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Small Business Grant Application
GENERAL CONTACT INFORMATION
LEGAL ENTITY BUSINESS NAME (if DBA, please provide):
*
BUSINESS OWNER(S):
*
Are you a minority or women-owned business meaning 51% of your business is owned by a minority group member? If so, please click the appropriate boxes:
*
Women
Black or African American
American Indian or Alaska native
Asian
Hispanic
Native Hawaiian and Other Pacific Islander
Other race
Date
*
MM slash DD slash YYYY
BUSINESS ADDRESS (physical location, open to the public):
*
BUSINESS MAILING ADDRESS (If Different)
ZIP:
*
PRIMARY PHONE:
*
PRIMARY EMAIL ADDRESS:
*
APPLICANT CONTACT ADDRESS (If Different):
Zip (If Different):
PHONE (If Different):
E-MAIL (If Different):
BUSINESS INFORMATION
LEGAL BUSINESS NAME:
*
BUSINESS TYPE FOR APPLICATION (Retail, Venue, Restaurant/Bar):
*
Are you a 501c3?:
*
Yes
No
TYPICAL OR EXPECTED BUSINESS HOURS:
*
NUMBER OF EMPLOYEES (current and future expectation):
YEARS IN BUSINESS:
*
ANNUAL GROSS REVENUES (based 2019):
*
GRANT INFORMATION
Itemized List of Expected Expenses from January 1-June 30, 2021, Seeking to Be Reimbursed :
Rent/mortgage payment
$0.00
*
Utilities
$0.00
*
General Business Insurance
$0.00
*
TOTAL ANTICIPATED EXPENSES:
$0.00
*
50% of EXPENSES APPLIED TO GRANT REQUEST
$0.00
*
Please upload third-party documentation (i.e. mortgage statements, lease statements, utility bills, general business insurance bills, etc.) Third-party documentation should support calculation of expected 2021 eligible expenses and documentation of similar expenses in 2020 to verify reasonableness of future expenses.
File
*
Drop files here or
Select files
Max. file size: 100 MB.
DROP OR SELECT FILES
COMMITMENT TO REMAIN IN BUSINESS
Consent
*
I acknowledge that this grant is necessary for my business and it is my intention that this business is committed to operate in mpls downtown and within the grant map boundaries through 2021.
*
Consent
*
I certify that the information I have submitted is complete and accurate.
*
Further comments:
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