Fillable Final - COVID-19 Utility Small Business Grant Application - Fill In

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Final - COVID-19 Utility Small Business Grant Application - Fill In

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Flatonia COVID-19 Small Business Utility Grant Program
Applicant Information
Welcome to the application process for the Flatonia EDC COVID-19 Small Business Utility Grant.
As Flatonia small businesses continue to suffer financial fallout due to the coronavirus
pandemic, the City of Flatonia’s Economic Development Corporation (EDC) has approved this
funding to provide some financial relief while you consider long-term options.
The EDC has designated up to $9,500 to fund a utility grant program to help cover business
utility costs for locally owned independent businesses. Phase 1 will be limited to locally owned
independent restaurants. Maximum amount of total grants for all such restaurants is
$5,000.00. Additional Phases to include other locally owned businesses impacted by the
COVID-19 pandemic and ensuing orders will be considered by the EDC Board of Directors at
future workshops and meetings.
Who is eligible to apply at this time?
Locally-owned, independent restaurants who are Flatonia utility customers, and who have
been ordered to change their services due to the coronavirus are eligible.
What is the maximum funding request and what can the funding be used for?
Grants will be awarded a maximum of $500 for each business to help cover the cost of utility
bills from the City of Flatonia.
How do businesses demonstrate financial impact?
Applicants will be asked to explain how their business has been negatively impacted.
Applicants will need to provide a copy of utility bills.
How will funds be received?
Once a business has been approved for the grant, the Flatonia EDC will process the request
and mail a check to the recipient. Alternatively, you are able to give authorization to a Flatonia
EDC to pay the utility bill directly to the City of Flatonia.
Application Process
Fill out the requested information in this form. Remember you must submit a copy of your
most recent utility bill along with your application.
Funding will be considered until all resources have been allocated. Applications will be
accepted until funds are depleted.
Future funding application periods will be announced in succession as new funding becomes
available.
Flatonia COVID-19 Small Business Utility Grant Program
Business Name_________________________________________________________________
Address___________________________ City __________________ State _____ Zip ________
Business Email __________________________________ Business Phone _________________
Business Owner:
Name ________________________ Phone ___________________ Fax ___________________
Type of Business _____________________________________ Date Established ____________
Type of Entity (check one): Proprietorship Partnership Corporation LLC
Is this the only place of business? Yes No
If not, please list all business names, addresses and location:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Is this business a franchise? Yes No
Business Information
✔
✔
Please describe how COVID-19 mitigation recommendations and/or mandates have impacted
your business:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
The grant funding will be used to cover City of Flatonia utility bills (please attach copies of most
recent utility bills)
In addition to applying for this grant program, what other emergency funding have you pursued
for this business?
Federal Loan Programs including the Economic Injury Disaster Loan (EIDL), Payroll Protection
Program (PPP), or other SBA loan
Employee Retention Tax Credit Texas Restaurant Association Relief Fund
Grants from non-government sources Personal Savings
Other (please explain) _______________________________________________________
I
hereby authorize Flatonia Economic Development Corporation to pay my utility bill directly to the
City of Flatonia.
I
hereby certify that the enclosed information, including any attachments provided here within or at a
later date, is valid and correct to the best of my knowledge. Inconsistent or false information will be
cause for ineligibility for the utilities grant.
Name of Applicant _________________________________________
Signature of applicant ______________________________________ Date _____________________
The application and required attachments must be submitted to Flatonia Economic Development
Corporation by email at manager@ci.flatonia.tx.us
or by mail to:
Flatonia Economic Development Corporation
Attn: General Manager
125 E. South Main Street
P.O. Box 329
Flatonia, TX. 78941
Economic Impact Information
Agreement/Authorization
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Final - COVID-19 Utility Small Business Grant Application - Fill In

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Completed 12 July 2020

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