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EXHIBIT "A" <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application Cid you attend the Gant Application Workshop - 2019 hosted by the Mitas County C7ianber of CDnTmrce? <br />Workshop - 2019 * F Yes <br />Cr No <br />Submittal Instructions r Yes, <br />& General I have read and understand Submittal Instructions and General Information for the 2019 Lodging Tax Gant Funding <br />Information * Process <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* Ellensburg Rodeo Hall of Fame Association <br />Organization Address L&W Address <br />110 W 6th PMB #374 <br />Address Line 2 <br />City State / Province / fRegion <br />Ellensburg WA <br />Fbstal / Zip Code Country <br />98926 USA <br />Website Ft�ti�2' n'i <br />Federal Tax ID #* 91-1883840 <br />UBI # * <br />Organization is a: <br />601-812-059 <br />r Government Entity <br />s' 501 (C)3 <br />* 501 (c)4 <br />C 501(c)6 <br />C Oilier <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 ERHOF IRS 501 c3 Recognition Document 07-30-2001.pdf 1.71 MB <br />Organization Status* Acceptade f ile f orrrets include: JFQ POP orTIFF. <br />Contact Information <br />First Name* Marie <br />Last Name * Smith <br />