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EXHIBIT ''A'' <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application <br />Workshop - 2019 * <br />Dd you attend the Oant Appiication V\brtahop ' 2019 hosled by the lfttitas Ocunty Oranter of Oonmerce? <br />C Yes <br />GNo <br />G Yes, <br />I have read and undersland SuLrrrittal krslructiom 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 butlon at the bottom of this page. When you do this you Wll 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 passr,vcrd. Afier 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 Netrarrcrk <br />Organization Address * SYeet Address <br />414 South WillowSt. <br />' Address Line 2 <br />otv <br />Ellensburg <br />tostal/ Zip Oode <br />98926 <br />State/Flovincelkgion <br />WA <br />Ccuntry <br />United States <br />Website <br />Federal Tax lD #* <br />UBI #* <br />wmru.ycic.org <br />22-3489021 <br />602-1 98-36s <br />Organization is a: *C Government Entity <br />G 501(c)3 <br />C 501(c)4 <br />C 501(c)O <br />f Other <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 lnS Cbnf of Exempt Status under 501(c)3.pdf <br />Organ ization Status * <br />Acceptabte fite fornEts irrclude: JFG, FDF or T1FF. <br />Contact lnformation <br />Last Name *Schefler <br />46.61K8 <br />First Name *JiI