HomeMy WebLinkAboutLT-2023-003-DRU BRU GLOW RUNKittitas County, Washington
BOARD or COIINTY COMMIS SIONERS
District One
Cory Wright
District Two
Laura Osiadacz
District Three
Brett Wachsmith
March 8,2023
Dear Applicant,
The Board of County Commissioners
their Agenda Session on March 7,202
signed the 2023 Lodging Tax Services Agreements during
3. Please sisn e enclosed Asreemenf that has been
1S
office is required to have on file before reimbursements are allowed. Please complete, sign, and
return the W-9 with your signed agreement to Kittitas County.
Please review and familiarize yourself with the branding and advertising guidelines, Exhibit.,B,,
and submit the correct forms, along with your invoices to the Kittitas County Auditor's office
when seeking reimbursement. The reimbursement forms and advertising reimbursement forms
can be found on the Auditor's web site httn://www .kittitas.wa.us/auditor sc-
financial.aspx under hotel/motel reports. More helpful resources can be found on the Auditor,s
website as wel I https://www.co.kittitas.wa.us/audi tor/accountins/lod sin s -tax Idefault.asnx Before
seeking reimbursement, you must complete the online training,
wa.-Tax-
Online-Training.pdf
Kittitas County will once again be processing all the lodging tax reimbursements for the cities of
Ellensburg, Cle Elum and Roslyn. Please note the online training course requirement regarding
reimbursements-see section 2.Payment, of the agreement. If you have any questions regardin[
reimbursement, you may contact the Auditor's office at 509-962-7502 or oui office 509-962-
7508. Requests for reimbursement must be completed and received by the County on or before
January I0,2024 to be eligible for payment.
Thank you for your efforts to promote tourism throughout our county.
t^*,1
Emily Smith
Kittitas County Lodging Tax Advisory Committee
emily. smith@,co.kittitas. wa. us
Enc.: 2023 Lodging Tax Services Agreements
w-9
Cc: Auditor's Office, Finance Dept.
BOCC Clerk
Kittitas County Courthouse 205 West 5'hAvenue, STE 108 . Ellensburg, WA 9g926
(s09)962_7508 FAX (509) 962_7679
Form w-g
(Rev. October 20.1 8)
Department oi lhe Treasury
lnternal Revenue Seruice ) Go to www
Request for Taxpayer
ldentification Number and Certification Give Form to tho
requester. Do not
send to the lRS.
4 Exemptlons (codes apply only to
certain enlities, not individuals: sae
instructions on page 3):
Fxempt payee code (il any)
Exemption fiom FATCA reporling
code (if any)
(Aepies to accaunts naintained outsiCa lhe U.S )
Kittitas County Auditor's Office
2OS W. sth Ste 105
I Name sbown on your income
nJ
Name is
for instructions and the latest information.
on this line; do not leave blank.
Bequester's name and addtess
L
2 name, if different above
oo)d
co,ootroo>Evo
oiYa
(Io
'6
ru
CLa(,o(/)
7 List number(s) here
Enter your TIN in the appropriate box. The TIN provided musi match the name given on iine 1 to avoidbackup
resident
withholding. For individu
alien, sole proprietor, or
als, this is generally your social security
disregarded entity, see the instructioni
number (SSN).
for Part l, later.
However, for a
For otherentities, it is your employer identification number (ElN)- lf you do not have a number, see How to get aI/N, later or
I ' The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and2' I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the lnternal Revenueservice (lRS) that I am subject.to.backup withholciing as a resuit of a failure to report all jnteresi or dividends, or (c) the IRS has notified me that I amno longer subject to backup withholding; and
3. lam a U.S. citizen or other U.S. person (defined below); and
Notel lf the account is in more th an one nam e, see the instructions for line 1 . Also see what Name andNumber To Give the Fequester for guideljnes on whose number to enter.
Under penalties of perjury, I certify that:
Here
Sign
Genenal lnstructions
Section references are to the lnternal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published , go 1o www.irs.gov/FormiVg.
Furpose of Form
An individual or €ntiiy (Form W-9 requester) who is required to file aninformation return with the IRS must obtain your correct taxpayeridentification number [lN) which may be your social security number(SSN), individual taxpayer identification number (tTlN), adopiioniaxpayer identification number (ATIN), or employer identification number(ElN), to report on an informaiion return the amount piiO to you, or otheramount reportable on an information return. Examples of infbrmationreturns include, but are not limited to, the following.
n Form 1 099-lNT (interest earned or paid)
L3
o Form
funds)
1099-DlV (dividends, including those from stocks or mutual
o Form 1099-MISC (various types of income, prizes, awards, or grossproceeds)
n Form 1099-8 (stock or muiual fund sales and ceftain othertransactions by brokers)
. Form 1099-5 (proceeds from real estate transactions)
o Form 1099-K (merchant card and third party network transactions)
:I_"jt 1099 (home moftgage inrerest), 1098-E (student loan interest),
1098-T (tuition)
" Form 1099-C (canceled debt)
" Form 'l099-4 (acquisitlon or abandonment of secured property)
..Use.Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TlN.
If you do not return Form W-.9 to the requester with a TlN, you mightbe sublect to backup withholding. See What is backup withholding,-
later.
tax classiflcation of th6 person whose name is entered on rine l . check only one of the
n lndividual/sole proprietor or n C Corporation ! S Corporation I partnership D Trust/estatesingle-member LLC
3 Check approprjate box for federal
following seven boxes.
appropriate
classified as
Limited Enter the&liability tax classificationcompany.S=Scorporation corporation,P=Partnership)P
Note:Check the rnbox linethe above for taxthe ofclassification the single-member owner.Do checknotttLLCiheLLUISaLLCsingle-member tsthat from thedisregarded owner theunless ofowner LLCthe tsLLUanothertsthatnotfromdisregardedtheforownerU.S.federal tax purposes.Otheruise,LLCsingle-memberdtsfromtheisregardedownercheckshouldtheforboxappropriatetaxtheofclassificationitsowner
Oiher (see
5 and or suiteapt.instructions-Seeno.)
\r\'it- QHs!uJ"r$0 bg
codpstate,
{\0
n Number
Sociai security number
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Part I
Employer identifi cataon number
q b 0 q 3 sla 1Part ll
Signature of
U.S. person F Date >t,
Cat. No. 10231X rorm W-9 (Rev. 10-2ols)
LT.2O23-OO3-DRU BRU GLOW RUN
2023 LODGING TAX SERVICES AGREEMENT
BETWEEN KITTITAS COUNTY AND DRU BRU TAPROOM AND BREWERY
This Contract, effective January !, 2023, is made and entered into by and between -
KITTITAS COUNTY ("County"), a subdivision of the State of Washington, and the DRU BRU
TAPROOM AND BREWERY ("Contractor"), for the SNOeUALMTE TUNNEL SK GLOW RUN(,,Event,,).
WHEREAS, the purpose of this Agreement is to provide for activities and expenditures
designed to increase tourism,
NOW THEREFORE, in consideration of the terms and conditions contained herein, or
attached and incorporated and made a part hereof, the County and the Contractor mutually agree
as follows:
Section 1.of Work.
a. Contractor shall provide the services and staff described in its Application for lodging Tax
Funds submitted to the Lodging Tax Advisory Committee, attached hereto as Exhibit .,A,,
which is attached hereto and incorporated herein by this reference.
b. Except as otherwise specifically provided in this Agreement, Contractor shall furnish the
following as required to perform the services, described in Paragraph (a) above, in
accordance with this Agreement: Personnel, labor and supervision; technical, professional
and other services. All such services, property and other items furnished or required to be
furnished, together with all other obligations performed, or required to be performed, by
Contractor under this Agreement are collectively referred to herein as "Services."
c. Contractor shall commence, perform, and complete such Services in accordance with
Exhibit "8" which is attached hereto and incorporated herein by this reference.
Section 2. Pavment.
a. As full compensation for satisfactory performance of the Contractor's Services, the County
agrees to pay Contractor the sum of one thousand and seven hundred dollars ($1,700.00)
(Kittitas Co. lodging tax funding).
b' Additional payment terms: The County will make payment to the Contractor only on a
reimbursement basis, as receipts/invoices for any items including marketing and/or
advertising are submitted to the County, not to exceed the sum of one thousand and seven
hundred dollars (Si.,700.00) (Kittitas Co lodging tax funding).
c. Services/Expenses that are reimbursed must be dated during the current year and final date
to submit reimbursements requests is January 70,2021, after this date funds lapse.
d. Requests for reimbursements must be submitted to:
Kittitas County Auditor
Attn: Auditor's Accounting
2023 County Lodging Tax Funding Agreement Page 7
LT-2023-OO3.DRU BRU GLOW RUN
205 West 5th Ave - Suite 105
Ellensburg, WA 98925
auditorsaccounting@co. kittitas.wa. us
e. Reporting requirements of your events will be required on prescribed forms from the
County Auditor.
f Contractor is eligible to claim reimbursement for the following items and amounts only:
Adverting to extend the reach and increase participation
Race expenses, such as water cups, trash cans, parking signage
Help offset our parking lot rental fee so we can support more guests
a
a
g. Contractor is not eligible to claim reimbursement for any items not listed in section 2 (f) and
is further expressly denied funding for the following items as requested in the application as
defined in Section 1(a):
h. Contractors requesting reimbursement for event-specific expenses shall submit all claims as
no more than two reimbursement requests with supporting documentation.
l. Contractors must complete the Lodging Tax Reimbursement online training course provided
by the County Auditor's office prior to filing reimbursement claim. Requests for
reimbursement will not be accepted by the County Auditor prior to the training being
completed. The training may be found online at the Kittitas County Auditor's website at the
following address: http://www.co.kittitas.wa.us/ audilor /default.aspx
Section 3. Pe ce bv Contractor.
a Contractor shall not (by contract, operation of law or otherwise) delegate or subcontract
performance of any Services to any other person or entity without the prior written consent
of the County. Any such delegation or subcontracting without the County's prior written
consent shall be voidable at the County's option.
b. Contractor shall at all times be an independent contractor and not an agent or representa-
tive of the County with regard to performing the Services. Contractor shall not represent
that it is, or hold itself out as, an agent or representative of the County. ln no event shall
Contractor be authorized to enter into any Agreement or undertaking for or on behalf of the
County. lt is understood that the Contractor and the Contractor's staff and employees are
not employees of the County and are not, therefore, entitled to any benefits provided
employees of the County.
c. Contractor shall comply with all applicable laws, ordinances, rules, regulations, orders,
licenses, permits, and other requirements, now or hereafter in effect, of any governmental
authority (including, but not limited to, such requirements as may be imposed upon the
County and applicable to Services). Contractor shall furnish such documents as may be
required to effect or evidence such compliance. All laws, ordinances, rules, and orders
required to be incorporated into agreements of this character are incorporated into this
Agreement by this reference. Contractor agrees to obtain all required licenses and permits,
2023 County Lodging Tax Funding Agreement Page 2
LT-2023.003-DRU BRU GLOW RUN
and further agrees to keep them in full force and effect during the term of this Agreement.d. The County and the Contractor agree that in fulfilling the terms and conditions of this
Agreement neither shall discriminate on the basis of race, creed, color, national origin, age,
sex, marital status, or the presence of a physical, sensory, or mental handicap.
e. The Services shall at all times be subject to inspection by and approval of the County, but
the County's making (or failure or delay in making) such inspection or approval shall not
relieve Contractor of its responsibility to perform the Services in accord with this
Agreement, notwithstanding the County's knowledge of defective or non-complying
performance, or the substantiality or ease of discovering the same. Contractor shall provide
the County with sufficient, safe, and proper facilities and equipment for such inspection and
free access to such facilities.
f. This contract is subject to review by any Federal or State auditor. Contractor shall promptly
furnish the County or its designee, or such Federal or State auditor with such information
related to the Services as may be requested by the applicable governmental entity.
Contractor shall preserve and maintain all financial records and records relating to
performance of Services under this Agreement for six (6) years after contract termination.
For such duration after the County makes final payment of compensation due hereunder,
Contractor shall provide the County access to (and the County shall have the right to
examine, audit and copy, with or without notice) all of Contractor's books, documents,
papers and records related to the Services or this Agreement.
g. Contractor understands and acknowledges that Contractor is solely responsible for its own
reporting and accounting of all state, federal, social security, and local taxes, of every nature,
arising from Contractor's performance of this Agreement. All compensation received by the
Contractor will be reported to the lnternal Revenue Service at the end of the calendar year in
accord with the applicable IRS regulations.
Section 4. Release. lndemnitv, and Hold Harmless.
The County assumes no liability for the Contractor's actions under this Agreement. Contractor
releases and shall defend, indemnify, and hold harmless the County, its officers and employees,
agents, representatives, attorneys and/or volunteers, from and against all claims, costs, liabilities,
damages, and expenses, (including, but not limited to, reasonable attorney fees) which arise or
may arise or be alleged to arise out of or by reason of this Agreement including:
Any fault, negligence, strict liability or product liability of Contractor in connection with the
Services for this AgreemenU
Any lien asserted upon any property of the County in connection with the Services for this
Agreement;
Any failure of Contractor, or of the Services, to comply with any applicable law, ordinance,
rule, regulation, order, license, permit and other requirement, now or hereafter in effect, of
any governmental authority; or
a
a
a
a Any breach of or default under this Agreement by Contractor
2023 County Lodging Tax Funding Agreement Page 3
LT-2023.003-DRU BRU GLOW RUN
Section 5. Compliance with Public Records Law.
a. ln compliance with Washington's public records law, the County will retain copies of any
documents associated with this Agreement, which may be required by law unless legally
exempt from such retention, for any applicable legally required retention period.
b. ln the event a public records request is made to the County for documents created in
relation to this Agreement, should legal uncertainty arise regarding the disclosability of any
documents under federal or state public records laws, the County shall provide notice to
Contractor pursuant to Washington's public records act, chapter 42.56 RCW, to allow
Contractor to seek a court injunction.
c. The County specifically shall not be liable to Contractor for the County's release under public
records laws of any documents not protected by trademark, copyright or other law.
Section 5.lndustrial Insura nce Waiver.
With respect to performance of this Agreement and as to any claims against the County, its Additional
lnsureds, officers, agents and employees, the Contractor expressly waives its immunity under Title 51
of the Revised Code of Washington, the lndustrial lnsurance Act, for injuries to Contracto/s employees
and agrees that the obligations to indemnify, defend and hold harmless provided in this Agreement
extend to any claim brought by or on behalf of any employee of the Contractor. This waiver is
mutually negotiated by the parties to this Agreement.
Section 7. lnsurance and Endorsements.
a. The County may require through a request in writing that the Contractor provide the County
with a certificate, binder, or policy of liability insurance, acceptable to the County in an
amount specified by the County.
b. Such liability insurance shall be such as will protect Contractor, its employees, agents and
representatives, from all claims, losses, harm, costs, liabilities, damages and expenses
arising out of personal injury (including death) or property damage that may result from
performance of the Services or this Agreement, whether such performance is by Contractor
or any of its employees, agents or representatives.
c. Should the County require such liability insurance, the Contractor agrees to provide proof of
insurance prior to commencing performance of this Agreement.
d. Copies of the County's written request and the insurance documents provided by Contractor
shall be attached to this Agreement and by this reference will be made part hereof.
Where insurance is requested by the County, all liability insurance policies shall be endorsed
to include the County as an Additional lnsured and shall stipulate that the insurance
afforded by the policies shall be primary insurance, and that any insurance, self-insured
e
2O23 County Lodging Tax Funding Agreement Page 4
LT-2023-OO3-DRU BRU GLOW RUN
retention, deductibles, or risk retention trusts maintained or participated in by the parties
shall be excess and not contributory to any other insurance maintained by the County.
Contractor shall furnish the County a certificate of insurance with Endorsement as evidence
that the required policies are in full force and effect.
Section 8. Termination
The County may, by written notice thereof to Contractor, terminate this Agreement as to all or any
portion of the Services not yet performed, whether or not Contractor is in breach or default. Upon
receiving such notice of termination, Contractor shall, except as otherwise directed by the County,
immediately stop performing the Services to the extent specified in the notice. ln the event the
County terminates the Contractor's Services, the Contractor is obligated and hereby agrees to
refund to the County all monies paid for Services not yet rendered by the Contractor, if any, as of
the date of the notice of termination.
Section 9. Miscellaneous.
a. Contractor shall not (by contract, operation of law or otherwise) assign this Agreement or
any right or interest in this Agreement without the County's prior written consent.
b- This Agreement embodies the entire Agreement between the County and Contractor, and
supersedes any and all prior oral or written communications, proposals, conditions, promises,
representations, or understandings regarding the Services. No change, amendment or
modification of any provision of this Agreement shall be valid unless set forth in a written
amendment to the Agreement signed by both parties.
c. Notice for any purpose under this Agreement, except service of process, shall be given by
the Contractor to the Kittitas County Commissioners and the Kittitas County Auditor, 205 W.
Sth Ave. Ste. 108, Ellensburg, WA 98926. For all purposes under this Agreement, any notice by
the County to the Contractor shall be given to the Contractor's address provided on the
signature page. Notice may be given by delivery or by depositing in the U.S. Mail, first class,
postage prepaid, certified mail, return receipt requested.
d. The section and paragraph headings of this Agreement are for reference convenience only
and are not intended to restrict, affect or be of any weight in interpreting or construing the
provisions of such sections or paragraphs.
This Agreement may be executed in one or more counterparts and by facsimile, each of
which will be deemed an original, but all of which together will constitute one and the same
instrument.
f . Contractor warrants to the County that the individualsigning on Contractor's behalf has the
requisite power and authority to enter into and to perform Contractor's obligations under
this Agreement. Contractor further warrants to the County that Contractor has made no
misrepresentation or misleading statement in connection with this Agreement, and is not in
e
2023 County Lodging Tax Funding Agreement Poge 5
LT-2023-OO3-DRU BRU GLOW RUN
violation of any applicable law, ordinance, or regulation the consequence of which will or
may materially affect Contractor's ability to perform its obligations under this Agreement.
g. lf any term or condition of this Agreement or the application thereof to any person(s) or
circumstances is held invalid, such invalidity shall not affect the other terms, conditions or
applications which can be given effect without the invalid term, condition or application. To
this end, the terms and conditions of this Agreement are declared severable.
h. The exclusive venue for any action brought to enforce this Agreement or any of its terms
shall be in Kittitas County, State of Washington.
The performance of this Agreement is subject to termination without liability by either party
upon the occurrence, or upon the prediction by the National Oceanic and Atmospheric
Administration, any other agency of the United States Government, or any agency of the
Government of the State of Washington of the occurrence of any circumstance beyond the
control of either party-including, without limitation, acts of God, war, acts of terrorism
within a fifty (50) mile radius of Kittitas County, government regulations, disaster,
pandemic/epidemic illness, strikes or threat of strikes (except that neither party may
terminate this Agreement for situations involving that party's own employees), civil
disorder, or curtailment of transportation facilities-to the extent that such circumstance
makes it illegal , impossible or economically impracticable for the parties to complete the
duties and mutual obligations agreed upon and imposed upon them herein. The ability to
terminate this Agreement without liability pursuant to this paragraph is conditioned upon
delivery of written notice from one party to the other within 10 days of such occurrence or
upon delivery of written notice from one party to the other within 24 hours of the receipt of
notice of the prediction of any of the above occurrences. To the extent feasible within the
constraints imposed by any event of the type described above, the parties agree that if the
triggering event is of apparently or likely transitory effect, the parties may negotiate such
amendments to the agreement that are mutually satisfactory and not otherwise contrary to
law, including but not limited to a change in the dates for completion of any portion or the
entirety of this agreement.
2023 County Lodging Tax Funding Agreement Page 6
LT-2023-OO3-DRU BRU GLOW RUN
KITTITAS COUNTY
BOARD OF NTY CONTRACTORONERS
3
Clerk of the Board
Print NamelTd,."D- fr"r*at
3
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[Address] \9,0b"/
til
AS TO FORM
l, il r llt\\
Deputy Prosecuting Attorney
2023 County Lodging Tax Funding Agreement Poge 7
E*6ilpit 'h
9129122,10:51 AM LTAC Clerk Review
CLTAC: Clerk Application Review
Current Year Grant
Application
Workshop*
Organization
Address *
Upload Proof of
Organization Status*
W-9 form -signed_20'1 B. pdf
Acceptable file formats include: JPG, PDF or TIFF,
State / Province / Region
WA
Country
Kittitas
176.66K8
Did you attend the Grant Application Workshop for the current year hosted by the Kittitas County Chamber of
Commerce?
Street Address
Palouse to Cascades State Park Trail - Hyak Parking
Address Line 2
City
Snoqualmie Pass
Postal / Zip Code
98068
, Business
Non-Profit
Yes
No
Clerk Verification *Please confirm whether the applicant attended the workshop or not.
Yes
No
Organ ization I nformation
Name of
Organization *
Dru Bru Taproom and Brewery
Organization is a:*
(Note: Please submit w-9 for business or IRS Designation Letter for non-profit.)
Click here to view sample documents (redacted).
Project Contact I nformation
First Name*Sara
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77 445185642?hideHeader=true 1t10
9129122,10:51 AM
Last Name*Giuffrida
Phone Number* 206-372-6551
Email*sara@drubru.com
Project or Event lnformation
LTAC Clerk Review
ProjecVEvent Name* Snoqualmie Tunnel 5k Glow Run
Service Categories Check all categories that apply to this application
Tourism promotion/marketin g
Operation of a special event designed to attract tourists
Operation of a tourism related facility
Other
Event Dates
Please provide any specific dates, or range of dates, on which your event or project will be held. You may add as many
dates or date ranges as necessary.
Event Dates
Start Dates*
7t8t2023
ProjecVEvent
Location *
New or Ongoing
ProjecUEvent? *
Amount of Funding
Requested *
Funding Request Max 1,860
End Dates
71812023
Snoqualmie Tunnel, Snoqualmie Pass
Ongoing ProjecUEvent (More than four years in existence)
New ProjecUEvent (Four or fewer years in existence)
$ 1700 00
lf you selected "Ongoing ProjecUEvent" above this amount may not exceed 1 0% of the total expense budget of
this project.
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77 445t85642?hideHeader=true 2t10
9129122. 10:51 AM LTAC Clerk Review
Tourism Seasons*From the list below, what season will your project enhance tourism? select any which apply
Year-round (January - December)
Off Season (November - February)
Shoulder Season (October or March - May)
High Season (June - September)
Application Questions: Part 1
Please answer each question completely, in the order listed. Please include any supporting data within the
response narrative.
1 | ProjecUEvent Description
Please provide a description of your projecUevent.
Response 1:
ProjecUEvent
Description *
Video Link
List of lntended Use of Funds*
Adverting to extend the reach and increase
participation
Race expenses, such as water cups, trash cans,
parking signage
Help offset our parking lot rental fee so we can
support more guests
2l Supporting Kittitas County as a tourism destination
All-ages, glow in the dark, 5k (walk or run) through the historic Snoqualmie tunnel.
we light the tunnel with LED lights, plus everyone is outfitted with glow gear. lt's a
"fun run" so all ages and skills are welcome. Last year we had about 6s0 people
participate. we also include several local small business partners who set up
booths to bring awareness and brand visibility. we do not charge the partners to
participate in this event since they are volunteering their time and enhancing the
overall guest experience. our parking lot also requires a Discover pass so we're
supporting the WA Parks organization as well since every participant will need to
purchase one to park at the event site.
2500 character limit
Please provide us link to a brief video summary of you organization's evenVproject. You MUST be present at the
Q&A meeting to qualifo for funding.
https://d rive. goog le. com/fi leidl1 WH K53kd Sl
N R0 1 _xL I vnWvUwY 4y zZ_Hja/vi ew?
usp=sharing
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9129122, 10:51 AM LTAC Clerk Review
1. Away from their place of residence or business and staying overnight in paid accommodations;
2. To a place fifty miles or more away from their place of residence or business for the day or staying overnight;
3. or from another country or state outside of their place of residence or business.
You must provide the evidence utilized in determining your projections.
Response 2.1 *Why would tourists travel to Kittitas County to altend your evenUactivity/facility?
It's truly a one of a kind experience. The snoqualmie Tunnel by itself is news
worthy and very special therefore when paired with an all-ages 5k it becomes a
very talkable event.
2500 character limit
Response 2.2*Describe the prior success of your evenUactivity/facility in attraction tourists.
I have data from the race website that shows people came from all over wA state.
I will upload it as a reference doc. lt also shows a wide range of ages. lt's a very
inclusive, fun event. we had over 650 people participate last year and several
people said it was their first time at snoqualmie Pass. I'm confident we can get 70-
800 people next year with the right funding and marketing supporl.
2500 character limit
Application Questions: Part 2
3l lmpact
Response 3:
Measuring Results*
Describe how you will promote your event/activity/facility to attract tourists.
Targeted emails to surrounding school districts.
Submitting the event to all 5k race websites and event calendars.
Making sure its added to relevant event calendars (chamber of commerce etc).
Paid Facebook and lnstagram ads. we have found boosting to be very successful
We hang physical posters up in high traffic areas inside and outside of Kittitas
County. We invest in postcards that are given out at events, festivals and social
gatherings. we have two tap room businesses and heavily promote the event at
each location. we share event assets with our partners so they will help cross
promote the event as well. We also provide discount codes to select non-profits.
2500 character limit
Application Questions: Part 3
4l Collaboration
lf your organization collaborates or has created partnerships with other organizations, groups, or other events,
how is this accomplished?
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77 445t85642?hideHeader=true 4t't0
9129122,10:51 AM
4.1 Collaboration *
4.2 Promoting Local
Business *
LTAC Clerk Review
we invite 6-8 local businesses (Partners) to have booths up at the event. Each
partner is featured on the race website, gets their logo added to the race t-shirt,
receives a discount code and marketing materials to help cross promote the
event. We also try to use local businesses for our event needs, for example
getting our t-shirts printed locally vs using a large national company.
2500 character limit
Describe how you will promote lodging establishments, restaurants, and business located in Kittitas County
we can include a list of recommended establishments on our website as well
include callouts and coupons in our email communications.
2500 character limit
4.3 Host Hotel*ls there a host hotel for your event or grant project? lf yes, list the hotel
No
Yes.
5l Future Plans
Please explain what plans exist to allow this project to become self-sustaining. Include any plans for ticket
sales, event sponsors, and other cost-recovery models.
Future Plans*There is a registration price. We try our best to keep the registration fee low so its
not a barrier to participate since one of our main goal is to drive traffic and
awareness to the area and to have all participants stop by our establishment (Dru
Bru) before they head home.
we are considering paid event sponsorship for large companies/organizations.
we currently do not charge our "Partners" to participate since they are typically
small business owners.
2500 character limit
Application Questions: Part 4
6l Additional lnformation
Provide any additional information which will assist the Lodging Tax Advisory Committee in evaluating your
project and its benefit to tourism.
Additional lnformation l've uploaded a few reference photos since seeing is believing and we've found
the images are a great marketing tool and really grab people's attention.
2500 character limit
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77 445t85642?hideHeader=true 5110
LTAC Clerk Review
You may upload any supporting documents such as graphs, images, diagrams, marketing materials, etc-
DSC00681 2359x3539.jp9 i.02MB
Registrations_perCity.pdf 231.2K8
DSC_7961.jp9 1.1M8
You are allowed to submit up to 3 single page (US Letter) documents in JPG, PDF or TIFF format
7l Previous Lodging Tax Grant lnformation
9125122,10:51 AM
Supporting
Documents
Previous Years
Awarded Lodging Tax
Grants *
Has your event received Lodging Tax funds in previous years?
No, this evenUproject has not previously received Lodging Tax Funding
Yes, 1 year previous
Yes, 2 years previous
Yes, 3 or more years previous
Overall Attendance
Past Actual*
648
Projected *
Number of people travelling more than 50 miles for your event?
Past Actual* Projected *
550 600
Number of people traveling from outside wA State for your event?
Past Actual* Projected *
00
The number of overnight guests who stay in paid accommodations in Kittitas
County for your event
Past Actual* Projected *
040
725
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77445185642?hideHeader=true 6/1 0
Number of paid lodging room nights resulting from you event/activitylfacility?
Past Actual* Projected *
00
9129122,10:51 AM
Prior Year Paid
Overnight Stay Data
Past Methodology*
Projected
Methodology*
Methodology
Narrative *
Application Questions: Part 5
8l Funding
LTAC Clerk Review
ln addition to field above, you may upload the evidence to support the prior years' room/night information.
You may upload up to three single pages (US Letter), of information. lf you a single multi-page document, only
the first three pages will be considered. The following formats, will be accepted: JPG, PDF or TIFF
What methodology did you use to calculate the 2019 actual numbers?
Direct Count (preferred)
lndirect Count
Representative Survey
I nformal Survey (preferred)
Structured Estimate
Other Did not capture lodging
data
What methodology will you use to calculate the upcoming numbers?
Direct Count (preferred)
lndirect Count
Representative Survey
lnformal Survey (preferred)
Structured Estimate
Other
Please explain.
I don't have firm lodging data from previous years
2500 character limit
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77445185642?hideHeader=true 7t10
9129122, '10:51 AM LTAC Clerk Review
Does your organization have, or have you applied for, grant funding from other sources? lf not, why not? lf yes, please
list the funding you have for the project, including any volunteer and in-kind sources in Question 9l Project Budget
Overview.
Funding sources and amounts which have not yet been secured will be listed separately, in the field(s) directly below.
Finally, what changes would occur if the project couldn't be funded?
Other Funding *Does your organization have, or have you applied for funding from other sources?
Yes No
Explanation *lf not, why not?
I was unaware of the process and options available.
2500 character limit
Funding Shortfalls*What changes will be made if funding for your request is not available or recommended?
Less marketing budget to promote the event and therefore less visibility,
awareness and participation.
Higher registration fees to offset the event expenses, which could result in fewer
participates.
2500 character limit.
Matching Funds
Percentage
Verification of ln-kind
Contributions
1426.47
This field will auto fill with the correct percentage based on your input to budget section below.
For any claimed in-kind contributions valued at $500 or more and related to marketing/advertising, you must
submit verifying documentation which assures the contribution will be provided.
9l Project Budget Overview
Please complete budget for this projecVproposal. lf your agency operates independently of this project application it
may not be necessary to submit the entire agency budget. You must submit a budget which specifically pertains to
the projecUevent for which you are requesting funding and adheres to the basic budget format shown below.
The budget must include anticipated revenues, expenditures, and any potential profit or loss. For projects/events which
are ongoing for more than one (1) year, please also submit actuals from the previous three (3) years of operations
(need not be consecutive) for the projecUproposal if applicable.
For any claimed in-kind contributions valued at $500 or more and related to marketing/advertising, you must
submit verifying documentation which assures the contribution will be provided. For instance, if you are claiming
in-kind contributions in the form of advertising match, a binding contract itemizing the matching value and obligating
each party must be provided.
ATTENTION: ln an effort to allow an adequate level of flexibility for all applicants, not all fields in the budget portion are
required to be filled before this form is submitted. Providing all applicable data is your responsibility, failure to do
so will potentially jeopardize your application's chance for review.
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77445185642?hideHeader=true 8/1 0
9129t22,10:51 AM LTAC Clerk Review
Budget Year
Edit if necessary 2018 2019 2022
Revenues From Consolidated Lodging Tax Grant
Past Actual 3
LTAC Grant Funding $ 0.00
All Other Revenues
Account Name
sara@drubru.com
Past Actual 3
$ 15166.00
Past Actual 2
$ 0.00
Past Actual 2
$ 18477.00
Past Actual 2
$000
Past Actual 2
$ 18477.00
Past Actual 1
$ 0.00
Past Actual 1
$ 22327.00
Past Actual 1
$000
Past Actual '1
$ 22327.00
2023
Projected
$ 1,700.00
Projected
$ 24250.00
Projected
$000
Projected
35
Projected
$ 26774.60
ln-Kind Contributions (except volunteerism)
Account Name Past Actual 3
$ 0.00
Contributions of Volunteer Time
Number of Hours 1B
Evidence of Volunteer
Contributions*
Calculated Value of
Projected Volunteer
Time
Past Actual 3
$ 15166.00
Past Actual 3 Past Actual 2 Past Actual 1
1B 28
Please upload a single file which offers evidence in support of the projected volunteer hours.
Dru Bru Mail- WSSSM Volunteers - please confir... 230.12K8
$ 824.60
Revenue Totals
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77 445185642?hideHeader=true 9/1 0
9129122,10:51 AM
Expenses
Expense Totals
Profit & Loss
Certified by:
Name*
Past Actual 3
$ 12700.00
Past Actual 3
$ 12700.00
Past Actual 3
$ 2466.00
Sara Giuffrida
Past Actual 2
$ 14850.00
Past Actual 2
$ 14850.00
Past Actual 2
$ 3627.00
LTAC Clerk Review
Past Actual 1
$ 18900.00
Past Actual 1
$ 18900.00
Past Actual 1
$ 3427.00
Projected
$ 18600.00
Projected
$ 18600 00
Projected
$ 8174.60
Application Certification
The applicant here certifies and affirms. 1. That it does not now, nor will it during the performance of any contract
arising from this application, unlawfully discrlminate against any employee, applicant for employment, client, customer,
or other person who might benefit from said contract, by reason of age, race, color, ethnicity, sex, religion, military
status, sexual orientation, creed, place of birth, or disability; 2. That it will abide by all relevant local, state and federal
laws and regulations and; 3. That it has read the information contained in the lnstructions on pages 1 and2 and
understands and will comply with all provisions thereof.
Applicant's Title* Owner, Marketing
lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77445185642?hideHeader=true 10t10
UIJ 5
w-g Request for Taxpayer
ldentification Number and Gertification
) Go to www.irs.govlFomWg lot instructions and the latest information.
tr)
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65
.9
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Form
{Rev. Nov€mber 201 7)
Dspadmonl of the Treasury
lntsmsl Relenue Seruic€
'I Name on your tax return).on llnei do not loavo
LLC
n€ms/disre{|srded name,abova
7 account nuanb{r{s} hars
Enter your TIN in the appropriate box. The
For individuals, this is
TIN provided must match ihe name given on line 1 to avoid
backup withholding.generally your social security number However, for a(ssN).
l, later.resident alien, sole proprietor, or disregarded entity, seo the instluctions for Part For other
entities,it is your employer identilication number (ElN). lf you do not have a nu mber, see How to get a
TIN,later
Note: l1 the account is in more than one name, see the instructions for line 1, Also see What Name and
Number To Give the Requesler for guidelines on whose number to enter.
Under penalties of perjury, I certify that:
Give Form to the
requester. Do not
send to the lRS.
4 Exemptions (codes apply only lo
certain entities, not Individuals; see
instructions on page 3);
Fxempt payee code {if any)
Exemption trom FATCA reponing
code (if any)
lApptes to ac.oinls tnaiatziltd outside the U.S'
name and
or
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and2' I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the lnternal RevenueService (lRS) that I am subject.to backup wiihholding as a result of a farlure to report all inieresi or dividends, or (c) the IRS
-has
notified me that I amno longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FAToA reporting is correct.
C€rtitication instructions. You must cross out item 2 above if you have been notilied by the IRS that you ars currently subject to backup withholding becauseyou have failed to repod all inierest and dividends on yourtax return. For real estate transactions, itern2 does not apply. For mortgage interest paid,-
acquisilion or abandonment ol secured property, cancellation of debt, contributions to an individual retiremenl arrangement (1R4,;nd generally, payments
other lhan interest and dividends, you are not requiroddgr6b€idhsqgdtfiedipn, but you must provide your correct Tlfi. See the instructi|ns for iart li, later.w&UOnS
Sign
Here
Signalure of
U-S, person )
DNr cn=Johr Dr! Ernst,
o=Dru Bru ou,
T;trs
General lnstruc Datei 2018.01 17 13:Og:14
-08'00'
Section referencos are to the lnteanal Revenue Code unless otherwise
noted,
Fulure developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www.irs.govlFormWg.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
rdentification number |flN) which may be your social security number
(SSN), individual taxpayer identification number {lTtN), adopiion
taxpayer identification number (ATIN), or employer identification number
(EiN), to report on an information return the amount paid to you, or other
amount reportable on an inlormation return, Examples of information
returns include, but are not limited to, the following.
. Form 1 099-lNT {interest earned or paid)
Date > 01117119
. Form 1099-DlV (dividends, including those from stocks or mutual
funds)
. Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
. Form 1099-8 (stock or mutual fund sales and certain other
transactions by brokers)
. Form 1099-5 (proceeds from real estaletransactions)
r Form 1099-K (merchant card and third party network transactions)
r Form 1098 (home mortgage interest), 1098-E {student loan interest),
1098-T (tuition)
' Form 1099-C (canceled debi)
. Forrn 1 099-4 (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TlN.
lf you do nat return Form W-9 to the requester with a TlN, you might
be subject to backup withholding. See What is backup withholding,
later.
3 Check appropriate box for federal tax classificalion of lhe person whose nama is entered on line I . Check only one of thelollowing seven boxes.
f] lndividuallsoleproprietoror I CCorporation fl sCorporation n eartnership f] TrusVestate
single-member LLC
B LimiteO liability company. Enter the tax cJassification (C=C corporalion, S=S corporation, p=padnership) > ! _Note: Check the appropriate box tn the line above for the t* classilication of the single-member owngr" Do not check
LLC if the LLC is classified as a single-member LLC that is disreqarded from the own-er unless the owner of the LLC isanolher LLC that ls not disr€garded irom the owner for U,S. federal tax purposes. Otherwise, a single-membe. LLCis disregarded flom the owner should check the appropriate box for the tu classification of lts own'er.
Other
5 Address , street, and apt. or suite no.)
121
state, and ZIP code
numb€r
Part I
Employer
4 6 0 9 3 5 2 3 9
Part ll
Cat. No. 10231X FormW-9{Rsv. 11-2017)
Form W-9 (Rev. 1 1-201 7)Page2
By signing the filled-out form, you:
1. Certifu that the TIN you are giving is correct (or you are waiting for a
number to be issued),
2. Certifu that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt
payee. lf applicable, you are also certifying that as a U.S. person, your
allocable sharo of any partnership income lrom a U.S. trade or buiiness
is not subject to the withholding tax on foreign partners' share of
effectively connected income, and
4. Certifu that FATCA code(s) entered on this form (if any) indicating
that you are exempt {rorn the FATCA reporting, is correct. See Whaf is
FATCA repofting, later, for further information.
Note; lf you are a u.S. person and a requester g,ves you a form other
than Form W-9 to request yourTlN, you must use the requester,s form if
it is substantially similar to this Form W-9.
Definition ol a U.S. person. For federal tax purposes, you are
considered a U.S. person if you are:
. An individual who is a U.S. citizen or U.S. resident alien,
. A partnership, corporation, company, or association created or
organized in the United Slates or under the laws ot the United States;
. An estate (other than a toraign estate); or
. A domestic trust (as defined in Regulations section 301.2701-7).
Special rules tor partnerships. partnerships that conduct a trade or
business in the United States are generally required to pay a withholding
tax under section 1446 on any foreign partners' share of effectively
connected taxable income from such business. Further, in certain casos
where a Form W-9 has not been received, the rules under section 1446
require a partnership to presume lhat a partner is a foreign person, and
pay the sectjon 1446 withholding tax. Therefore, if you are a U.S. person
that is a partner in a partnership conducting a trade or business in the
United States, provide Form W-9 to the partnership to establish your
U.S. status and avoid section 1446 withholding on your share of
partnership income.
ln the cases below, the following person must give Form W-9 to the
partnership for purposes of establishing its U.S. status and avoiding
withholding on its allocable share of net income from the partnership
conducting a trade or business in the United Slates_
. ln the case o{ a disregarded entity with a U.S. owner, the U.S. owner
of the disregarded entity and not the entity;
r ln the case of a grantor trust with a U.S. grantor or other U_S. owner,
generally, the U.S. grantor or other U.S. owner of the grantor trust and
not the trust; and
. ln the case of a U.S. trust (other than a grantor trusl), the U.S. trust
{other than a grantor trust) and not the beneticiaries of the trust.
Foreign person. lf you are a foreign person or the U.S. branch of a
loreign bank that has elected to be treated as a U.S. person, do noi use
Form W-9. lnstead, use the appropriate Form W-B or Form 9233 (see
Pub. 515, Withholding of Tax on Nonresident Aliens and Forergn
Entities).
Nonresident alien who becomes a resident alien. Generally, only a
nonresident alien individual may use the terms of a tax treaty to reduce
or eliminate U,S. tax on certain types of income. However, most tax
treaties contain a provision known as a "saving clause.', Exceptions
specified in the saving clause may permit an exemption from tax to
continue for certain types of income even after the payee has otherwise
become a U.S. resident alien for tax purposes.
lf you are a.U.S. reBicleni €lion who is relyhg on an €xceptiorl
contained in tho saving clauso ot a tax troaiy io ctainr an olemptionkom U.S. tax on certaih lypeg of rncomo, ydu musl attach a stilementto Form W-9 lhal gpocifies lhe following liiis itoms.
.1 . The treaty country. Generally, this must be the same treaty under
which you claimed exomption kom tax as a nonresident allen.'
2. The treaty article addressing the income.
3. The.article number {or localion) in the tax treaty that contains the
saving clause and its excefrtions.
_ 4. The type and amount of income that qualifies for the exemption
from tax.
5, Sufficient Jacts to justify the exemption from tax under the terms ofthe koaly article.
Example. Artlcle 20 of lhe U"S,-China incoms tax treatv allows an
exemption trom lax lor scholarship income received bv aChinoss
sludent tomporarily p/€s€nt in th€ United States. Undeir U.S. law, lhrs
student will become a r€sident al€n tor tax purposes if his or hei stay rn
lhe Unitod Statos excoeds 5 calendar yoars. However. oaraanoh Z 6l
rhe tlrsr Proiocol to rhe U.S. -China tredry (dated Aprit ilb, t Sbaj attows
lhe provisions of Article 20 to contlnue tb apply oven attsr tha bhinssssludent becomos a rasident alien of the Uniled Slates. A Chiness
stud€nt who qualifies for this exception (under paragraph 2 ol th€ lirstprolocol) and is. relyhg on this sxc€plion to claim an exemption kom tax
on his or her scholarship or tellowship income would altach to Form
W-9 a statemont that includes the intormation described above t6support that exemption.
lf you.are a nonresident alien or a foreign entity, give the requester the
appropriate completed Form W-8 or Form 8239.- -
Backup Withholding
What is backup withholding? Persons making certain payments to you
must under certain conditions withhold and pay to the IRS 2g% ol such
payments. This is called "backup wjthholding.,, payments thal may be
subject to backup withholding include interest, tax-exempt interesi,
dividends, broker and barter exchange transactions, rents, royaltios,
nonemployee pay, payments made in settlement ol payment card and
third party network transactions, and cefiain payments from fishing boat
operators, Real estate transactions are not subject to backup
withholding.
You will not be subject to backup withholding on payments you
recoive if you give the requester your correci TlN, make the proper
certificationg, and report all your taxable inlerest and dividends on your
tax return.
Payments you receive will be subiect to backup withholding if:
1. You do not furnish your TIN to the requester,
2. You do not certify your TIN when required (see the instructions for
Pad ll for details),
3. The IRS tells the requester that you furnished an incorrect TIN,
4. The IRS tells you that you are subject to backup withholding
because you did not report all your interest and dividends on your tax
return (for reportable interest and dividends only), or
5. You do not certify to the requester that you are not subject to
backup withholding under 4 above (for repor.table interest and dividend
accounts opened after '1 983 only).
- Cedain payees and payments are exempt from backup wiihholding.
See Exempt payee code, later, and the separate lnstructions lor the
Requester of Form W-9 for more information.
Also see Speclal rules lor partnershrps, earlier.
What is FATCA Reporting?
The Foreign Account Tax Compliance Act (FATCA) requires a
participating foreign financial institution to report all United States
account holders that are specified United States persons. Certain
payees ar€ exempt lrom FATCA reporting . See Exemption from FATCA
rcpofting code, later, and the lnstructions for the Requester of Form
W-9 for more information.
Updating Your lnformation
You must provide updated information to any person to whom you
claimed to be an exempt payee if you are no longer an exempt payee
and anticipate receiving reportable payments in the future from this
person. For example, you may need to provide updated information if
you are a C corporation that elects to be an S corporation, or if you no
longer are tax exempt. ln addition, you must furnish a new Form W-9 if
the name or TIN changes for the account; for example, if the grantor of a
grantor trust dies.
Penalties
Failure to furnish TlN. lf you fail to furnish your correct TIN to a
requester, you are subject to a penalty of $50 for each such failure
unless your failure is due to reasonable cause and not to willful neglect.
Civil penalty for false information with respect to withholding. tf you
make a {alse statement with no reasonable basis that results in no
backup withholding, you are subject to a $S0O penalty,
Fo.m W-g (Rev. '1 1-201 7)Page 3
Crimlnal p6nalty_lor falsifying information, Willfully falsifyirrg
e€rtillcalions or affirnations may subi€ct you to criminal p6naities
including lines andlor imprisonment.
Misuse ol TlNs. lf the requester discloses or uses TlNs in violation of
federal law, the requester may be subject to civil and criminal penalties.
Specific lnstructions
Line I
You must enter one oi the following on this line; do not leave this line
blank. The name should match the name on your tax return.
lf this Form W-9 is for a joint account (other than an account
maintained by a foreign financial institution (FFl)), list first, and then
circle, the name of the person or entity whose number you entered in
Part I of Form W-9, lf you are providing Form W-9 to an FFI to document
a joint account, each holder of the account that is a U.S. perso. musl
provide a Form W-9.
a. lndividual. Generaily, enter the name shown on your tax return, lf
you lave changed your last nafiro without informing the Social Security
Adminislration (SSA) of the name change, enter your first nanre, the lait
name as shown on your social securily card, and your new last name.
Note: lTlN applicant: Enter your individual name as it was entered on
your Form W-7 application, line 1a. This should also be the same as the
name you entered on the Form 1040/1040N1O40E2 you filed with your
applicalion.
b. Sole proprielor or single-member LLC. Enter your individual
name as shown on your 1040/1D40Nl040EZ on line .1. you may enter
your business, trade, or "doing business as', (DBA) name on line 2.
c, Partnership, LLC that is not a single-member LLG, C
corporation, or S corporation. Enter the ontity's name as shown on the
entity's tax return on line 1 and any business, trade, or DBA name on
line 2.
d, Otherentities. Enteryour name as shown on required U.S. federal
lax documents on line 1. This name should match the name shown on the
charter or olher legai documont creating the entity. you may enter any
business, ttado, or DBA name on line 2.
e. Disregarded eniity. For U.S. ledoral tax purposes, an eniity that is
disregarded as an enlily separate from its owner is tfeat€d as a
"dlstsgarded entity.'' See Regulatlons seclion g0l,T701-2(c)(2)(iii). Enter
tho own6r's name on line 1- The n6me of the entity entered on line 1
should never be a disregarded entity. The name on line 1 should be the
name shown on the income tax return on which the income should be
reported. For oxanrple, if a foreign LLC that is troalsd as a disregarded
entity for U.S. ledoral tax pueo$s$ has a single ownor that is a [.S.
person, the U.S. owner's name is required to be provided on line 1. lf
the direct owner of the entity is also a disregarded entity, enter the first
owner that is not disregarded tor federal tax purposes. Enter the
disregarded entity's nam6 on line !, "Business name/disregard6d entjty
nsmo." li the ownsr of the disrsgarded entity is a foreign person, the
owner must complete an appropriate Form W-g instead of a Form W-9.
This is the case even if the foreign person has a U.S. TlN.
Line 2
lf you have a business name, trade name, DBA name, or disregarded
entity name, you may enter it on line 2,
Line 3
Check the appropriate box on line 3 ior the U.S. federal tax
classification of ths person whose name is entered on line 1. Check only
one box on line 3.
Line 4, Exemptions
lf you are exempt from backup withholding and/or FATCA reporting,
€nter in the appropriate spac€ on line 4 any code(s) that may apply to
you.
Exempt payee code.
. Generally, individuals (including sole proprietors) are not exempt from
backup withholding.
. Except as provided below, corporations are exempt from backup
withholding for certain payments, including interest and dividends.. Corporations are not exempt from backup withholding for payments
made in settlement of payment card or third party network traniactions.. Corporations are not exempt Jrom backup withholding with respect to
attorneys'fees or gross proceeds paid to attorneys, and corporations
that provide medlcal or health care seruices are not exempt with respect
to payments reportable on Form 1099-MISC.
The following codes identify payees that are exempt from backup
withholding. Enler the appropriate code in the space in line 4.
1-An organization exempt from tax under section 501(a), any lRA, or
a custodial account under section 403(bX7) if the account satisfies the
requirements of section 401(0(2)
2-The United States or any of its agencies or instrumentalities
3-A stat€, the District of Columbia, a U.S. commonwealth or
possession, or any of their political subdivisions or instrumentalities
4-A foreign government or any of its political subdivisions, agencies,
or instrumentalities
5-A corporation
6-A dealer in securities or commodities required to register in the
United States, ihe District of Columbia, or a U.S. commonwealth or
possession
7-A futures commission merchant registeted with the Commodity
Futures Trading Commission
8-A real eslate investment trust
9-An entity registered at all times during the tax year under lhe
lnvestment Company Act of 1940
10-A common trust fund operated by a bank under section Sg4(a)
1 1 -A financial institution
12-A middleman known in the investment community as a nominee or
custodian
13-A trust exempt from tax under section 664 or described in section
4947
lF the entity/person on line 1 is
a{n}. . .
THEN check the box for . .
' Corporation Corporation
. lndividual
. Sole proprietolship, or
. Single-member limited liability
company (LLC) owned by an
individual and disregarded for U.S
federal tax purposes,
lndividual/sole proprietor or single.
member LLC
. LLC treated as a partnership for
U.S. federal tax purposes,
r LLC that has filed Form 8832 or
2553 to be taxed as a corporation,
or
. LLC that is disregarded as an
entity separate from its ownor but
the owner is another LLC that is
not disregarded for U.S. federal tax
purposes.
Limited liability company and enter
the approp.iate tax classification.
(P= Padnership; C= C corporation;
or S= S corporation)
. Partnership Partnership. Trustlestat€Trust/eslate
Form W-9 (Rev, 1 1 -20 1 7)Pase 4
lF the payment is lor . . .
lnterest and dividend payments
Broker transactions
Bader exchange transactions and
patronage dividends
Payments over $600 required to be
reported and direct sales over
$s,ooo'
THEN the payment is exempt
for. . .
All exempt payees except
lor 7
Exempt payeas 1 through 4 and 6
through .l 1 and all C corporations.
S corporations must not enter an
exempt payee code because they
are exempt only lor sales of
noncovered securiiies acquired
prior to 2012.
Exempt payees 1 through 4
Generally, exempt payees
1 through 52
The following chart shows types of payments that may be exempt
from backup withholding. The charl applies to the exempt payees listed
above, l through 13.
M-A tax exempt trust under a section 403(b) plan or section 457(9)
plan
Note: You may wish to consult with the financial institution requesting
this lorm to determine whether the FATCA code and/or exempt payee
code should be completed.
Line 5
Enter your address (number, street, and apartment or suite number).
This is where the requestor ot this Form W-9 will mail your inlormation
returns. ll this address differs from the one the requester already has on
file, write NEW at the top. lf a new address is provided, there is still a
chance the old address will be used until the payor changes your
address in their records.
Line 6
Enter your city, state, and ZIP code.
Paft l. Taxpayer ldentification Number fflN]
Enter your TIN in the appropriate box, li you are a resident alien and
you do not have and are not eligible to get an SSN, yourTlN is your IRS
individual taxpayer identification number (iTlN). Enter it in the social
security number box, lf you do not have an lTlN, see How to get a TtN
below.
lf you are a sole proprietor and you have an ElN, you may enier either
your SSN or ElN.
lf you are a single-member LLC that is disregarded as an entity
separate from rts owner, enter lhe owner's SSN (or ElN, if the owner has
one), Do not enter the disregarded enlity's ElN. lf the LLC is classified as
a corporation or pannership, enter the entity's ElN.
Note: See What Name and Number To Give the Fequester, later, for
fufiher clarification of name and TIN combinations.
How to get a TlN. 11 you do not have a TlN, apply for one immediately.
T€ apply for an SSN, get Form SS-5, Application tor a Social Security
Card, from your local SSA office or get this form online at
www.SsA.gov. You may also get this form by calling 1-800-772-1213.
Use Form W-7, Application for IRS lndividual Taxpayer ldentification
Number, to apply for an lTlN, or Form SS-4, Application for Employer
ldentification Number, to apply for an ElN. You can apply for an EIN
online by accessing the IRS website al www.irs.govlEusrnesses and
clicking on Employer ldentification Number (ElN) under Starting a
Business. Go lo www.irs.gav/Foms to view, download, or print Form
W-7 aad/or Form SS-4, Or, you can go to www.lrs.gov/OrderForms to
place an order and have Form W-7 and/or SS-4 mailed to you within 1O
business days.
lf you are asked to complete Form W-9 but do not have a TlN, apply
for a TIN and write "Applied For" in the space for the TlN, sign and date
the form, and give it to the requester. For interest and dividend
pay.nents, and certain payments made wath respect to readily tradable
instruments, generally you will have 60 days to get a TIN and give it to
the requester before you are subject to backup withholding on
payments. The 60-day rule does not apply to other types of payments.
You will be subject to backup withholding on atl such payments until
you provide your TIN to the requester.
Note: Entering "Applied For" means that you have already applied for a
TIN or that you intend to apply for one soon.
Caution: A disregarded U,S. entity that has a foreign owner must use
the appropriate Form W-8.
Part ll. Gedification
To establish to the withholding agent that you are a U.S. person, or
resident alien, sign Form W-9. You may be requested to sign by lhe
withholding agent even il item l, 4, or 5 below indicates otherwise,
For a joint account, only the person whose TIN is shown in part I
should sign (when required). ln the case of a disregarded entity, the
person identified on line 1 must sign. Exempt payees, see Exempt payee
code, earlier.
Signature requirements. Complete the certification as indicated in
items'l through 5 below.
Payments made jn settlement of Exempt payees 1 through 4
payment card or third party
transactions
1 See Form 1099-M|SC, Miscellaneous lncome, and its instructions.
2 Ho*ever, the following payments made to a corooration andreportable on Form 1099-MISC ar€ not exempt fiom backup
withholding: medical and health care payments, attorneys'fees, gross
proceeds paid to an attorney reportable under section 604S(f), and
payments for services paid by a federal executive agency.
Exemption from FATCA reporting code. The following codes identify
payees that are exempt from reporting under FATCA. These codes
apply to persons submitting this form for accounts maintained outside
of ihe United Stat€s by certain forejgn financial insttutions. Therefore, if
you are only submitting this form for an account you hold in the United
States, you may leave this field blank. Consult with lhe person
requesting this form if you are unceftain if the financial institution is
subject to these requirements, A requester may indicate that a code is
not required by providing you with a Form W-9 with ,,Not Applicable', (or
any similar indication) written or printed on the line for a FATCA
exemption code.
A-An organization exempt from tax under section S01{a) or any
individual retirement plan as defined in section 7701(a)(37)
B-The United States or any of its agencies or instrumentalities
C-A state, the District of Columbia, a U.S. commonwealth or
possessaon, or any of their political subdivisions or instrumentalities
D-A corporation the stock of which is regularly traded on one or
more sstablished securities markets, as described in Regulations
section 1.1472-1 (c)(1)(i)
E*A corporation that is a member ol the same expanded affiliated
group as a corporalion described in Regulations section 1.1472-j(cX1)(i)
F-A dealer in secu/ities, commodities, or derivative financial
instruments (including notional principal contracts, futures, forwards,
and options) that is registered as such under the laws of the United
States or any state
G-A real estat€ investment trust
H-A regulated investment company as defined in section g51 or an
entity regist€red at ali times during the tax year under ihe lnvestment
Company Act of 1940
l-A common trust fund as defined in section 584(a)
J-A bank as delined in section 581
K-A broker
L-A trust exempt from tax under section 664 or described in section
aea7@l(1)
Form W-9 (Rev. 1 1-2017)Paqe 5
1. lnlerest, dividend, and barter exchange accounts opened
before 19&4 and broker accounb considered active during 1903.
You must give your correct TlN, but you do not have to sign the
certification.
2. lnterest, dividend, broker, and barter exchango accounts
opened after 1983 and broker accounts considered inactive during
1983. You.must sign the certification or backup withholding will appty. lf
you are subject lo backup withholdlng and you are merely providing
your coffect TIN to the requester, you must cross out item 2 in the
certlfication before signing the form.
3. Real estate transactions. You must sign the certification. you may
cross out item 2 of the certification.
4. Other payments. You must give your correct TlN, but you do not
have to sign the cerlification unless you hav6 been notified that you
have previously given an incorrect TlN. ''Other payments,' include
payments made in the course of the requester's trade or business for
renls, royalties, goods (other than bills for merchandise), medical and
health cara services (including payments to corporations), paymenis to
a nonemployee for services, payments made in settlement of payment
card and third party network transactions, payments to certain fishing
boat crew members and fishermen, and gtoss proceeds paid to
attorn€ys (including payments to corporations).
5. Mortgage interest paid by you, acquisition or abandonment of
secured prop€rty, cancellation ol debt, qualified tuition program
payments (under section 529), ABLE accounts (under section 529At,
lRA, Coverdell ESA, Archer MSA or HSA contributions or
distributions, and pension distributions, You must give your correct
TlN, but you do not have to sign the certification.
What Name and Number To Give the Requester
For this of account:Give name and SSN of:
For this of account:Give name and EIN of:
wilh the Department of The
Agricujture in the name of a public
entity (such as a slate or looal
governm€nt, school district, or
prison) that receives agricultural
program payments
1 5. Grantor trust filing under the Form
1 04 1 Filing Method or the Opiional
Form 1099 Filino lvethod 2 (see
Regulations seclion 1.671 -4(b){2XiXB))
The trust
1 List fir$t and circle the name ol the person whose number you fumish,
lf only ona person on ajoint accounl has an SSN, that pors6n's nurnber
must be furnished.
2 Grrcle the minor's name and furnish the minor's SSN.
3 You must show youf individual name and vorr mav also enter vour
business or DBA name on the "Business name/disregarded ent'ity"
name line. You may use either your SSN or EIN (if you have one), but the
IRS encourages you to use your SSN.
4 Lisl first and circle the name of the trust, estate, or pension trust. (Do
not furnish the TIN of the personal representative or trustee unless the
legal entity itself is nol desjgnated in the account title.) Also see Specla/
rules for padnerchrps, earlier.
*Note; The grantor also must provide a Form W-9 to trustee of trust.
Note: lf no name is circled when more than one name is iisted, the
number will be considered to be that of the first name listed.
Secure Your Tax Records From ldentity Theft
ldentity theft occurs when someone uses your personal information
such as your name, SSN, or other identifying information, without your
permission, to commit fraud or other crimes. An identity thief may use
your SSN to get a job or may file a tax return using your SSN to receive
a rofund.
To reduce your risk:
. Protect your SSN,
. Ensure your employer is protecting your SSN, and
. Be careful when choosing a tax preparer.
lf your tax records are affected by identity theft and you receive a
notice from the lRS, respond right away to the name and phone number
printed on the iRS notice or letter.
lf your tax records are not curently affected by identity theft but you
think you are at risk due to a lost or stolen purse or wallet, questionable
credit card activity or credit report, contact the IRS ldentity Theft Hotline
at 1 -800-908-4490 or submit Form 1 4039.
For more information, see Pub. 5027, ldentity Theft lntormation tor
Taxpayers.
Victims of identity theft who are experiencing economic harm or a
systemic problem, or are seeking help in resolving tax problems that
have not been resolved through normal channels, may be eligible for
Taxpayer Advocate Service (TAS) assistance. You can reach TAS by
calling the TAS toll-free case intake line at 1-877-777-4tzg or TTyiDD
1 -800-829-4059.
Protect yourself lrom suspicious emails or phishing schemes.
Phishing is the creation and use of email and websites designed to
mimic legitimate business emails and websites. The most common act
is sending an emailto a user falsely claiming to be an established
legitimate enterprise in an attempt to scam the user into surrendering
private information that will be used for identity theft.
1. lndividual
2. Two or more individuals Uoint
account) other than an account
maintained by an FFI
3. Two or more U.S. persons
0oint accounl maintained by an FFI)
4. Custodial account of a minor
(Uniiorm Gilt to Minors Act)
5. a. The usual revocable savings trust
(grantor is also trusles)
b. So-called trust account lhat is not
a leqal or valid trust under state law
6. Sole proprietorship or disregarded
enlity owned by an individual
7- Grantor lrust filing under Optional
Form 1099 Filing Method 'l (see
Regulations section 1.671 - (b)(2)(i)
(A))
For this typ6 of account:
8.P.nlity not an
individual
9. A valid trust, estate, ot pension trust
'10. Corporalion or LLC electing
corporate status on Form 8032 or
Form 2553
1 1. Association, club, religious,
charitable, educational, or olher lax-
exempl organization
12. Partnership or multi-member LLC
1 3, A broker or registered nom nee
The individua,
The actual owner ol the account or, if
combined funds, the first individual on
the accountl
Each holder of the account
I ne mrnor
The grantortrusteel
The actual ownerl
The owner'
The grantor'
Give name and EIN ol:
owner
Legai eniitya
The corporation
The organization
The partnership
The broker or nominee
FormW-9{Rev. 11-2017)Page 6
The IRS does not initiats contacts with taxpayers via emails. Also, the
IRS does not roquest p€rsonal detailed information through email or ask
taxpayers for the PIN numbers, passwords, or similar secret access
information for lheir credit card, bank, or other financial accounts.
lf you receive an unsolicited email claiming to bo from the lRS,
forward this massage lo phrshrn g@irs.gov. You may also repod misuse
of the IRS name, logo, or other iRS property to the Treasury lnspector
General for Tax Administration OIGTA) ai 1-800-366-4484, you can
forward suspicious emails io the Federal Trade Commission at
spam@uce.gov or report them atwww,ftc.gov/complaint. you can
contact the.FTC at www.ftc.govlidtheft or 877-IDTHEFT (977-4Og-433S).
lf you have been the victim of identity theft, see www.ldentityTheft.gov
and Pub. 5027.
Visii www.rrs.gov/ldentityTheft to learn more about identity theft and
how to reduce your risk.
Privacy Act Notice
Section 6109 ofth€ lnternal Revenue Code requires you to prov'de your
correct TIN to persons (including ted€ral agencies) who are requirecj to
file information retums with the IRS to report interest, dividends, or
certain other income paid to you; mortgage interest you paid; the
acquisition or abandonment of secured property; the cancellation of
debt; or contributions you made to an lRA, Archer MSA, or HSA. The
person collecting this form uses the information on the form to file
information returns with the lRS, reporting the above information.
Routine uses of this informaiion include giving it to lhe Depariment of
Justice for civil and criminal litigation and to cities, states, the District of
Columbia, and U.S. commonwealths and possessions for use in
administering their laws. The information also may be disclosed to other
countries undet a treaty, to fed€ral and state agencies to entorce civil
and criminal laws, or to lederal law enforcement and intelligence
agencies to combal terrorism. You must provide your TIN whether or
not you are required to file a tax return. Under seciion 3406, payers
must genorally withhold a percentage of taxable interest, dividend, and
cerlain other payments to a payee who does not give a TIN to the payer.
Cedain penalties may also apply for providing false or fraudulent
intormation.
Exhibit 'B"
Guidelines and Requirements for
Expenditure Reimbursements from Lodging Tax
Section 1. Brandins
Contractors who have been approved to utilize grant awards for advertising expenditures must
incorporate Kittitas County and the appropriate City of Cle Elum, Ellensburg, or Roslyn tourism
information as follows:
A. Websites and Social Media Sites must include the County's and appropriate City's tourism
website logo or URL with an operational link to the site(s). The URL landing page must use the
correct logos and have a linkto centralwashingtonoutdoor.com. Contractors must either keep
the landing page active until time of reimbursement or use a screen capture for full
reimbursement. (lf you are using a live logo as the link to CWO, please ensure the hyperlink is
shown in the screen capture). The logo must be displayed on the contractor's home page, it
must be sized no smaller lhan% inch in height and must be surrounded by appropriate white
space to allow easy recognition and legibility. Contractors shall not change the logo(s) in color or
appearance.
B. Print Advertising and Online Display Advertising of all types (including but not limited to
newspaper, periodicals, flyers, posters, billboards, direct mail, e-newsletters, third-party
websites, streaming displays, social media etc.) must include the County's and appropriate
City's tourism website logo (or URL with a one-click away operational hyperlink). The URL
landing page must use the correct logos and have a link to centralwashingtonoutdoor.com.
Contractors must either keep the landing page active until time of reimbursement or use a
screen capture for full reimbursement. (lf you are using a live logo as the link to CWO, please
ensure the hyperlink is shown in the screen capture). The logo must be sized no smaller lhan%
inch in height and must be surrounded by appropriate white space to allow easy recognition and
legibility. Contractors shall not change the logo(s) in color or appearance.
C. Video Advertising of all types (including but not limited to television, online, electronic kiosks,
motion billboards, etc.) must include the County's and appropriate City's tourism website logo.
The logo must be sized no smaller than% inch in height, and must be surrounded by appropriate
white space to allow easy recognition and legibility. Contractors shall not change the logo(s) in
color or appearance.
All logos and website information may be obtained by contacting the Director of Tourism, Kittitas
County Chamber of Commerce.
Section 2. Advertising Reimbursements
Contractors seeking reimbursement from Lodging Tax Funds for advertising expenditures must adhere
to the following guidelines and requirements for each type of advertising media utilized.
A. Print Advertising:
L. Print advertising placed with any media provider which operates exclusively outside of
Kittitas County may be reimbursed at 7OO% of the cost, including any production costs. To
operate exclusively outside of Kittitas County, the provider must not be physically located in
the County and/or not distribute any media within the County.
2. Print advertising placed with any media provider which operates inside Kittitas County may
be reimbursed as follows:
a. For date-specific events, advertising the day of the event and up to 10 days prior to
the event may be reimbursed al tOO% of the cost, including any production costs.
b. For seasonal or year-round events, or for date-specific events outside of the time-
frame in Section 2 A, (z)(al above, advertising reimbursement requests must include a
statement from the media provider specifying the percentage distribution to areas
outside of Kittitas County. Reimbursements will be allowed for the amount distributed
outside of Kittitas County, including any production costs.
B. Television Advertisins:
1. Television advertising placed with any media provider outside the Yakima/Kittitas DMA will
be reimbursed at 100% of the cost, including any production cost.
2. Television advertising placed with any media provider inside the Yakima /Kittitas DMA will
be reimbursed as follows:
a. For date-specific events, advertising the day of the event and up to 7 days prior to
the event may be reimbursed at lOO% of the cost, including any production costs.
b. For seasonal or year-round events, or for date-specific events outside of the time-
frame in Section 2 8,2(al above, advertising may be reimbursed at the rate of 7O% of
the total cost, including any production costs.
C. Online Advertisins:
1. Online advertising and promotion may be reimbursed at 100% of the cost, including any
production cost.
2. Streamed media (radio, television, other) requests for reimbursement must include a
statement from the media provider specifying the percentage of recipients which are
outside of Kittitas County. Reimbursements will be allowed for the percentage distributed
outside of Kittitas County, including any production costs.
D. Direct Mail:
1. Direct mail advertising may be reimbursed at 7OO% of the cost, including any production
cost, for each item mailed or shipped to a destination outside of Kittitas County. ln order to
receive reimbursement, a list of the addresses and a signed statement from the contractor
that the list is accurate, or other proof of delivery, must be provided along with other
required documentation.
E. Flvers/Posters:
L. Flyers or posters which are placed outside of Kittitas County may be reimbursed at LO}% of
the cost, including any production cost. ln orderto receive reimbursement, a list of the
locations where flyers or posters were posted outside of Kittitas County, a signed statement
from the contractor that the list is accurate and a copy of the poster/flyer must be provided
along with other required documentation.
2. Banners which are placed inside of Kittitas County may be reimbursed at 7OO% of the cost,
including any production costs. ln order to receive reimbursement, the banner cannot list a
specified date or location. Request can only be made one time.
3. Signage (site layout use only) which are placed inside of the venue/facility of the event may
be reimbursed at 100% of the cost, including any production costs. ln order to receive
reimbursement, the signage cannot list specified date or location. Request can only be
made one time. (i.e. ADA Parking /Parking, Loading Zone, Evacuation Route, Bathrooms, and
Stage locations)
F. Radio Advertising:
L. Radio advertising placed with any media provider located outside of Kittitas County may be
reimbursed at 700% of the cost, including any production cost.
2. Radio advertising placed with any media provider located inside of Kittitas County may be
reimbursed as follows:
a. For date-specific events, advertising the day of the event and up to 7 days prior to
the event may be reimbursed at 7OO% of the cost, including any production cost.
b. For seasonal or year-round events, or for date-specific events outside of the time-
frame in Section 2 F,z(al above, advertising may be reimbursed at the rate of 3O% of
the total cost, including any production costs.
G. Operation Reimbursement:
I. Operation costs may be reimbursedlOO% of the paid invoice cost. ln orderto receive
reimbursement operations invoice must an approved cost from the Consolidated Lodging
Tax committee members list. lnvoice provided must include notation of payment with proof
of payment.
2. Mileage reimbursements that are outside of 50 miles of Kittitas County may be reimbursed
al tOO% of cost. ln order to receive reimbursement, a signed statement from the receiver
along with other required documentation. Mileage reimbursement subject to IRS mileage
reimbursement rates which may change annually.
3. ltems not eligible for reimbursement:
a. Salaries of employees
b. Capitol purchases- any item with 3+ years life and over 55,000.c. Licenses, permits, insurance, or credit card fees