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EXftIBIT ++ <br />Current Year Grant <br />Application Workshop* <br />Organization lnformation <br />Name of Organization * Kittitas County Chamber of Commerce <br />Organization Address* st.eet Ad(iress <br />609 N Main St <br />Address Line 2 <br />City <br />Ellensburg <br />Postal / ZiP C0de <br />9B926 <br />Did you attend lhe Granl Application Workshop for the current year hosted by the Kittilas Counly Chanrber of <br />Commerce? <br />o Yes, I have read and understand Submittal lnstructions and General lnformation for the <br />Lodging Tax Grant Funding Process <br />Yes <br />No <br />Yos are strongly encouraged to cornpose your re.sporses to the questlons of thls farm wlth a desktop.text editor <br />and save your work, then copy and pasie the information into the form. You may also save a draft by selecting the button <br />at the boftom of this page. When you do this you witl be logged out and must log back in to continue. ln order to save a <br />draft you will need to provide an €Frail addrcss and a password, Afrcr-compleUng the save draft, you will be redirected to <br />fanding page containing a link to log baok into lhe form. We suggesl you save thls link as a bookmark. The link wilt aleo,be <br />sent b you in an email. For your convenience we flavB Brovided a wotd document version of the questions. Downlogd it <br />here. <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 v,ew sample documents (redacted). <br />Upload Proof of i01c3.pdf <br />Organization Status * <br />Acceptabte tile formats inctude: JpG, pDF or TIFF <br />Project Contact I nformation <br />First Name * Matt <br />Last Name* Anderson <br />Phone Number* 509-925-2002 <br />Email* matt@kittitascountychamber.com <br />Project or Event lnformation <br />State i Province 1 Region <br />WA <br />Country <br />USA <br />45.34K8 <br />ProjecUEventName* lndependence Day Celebration