GENERAL CONTACT INFORMATIONLEGAL 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 INFORMATIONLEGAL 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: 1 GB. DROP OR SELECT FILESCOMMITMENT TO REMAIN IN BUSINESSConsent* 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:
