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City of Port Orchard Lodging Tax Application
(RCW 67.28.1816) C}CI Y CLERK OFFiCED
For Budget Year:
2022
Available Funding: Application Deadline:
$100,000 1 October 18, 2021, by 4:00 p.m.
Applicants may consist of convention and visitors' bureaus, destination marking organizations, nonprofits,
including main street organizations, lodging associates, or chambers of commerce, and additionally the cities or
towns themselves.
Please read carefully and include all information. Omitting requested information could result in having your
application denied. Keep your answers clear, concise, and to the point of the question. Do not include
presentation materials, as these materials are more appropriate to be used as part of your oral presentation. Do
not include brochures or information not related to your project or request.
Submit completed signed application to the City Clerk's office by the application deadline listed at the top of this
application. Mailing address: City Clerk's Office, City of Port Orchard, Port Orchard, WA 98366. Email address:
citycierk@cityofPortorchard.us.
NO LATE APPLICATIONS WILL BE ACCEPTED. Even if postmarked earlier, applications will not be accepted if
received after the application deadline.
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1. Applicant Information
Organization Name
Street Address
City ,r State
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Phone Fax
11) -6 7q -7107
Type of Organization: ❑ Nonprofit
Funding Requested for (choose one)
Are you a first-time participant?
Mailing Address (if different from street address)
Zip City
/ 5166
Name of Executive Director/President
u t �—
State { Zip
❑ Government Agency XOther SC % 0) C17)
XMarketing and Operations of Events
❑ Yes X No
2. Applicant Contact Information
❑ Tourism Marketing
Name Position/Title
DILL 1?136� l.C/t-
Phone
Email Address
City of Port Orchard, 216 Prospect Street, Port Orchard, WA 98366 (360) 876-4407 Page 1 of 4
3. Overall Event or Project Detail (please attach additional paperwork if needed)
Title
C(Z.yZr-
Amount of funding requested $ 3 Soo
A. Describe your overall event or project.
Total Overall Event or Project Amount $ // pp
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B. Describe how your overall event or project will provide a community economic benefit.
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C. Please describe how you will measure the impact your overall event or project will have on tourism or
projected increase in tourism. Please be specific and provide examples.
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4. Overall Event or Project Budget Summary
A. Describe, and be specific, on what you would spend the requested lodging tax funds on.
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B. Income Other Than Lodging Tax (from sponsorships, grants, donation and admission fees)
If you anticipate receiving partial funding for this activity from another source, please list the source(s) approximate
amount, and status of funding. Indicate the entry or admission fee if one will be charged.
SOURCE
AMOUNT
Confirmed or Projected?
If projected, what is the anticipated
receipt date?
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$ Go
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TOTAL: $ / y
City of Port Orchard, 216 Prospect Street, Port Orchard, WA 98366 (360) 876-4407 Page 2 of 4
C. Other Expenses of Overall Event or Project (only complete below boxes that are applicable to your overall event or project that you are
seeking funds for.)
Proposed City
Other Committed
Total
LTAC Funds
Funds
Operations (postage, fuel,
$
$
R111
$
permits, etc.)
91
Event Marketing
$
,�2 a
$
I(Z 00
/� ou
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Tourism Marketing
$
$
Other Activities
$
$
Explain:
TOTAL COSTS
$* qoo
$
$
*City Lodging Tax funds would represent what percentage of your overall budget? . / G %
Can you operate this project with reduced funding? 1 eYes ❑ No If yes, explain below:
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D. Other Financial Information
Does your overall event or project have provisions (or plans) for becoming less dependent on Lodging Tax funding?
(Meaning does the overall event or project have the ability to increase revenue by charging admission, increasing fees,
etc.)
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If not, what are your challenges of generating new revenues:
5. Estimated Numbers of Increased Tourism
*If you received lodging tax funds last year, you must attach last year's reporting*
Applicants applying for use of LTAC funds must provide estimates of how it will result in increases in the number of people
traveling for business or pleasure on a trip as required by RCW 67.28.1816:
Projected
Actual'
Methodology'
Overall Attendance:
o1 O oOv
Attendees who traveled 50 miles or more to attend:
Tota 1:
Of total, attendees who traveled from
another state or country:
Attendees who stayed overnight:
Paid accommodations:
115
Unpaid accommodations:
20
Paid Lodging nights:
�.1
1 Actual numbers will be required to be reported to the City in 2023.
City of Port Orchard, 216 Prospect Street, Port Orchard, WA 98366 (360) 876-4407 Page 3 of 4
The applicant hereby certifies and confirms that it does not now nor will it during the performance of any contract
resulting from this proposal unlawfully discriminate against any employee, applicant for employment, client, customer, or
other person(s) by reason of race, ethnicity, color, religion, age, gender, national origin, or disability. That it will abide by
all relevant local, state, and federal laws and regulations. That it has read and understands the information contained in
this application for funding and is in compliance with the provisions thereof, and; that the individual signing below has the
authority to certify to these provisions for the applicant organization, and declares that he/she is an authorized official of
the applicant organization, is authorized to make this application, is authorized to commit the organization in financial
matters, will assure that any funds received as a result of this application are used for the purposes set forth herein, and
verifies that all the information contained in this application is valid and true to the best of his/her knowledge.
Certified By: Signature
Print or Type Name
Title
Date
/ 01.71'.a 1
City of Port Orchard, 216 Prospect Street, Port Orchard, WA 98366 (360) 876-4407 Page 4 of 4