LTAC 2016-03-04 Agenda Packet - Laserfiche WebLink

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Application to the City of Tukwila for Use of 2016 Lodging Tax Funds Event or Activity Name (if applicable): Administration Costs Amount of Lodging Tax Requested: $40,500 Applicant Organization: City of Tukwila Federal Tax ID Number: 91- 6001519 Mailing Address: 6200 Southcenter Blvd Tukwila, WA 98188 Primary Contact Name: Brandon J. Miles Primary Contact Phone: (206) 431 -3684 Primary Contact Email Address: I Brandon.Miles @TukwilaA2.gov Check all the service categories that apply to this application: o Tourism promotion or marketing. o Operation of a special event or festival designed to attract tourists. o Operation of a tourism- related facility owned or operated by a non - profit organization. o Operation and /or capital costs of a tourism - related facility owned by a municipality or a public facilities district. Check which one of the following applies to your agency: o Non - Profit (Note: Attach a copy of your current non - profit corporate registration from the Washington Secretary of State Office) o Public Agency o For Profit Agency /Business (Washington State UBI Number: ) I am an authorized agent of the organization /agency applying for funding. I understand that: • 1 am proposing a tourism - related service for 2016. If awarded, my organization intends to enter into a services contract with the City; provide liability insurance for the duration of the contract naming the City as additional insured and in an amount determined by the City; and file for a permit for use of City property, if applicable. • My agency,will be required to submit a report documenting economic impact results in a Printed or Typed Name: