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EXHIBIT "A" <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Ltd you attend the Grant Application Vtbrkshop - 2019 hosted by the Kittitas County C7ianfber of CcraTerce? <br />Workshop - 2019 * r Yes <br />r No <br />Submittal Instructions r• Yes, <br />& General I have read and understand SubrMal hstructions and General Information for the 2019 Lodging Tax Grant Funding <br />Information * Frocess <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 h <br />Name of Organization* Cie Elum Downtown Associaion <br />Organization Address* Street Address <br />312 W 1st <br />Address Line 2 <br />PO Box 106 <br />City <br />Cie Elum <br />Fbstal /Zip Code <br />98922 <br />Website www.cleelumdovvntown.com <br />Federal Tax ID #* 20-3716010 <br />UBI # * 203-716-010 <br />Organization is a: * r Government Entity <br />r- 501 (03 <br />r 501(04 <br />r sal (c)6 <br />r Other <br />State / FTovince / 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 view sample documents (redacted). <br />Upload Proof of Letter of Determination. pdf 43.79KB <br />Organization Status* Acceptable file forrrats include: JFQ FDForT1FF <br />Contact Information <br />First Name* Debbie <br />L <br />