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SARTELL SMALL BUSINESS RELIEF FUNDProgram Information: This program is aimed at assisting small businesses (50 employees or less) with the costs of business interruption caused by required closures due to COVID-19. It is the goal of the City of Sartell to provide economic support to those suffering from employment or business interruptions due to COVID-19-related business closures. Grants worth up to $15,000 will be awarded to businesses located in the City of Sartell who have been directly impacted by the COVID-19 pandemic. Applications will be accepted beginning August 14th, 2020 through September 9th, 2020 at noon.The CARES Act requires that the payments from the Coronavirus Relief Fund only be used to cover expenses that: 1.Are necessary expenditures (lost revenue cannot be included) incurred due to the public health emergency with respect to the (COVID–19). Eligible Uses include payroll, rent, mortgage payments, utilities, payments to suppliers, and business expenses related to re-opening.2.Were incurred during the period that began on March 1, 2020 and were incurred prior to submission of the application.Eligibility Requirements All applicants must be Minnesota businesses with a physical establishment in Sartell, Minnesota with 50 employees or less that have been operating for at least 12 months prior to March 1, 2020. Applicants must be licensed, in good standing and current on property taxes prior to July 15, 2020. Applicants must demonstrate that they were directly and adversely affected by the COVID-19 related peacetime emergency. If the business receives other funding for expenses reported within this application, these funds must be returned immediately.Ineligible BusinessesCorporate chains, multi-state chains (unless local franchise agreement).Individuals who have or are currently receiving assistance through the Pandemic Unemployment Assistance (PUA) program or assistance from their municipality or township.Businesses in default conditions prior to February 29, 2020.Businesses that primarily sell pawned merchandise, guns, tobacco, or vaping products.Businesses that primarily generate revenue from gambling activities and businesses that generate any part of income from adult-oriented activities. Businesses that derive income from passive investments; business-to-business transactions; real estate transactions; property rentals or property management; billboards; or lobbying.Application RequirementsDocumentation supporting evidence of employment prior to March 1, 2020. Acceptable documentation may include the applicant’s Federal Form 941/Employer’s Quarterly Federal Tax Return or other State or Federal payroll-related filing.Documentation of costs associated with COVID-19 business interruption. Such documentation should be in narrative format with dollar values spent on each of the following category types. Eligible costs include items such as:Loss of perishable inventory (food & beverage)RemarketingIncreased waste disposal costsFacility charges such as rent and utilities during a timeframe the business was closedFor questions, call 320-253-2171 or email Anna Gruber at anna.gruber@.Upon notice of an approved application, applicants will be required to submit the following within 10 business days:Evidence of employment prior to March 1st, 2020. Acceptable documentation may include period reporting from a 3rd -party payroll processor, applicant’s Federal Form 941/Employer’s Quarterly Federal Tax Return, or other State or Federal payroll-related filing.Any additional documentation or information deemed necessary by the fund administrator to determine eligibility, generate grant agreement documents, disburse grant proceeds, or meet program reporting requirements.Failure to submit any required documentation will result in forfeiture of funding award. Grant proceeds will be disbursed after applicant complies with all policy provisions; and executes a grant agreement.Please complete the following information:Applicant InformationLegal Name of the Business: _____________________________________________________Length of Time in BusinessYears MonthsFed Tax Id#MN State License #Mailing AddressCityZip CodeLocation AddressCityZip CodeBusiness PhoneBusiness FaxE-Mail AddressWeb AddressContact NameTitleAPPLICANT QUESTIONS8763017018000I have read the Program Information and Application Requirements I acknowledge I have read the Program Information and Application RequirementsI have not received other assistance for expenses submitted within this application879232144300 I acknowledge I have not received other assistance for expenses submitted within this application8719017018000Are you a non-profit organization? Yes879231748700 NoPlease describe the business interruption experienced by your business as a result of the Coronavirus public health emergency such as full or partial closure experienced or alternate forms of business operations. Include effective dates of any closures or alternate business practices.____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________What was your business’ annual revenue for the most recent calendar year?________________________________________________________________________________________________________________________________________________________________________*Please provide documentation supporting the estimated loss of revenue, if able. Such documentation could include March- July monthly profit and loss statement or other report of revenue to verify a decrease from 2019 amounts.Was your business fully closed, partially closed, or was it open with alternate practices?____________________________________________________________________________________Provide the start and end date that the business experienced alternate practices.________________________________________________________________________________________________________________________________________________________________________Use the attached “Eligible Expense Spreadsheet” to describe the costs incurred that were necessary expenditures as a result of this business interruptionBased on the spreadsheet uploaded in the last question what amount are you requesting for reimbursement? Dollar amount should be between $500- $15,000.____________________________________________________________________________________Specify the number of employees as of a date prior to March 1. Employee count should be in full-time equivalents.____________________________________________________________________________________*Include proof of employee numbers with forms such as Form 941 or other payroll-related filing with state or federal government.Please include your W-9 form in order for the City of Sartell to issue payment.AUTHORIZATION FOR RELEASE OF INFORMATIONI declare that the information provided in this application and on the accompanying documents is true and complete to the best of my knowledge. I declare that no other state or federal assistance has been received by the business for the costs reported within the application. Stearns County Housing and Redevelopment Authority has the right to verify any information contained in this application and may contact any individuals and institutions involved with the proposed project. Additional information may be requested later as more state and federal guidance becomes available. Failure to provide the information required may result in repayment of the funds. Lastly, should the county be audited, and it be found that the business payment is not allowable under federal guidelines, such business shall repay the funds to the county within three months of notification.________________________________________________________________Signature/Title of ApplicantDate ________________________________________________________________Signature/Title of ApplicantDate ................
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