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CLTAC:Application for Lodging Tax Grant Funding <br />Grant Application Od you attend the Grant Application Workshop -2019 hosted by the Kittitas Chunty Charrber of Cormerce? <br />Workshop -2019 O Yes <br />C No <br />Submittal Instructions 6 Yes, <br />&General I have read and understand Subrrittal Instructions and General Inforrmtion for the 2019 Lodging Tax (kant 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 E.2nd Avenue <br />Address Line2 <br />Oty State /FVovince /Region <br />EL LENS BURG WA <br />Fbstal /Zip Chde Country <br />98926 United States <br />Website www.hospice-friends.org <br />Federal Tax ID <br />#*91-1246307 <br />UBI #*601-150-158 <br />Organization is <br />a:*C Government Entity <br />G 501(c)3 <br />O 501(c)4 <br />O 501(c)6 <br />C Other <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 501 C3 status.pdf 53.54KB <br />Organization Status Acceptable file forrmts include:JFO FDF or llFE <br />Contact Information <br />First Name *Ken <br />Last Name*Grannan