Submit an Application for a 2020 Regional Retail & Entertainment Emergency Business Grant (COVID-19) Please be sure you read through all of the information on the previous page before applying. Date of Application* Date Format: MM slash DD slash YYYY Total Grant Request*Legal Name of Business*Doing Business As (DBA)*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 Property owned or leased?*OwnedLeasedName of person filling out grant applicationEmail for person filling out grant application Phone # for person filling out grant applicationWhat was your percentage of revenue loss due to COVID-19?*Have you received funding from another City of Thornton grant already this year?*If so, how much?Please itemize how you intend to spend the grant funds.*Allowable expenditures include costs related to reopening or adaptation of the business following the COVID-19 Pandemic to allow for operation under new mandatory guidelines, such as Personal Protective Equipment, specialized cleaning services, site modifications, marketing and signage to announce reopening, and other related expenses necessary for the immediate operation of the business (not payroll or inventory). Allowable expenditures may also include rent. Grant funds cannot be used to pay taxes, city of Thornton utility bills or other debt owed to the City.Upload W9 form (pdf only)* Drop files here or Accepted file types: pdf. Please upload/provide invoices and receipts for all qualifying expenditures.* Drop files here or Accepted file types: pdf. Please submit any additional attachments via email to [email protected]I acknowledge that all information in this application is accurate and correct.* YES By submitting this application, you are authorizing the City of Thornton Sales Tax department to verify that you meet the grant requirement for 25% loss through previously submitted sales tax returns; and that this loss is a result of COVID-19. This information will remain confidential.* I authorize this verification. PhoneThis field is for validation purposes and should be left unchanged.