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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 aitend the Gant Apdicatior \ ,brkshop - 2019 hmled by the lfttitas o3unty oranter of &nnerce? <br />G Yes <br />l.:No <br />G, Yes, <br />I have read and understand S,rbnittal hstruclions and General lnfornBtion for the 2019 Lodgiry 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 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 drafi, 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 * Laughing Horse Arts Foundation d.b.a Jaz.in the Valley <br />Organization Address * $reet Address <br />P.O. Box 214 <br />Address Line 2 <br />otv <br />Ellensburg <br />bstal / Zip Oode <br />98926 <br />Website Ja2ntheValley.com <br />91-1211173 <br />600-6s4-787 <br />Federal Tax lD #* <br />UBI #* <br />Organization is a:*C Government Entity <br />tn 501(c)3 <br />C 501(c)4 <br />C 501(c)6 <br />C Other <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 />UploadProofof SOt_c3_2019.pdf <br />Organization Status * <br />Accepta5e file fornuts include; Jffi, FS or TFF <br />Contact lnformation <br />State/Flovince/fugim <br />WA <br />Oarniry <br />USA <br />Last Name*Solberg <br />638.26KB <br />First Mme*Joy