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CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application <br />Workshop - 2019* <br />Submittal lnstructions <br />& General <br />lnformation * <br />Dd you attend the Gant Apflicatim \Abrkshop - 2019 hosted by the l(ttitas County Ounter of ftnrrerce? <br />G Yes <br />CNo <br />G Yes, <br />I have read and undersiand S(tbnittal hrslructions and General lnfcrnetion for the 2019 Lodging Tax Gant Funding <br />Ftocess <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. ln 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 I nformation <br />Name of Organization * Kittitas County Chamber of Commerce <br />Orga n ization Address * $reet Address <br />609 N Main Street <br />Address Line 2 <br />0-ty <br />Ellensburg <br />Fcstel/ Zip &de <br />98926 <br />State/Flovince/&gior <br />WA <br />&untry <br />USA <br />Website https://urlw.kittilascountychamber. com <br />91-0210430. <br />601-133-921 <br />Federal Tax ID #* <br />UBI #* <br />Organizaiion is a:*C Government Entity <br />C 501(c)3 <br />C 501(c)4 <br />(r 501(c)6 <br />f Oiher <br />(Note: you must submii 501(c)3, 501(c)4, or 501(c)6 approval documentation.) <br />Click here to view sample documents (redacted). <br />Upload Proof of Kittitas County Chamber of Commerce W-9 Form.pdf <br />Organization Status * <br />Acceptable file fornuts include: JE, FFor TIFF. <br />Contact lnformation <br />Last Name*Ford <br />122.32KF, <br />First Name *Madison