HomeMy WebLinkAboutJEFFERSON COUNTY HISTORICAL SOCIETY 2025 State Reporting Form_JCHS1 Organization Name: Reporting Year:
2 Sponsor Type (Check One): 501(c)(3) 501(c)(6) Local Jurisdiction Other (Explain):
3 Activity Name:
4 Activity Type (Check One): Event/Festival* Facility* Marketing*
5 Activity Start Date*:
6 Activity End Date*:
7 Total Cost of Activity: $
8 Amount Requested: $
9 Amount Awarded: $
10 Overall Attendance* 13 Number of Attendees Who Stayed Overnight in Unpaid Accommodations*
a) Projected* a) Projected*
b) Actual* b) Actual*
c) Methodology (Check One): Direct Count* c) Methodology (Check One): Direct Count*
Indirect Count* Representative Survey* Indirect Count* Representative Survey*
Informal Survey* Structured Estimate* Informal Survey* Structured Estimate*
Other (explain): Other (explain):
11 Number of Attendees Who Traveled 50 Miles or More* 14 Number of Attendees Who Stayed Overnight in Paid Accommodations*
a) Projected* a) Projected*
b) Actual* b) Actual*
c) Methodology (Check One): Direct Count* c) Methodology (Check One): Direct Count*
Indirect Count* Representative Survey* Indirect Count* Representative Survey*
Informal Survey* Structured Estimate* Informal Survey* Structured Estimate*
Other (explain): Other (explain):
12 Number of Attendees Who Traveled from Another State or Country* 15 Number of Paid Lodging Nights*
a) Projected* a) Projected*
b) Actual* b) Actual*
c) Methodology (Check One): Direct Count* c) Methodology (Check One): Direct Count*
Indirect Count* Representative Survey* Indirect Count* Representative Survey*
Informal Survey* Structured Estimate* Informal Survey* Structured Estimate*
Other (explain): Other (explain):
*See Lodging Tax Yearly Reporting Definitions/Instructions
Name of Individual Who Prepared Report:
Phone #: E-Mail Address:
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
Lodging Tax Reporting Form
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 jurisdiction are required to complete this form for EACH activity.
DEADLINE: February 28th of Each Reporting Year
Jefferson County Historical Society 2025
Programs and Marketing Support
01/01/2025
12/31/2025
84,550.00
84,550.00
84,550.00
13,000
10,337
4,000
5,765
zip codes collected
1,000
2,575
zip codes collected
this is not data we collect
8,000
6,000
based on estimate of tourist visitation
this is not data we collect
Tara McCauley
(360) 385-1003 tara@jchsmuseum.com