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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 atterd the Gant Ap$icaticn \Abrkhop - 2019 hosted by the ldttitas (bunty Oranter of Connerce? <br />6 Yes <br />CNo <br />tt: Yes, <br />lhave read and undersland $bnittal hstructions and General lnfonmtion Jor the 2019 Lodging Tax Gant Funding <br />Flocess <br />You are stronglyencouraged to compose your responses to the questions ofthis formwith 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. \lVhen you do this you will be logged out and must log back in to continue. In order <br />to save a draft you will need to provide an email address and a passra,rcrd. 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 * Gallery One Visual Arts Center <br />Organization Address * $reet Address <br />408 N Pearl St <br />Address Line 2 <br />oty <br />Ellensburg <br />tostal/Zip &de <br />98926 <br />S:tate / Flovince I Fbgion <br />WA <br />Oarntry <br />US <br />Website uruw.gallery-one,org <br />Federal Tax lD #* 91-0850195 <br />UBI #*1 92-003-555 <br />Organization is a: *C Government Entiiy <br />t?. 501(c)3 <br />C 501(c)4 <br />C 501(c)6 <br />(- Other <br />(Note: you must submii 501(c)3, 501(c)4, or 501(c)6 approval documentation.) <br />Click here to view sample documents (redacted). <br />UploadProofof GalleryOnelRS-1.jpg <br />Organization StatuS* Accepta$efilefoffrats include: Jre, FFor IIFF. <br />Contact lnformation <br />1.31M8 <br />Last Name*Miller <br />First Mme*Monica