Submit a 2020 Emergency Business Grant Application Online Please be sure you read through the entire Information Packet on the previous page before applying for the grant. Date of Application* Date Format: MM slash DD slash YYYY Planned Use of Funds (Left click+Ctrl to select more than one.)*RentUtilitiesInventoryPayrollOtherTotal Grant Request*Legal Name of Business*Doing Business As (DBA)*Thornton Business License #*Date business licensed in City of Thornton* Date Format: MM slash DD slash YYYY Business Address Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Business PhoneBusiness Email Business Owner’s Name*Business Owner's EmailBusiness Owner's Phone*Business owner is a resident of:*City of ThorntonState of ColoradoBusiness is not locally ownedProperty owned or leased?*OwnedLeasedIf owned, does the property owner operate the business at this location?*YesNoHow many businesses/locations does business owner own/operate?Locations of additional businesses?Is the business owner applying for assistance at additional locations?*YesNoIf yes, please include details in detailed summary.Name of person filling out grant applicationEmail for person filling out grant application Phone # for person filling out grant applicationNumber of Full Time Employees BEFORE 3/15/20*Number of Full Time Employees AFTER 3/15/20*Number of Part Time Employees BEFORE 3/15/20*Number of Part Time Employees AFTER 3/15/20*Please provide a detailed summary.*Please attach a detailed summary answering the following questions include additional documentation necessary to verify your circumstances: (the more detail you provide, the easier it will be for your application to be prioritized and scored): ● Overview of business operation and service provided to community, highlight the uniqueness of the service or operation. ● How has the COVID-19 crisis impacted your business? ● What steps have you taken to mitigate your circumstances? ● Have you applied for additional funding from a financial institution (if yes, please explain)? ● Have you received approval for additional funding or assistance (if yes, how much)? ● If you have not applied for additional funding or were denied, please explain. ● What is your percentage of revenue loss? ● How do you plan to regain your business operation and customer base to the status it was before COVID-19 Crisis ● Include an itemized statement of financial records showing how your business was doing before and after COVID-19. Include documentation showing how COVID-19 affected your business and proof that your business was stable prior to the crisis. Some examples could be: Profit Loss statements, Bank statements, lease payments, sales tax reports, and other financial obligations before and after COVID-19. ● Include an itemized statement of how you intend to spend the money, include billing statements, invoices, or other documentation showing amount owed. ● Include documentation providing proof of the number of full-time and part-time employees you are responsible for. If you are requesting assistance with payroll, include hourly wage. Upload W9 form (pdf only)* Drop files here or Accepted file types: pdf. Copy of signed lease (if applicable) Drop files here or Accepted file types: jpg, gif, png, pdf. Proof of before and after COVID-19 financial impact.* Drop files here or Accepted file types: jpg, gif, png, pdf. Examples could include: profit and loss statements, balance sheets, annual taxes, sales tax report, bank statements.Itemized list and proof of how you intend to spend funds.* Drop files here or Accepted file types: pdf. Examples could include: costs incurred since March 15, 2020 that you are unable to pay, additional expenses incurred as a direct result of COVID-19, utility bills, insurance, schedule of lease payments, receipts, inventory costs, payroll or other vital expenditures necessary to operate the business. Maximum of 2 months of debt will be considered.Proof of number of employees prior to March 15, 2020.* Drop files here or Accepted file types: jpg, gif, png, pdf. Examples: check stubs, payroll, bank statements, etc.Please submit any additional attachments via email to [email protected]I acknowledge that all information in this application is accurate and correct.* YES EmailThis field is for validation purposes and should be left unchanged.