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EXHIBIT ''A'' <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application <br />Workshop - 2019 *Dd you attend the Gant Applicaiion Wcrkhop - 2019 hosted by the ldttitas County Oranter of Oonnerce? <br />C Yes <br />6No <br />G Yes, <br />I have read and understand Srbrittal hstructions and General lnfornation for the 2019 Lodging Tax Gant Funding <br />Flocess <br />Submittal lnstructions <br />& General <br />lnformation * <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 coniinue. ln order <br />to save a draft you will need to provide an email address and a passvucrd. 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 Environmental Education Netraork <br />Organization Address * $reet Address <br />414 South WillowSt. <br />. Address Line2 <br />otv <br />Ellensburg <br />tustal/ Zip Code <br />98926 <br />\^/vW'ycrc.org <br />22-3489021 <br />602-'198-36s <br />StatelFlovince/fugion <br />WA <br />Cruntry <br />United States <br />Website <br />Federal Tax lD #* <br />UBI #* <br />Organization is a:*C Government Entity <br />G 501(c)3 <br />C 501(c)4 <br />c 501(c)6 <br />i 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 IRS cbnf of Exempt status under 501(c)3.pdf <br />OrganiZatiOn StatUS * <br />Acceptade f ile fornsts irrclude: JpG, FDF or TIFF. <br />Contact lnformation <br />Last Name *Scheffer <br />46.61K8 <br />First Mme*Jiil