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City of Norman Small Business & Non-Profit Relief (City of Norman)

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City of Norman Small Business & Non-Profit Relief Grant Application
The City of Norman Small Business and Non-profit Relief Grant is intended to assist local small
businesses and organizations that suffered due to the unforeseen circumstances brought about by the
COVID-19 pandemic. On December 1, 2020, the Norman City Council allocated $1M dollars of the
City’s CARES Act reimbursement to establish this program. The program will award grants up to
$10,000 to eligible entities.
Applications will be accepted beginning December 4, 2020 through December 28, 2020 and will be
considered based on the information provided via this application. All applications submitted within the
application window will be reviewed. Application for assistance is not a guarantee of funding.
Submit completed applications in one of the following methods. Additional supporting documentation
may be requested before awards are distributed. Please do not include additional materials at this time:
Deliver to the City Manager’s office at 201 West Gray by 5:00 p.m. on Monday, December 28,
2020.
Mail to 201 West Gray, Norman, OK, 73069 (c/o City Manager’s office). Applications must be
postmarked by December 28, 2020.
For questions, please call (405) 366-5257 or email sara.kaplan@normanok.gov.
QUALIFYING BUSINESSES:
In order to qualify for City of Norman’s Small Business Relief Grant, you must meet all of the following
requirements below. Please initial after each statement to self-assess your organization’s eligibility for
funding:
My organization is located in the city limits of Norman and is locally owned and locally
managed.
My organization employs 35 or fewer full-time equivalent employees.
My organization is current on all required licensing (varies by type) to legally operate in the City
of Norman and is current on City of Norman permit fees and utility payments. If not, grant
proceeds may be utilized to bring the organization current before the balance of the proceeds will
be released.
My organization is engaged in activities deemed legal in the State of Oklahoma.
My organization is not a church or religious organization.
My organization is not a public or private school.
My organization is not a government entity or the office of an elected official.
My organization is not a lending institution.
My organization is not engaged in political or lobbying activities.
My organization did not have outstanding business-related liens, judgements, tax liens, pending
bankruptcy proceeding prior to March 13, 2020. A past record of bankruptcy or other financial
proceedings does not preclude an organization from applying.
If the above statements are true, please proceed with completing the full application.
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PART 1: GENERAL INFORMATION
1. Legal Name of Organization:
2. Physical Address of Organization:
3. Please list all business owners, their title and ownership percentages. Please list the primary
contact for your business as Owner #1, as this is whom we will contact for additional information.
Non-profit organizations should list their Executive Director and/or Board Officers. If necessary,
you many attach an additional page.
Full Name and Title Ownership Percentage
Owner #1
Owner #2
Owner #3
Owner #4
4. Telephone Number:
5. Primary Contact Email:
6. Organization Structure:
Independent Contractor
Sole Proprietor
General Partnership
Limited Partnership (LP)
Corporation (C-Corp)
Subchapter S (S-Corp)
Limited Liability Corp (LLC)
Non-profit
Other:
7. Description of revenue generating activity performed by organization:
3|Page
8. Number of employees. Please complete the table to indicate the number of employees you had
prior to the COVID-19 emergency declaration and have currently. Include business owner(s) in
the count if you work in the business on a weekly basis.
Number of employees as of
payroll date prior to March
13, 2020
Number of employees as of
most recent payroll date.
Full-time Employees (30
hours or more per week)
Part-time Employees (less
than 30 hours per week)
9. Is your business currently in operation?
Yes
No, we have closed due to COVID-19 (since March 13, 2020)
Not yet, organization in start-up stage or postponed opening due to COVID-19
10. Did your organization invest in new technology, equipment, training or infrastructure in response
to COVID-19?
Yes. Please indicate approximate amount spent: 
Not yet, but will be implemented if funding is awarded
No
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PART 2: PRIORITY RANKING
The following criteria will be used to rank all applications. As available funding is limited, awards will go
first to those with highest needs who were not eligible or able to receive other funding.
11. Is your business at least 51% owned by one or more of the following minority groups? Or for a
non-profit, is the executive leadership at least 51% comprised of one or more of the following
minority groups. Please check all that apply.
No
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
Veteran-Owned
Women-Owned
Other
12. Was your organization subject to mandatory restrictions on capacity during the City of Norman
Healthier at Home plan (for example restaurants, bar, personal care, entertainment venue, etc.)?
YES
NO
13. Did your organization experience a significant loss of revenue in 2020 due to COVID-19
compared to the same period in the prior year? Supporting documentation may be requested.
YES, please also indicate the approximate loss in revenue.
Decreased by more than 75%
Decreased by 51-75%
Decreased by 26-50%
Decreased by less than 26%
NO
14. Is your organizations located in or directly adjacent to lower income Census Block Groups with
<80% Median Household Income (see attached map)?
YES
NO
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15. Did you apply for and/or receive funding or assistance from any other sources related to COVID-
19 relief? Please check all that apply and list amount received.
Program Status Funding Amount
Payroll Protection Program (PPP)
Applied, funding granted
Applied, funding denied
Did not apply or not eligible

Economic Injury Disaster Loan
(EIDL)
Applied, funding granted
Applied, funding denied
Did not apply or not eligible

Traditional SBA loan
Applied, funding granted
Applied, funding denied
Did not apply or not eligible

Line of credit or loan from
lending institution
Applied, funding granted
Applied, funding denied
Did not apply or not eligible

Oklahoma Manufacturing Reboot
Program
Applied, funding granted
Applied, funding denied
Did not apply or not eligible

Oklahoma Bounce Back Program Applied, funding granted
Applied, funding denied
Did not apply or not eligible

Oklahoma Business Relief
Program
Applied, funding granted
Applied, funding denied
Did not apply or not eligible

Other grants or funding received
as a result of COVID-19
Applied, funding granted
Applied, funding denied
Did not apply or not eligible

16. Did your organization receive any mortgage assistance or rent abatement for your business
location due to the COVID-19 pandemic? Please describe and provide an approximate dollar
amount.

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17. FOR NEW OR START-UP ORGANIZATIONS ONLY:
Is your organization in the “start-up” stage or been in operation less than one year? Did your
organization open in 2020 and/or was your opening delayed due to COVID-19? Was your
business concept or organization created as direct response to COVID-19? Does your new
organization fulfill a problem resulting from the COVID-19?
Please describe. Enter n/a if this does not apply.

18. Did your business location lose power during the October 2020 ice storm event?
YES, Approximate number of days without power? 
NO
By signing below, I certify that all information provided is current and accurate. I certify that any false
information, omissions, or misrepresentation fact may result in rejection of this application for funding.
NAME OF ENTITY:
By:
Name:
Title:
(Seal)
ATTEST:
_______________________________
Corporate Secretary
City of Norman Boundary (See Question 14)
Highlighted areas indicate lower income Census Block Groups.
Source: ©2020 Esri.
December 03, 2020
©2020 Esri Page 1 of 1
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City of Norman Small Business & Non-Profit Relief (City of Norman)

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Completed 24 January 2021

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