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GRANT COUNTY
BOARD OF COUNTY COMMISSIONERS
Data October 8, 2020
Re: Reversal on One Round 3 Small Business & Non-profit Grant Application Denial
through the Coronavirus Relief Fund CARES Act Grant, Contract 20-6541 C-013
The Board of County Commissioners is in receipt of written, supplemental information
from applicant Mountain Medic CPR, LLC clarifying the length of time the business has
been operating (attached).
To that end, the Board of County Commissioners is reversing its September 29, 2020
Round 3 decision to deny funding to Mountain Medic CPR, LLC, as follows:
Application Approved:
The total approved amount for reimbursement to the EDC is $10,000.00.
BOARD OF COUNTY COMMISSIONERS
(Aa —
CindyCr, Chair
1
Tom Taylor
Date of BOCC Approval: October 13, 2020
jms
Attachment
Richard Stevens
Richard Stevens Tom Taylor Cindy Carter
District 1 District 2 District 3
BOCC
Company Name Area
Amount
Requested
Approved
Amount
Mountain Medic CPR, LLC Moses Lake
$10,000.00
$10,000.00
The total approved amount for reimbursement to the EDC is $10,000.00.
BOARD OF COUNTY COMMISSIONERS
(Aa —
CindyCr, Chair
1
Tom Taylor
Date of BOCC Approval: October 13, 2020
jms
Attachment
Richard Stevens
Richard Stevens Tom Taylor Cindy Carter
District 1 District 2 District 3
June Strickler
T^/ Cgi�cc
To:
Jeanne Hanson <jhansonmountainmediccpr@gmail.com>
Wednesday, October 7, 2020 5:38 PM
June Strickler
Subject: Grant County Small Business Grant Application for MOUNTAIN MEDIC CPR LLC
Attachments: Screen Shot 2020-10-07 at 4.49.51 PM.png; ASSIGNMENT OF EIN.pdf
Dear Ms. Strickler,
I am writing in response to a decision (denial) made on my application for the GRANT COUNTY SMALL BUSINESS AND
NONPROFIT CARES ACT GRANT.
I was advised to provide supplemental information and clarification in regards to my business license, specifically, the
length of time the business has been operating.
I formed a sole proprietorship, MOUNTAIN MEDIC CPR, in 1999. MOUNTAIN MEDIC CPR provides onsite first
aid/safety/health training. I have been operating as an instructor and training center director since opening for business
in 1999.
In 2016, 1 moved to Moses Lake. I have called Moses Lake my home for 4 years and am growing my business here.
In April 2020, 1 was offered the job of providing COVID screening for my existing clients. Given the nature of the work, I
was advised to change the business structure to a WA Limited Liability Company which I did. MOUNTAIN MEDIC CPR, a
sole proprietorship / UBI # 601 894 478, was renamed MOUNTAIN MEDIC CPR LLC on May 1, 2020.
MOUNTAIN MEDIC CPR LLC continues to offer the same services it has been in Grant County with the addition of COVID
screening services and COVID education. I can provide local references and evidence of work completed for local
businesses if you require them. I also use local small businesses for supplies, materials and professional services.
Please see attachments below. One document from WA State DOR and one document form the IRS/Dept of Treasury. If
there is anything else you need, please feel free to contact me.
Thank you for your time reconsidering my application. Should my application be approved, I promise to use the
resources wisely and for the intended purpose of providing COVID screening, health services and health education for
Grant County.
Respectfully,
Elizabeth Jeanne Hanson
Jeanne Hanson
Mountain Medic CPR
c: 425 971.1084
e: ihanson@mountainmediccpr.com
w: www.mountainmedicci3r.com
Onsite first aid/CPR training for the workplace.
rj IDC DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
CINCINNATI OH 45999-0023
MOUNTAIN MEDIC CPR LLC
MOUNTAIN MEDIC CPR
% ELIZABETH J HANSON SOLE MBR
601 S PIONEER WAY NUM F303
MOSES LAKE, WA 98837
Date of this notice: 04-28-2020
Employer Identification Number:
85-0858515
Form: SS -4
Number of this notice: CP 575 G
For assistance you may call us at:
1-800-829-4933
IF YOU WRITE, ATTACH THE
STUB AT THE END OF THIS NOTICE.
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
Thank you for applying for an Employer Identification Number (EIN). We assigned you
EIN 85-0858515. This EIN will identify you, your business accounts, tax returns, and
documents, even if you have no employees. Please keep this notice in your permanent
records.
When filing tax documents, payments, and related correspondence, it is very important
that you use your EIN and complete name and address exactly as shown above. Any variation
may cause a delay in processing, result in incorrect information in your account, or even
cause you to be assigned more than one EIN. If the information is not correct as shown
above, please make the correction using the attached tear off stub and return it to us.
A limited liability company (LLC) may file Form 8832, Entity Classification Election,
and elect to be classified as an association taxable as a corporation. If the LLC is
eligible to be treated as a corporation that meets certain tests and it will be electing S
corporation status, it must timely file Form 2553, Election by a Small Business
Corporation. The LLC will be treated as a corporation as of the effective date of the S
corporation election and does not need to file Form 8832.
To obtain tax forms and publications, including those referenced in this notice,
visit our Web site at www.irs.gov. If you do not have access to the Internet, call
1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office.
IMPORTANT REMINDERS:
* Keep a copy of this notice in your permanent records. This notice is issued only
one time and the IRS will not be able to generate a duplicate copy for you. You
may give a copy of this document to anyone asking for proof of your EIN.
* Use this EIN and your name exactly as they appear at the top of this notice on all
your federal tax forms.
* Refer to this EIN on your tax -related correspondence and documents.
If you have questions about your EIN, you can call us at the phone number or write to
us at the address shown at the top of this notice. If you write, please tear off the stub
at the bottom of this notice and send it along with your letter. If you do not need to
write us, do not complete and return the stub.
Your name control associated with this EIN is MOUN. You will need to provide this
information, along with your EIN, if you file your returns electronically.
Thank you for your cooperation.
(IRS USE ONLY)
575G 04-28-2020 MOUN 0 9999999999 SS -4
Keep this part for your records.
------------------------------------•---------
Return this part with any correspondence
so we may identify your account. Please
correct any errors in your name or address.
CP 575 G (Rev. 7-2007)
CP 575 G
9999999999
Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 04-28-2020
( ) - EMPLOYER IDENTIFICATION NUMBER: 85-0858515
FORM: SS -4 NOBOD
INTERNAL REVENUE SERVICE MOUNTAIN MEDIC CPR LLC
CINCINNATI OH 45999-0023 MOUNTAIN MEDIC CPR
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601 S PIONEER WAY NUM F303
MOSES LAKE, WA 98837
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