Fill - Free fillable 3245-0407-SBA-Form-3508-PPP-Forgiveness-Application PPP Loan Forgiveness Application PDF form

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

Page 1

LOAN FORGIVENESS APPLICATION INSTRUCTIONS FOR BORROWERS

To apply for forgiveness of your Paycheck Protection Program (PPP) loan, you (the Borrower) must complete this application as

directed in these instructions, and submit it to your Lender (or the Lender that is servicing your loan). Borrowers may also

complete this application electronically through their Lender.

This application has the following components: (1) the PPP Loan Forgiveness Calculation Form; (2) PPP Schedule A; (3) the PPP

Schedule A Worksheet; and (4) the (optional) PPP Borrower Demographic Information Form. All Borrowers must submit (1) and

(2) to their Lender.

Instructions for PPP Loan Forgiveness Calculation Form

Business Legal Name (“Borrower”)/DBA or Tradename (if applicable)/Business TIN (EIN, SSN): Enter the same

information as on your Borrower Application Form.

Business Address/Business Phone/Primary Contact/E-mail Address: Enter the same information as on your Borrower

Application Form, unless there has been a change in address or contact information.

SBA PPP Loan Number: Enter the loan number assigned by SBA at the time of loan approval. Request this number from the

Lender if necessary.

Lender PPP Loan Number: Enter the loan number assigned to the PPP loan by the Lender.

PPP Loan Amount: Enter the disbursed principal amount of the PPP loan (the total loan amount you received from the Lender).

Employees at Time of Loan Application: Enter the total number of employees at the time of the Borrower’s PPP Loan

Application.

Employees at Time of Forgiveness Application: Enter the total number of employees at the time the Borrower is applying for

loan forgiveness.

PPP Loan Disbursement Date: Enter the date that you received the PPP loan proceeds from the Lender. If loan proceeds were

received on more than one date, enter the first date on which you received PPP loan proceeds.

EIDL Advance Amount: If the Borrower received an Economic Injury Disaster Loan (EIDL) advance, enter the amount.

EIDL Application Number: If the Borrower applied for an EIDL, enter the Borrower’s EIDL Application Number.

Payroll Schedule: Select the box that corresponds to your payroll schedule.

Covered Period: Enter the eight-week (56-day) Covered Period of your PPP loan. The first day of the Covered Period must be

the same as the PPP Loan Disbursement Date. For example, if the Borrower received its PPP loan proceeds on Monday, April 20,

the first day of the Covered Period is April 20 and the last day of the Covered Period is Sunday, June 14.

Alternative Payroll Covered Period: For administrative convenience, Borrowers with a biweekly (or more frequent) payroll

schedule may elect to calculate eligible payroll costs using the eight-week (56-day) period that begins on the first day of their first

pay period following their PPP Loan Disbursement Date (the “Alternative Payroll Covered Period”). For example, if the Borrower

received its PPP loan proceeds on Monday, April 20, and the first day of its first pay period following its PPP loan disbursement is

Sunday, April 26, the first day of the Alternative Payroll Covered Period is April 26 and the last day of the Alternative Payroll

Covered Period is Saturday, June 20. Borrowers who elect to use the Alternative Payroll Covered Period must apply the

Alternative Payroll Covered Period wherever there is a reference in this application to “the Covered Period or the Alternative

Payroll Covered Period.” However, Borrowers must apply the Covered Period (not the Alternative Payroll Covered Period)

wherever there is a reference in this application to “the Covered Period” only.

If Borrower Received PPP Loans in Excess of $2 Million: Check the box if the Borrower, together with its affiliates (to the

extent required under SBA’s interim final rule on affiliates (85 FR 20817

(April 15, 2020)) and not waived under 15 U.S.C.

636(a)(36)(D)(iv)), received PPP loans with an original principal amount in excess of $2 million.

Forgiveness Amount Calculation (see Summary of Costs Eligible for Forgiveness below):

Line 1: Enter total eligible payroll costs incurred or paid during the Covered Period or the Alternative Payroll Covered Period.

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

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To calculate these costs, complete PPP Schedule A. Enter the amount from PPP Schedule A, line 10.

Line 2: Enter the amount of business mortgage interest payments during the Covered Period for any business mortgage obligation

on real or personal property incurred before February 15, 2020. Do not include prepayments.

Line 3: Enter the amount of business rent or lease payments for real or personal property during the Covered Period, pursuant to

lease agreements in force before February 15, 2020.

Line 4: Enter the amount of business utility payments during the Covered Period, for business utilities for which service began

before February 15, 2020.

NOTE: For lines 2-4, you are not required to report payments that you do not want to include in the forgiveness amount.

Line 5: Enter the number from PPP Schedule A, line 3. This amount reflects the loan forgiveness reduction required for

salary/hourly wage reductions in excess of 25% for certain employees as described in PPP Schedule A.

Line 6: Add lines 1 through 4, subtract line 5, enter the total. If this amount is less than zero, enter a zero.

Line 7: Enter the number from PPP Schedule A, line 13.

Line 8: Enter the amount on line 6 multiplied by the amount on line 7. This calculation incorporates the loan forgiveness

reduction required for any full-time equivalency (FTE) employee reductions as described in PPP Schedule A.

Line 9: Enter the PPP Loan Amount.

Line 10: Divide the amount on line 1 by 0.75, and enter the amount. This determines whether at least 75% of the potential

forgiveness amount was used for payroll costs. For more information, see Interim Final Rule on Paycheck Protection Program

posted on April 2, 2020 (85 FR 20811

Line 11: Enter the smallest of lines 8, 9, or 10. Note: If applicable, SBA will deduct EIDL Advance Amounts from the

forgiveness amount remitted to the Lender.

Summary of Costs Eligible for Forgiveness:

Borrowers are eligible for loan forgiveness for the following costs:

1. Eligible payroll costs. Borrowers are generally eligible for forgiveness for the payroll costs paid and payroll costs incurred

during the eight-week (56-day) Covered Period (or Alternative Payroll Covered Period) (“payroll costs”). Payroll costs are

considered paid on the day that paychecks are distributed or the Borrower originates an ACH credit transaction. Payroll

costs are considered incurred on the day that the employee’s pay is earned. Payroll costs incurred but not paid during the

Borrower’s last pay period of the Covered Period (or Alternative Payroll Covered Period) are eligible for forgiveness if paid

on or before the next regular payroll date. Otherwise, payroll costs must be paid during the Covered Period (or Alternative

Payroll Covered Period). For each individual employee, the total amount of cash compensation eligible for forgiveness may

not exceed an annual salary of $100,000, as prorated for the covered period. Count payroll costs that were both paid and

incurred only once. For information on what qualifies as payroll costs, see Interim Final Rule on Paycheck Protection

Program posted on April 2, 2020 (85 FR 20811

2. Eligible nonpayroll costs. Nonpayroll costs eligible for forgiveness consist of:

(a) covered mortgage obligations: payments of interest (not including any prepayment or payment of principal) on any

business mortgage obligation on real or personal property incurred before February 15, 2020 (“business mortgage

interest payments”);

(b) covered rent obligations: business rent or lease payments pursuant to lease agreements for real or personal property in

force before February 15, 2020 (“business rent or lease payments”); and

transportation, telephone, or internet access for which service began before February 15, 2020 (“business utility

payments”).

An eligible nonpayroll cost must be paid during the Covered Period or incurred during the Covered Period and paid on or

before the next regular billing date, even if the billing date is after the Covered Period. Eligible nonpayroll costs cannot

exceed 25% of the total forgiveness amount. Count nonpayroll costs that were both paid and incurred only once.

The amount of loan forgiveness the Borrower applies for may be subject to reductions as explained in PPP Schedule A.

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

Page 3

PPP Loan Forgiveness Calculation Form

Business Legal Name (“Borrower”)

DBA or Tradename, if applicable

Business Address

Business TIN (EIN, SSN)

Business Phone

( ) -

Primary Contact

E-mail Address

SBA PPP Loan Number: ________________________ Lender PPP Loan Number: __________________________

PPP Loan Amount: _____________________________ PPP Loan Disbursement Date: _______________________

Employees at Time of Loan Application: ___________

Employees at Time of Forgiveness Application: ___________

EIDL Advance Amount: ________________________ EIDL Application Number: __________________________

Payroll Schedule: The frequency with which payroll is paid to employees is:

☐ Weekly ☐ Biweekly (every other week) ☐ Twice a month ☐ Monthly ☐ Other _____________

Covered Period: ________________________ to ________________________

Alternative Payroll Covered Period, if applicable: ________________________ to _______________________

If Borrower (together with affiliates, if applicable) received PPP loans in excess of $2 million, check here: ☐

Forgiveness Amount Calculation:

Payroll and Nonpayroll Costs

Line 1. Payroll Costs (enter the amount from PPP Schedule A, line 10): _____________________

Line 2. Business Mortgage Interest Payments: _____________________

Line 3. Business Rent or Lease Payments: _____________________

Line 4. Business Utility Payments: _____________________

Adjustments for Full-Time Equivalency (FTE) and Salary/Hourly Wage Reductions

Line 5. Total Salary/Hourly Wage Reduction (enter the amount from PPP Schedule A, line 3): _____________________

Line 6. Add the amounts on lines 1, 2, 3, and 4, then subtract the amount entered in line 5: _____________________

Line 7. FTE Reduction Quotient (enter the number from PPP Schedule A, line 13): _____________________

Potential Forgiveness Amounts

Line 8. Modified Total (multiply line 6 by line 7): _____________________

Line 9. PPP Loan Amount: _____________________

Line 10. Payroll Cost 75% Requirement (divide line 1 by 0.75): _____________________

Forgiveness Amount

Line 11. Forgiveness Amount (enter the smallest of lines 8, 9, and 10): _____________________

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

Page 4

By Signing Below, You Make the Following Representations and Certifications on Behalf of the Borrower:

The authorized representative of the Borrower certifies to all of the below by initialing next to each one.

_____ The dollar amount for which forgiveness is requested:

• was used to pay costs that are eligible for forgiveness (payroll costs to retain employees; business mortgage

interest payments; business rent or lease payments; or business utility payments);

• includes all applicable reductions due to decreases in the number of full-time equivalent employees and

salary/hourly wage reductions;

• does not include nonpayroll costs in excess of 25% of the amount requested; and

• does not exceed eight weeks’ worth of 2019 compensation for any owner-employee or self-employed

individual/general partner, capped at $15,385 per individual.

_____ I understand that if the funds were knowingly used for unauthorized purposes, the federal government may pursue recovery

of loan amounts and/or civil or criminal fraud charges.

_____ The Borrower has accurately verified the payments for the eligible payroll and nonpayroll costs for which the Borrower is

requesting forgiveness.

_____ I have submitted to the Lender the required documentation verifying payroll costs, the existence of obligations and service

(as applicable) prior to February 15, 2020, and eligible business mortgage interest payments, business rent or lease

payments, and business utility payments.

_____ The information provided in this application and the information provided in all supporting documents and forms is

true and correct in all material respects. I understand that knowingly making a false statement to obtain forgiveness of

an SBA-guaranteed loan is punishable under the law, including 18 USC 1001 and 3571 by imprisonment of not more than

five years and/or a fine of up to $250,000; under 15 USC 645 by imprisonment of not more than two years and/or a fine

of not more than $5,000; and, if submitted to a Federally insured institution, under 18 USC 1014 by imprisonment of not

more than thirty years and/or a fine of not more than $1,000,000.

_____

The tax documents I have submitted to the Lender are consistent with those the Borrower has submitted/will submit

to the IRS and/or state tax or workforce agency. I also understand, acknowledge, and agree that the Lender can

share the tax information with SBA’s authorized representatives, including authorized representatives of the SBA

Office of Inspector General, for the purpose of ensuring compliance with PPP requirements and all SBA reviews.

_____

I understand, acknowledge, and agree that SBA may request additional information for the purposes of evaluating

the Borrower’s eligibility for the PPP loan and for loan forgiveness, and that the Borrower’s failure to provide

information requested by SBA may result in a determination that the Borrower was ineligible for the PPP loan or a

denial of the Borrower’s loan forgiveness application.

The Borrower’s eligibility for loan forgiveness will be evaluated in accordance with the PPP regulations and guidance issued by

SBA through the date of this application. SBA may direct a lender to disapprove the Borrower’s loan forgiveness application if

SBA determines that the Borrower was ineligible for the PPP loan.

_____________________________________________________ ____________________________

Signature of Authorized Representative of Borrower Date

_____________________________________________________ ____________________________

Print Name Title

click to sign

signature

click to edit

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

Page 5

Instructions for PPP Schedule A

Lines 1 through 5: Enter the amounts from PPP Schedule A Worksheet Tables as directed.

Enter the amount from line 3 of PPP Schedule A on line 5 of the Loan Forgiveness Application Form.

For lines 6 through 9, during the Covered Period or the Alternative Payroll Covered Period:

Line 6: Enter the total amount paid by the Borrower for employer contributions for employee health insurance, including

employer contributions to a self-insured, employer-sponsored group health plan, but excluding any pre-tax or after tax

contributions by employees.

Line 7: Enter the total amount paid by the Borrower for employer contributions to employee retirement plans, excluding

any pre-tax or after-tax contributions by employees.

Line 8: Enter the total amount paid by the Borrower for employer state and local taxes assessed on employee compensation

(e.g., state unemployment insurance tax); do not list any taxes withheld from employee earnings.

Line 9: Enter any amounts paid to owners (owner-employees, a self-employed individual, or general partners). This

amount is capped at $15,385 (the eight-week equivalent of $100,000 per year) for each individual or the eight-week

equivalent of their applicable compensation in 2019, whichever is lower. See Interim Final Rule on Additional Eligibility

Criteria and Requirements for Certain Pledges of Loans posted on April 14, 2020 for more information (85 FR 21747

21749).

Line 10: Add lines 1, 4, 6, 7, 8, and 9. Enter this amount on line 1 on the PPP Loan Forgiveness Calculation Form.

Line 11: Enter the Borrower’s total average weekly full-time equivalency (FTE) during the chosen reference period. For purposes

of this calculation, the reference period is, at the Borrower’s election, either (i) February 15, 2019 to June 30, 2019; (ii) January 1,

2020 to February 29, 2020; or (iii) in the case of seasonal employers, either of the preceding periods or a consecutive twelve-week

period between May 1, 2019 and September 15, 2019. For each employee, follow the same method that was used to calculate

Average FTE on the PPP Schedule A Worksheet. Sum across all employees during the reference period and enter that total on this

line.

The calculations on lines 11, 12, and 13 will be used to determine whether the Borrower’s loan forgiveness amount must be reduced

based on reductions in full-time equivalent employees, as required by the statute. Specifically, the actual loan forgiveness amount that

the Borrower will receive may be reduced if the Borrower’s average weekly FTE employees during the Covered Period (or the

Alternative Payroll Covered Period) was less than during the Borrower’s chosen reference period. The Borrower is exempt from such

a reduction if the FTE Reduction Safe Harbor applies. See PPP Schedule A Worksheet—FTE Reduction Safe Harbor.

Line 12: Add lines 2 and 5.

Line 13: Divide line 12 by line 11 (or enter 1.0 if the FTE Reduction Safe Harbor has been met, according to PPP Schedule A

Worksheet—FTE Reduction Safe Harbor). If more than 1.0, enter 1.0. Enter this amount on line 7 of the Loan Forgiveness

Calculation Form.

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

Page 6

PPP Schedule A

PPP Schedule A Worksheet, Table 1 Totals

Line 1. Enter Cash Compensation (Box 1) from PPP Schedule A Worksheet, Table 1: ___________________

Line 2. Enter Average FTE (Box 2) from PPP Schedule A Worksheet, Table 1: ___________________

Line 3. Enter Salary/Hourly Wage Reduction (Box 3) from PPP Schedule A Worksheet, Table 1: ___________________

If the average annual salary or hourly wage for each employee listed on the PPP

Schedule A Worksheet, Table 1 during the Covered Period or the Alternative Payroll

Covered Period was at least 75% of such employee’s average annual salary or hourly

wage between January 1, 2020 and March 31, 2020, check here ☐ and enter 0 on line

PPP Schedule A Worksheet, Table 2 Totals

Line 4. Enter Cash Compensation (Box 4) from PPP Schedule A Worksheet, Table 2: ___________________

Line 5. Enter Average FTE (Box 5) from PPP Schedule A Worksheet, Table 2: ___________________

Non-Cash Compensation Payroll Costs During the Covered Period or the Alternative Payroll Covered Period

Line 6. Total amount paid by Borrower for employer contributions for employee health insurance: ___________________

Line 7. Total amount paid by Borrower for employer contributions to employee retirement plans: ___________________

Line 8. Total amount paid by Borrower for employer state and local taxes assessed on employee

compensation: ___________________

Compensation to Owners

Line 9. Total amount paid to owner-employees/self-employed individual/general partners: _____________________

This amount may not be included in PPP Schedule A Worksheet, Table 1 or 2. If there is

more than one individual included, attach a separate table that lists the names of and

payments to each.

Total Payroll Costs

Line 10. Payroll Costs (add lines 1, 4, 6, 7, 8, and 9): ___________________

Full-Time Equivalency (FTE) Reduction Calculation

If you have not reduced the number of employees or the average paid hours of your employees between

January 1, 2020 and the end of the Covered Period, check here ☐, skip lines 11 and 12 and enter 1.0 on line 13.

Line 11. Average FTE during the Borrower’s chosen reference period: ___________________

Line 12. Total Average FTE (add lines 2 and 5): ___________________

Line 13. FTE Reduction Quotient (divide line 12 by line 11) or enter 1.0 if FTE Safe Harbor is met: ___________________

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

Page 7

Instructions for PPP Schedule A Worksheet

Complete the PPP Schedule A Worksheet or obtain an equivalent report from the Borrower’s payroll system or payroll processor.

Table Instructions

Employee’s Name: Separately list each employee. Do not include any independent contractors, owner-employees, self-employed

individuals, or partners.

Employee Identifier: Enter the last four digits of each employee’s Social Security Number.

Cash Compensation: Enter the sum of gross salary, gross wages, gross tips, gross commissions, paid leave (vacation, family,

medical or sick leave, not including leave covered by the Families First Coronavirus Response Act), and allowances for dismissal or

separation paid or incurred during the Covered Period or the Alternative Payroll Covered Period. For each individual employee, the

total amount of cash compensation eligible for forgiveness may not exceed an annual salary of $100,000, as prorated for the Covered

Period; therefore, do not enter more than $15,385 in Table 1 or Table 2 for any individual employee.

Average FTE: This calculates the average full-time equivalency (FTE) during the Covered Period or the Alternative Payroll Covered

Period. For each employee, enter the average number of hours paid per week, divide by 40, and round the total to the nearest tenth.

The maximum for each employee is capped at 1.0. A simplified method that assigns a 1.0 for employees who work 40 hours or more

per week and 0.5 for employees who work fewer hours may be used at the election of the Borrower.

This calculation will be used to determine whether the Borrower’s loan forgiveness amount must be reduced due to a statutory

requirement concerning reductions in full-time equivalent employees. Borrowers are eligible for loan forgiveness for certain

expenditures during the Covered Period or the Alternative Payroll Covered Period. However, the actual loan forgiveness amount that

the Borrower will receive may be less, depending on whether the Borrower’s average weekly number of FTE employees during the

Covered Period or the Alternative Payroll Covered Period was less than during the Borrower’s chosen reference period (see

Instructions to PPP Schedule A, Line 11). The Borrower is exempt from such a reduction if the FTE Reduction Safe Harbor applies.

See the FTE Reduction Safe Harbor instructions below.

Salary/Hourly Wage Reduction: This calculation will be used to determine whether the Borrower’s loan forgiveness amount must

be reduced due to a statutory requirement concerning reductions in employee salary and wages. Borrowers are eligible for loan

forgiveness for certain expenditures during the Covered Period or the Alternative Payroll Covered Period. However, the actual

amount of loan forgiveness the Borrower will receive may be less, depending on whether the salary or hourly wages of certain

employees during the Covered Period or the Alternative Payroll Covered Period was less than during the period from January 1, 2020

to March 31, 2020. If the Borrower restored salary/hourly wage levels, the Borrower may be eligible for elimination of the

Salary/Hourly Wage Reduction amount. Borrowers must complete this worksheet to determine whether to reduce the amount of loan

forgiveness for which they are eligible. Complete the Salary/Hour Wage Reduction column only for employees whose salaries or

hourly wages were reduced by more than 25% during the Covered Period or the Alternative Payroll Covered Period as compared to

the period of January 1, 2020 through March 31, 2020. For each employee listed in Table 1, complete the following (using salary for

salaried employees and hourly wage for hourly employees):

Step 1. Determine if pay was reduced more than 25%.

a. Enter average annual salary or hourly wage during Covered Period or Alternative Payroll Covered Period:

______________.

b. Enter average annual salary or hourly wage between January 1, 2020 and March 31, 2020: ______________.

c. Divide the value entered in 1.a. by 1.b.: ______________.

If 1.c. is 0.75 or more, enter zero in the column above box 3 for that employee; otherwise proceed to Step 2.

Step 2. Determine if the Salary/Hourly Wage Reduction Safe Harbor is met.

a. Enter the annual salary or hourly wage as of February 15, 2020: ______________.

b. Enter the average annual salary or hourly wage between February 15, 2020 and April 26, 2020:

______________.

If 2.b. is equal to or greater than 2.a., skip to Step 3. Otherwise, proceed to 2.c.

c. Enter the average annual salary or hourly wage as of June 30, 2020: ______________.

If 2.c. is equal to or greater than 2.a., the Salary/Hourly Wage Reduction Safe Harbor has been met – enter

zero in the column above box 3 for that employee. Otherwise proceed to Step 3.

Step 3. Determine the Salary/Hourly Wage Reduction.

a. Multiply the amount entered in 1.b. by 0.75: ______________.

b. Subtract the amount entered in 1.a. from 3.a.: ______________.

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

Page 8

If the employee is an hourly worker, compute the total dollar amount of the reduction that exceeds 25% as follows:

c. Enter the average number of hours worked per week between January 1, 2020 and March 31, 2020:

______________.

d. Multiply the amount entered in 3.b. by the amount entered in 3.c. ______________. Multiply this amount by

8: ______________. Enter this value in the column above box 3 for that employee.

If the employee is a salaried worker, compute the total dollar amount of the reduction that exceeds 25% as follows:

e. Multiply the amount entered in 3.b. by 8: ______________. Divide this amount by 52: ______________.

Enter this value in the column above box 3 for that employee.

FTE Reduction Exceptions: Indicate the FTE of (1) any positions for which the Borrower made a good-faith, written offer to rehire

an employee during the Covered Period or the Alternative Payroll Covered Period which was rejected by the employee; and (2) any

employees who during the Covered Period or the Alternative Payroll Covered Period (a) were fired for cause, (b) voluntarily resigned,

or (c) voluntarily requested and received a reduction of their hours. In all of these cases, include these FTEs on this line only if the

position was not filled by a new employee. Any FTE reductions in these cases do not reduce the Borrower’s loan forgiveness.

Boxes 1 through 5: Enter the sums of the amounts in each of the columns.

FTE Reduction Safe Harbor

A safe harbor under applicable law and regulation exempts certain borrowers from the loan forgiveness reduction based on FTE

employee levels. Specifically, the Borrower is exempt from the reduction in loan forgiveness based on FTE employees described above

if both of the following conditions are met: (1) the Borrower reduced its FTE employee levels in the period beginning February 15,

2020, and ending April 26, 2020; and (2) the Borrower then restored its FTE employee levels by not later than June 30, 2020 to its FTE

employee levels in the Borrower’s pay period that included February 15, 2020.

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

Page 9

PPP Schedule A Worksheet

Table 1: List employees who:

• Were employed by the Borrower at any point during the Covered Period or the Alternative Payroll Covered Period whose

principal place of residence is in the United States; and

• Received compensation from the Borrower at an annualized rate of less than or equal to $100,000 for all pay periods in

2019 or were not employed by the Borrower at any point in 2019.

Employee's Name

Employee

Identifier

Cas h Compens ation Average FTE

FTE Reduction Exceptions:

Totals: Box 1 Box 2 Box 3

Salary / Hourly Wage

Reduction

Table 2: List employees who:

• Were employed by the Borrower at any point during the Covered Period or the Alternative Payroll Covered Period whose

principal place of residence is in the United States; and

• Received compensation from the Borrower at an annualized rate of more than $100,000 for any pay period in 2019.

Employee's Name

Employee

Identifier

Cas h Compens ation

Totals: Box 4 Box 5

Average FTE

Attach additional tables if additional rows are needed.

FTE Reduction Safe Harbor:

Step 1. Enter the borrower’s total average FTE between February 15, 2020 and April 26, 2020. Follow the same method that

was used to calculate Average FTE in the PPP Schedule A Worksheet Tables. Sum across all employees and enter:

______________.

Step 2. Enter the borrower’s total FTE in the Borrower’s pay period inclusive of February 15, 2020. Follow the same method

that was used in step 1: ______________.

Step 3. If the entry for step 2 is greater than step 1, proceed to step 4. Otherwise, the FTE Reduction Safe Harbor is not

applicable and the Borrower must complete line 13 of PPP Schedule A by dividing line 12 by line 11 of that schedule.

Step 4. Enter the borrower’s total FTE as of June 30, 2020: ______________.

Step 5. If the entry for step 4 is greater than or equal to step 2, enter 1.0 on line 13 of PPP Schedule A; the FTE Reduction Safe

Harbor has been satisfied. Otherwise, the FTE Reduction Safe Harbor does not apply and the Borrower must complete

line 13 of PPP Schedule A by dividing line 12 by line 11 of that schedule.

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

Page 10

Documents that Each Borrower Must Submit with its PPP Loan Forgiveness Application

PPP Loan Forgiveness Calculation Form

PPP Schedule A

Payroll: Documentation verifying the eligible cash compensation and non-cash benefit payments from the Covered Period or the

Alternative Payroll Covered Period consisting of each of the following:

a. Bank account statements or third-party payroll service provider reports documenting the amount of cash compensation paid

to employees.

b. Tax forms (or equivalent third-party payroll service provider reports) for the periods that overlap with the Covered Period

or the Alternative Payroll Covered Period:

i. Payroll tax filings reported, or that will be reported, to the IRS (typically, Form 941); and

ii. State quarterly business and individual employee wage reporting and unemployment insurance tax filings reported,

or that will be reported, to the relevant state.

c. Payment receipts, cancelled checks, or account statements documenting the amount of any employer contributions to

employee health insurance and retirement plans that the Borrower included in the forgiveness amount (PPP Schedule A,

lines (6) and (7)).

FTE: Documentation showing (at the election of the Borrower):

a. the average number of FTE employees on payroll per month employed by the Borrower between February 15, 2019 and

June 30, 2019;

b. the average number of FTE employees on payroll per month employed by the Borrower between January 1, 2020 and

February 29, 2020; or

c. in the case of a seasonal employer, the average number of FTE employees on payroll per month employed by the Borrower

between February 15, 2019 and June 30, 2019; between January 1, 2020 and February 29, 2020; or any consecutive twelve-

week period between May 1, 2019 and September 15, 2019.

The selected time period must be the same time period selected for purposes of completing PPP Schedule A, line 11. Documents

may include payroll tax filings reported, or that will be reported, to the IRS (typically, Form 941) and state quarterly business and

individual employee wage reporting and unemployment insurance tax filings reported, or that will be reported, to the relevant state.

Documents submitted may cover periods longer than the specific time period.

Nonpayroll:

Documentation verifying existence of the obligations/services prior to February 15, 2020 and eligible payments from

the Covered Period.

a. Business mortgage interest payments: Copy of lender amortization schedule and receipts or cancelled checks verifying

eligible payments from the Covered Period; or lender account statements from February 2020 and the months of the Covered

Period through one month after the end of the Covered Period verifying interest amounts and eligible payments.

b. Business rent or lease payments: Copy of current lease agreement and receipts or cancelled checks verifying eligible

payments from the Covered Period; or lessor account statements from February 2020 and from the Covered Period through

one month after the end of the Covered Period verifying eligible payments.

c. Business utility payments: Copy of invoices from February 2020 and those paid during the Covered Period and receipts,

cancelled checks, or account statements verifying those eligible payments.

Documents that Each Borrower Must Maintain but is Not Required to Submit

PPP Schedule A Worksheet or its equivalent and the following:

a. Documentation supporting the listing of each individual employee in PPP Schedule A Worksheet Table 1, including the

“Salary/Hourly Wage Reduction” calculation, if necessary.

b. Documentation supporting the listing of each individual employee in PPP Schedule A Worksheet Table 2; specifically, that

each listed employee received during any single pay period in 2019 compensation at an annualized rate of more than

$100,000.

c. Documentation regarding any employee job offers and refusals, firings for cause, voluntary resignations, and written

requests by any employee for reductions in work schedule.

d. Documentation supporting the PPP Schedule A Worksheet “FTE Reduction Safe Harbor.”

All records relating to the Borrower’s PPP loan, including documentation submitted with its PPP loan application, documentation

supporting the Borrower’s certifications as to the necessity of the loan request and its eligibility for a PPP loan, documentation

necessary to support the Borrower’s loan forgiveness application, and documentation demonstrating the Borrower’s material

compliance with PPP requirements. The Borrower must retain all such documentation in its files for six years after the date the loan

is forgiven or repaid in full, and permit authorized representatives of SBA, including representatives of its Office of Inspector

General, to access such files upon request.

Paycheck Protection Program OMB Control Number 3245-0407

Loan Forgiveness Application Expiration Date: 10/31/2020

SBA Form 3508 (05/20)

Page 11

PPP Borrower Demographic Information Form (Optional)

Instructions

1. Purpose. Veteran/gender/race/ethnicity data is collected for program reporting purposes only.

2. Description. This form requests information about each of the Borrower’s Principals. Add additional sheets if necessary.

3. Definition of Principal. The term “Principal” means:

• For a self-employed individual, independent contractor, or a sole proprietor, the self-employed individual, independent

contractor, or sole proprietor.

• For a partnership, all general partners and all limited partners owning 20% or more of the equity of the Borrower, or any

partner that is involved in the management of the Borrower’s business.

• For a corporation, all owners of 20% or more of the Borrower, and each officer and director.

• For a limited liability company, all members owning 20% or more of the Borrower, and each officer and director.

• Any individual hired by the Borrower to manage the day-to-day operations of the Borrower (“key employee”).

• Any trustor (if the Borrower is owned by a trust).

• For a nonprofit organization, the officers and directors of the Borrower.

4. Principal Name. Insert the full name of the Principal.

5. Position. Identify the Principal’s position; for example, self-employed individual; independent contractor; sole proprietor;

general partner; owner; officer; director; member; or key employee.

Principal Name

Position

Disclosure is voluntary and will have no bearing on the loan forgiveness decision

Paperwork Reduction Act – You are not required to respond to this collection of information unless it displays a currently valid OMB Control

Number. The estimated time for completing this application, including gathering data needed, is 180 minutes. Comments about this time or the

information requested should be sent to Small Business Administration, Director, Records Management Division, 409 3rd St., SW, Washington DC

20416, and/or SBA Desk Officer, Office of Management and Budget, New Executive Office Building, Washington DC 20503.

Veteran

1=Non-Veteran; 2=Veteran; 3=Service-Disabled Veteran; 4=Spouse of Veteran; X=Not

Disclosed

Gender

M=Male; F=Female; X=Not Disclosed

Race (more than 1

may be selected)

1=American Indian or Alaska Native; 2=Asian; 3=Black or African-American; 4=Native

Hawaiian or Pacific Islander; 5=White; X=Not Disclosed

Ethnicity

H=Hispanic or Latino; N=Not Hispanic or Latino; X=Not Disclosed

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