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Page 1 of 2 <br /> <br /> <br /> <br />KITTITAS STRONG NONPROFIT GRANT <br />The information provided allows the Kittitas County Chamber of Commerce to evaluate your grant application. <br />Allocated funds from CARES ACT funding, Kittitas County <br /> <br /> <br />Non Profit Name: <br />Mailing address: <br />Year of Establishment: In Operation as <br />of 03/2020? <br /> Yes No <br />UBI Number: <br />CEO/President <br />Name: <br />Email: <br />Phone: <br /> Business <br /> Type: Arts/Entertainment Environmental Childcare Main Street/Chamber Museum Other: <br /> Has your non-profit been affected by emergency public health protections <br />in place and/or mandatory closure by executive order due to COVID-19? Yes No <br /> <br />Amount of Emergency Grant Money Being <br />Requested: $______________________ *please see guidelines for minimum request amount <br />COMPANY BACKGROUND <br />Total Number of <br />Employees as of <br />03/2020: <br /> <br />___________________ <br /> <br />Number of Workers Laid Off Due to COVID-19: <br /> <br />Company Description: <br />Describe the company and its products/services. <br />Economic Impact: <br />Describe the effect of the public health crisis on the business and how allocated funds can help the non-profit. Why funding is critical to this non-profit? <br /> <br /> <br /> <br /> <br /> <br />Submitted By: <br />Business Name: <br /> <br />Contact Name: <br />Title: <br />Phone: Direct <br />Mobile <br />Email: