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LTAC Application <br />You are strongly encouraged to compose your responses to the questions of this form with a desktop text editor and save your <br />work, then copy and paste the information into the form. You may also save a draft by selecting the button at the bottom of this page. When <br />you do this you will be logged out and must log back in to continue. ln order to save a drai you will need to provide an email address and a <br />password. After completing the save draft, you will be redirected to landing page containing a link to log back into the form. We suggest you <br />save this link as a bookma*. The link will also be sent to you in an email. <br />Did you attend the Grant Application Workshop for the current year hosted by the Kittitas County Chamber of Commerce? * <br />: Yes <br />'r) No <br />Confirmation and Acknowledgement: * <br />-) I have read and understand Submiital lnstructions and General Information for the Lodging Tax Grant Funding Process. <br />,; I acknowledge that a representative for my organization will need to attend (either virtually or in-person) the oral presentation meeting <br />to answer questions. <br />Organization lnformation o <br />Name of Organization* <br />Two Little Chicks <br />Organization Address* <br />tulailing Address <br />PO Box 508 <br />City <br />SOUTH CLE ELUM <br />Postal I Zip Code <br />98943 <br />Slate t Province; Regior <br />WA <br />Counlry <br />USA <br />Organization Glassification * <br />';: Business <br />. Non-Profit <br />Upload Proof of Organization Status <br />(NOTE: incorrecUincomplete documentation will disqualify the application)* <br />Click here io vievr sarlple documenls ireclacted). <br />Acceptable lile forqlals include: JPC PLIF or I'lFF <br />Form W-9 2023.pdf 153.5KB <br />Project Contact I nformation o <br />NOTE: The project contact listed below MUST be a volunteerlmember/employee of the <br />organization requesting funds. <br />First Name* <br />James <br />Last Name* <br />Jones