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Exhibr I nt4 \\ <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application <br />Workshop - 2021* <br />Submittal lnstructions <br />& General <br />lnformation * <br />Did you atterld the Grant Applicalion Workshop - 202 1 hested by the Kiltitas Courty Chamiier oi Conrnrerce'? <br />or Yes <br />,No <br />a Yes, <br />I have read altd ilnderstand Subnittal Inslructions and General lrformation for ihe 202 I Lodginil Tax Grant Fundirg <br />You are strongly encouraged to compose your responses to the questions of this {orm with a desktop text editor <br />and save your work, ihen copy and paste the information into the form. You may also save a draft by selecting the button <br />at the bottom of this page. \Alhen you do this you will be logged oui and must log back in to continue. ln order to save a <br />draft you will need to provide an email address and a password. After completing the save draft, you will be redirected to <br />landing page containing a link to log back into the form. We suggest you save this link as a bookmark. The link will also be <br />sent to you in an email. For your convenience we have provided a word document version of the questions. Download it <br />here" <br />Organization lnformation <br />Name of Organization * Kittitas County Historical Society. lnc. <br />Organization Address * slr'e-'t ArJdress <br />114 E 3rd Ave <br />Address Line 2 <br />City <br />Ellensburg <br />Postal l Zip Co.le <br />98926 <br />Organization is a:*, Business <br />e' Non-Profit <br />(Notei Please submit W-9 for business or IRS Designation Letter for non-profit.) <br />Click here to view sample documents (redacted). <br />Slate I Province I Reqlon <br />WA <br />C0untry <br />USA <br />44"31K8Upload Proof of <br />Organization Status* <br />Project Contact I nformation <br />irs letter.pdf <br />Accettairle file fornrals includei JPG, PDi: cr TIFF <br />First Name* <br />Last Name* <br />Phone Number* <br />- ,.*Emeil <br />Sadie <br />Thayer <br />509-925-3778 <br />sadie.thayer@kchm.org <br />Project or Event lnformation <br />".::.' <br />ProjecuEvent Name* KCHS 2022 NEW EVENT