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9129122,12:19 PM LTAC Clerk Review Flrr r br I H <br />CLTAC. Clerk Application Review <br />Current Year Grant <br />Application <br />Workshop* <br />Organization <br />Address* <br />Upload Proof of <br />Organization Status* <br />Street Address <br />PO Box 671 <br />Address Line 2 <br />City <br />Cle Elum <br />Postal / Zip Code <br />98922 <br />IRS letter.pdf <br />Acceptable file formats include: JPG, PDF or TIFF <br />State / Province / Region <br />WA <br />Country <br />USA <br />442.05K8 <br />Did you attend the Grant Application Workshop for the current year hosted by the Kittitas County Chamber of <br />Commerce? <br />.,, Yes <br />No <br />Clerk Verification *Please confirm whether the applicant attended the workshop or not. <br />Yes <br />No <br />Organization I nfo rmation <br />Name of Cle Elum Roundup Association <br />Organization * <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 />Project Contact I nformation <br />First Name*Julie <br />lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77658/85656?hideHeader=true 1t17