CM 2024-325 - 12/13/2024 2. If Question 1 is selected as"No," the municipality or county must directly enter into the Event Support Contract
with the Site Selection Organization.
If"Yes," provide the following information for the LOC:
Complete Business Name of LOC:
LOC Contact Name:
LOC Contact Title:
Contact Email:
Contact Phone Number:
Is the LOC designated in the official request letter submitted with the application? Yes❑ No❑
Full Name of Site Selection Organization: Adidas Junior 3SSB-Sierra Sports Management LLC
Site Selection Contact Name: Alison Reinholt
Site Selection Contact Title: Director of Operations
Site Selection Contact Email: Alison@3ssbcircuit.com
Contact Phone Number: S74-339-9843
*EDT reserves the right to contact the Site Selection Organization or any other organization directly related to this event.
Total Fund Amount Requested: $22,413.00
State Share: $19,322.00
Local Share: $3,091.00
*In accordance with statute, the State Share must be no more than 6.25 times the Local Share. To calculate the Local
Share,divide the State Share by 6.25.Total Fund=State Share+Local Share.
For MERP Applications only:
Estimated Direct Impact Total:
Estimated Secondary Impact Total:
*Direct Impact+Secondary Impact=Total Fund. Calculate the Total Fund, and then determine the Local Share and State
Share.