince I Region <br />Ellensburg WA <br />Fbstal /Zip chde ¾ntry <br />98926 USA <br />Website www.junk-tiquenintheburg@hotmail.com <br />Federal Tax ID <br />#*00-0000000 <br />UBI #*000-000-000 <br />Organization is <br />a:*C Government Entity <br />C 501(c)3 <br />C 501(c)4 <br />O 501(c)6 <br />6 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 Acceptauefilefortmts include:JPG,FDFor TlFF. <br />Contact Information <br />First Name *Becky <br />Last Name *Sherley