2020.08.05 EDC Packet - Laserfiche WebLink

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Small Business Emergency Assistance Program Economic Development Commission; 8-5-20 Page 7 DRAFT PROGRAM APPLICATION (EXAMPLE) 1. Applicant Information. Applicant’s home address DOES NOT have to be within the City of New Brighton to qualify for this grant opportunity. First Name: ______________________________________________________ Last Name: ______________________________________________________ Email Address: ______________________________________________________ Phone Number: ______________________________________________________ Applicant Home Address: ______________________________________________________ 2. Business Information. Business MUST BE based within the City of New Brighton to qualify for this grant opportunity. The business address must be separate from the home address to qualify. Legal Business Name: ______________________________________________________ Operating Business Name: ______________________________________________________ Business Address: ______________________________________________________ 3. Is the Business a locally owned and operated business located within the City of New Brighton? Yes: ______________ No: ______________ 4. Provide full name and percent (%) ownership for at least one owner with at least 20% ownership of the business as a primary point of contact: Full Name: ______________________________________________________ Percent Ownership: ______________________________________________________ 5. Legal structure of the business: ___________ Corporation ___________ Limited Liability Company / Partnership (LLC/LLP) ___________ Cooperative or Sole Proprietor 6. Indicate primary business or industry type (i.e. realtors are in the Real Estate Industry. Pizza Planet is in the Restaurant Industry) ____________________________________________________________________ ____________________________________________________________________