HomeMy WebLinkAboutOLYMPIC PENINSULA TOURISM COMMITTEE JLARC Reporting_Jefferson Co_OPTC_2025Lodging 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 'urisdiction I e required to complete this form for EACH activity.
1 Organization Name: C7 G �n�nr.�[G� kirlSl�'l m■R • Reporting Year: o20.Z
2 Sponsor Type (Check One): _ 501(c)(3) 0501(c)(6) _ ® Local Jurisdiction 0 Other (Explain):
3 Activity Name: D'fl V Y41KC11f7V4
4 Activity Type (Check One): 0 Event/Festival* 0 Facility* gn • cling*
5 Activity Start Date*: ( .- 1 7-07--V—
6 Activity End Date*:
7 Total Cost of Activity:
8 Amount Requested:
9 Amount Awarded:
10 Overall Attendance*
a) Projected*
b) Actual* CO&O1MCI
c) Methodology (Check One): 0Direct Count*
0Indirect Count* 0Representative Survey*
0Informal Survey* �kructured Estimate*
00ther (explain):
1 l Number of Attendees Who Traveled 50 Miles or More*
a) Projected*
b) Aclua[*
1 QQ
—
c) Methodology (Check One): 0 Direct Counl*
0 Indirect fount*
0 Representative Survey*
0 Informal Survey*
Structured Estimate*
0 Other (explain):
12 Number of Attendees Who
Traveled from Another State or Country*
a) Projected*
b) Actual*
c) Methodology (Check One): 0 Direct Count*
01Indirect Count* 0 Representative Survey*
Informal Survey* structured Estimate*
Other (explain):
*See Lodging Tax Yearly Reporting Definitions/Instructions
Name of Individual Who Prepared Report: , Ma V'; kA
Phone #: ,�j(eQ� y'%& L .'V"". ,� 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
13 Number of Attendees Who Stayed Overnight in Unpaid Accommodations*
a) Projected*
b) Actual* 1b , wo
c) Methodology (Check One): 0 Direct Count*
0Indirect Count* 0Representative Survey*
0Informal Survey* structured Estimate*
Other (explain):
14 Number of Attendees Who Stayed Overnight in Paid Accommodations*
a) Projected*
b) Actual* (0 1
c) Methodology (Check One): 0 Direct Count*
0 Indirect Count* 0Representative Survey*
0 Informal Survey* J&Structured Estimate*
0 Other (explain):
15 Number of Paid Lodging Nights*
a) Projected*
b) Actual* 6W
c) Methodology (Check One): Direct Count*
0 Indirect Count* 0 Representative Survey*
0 Informal Survey* 59ructured Estimate*
0 Other (explain):
Lit
DEADLINE: February 28th of Each Re ortiug Year
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