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Exniuil rr Pn <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application <br />Workshop - 2020 *Dd you attend the Gant Application !{,txkshop - 2020 hosted by the Kittitas Oornty Chafiber of Conrrerce? <br />(' Yes <br />aNo <br />{r Yes, <br />I have read atrd understand grbnittal hslrLrctions and General lnfofimt,on for the2A2l Leiging Tax Gant Fundirrg <br />Rocess <br />Submittal lnstructions <br />& General <br />lnformation * <br />You are stronglyencouraged to cornpose your responses to the questions ofthis formwith a desktop text <br />editor and save your work, ihen copy and paste the information into the form. You may also save a draft by selecting <br />ihe button at the bottom of this page. When you do ihis 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 passuord. After completing the save draft, you vr,ill 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 enmil. <br />Organization I nformation <br />Name of Organization* Laughing Horse Arts Foundation d.b.a. Jazin the Valley <br />Organization Address * Streel Acdress <br />P.O. Box 214 <br />Address Line 2 <br />Oty State/Fovince/Region <br />Ellensburg WA <br />fustal / Zip Qde Oountry <br />98926 USA <br />Organization is a:*f Business <br />ll Non-Profit <br />(Note: Please submit W-9 for business or IRS Designation Letter for non-profit.) <br />Click here to view sample documents (redacted). <br />Upload Proof of <br />Organization Status <br />501 c3.pdf <br />Acceptable file fornats inciude; JFG FF or llFF <br />788.28K8* <br />Project Contact I nformation <br />First Name*Don <br />Solberg <br />50s-925-3241 <br />Last Name * <br />Phone Number* <br />- .,*tmarl djsolberg@charter. net <br />Project or Event lnformation <br />. a'.. <br />ProjecUEvent Mme* Laughing Horse Arts Foundation d.b.a Jazzin the Valley