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EXHIBIT ''A'' <br />CLTAC: Application for Lodging Tax Grant Funding <br />Grant Application <br />Workshop - 2019* <br />Submittal lnstructions <br />& General <br />lnformation * <br />Dd you attend the Qant Appicatiott \Abrkshop - 2019 h6td by the lfttitas Oouniy Chanter of Oonrrerce? <br />C Yes <br />GNo <br />G Yes, <br />I have read and understand Stbnrittal hstructions and General lnfcxrratio-r for the 2019 Lodging Tax Gant Funding <br />Flocess <br />You are strongly encouraged to compose your responses to the questions of this form with a desktop text <br />editor and save your work, then copy and paste the information into the form. You may also save a draft by selecting <br />the button at the bottom of this page. When you do this 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 passrilord. After completing the save draft, you will 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 email. <br />Organization I nformation <br />Name of Organization * Junktiquen in the Burg <br />Organization Address * greet Address <br />2830 S. Thorp Hury <br />Address Line 2 <br />otv <br />Ellensburg <br />htal/Zip O:de <br />98926 <br />StateIFlovinceIkgion <br />WA <br />&ur'{ry <br />USA <br />Website <br />Federal Tax lD #* <br />UBI #* <br />Organization is a: * <br />wvw.jun k-tiquen intheburg @hotmail.com <br />00-0000000 <br />000-000-000 <br />C Government Entity <br />C 501(c)3 <br />C 501(c)4 <br />C 501(c)6 <br />6 Other lndividual <br />(Note: you must submii 501(c)3, 501(c)4, or 501(c)6 approval documentation.) <br />Click here to viewsample documents (redacted). <br />Upload Proof of Proof of organization.pdf <br />Organization Status * <br />Acceptaue tile forn3ts irrclude: J6, Fff or T1FF <br />Contact lnformation <br />Last Name * <br />160.85K8 <br />First Mme*Becky <br />Sherley