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EXHIBIT ''A' <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application <br />Workshop - 2019 *Dd you attend the G"ant Appicalion Vlbrkshop - 2019 hosted by the Kiftitas &unty C€nter of Conrrerce? <br />€ Yes <br />CNo <br />Submittal lnstructions <br />& General <br />lnformation * <br />G Yes, <br />I have read and understand Sjbrittal hstructions and General lnfonrEtion for the 2019 Lodgng Tax eant funding <br />Fl'ocess <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 passvwrd. After completing lhe 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 booknrark. The <br />link will also be sent to you in an email. <br />Organization I nformation <br />Name of Organization * Cle Elum Dovrmtovnr Associaion <br />Organization Address * $reet Address <br />312 W 1si <br />Address Lrne 2 <br />PO Box'106 <br />oty <br />Cle Elum <br />tostal / Zp Code <br />98922 <br />S'tate I Flovince / &gion <br />WA <br />Oouniry <br />US <br />Website <br />Federal Tax lD #* <br />UBI #* <br />Organization is a:* <br />Contact lnformation <br />i,unnru. cleelumdowrtovrn. com <br />20-3716010 <br />203-716-010 <br />C Government Entity <br />G 501(c)3 <br />C 501(c)4 <br />C 501(c)6 <br />C Other <br />(Note: you must submit 501(c)3, 501@) , or S01(c)6 approval documentation.) <br />Click here io view sample documents (redacted). <br />Upload Proof of Letter of Determination.pdf <br />Organization Status * <br />Accepiade file fornats include: JE, FF or TIFF <br />First Name *Debbie <br />43.79K8