HomeMy WebLinkAboutQUILCENE HISTORICAL MUSEUM ANNUAL State Report RECEIVED
aN 2 0 2026
Lodging Tax Reporting Form iRSON COUNTY
)MMISSIONERS
Organizations receiving funding to promote festivals,special events and tourism-related activities through tourism-related facilities
owned or sponsored by non-profit organizations),or the local-O jurisdiction/I'' are required to complete this form for EACH activity.
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1 Organization Name: 21,4.i f< w 1- s`e _,+ rt c...a Tviu n Reporting Year: 20,Z 5
2 Sponsor Type(Check One): ®501(c)(3) O 501(cx6) O Local Jurisdiction °Other(Explain):
3 Activity Name: :tteit f j .E Qa /Klitre--4 j
4 Activity Type(Check One): ( O Event/Festival* O Facility* O rketing*
5 Activity Start Dates: C>L I 0 I 2- 2-.5
6 Activity End Dates: 12 13( I Zv 25
7 Total Cost of Activity: S f l) 500
8 Amount Requested: $ elf) 5420
9 Amount Awarded: $ 71) 560
10 Overall Attendance* 13 Number of Attendees Who Stayed Overnight in Unpaid Accommodations*
a) Projected* 7 0 5 0 a) Projected* 3 C
b) Actual* O (,> i 14- b) Actual* Z'((,CO
c) Methodology(Check One): ("Direct Count* c) Methodology(Check One): 0 Direct Count*
°Indirect Counts °Representative Survey* ®indirect Count* °Representative Surveys
°informal Survey* °Structured Estimate* °Informal Survey* O Structured Estimate*
°Other(explain): OOther(explain):
11 Number of Attendees Who Traveled 50 Miles or More* 14 Number of Attendees Who Stayed Overnight in Paid Accommodations*
a) Projected* 5000 a) Projected* tfO L0
b) Actual* 6 2 C) b) Actual* 3 Z l L
c) Methodology(Check One): 0 Direct Count* c) Methodology(Check One): 0 Direct Count*
®Indirect Count* °Representative Survey* ®Indirect Count* °Representative Survey*
0 Informal Survey* O Structured Estimate* 0 Informal Survey* 0 Structured Estimate*
OOther(explain): O Other(explain):
12 Number of Attendees Who Traveled from Another State or Country* 15 Number of Paid Lodging Nights*
a) Projected* Zoe) a) Projected* 4000
b) Actual* 2.' 0 b) Actual* 3 zoo
c) Methodology(Check One): 0 Direct Count* c) Methodology(Check One): O Direct Count*
0 Indirect Count* °Representative Survey* 0 Indirect Counts °Representative Survey*
OInformal Survey* °Structured Estimate' ®Informal Survey* O Structured Estimate*
Other(explain): O Other(explain):
*See Lodging Tax Yearly Reporting Definitions/Instructions
Name of Individual Who Prepared Report �Qy-y t lit ee ha y`
Phone#: 0 C > T 3 7- 2 cti I E-Mail ddress: q Le%`e e�1 a. mt�l6 e -Ytl 00(y ' Lt-.. L0 vA,,
RETURN THIS FORM TO: ^�
Jefferson County Administrator's Office
1820 Jefferson Street
P.O.Box 1220
Port Townsend,WA 98368
jeffbocc@co.jefferson.wa.us
DEADLINE:February 28th of Each Reporting Year
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