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CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Did you attend the Grant Application Workshop - 2019 hosted by the 14ttitas County Chamber of ConTrerce? <br />Workshop - 2019 * t: Yes <br />C, No <br />Submittal Instructions r�, Yes, <br />& General I have read and understand Subrrittal Instructions and General Information for the 2019 Lodging Tax Grant Funding <br />Information * R-ocess <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* Kittitas County Historical Society, Inc. <br />Organization Address* <br />Street Address <br />114 East Third Avenue <br />Address Line 2 <br />Qty <br />Ellensburg <br />Rostal / Zip Code <br />98926 <br />Website <br />http://www.kchm.org <br />Federal Tax ID #* <br />91-6037783 <br />UBI # * <br />600-167-001 <br />Organization is a:* <br />rj Government Entity <br />M 501(c)3 <br />r; 501(c)4 <br />r 501(c)6 <br />CS Other <br />State / Rovince I Region <br />WA <br />Country <br />US <br />(Note: you must submit 501(c)3, 501(c)4, or 501(c)6 approval documentation.) <br />Click here to viewsample documents (redacted). <br />Upload Proof of irs letter.pdf <br />Organization Status Acceptable file formats include: JPG, FDF or TIFF. <br />Contact Information <br />First Name* Sadie <br />Last Name * Thayer <br />44.31 KB <br />EXHIBIT "A" <br />