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txnibit 'A' <br />9129122, 10:52 AM LTAC Clerk Review <br />CLTAC: Clerk Application Review <br />Current Year Grant <br />Application <br />Workshop* <br />Name of <br />Organization * <br />Organization <br />Address* <br />Upload Proof of <br />Organization Status* <br />Did you attend the Grant Application Workshop for the current year hosted by the Kittitas County Chamber of <br />Commerce? <br />Suncadia Resort <br />Yes <br />No <br />Clerk Verification *Please confirm whether the applicant attended the workshop or not <br />Yes <br />No <br />Organization I nformation <br />Organization is a:*Business <br />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 />Street Address <br />3600 Suncadia Trail <br />Address Line 2 <br />City <br />Cle Elum, WA <br />Postal / Zip Code <br />98922 <br />New Su ncad ia Hospital ity _W-9 _07 1221 .pdf <br />Acceptable file formats include: JPG, PDF or TIFF. <br />State / Province i Region <br />Washington <br />Country <br />United States <br />120.09K8 <br />Project Contact I nformation <br />First Name*Austin <br />lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77652l85644?hideHeader=true 1 t11