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EXHIBIT ''A'' <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application <br />Workshop - 2019* <br />Submittal lnstructions <br />& General <br />lnformation * <br />Dd you attend he Gant ApSication \A,brl6hop - 2019 hostd by the lfttitas Couniy Ounter of Conrrerce? <br />G Yes <br />CNo <br />G Yes, <br />I have read and understand srbrittal hrstructions and General lnfornation for the 2019 Lodging Tax Gant Funding <br />Flocess <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 selecilng <br />the button at the bottom of this page. V1/hen 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* Washington State Horse Park <br />Organization Address * $reet Address <br />1202 Douglas Munro Blvd <br />Address Line 2 <br />0tv <br />Cle Flum <br />tostallzip bde <br />98922 <br />StatelFlovincelfujior <br />Washington <br />&ur{ry <br />United States <br />Website uahorsepark.org <br />33-1 1 97391 <br />601-844-477 <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 />C Other <br />(Note: you musi submit 501(c)3, 501(c)4, or 501(c)6 approval documentation.) <br />Click here to view sample documents (redacted). <br />UploadProofof WSHpA_;RSS61c3.pdf <br />Organization Status* AcceptabtefilefonrEts irrclude: JFG, FSor TIFF <br />Contact lnformation <br />Last Name*Thurston <br />594.95KB <br />First Mme*Leslie