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GRANT COUNTY BOARD OF COUNTY COMMISSIONERS Dates December 2, 2020 Re: Round 6 Small Business & Non-profit Grant Application Approvals through the Coronavirus Relief Fund CARES Act Grant, Contract No. 20-6541 C-013 The sixth round of applications for small business and non-profit grants has been submitted by the EDC for a total request of $110,000.00. After review of the applications, the Board of County Commissioners has approved the applications, as follows: Approved as requested: Company Name Area Amount Requested BOCC Approved Amount Alexis Morales Grand Coulee $ 10,000.00 $ 5,500.00 Angel Nail Moses Lake $ 10,000.00 $ 10,000.00 Camas Cove Cellars Moses Lake $ 10,000.00 $ 10,000.00 Da care Venus Royal Cit $ 10,000.00 $ 10,000.00 DC Drilling, Inc. Moses Lake $ 10,000.00 $ 10,000.00 GOSI, Artisan Wood Fire Moses Lake $ 10,000.00 $ 10,000.00 Ice Works, LLC Quincy $ 10,000.00 $ 10,000.00 Levi's Auto Parts Moses Lake $ 10,000.00 $ 10,000.00 Mike's Barber Shop Moses Lake $ 10,000.00 $ 10,000.00 New Fashion, LLC Royal Cit $ 10,000.00 $10,000.00 Olive Branch, LCL Moses Lake $ 10,000.00 1 $10,000.00 Richard Stevens Tom Taylor Cindy Carter District 1 District 2 District 3 Page 2 The total approved amount for reimbursement to the EDC is $105,500.00. BOARD OF COUNTY COMMISSIONERS Cindy Nrter, Chair Tom Taylor Date of BOCC Approval: November 24, 2020 Richard Stevens GRANT COUNTY INFORMATION SERVICES Menw To: Board of County Commissioners vt/ From: June Strickler, Grant Administration Specialist and Janice Flynn, �1� Administrative Services Coordinator Dates No✓. Z3 70Zl� Re: BOCC Review/Action on Round 6 CARES Act Grant Funding Applications from the Grant County EDC Grant County is in receipt of the EDC's Phase 6 applications for CARES Act Grant funding, which were electronically forwarded to BOCC members for review. All Phase 6 Grant County Small Business and Nonprofit Cares Act Grant applications received by the County are listed in the attached spreadsheet. We ask that you please: (1) enter "Yes" or "No" in the appropriate column of the spreadsheet for each company requesting these funds; (2) write in the amount the BOCC is approving for each applicant, as applicable; and (3) indicate below your approval of the allocations determined by the BOCC on the spreadsheet. Thank you. Dated this day of LO�V 20a Board of County Commissioners Grant County, Washington A120rv Disapprove Abstain Dist#I Dist #I Dist #1 1)ist #2 Dist #2 Dist #2 Dist #3 MDist #3 ___ Dist #3 3 ROUND 6 APPLICATIONS Company Name Area # of Emploees Employees Laid Off due to COVID-19 # of potential jobs lost Estimated Revenue Lost Amount Requested Liklihood of usiness Closing BOCC Approved? YES or NO If Approved, For What Amount? Alexis Morales 5S Grand Coulee 1 1 1 ABO I Low Angel Nail Moses Lake 1 1 1 A $10,000.00 Medium Camas Cove Cellars Moses Lake 4 0 1 4 A $10,000.00 Medium Daycare Venus Royal City 2 0 3 A $10,000.00 Low DC Drilling, Inc. Moses Lake 2 0 4? C $10,000.00 Low GOSI, Artisan Wood Fire Moses Lake 1 1 2? B $10,000.00 Cl -d G -d -II-) Ice Works, LLC Quincy 1 0 1 A $10,000.00 Medium Levi's Auto Parts Moses Lake 4 2 2 A $10,000.00 Medium/Low Mike's Barber Shop Moses Lake 1 1 1 A $10,000.00 Low New Fashion, LLC Royal City 6 0 6 A $10,000.00 Low Olive Branch, LLC Moses Lake 1 0 0 A $10,000.00 Low $1 00.00 I $ $ Key for Estimated Revenue a) $0-$49,999 b) $50,000-$99,999 0 $100,000 - $249,999 d) $250,000-$499,999 e) $500,000-$749,999 0 $750,000 or more Total Budget $2,500,000.00 Amount PAID OUT TO DATE $1,999,653.27 Total Remaining $500,346.73 (before rounds 6 or 7) ICE WORKS LLC. Address: ICE WORKS LLC. is a business entity registered at Washington 17980 S Frontage Rd, Secretary of State(https:Hopencorpdata.com/us-wa), with entity Quincy, WA 98848 identifier is 604176287. The registration start date is September 25, 2017. Business name. address Search Washington, USA [J X Schedule Your Consultation Business Overview Tweet Like 0 Share Invisalign® Is Your Secret Smile Solution. Contact Our Office To Schedule Your Visit Today Desert Sun Dental Unified Business Identifier (UBI) 604176287 Business Name ICE WORKS LLC. Category Limited Liability Regular (LLC) Business Type WA LIMITED LIABILITY COMPANY - PROFIT Incorporation State WASHINGTON Incorporation Date 2017-09-25 Expiration Date 2019-09-30 Dissolution Date 2020-02-03 Duration PERPETUAL Record Status Administratively Dissolved Physical Address 17980 S Frontage Rd Quincy WA 98848 Registered Agent Name DAVID W ADAMS 1138/202O ,� Download Phase 6r'CJ ) Phase 6 � OneDrive for Business 1 of xupo — 1M Name Date Modified File Size /�) x�' [� �� ' A|a���Wno|e�'~' 2020'10'28 409 KB Ange|Naiipdf 2020'11'02 1.31 MB [amasCove Oel|aa.pdf 2020'11'82 14.0 MB l�1 Daycare Venus.pdf 2020'11'02 1.03 MB [?- DCDriUing|ncpdf 2820'10-26 1.00 MB L� GO8.Artisan Wood Fine,pd[ 2020'10'28 315 KB F71 Ice Works LL[pdf 2020'10'26 1.10 K4D [� L6 it Levi's Auto Parts.pdf 2020'11-02 3.35 MB FN 1tj1 K8ikes8arbeohop.pdf 2020'10'27 lA3K4B 1�1 New Fashion LL[.pdf 2020-10-26 4Z5K8 Olive Branch LL[.pdf 2020 -10-28 0.98 MB 1 of xupo — 1M June Strickler From: Rebecca Nelson <rebecca@grantedc.com> Sent: Wednesday, November 18, 2020 2:21 PM To: Barbara Vasquez; June Strickler Subject: Phase 6 & 7 Attachments: Phase 6.zip; Phase 6.zip; Phase 7.zip Good afternoon, Please see attached phase 6 zip folder and let me know if you have any questions or if yu have trouble accessing these files. Rebecca Nelson Accountant I Office Manager Grant County Economic Development Council 6594 Patton Blvd NE I Moses Lake, WA 98837 509.764.6579 (P) 1509.762.5161 (F) grantedc.com AftGrant County Economic ftmopmw council . r Date Submitted: 10/27/2020 Grant Count' 11 Economic Development Cound 1` p I y1 GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The information provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered for the CARES Act Grant. This grant is a reimbursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. ***Requirements for this reimbursable grant are as follows:*** (a) Businesses with 20 or less full-time equivalent employees; (b) The business is situated in Grant County, Washington; (c) The business has been in operation for longer than six -months; (d) The business has a valid Unified Business Identifier (UBI); (e) The business has completed an Application form and entered into the agreement with Grant County EDC . (f) The total amount of grant funds available to any one business shall not exceed $10,000.00. Company Name: Alexis Morales Location: 215 Main St. Grand Coulee Dam, WA 99116 CEO/Owner Name: Alexis Morales Email: alexis_reyes_502@hotmail.com Phone: (509)429-2708 Establishment Date 07/2019 In Operation for at Least 6 months? E Yes ❑ No Industry ❑ Retail ❑ Restaurant/Food Business ® Hospitality N Manufacturing ❑ Other: Sector: Has your business been affected by emergency public health protections 0 Yes ❑ No in place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested:$ Total Number of Employees as of 01/01/2020: 1.0 O up$10,000 COMPANY BACKGROUND If one employee only, is this a sole proprietor? IC Yes ❑ No Number of Workers Laid Off Due to COVID-19: 1.0 Company Description: Describe the company and its products/services. My business is providing manicures and pedicures. UBI Number: 515760 Economic Impact: . ................. ....... .. ........... ..... _.................... ........ ........ - - Describe the effect of the public health crisis on the business and how allocated funds can help the business. Why funding is critical to this business? Due to the closure of salons, my income was impacted to provide for my family. Allocated funds would help me keep up with products for services and expand my business. Page 1 of 2 .. -- .... _... _............ When did the impact start? Start Date: 03/17/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. $5,500 of estimated revenue losses. Likelihood of Permanently ❑ High ❑ Medium N Low ❑ Business Closed Due to Governor's Directive Closing the Business Number of potential jobs lost 1 Will this grant help retain jobs? If so, how many? Yes, 1 Has the company received any state, federal, or other funding? If yes, please provide details. No _...................... _...... .... .... ...... - — ....... ___.._ _ EXPLANATION OF USE OF FUNDS ......... ....... ................ ............................... ..................................... ............................ ......... Explain how funds will be used to help the business. This information can help Grant County ensure that the expenses proposed are eligible for reimbursement. Applications without a list of proposed expenses will be considered incomplete. Funds will help me continue providing services such as manicures and pedicures, expand my inventory and update my equipment. Allowable ExpensesFunding can be used towards COVID-19-related medical or public health expenses, payroll expenses for employees who are substantially dedicated to mitigating or responding to the COVID-19 public health emergency, expenses to facilitate compliance with COVID-19 public health measures, expenses associated with the provision of economic support necessary for responding to CO WD-19, Unallowable Expensesfxpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday ,work duties are not substantially dedicated to responding to COVID-19, expenses that have been or will be reimbursed under any federal program such as CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other than hazard pay or overtime, severance pay, and legal settlements. EMPLOYMENT INFORMATION Average Annual Payroll: $ 7,000.00 Average Annual Salary for $ 11,000.00 One Individual: Benefits Paid to Employees?: O Yes ❑ No Is the applicant's LNI ❑ Yes ❑ No ■ Not Sure account current? You may look up the businesses online at httys://secure.Ini,wa.gov/verify/ What measures the company I am a sole propreitor. The funds would allow me to keep my business active since is already taking or trying to the closure impacted my income earlier this year. take to support employees the pandemic? during. c ADDITIONAL INFORMATION ......... ......... ........ __ .... _ _ —.— ... ........... --- ......... _ ........ — -- — Currently, is the company facing any pending litigation or legal action? No Has the company had any state compliance/regulatory issues within Washington or another state you are or have done business in? No I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. pv� - N- "T declare under nenalty of neriury under the laws of the State of Washinnton that the forenoino is true and corrert"- Page 2 of 2 Washington State Department of Revenue Washington State Department of Revenue < Business Lookup License Information: Entity name: MORALES, ALEXIS NICOLE Business ALEXIS MORALES name: Entity type: Sole Proprietor UBI #: 604-515-760 Business ID: 001 Location ID: 0001 Location: Active Location address: 215 MAIN ST. GRAND COULEE WA 99133 Mailing address: 1000 CAMAS ST COULEE DAM WA 99116-1102 Excise tax and reseller permit Click here status: Page 1 of 3 New search Back to results Endorsements Endorsements he License # Count Details Status https://secure.dor.wa.gov/gteunauth/—/ Expirati, First isst 11/23/2020 Washington State Department of Revenue Endorsements he License # Grand Coulee 167 General Business Governing people MORALES, ALEXIS NICOLE Count Details Status Active Registered Trade Names Registered trade names Status ALEXIS MORALES Active https:Hsecure.dor.wa.gov/gteunauth/—/ Title v Page 2 of 3 Expirati, First issi Feb -28- Jul -06-2 Fi Sep -19-2019 l 11/23/2020 Date Submitted: 10/30/2020 Grant County Aft Economic Development Council GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The information provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered for the CARES Act Grant. This grant is a reimbursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. ***Requirements for this reimbursable grant are as follows:*** (a) Businesses with 20 or less full-time equivalent employees; (b) The business is situated in Grant County, Washington; (c) The business has been in operation for longer than six -months; (d) The business has a valid Unified Business Identifier (UBI); (e) The business has completed an Application form and entered into the agreement with Grant County EDC . (f) The total amount of grant funds available to any one business shall not exceed $10,000.00. Company Name: ANGEL NAIL Establishment Date: In Operation for at UBI Number: Least 6 months? 603320594 Location: MOSES LAKE 09/2013 W Yes ❑ No CEO/Owner Name: THAI LE Email: THAIHANG77@YAHOO.COM Phone: 5097659635 Industry 0 Retail 0 Restaurant/Food Business 0 Hospitality 0 Manufacturing M Other: eAssuoiv Sector: Has your business been affected by emergency public health protections E Yes 0 No in place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested: $� 10,000.00 0 up to $10,000 COMPANY BACKGROUND Total Number of Employees as of 1.0 Number of Workers Laid Off Due to COVID-19: 1.0 01/01/2020: If one employee only, is this a sole proprietor? 13 Yes N No Company Description: Describe the company and its products/services. NAILS AND WAXING Economic Impact: Describe the effect of the public health crisis on the business and how allocated funds can help the business. Why funding is critical to this business? WE WERE CLOSED FOR 12 WEEKS DUE TO WASHINGTON GOVERNORS DIRECTIVE. FUNDS ARE CRITICAL TO CONTINUE BUSINESS AND HELP WITH PAYING BILLS Page 1 of 2 When did the impact start? Start Date: 03/15/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. 03/2019 -> 09/2019: 50,544 03/2020 -> 09/2020: 35,792 Likelihood of Permanently ❑ High M Medium ❑ Low Closing the Business Number of potential jobs lost 1 Will this grant help retain jobs? If so, how many? 1 Has the company received any state, federal, or other funding? If yes, please provide details. YES I RECEIVED THE PPP LOAN ❑ Business Closed Due to Governor's Directive EXPLANATION OF USE OF FUNDS Explain how funds will be used to help the business. This information can help Grant County ensure that the expenses proposed are eligible for reimbursement. Applications without a list of proposed expenses will be considered incomplete. These funds will be used to pay basic bills such as rent, utilities, and supplies. Also it will cover all PPE that is required by the CDC to continue business. It will also help to catch up on any expenses that we have fallen behind on due to the manditory closure of our business for 12 weeks. Allowable Expensesfunding can be used towards COKD-19-related medical or public health expenses, payroll expenses for employees who are substantially dedicated to mitigating or responding to the COVID-19 public health emergency; expenses to facilitate compliance with COWD-19 public health measures, expenses associated with the provision of economic support necessary for responding to COVID-19. Unallowable Expenses£xpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday work duties are not substantially dedicated to responding to COVID-19, expenses that have been or will be reimbursed under any federal program such as C4RES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other than hazard pay or overtime, severance pay, and legal settlements. EMPLOYMENT INFORMATION Average Annual Payroll: $ 7.700.00 Average Annual Salary for $ 7,700.00 One Individual: ....- Benefits Paid to Employees?: O Yes 0 No Is the applicant's LNI ® Yes O No ❑ Not Sure account current? You may lookup the bus nesses online at ntt s: Y P_�_j(secure.lni.wa.00vjverifjr[. What measures the company HIRED EMPLOYEE BACK WHEN WE OPENED BACK-UP AFTER GOVERNORS is already taking or trying to MANDATEED CLOSURE. WE HAVE GIVEN THE EMPLOYEE A RAISE TO COME take to support employees during the pandemic? BACK TO WORK. ....... . ..... ADDITIONAL INFORMATION Currently,is the companyfavi an _ legal ' n9 y pending litigation or al action. no Has the company had any state compliance/ regulatory issues within Washington or another state you are or have done business in? no SIGN: "I declare under penalty of r the laws of the State of Washington that the foregoing is true and correct": / Page 2 of 2 AftGrant County ECW0miCo"1WNncc4u1ci1 Lute Submitted: GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The inft- talion provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered for the CARES Act Grant. This grant is a reifnbutsable grant that will be awarded after proper documentation and submission of verified expenditures accrued. *"Requirements fat this reimbursable grant are as follows-*** (a) Bu sine sses with 20 or less hili -time equivalent employees; (b) The business is situated in Grant County, Washington, (c) The business has been in operation for longer than six -months; (d) The business has a vari d un -Vied Business Identifier (UBI); (e) The business has completed an Application form and entered into the agreement v to Grant County EDC . (f) The total amount of grant funds available to any one business shall not exceed $10,000.00. Gamy Name: (!>txer5deovp— Establishment Orate: � In Operation for at ! UBI Number; �j Least 6 months? Location; �l� C? fEN2 t% 5t- Jql oS 'S.s LZ� ©No U r CEO/Owner Name: Itlttic� t Ju n1e 514 1 l Emig; i C7 . (Z -ft- yrs 0i v e L L i F2 S c� tvs�l ta._rJtN� lam; sector - Id" Restaurant/Food MAnessss 0 Hospitality VMarnufacturing ❑ Other: if �11j ti2�1- Has your busiteas been affected by emergency pubis healtfi protections in place and/or mandatory closure by executive order due to C0VID-19? Yes D No 01/01/2020; ;t one employee only, is this a sole proprietor? i" Yes ❑ No Company Description: Describe, the company and its products/services. 6-7 S T—) 13 i iNf ift/J2 avU� 4-e(— ... cit 2 l ""4> Rem , e2{n=� Economic Impact: Describe the effect of the public health crisis on the business and how allocated funds can help the business. Why fmcling is critical to this bust€ ss? ��r-ae,�`.� ._ C��i::c.� ,�. Ciba �.- '7`� e�CiG"-�E' C�C.���.:jOtl �-h�. /�t��'L'� 1.-'�' .��� '� �.+�7f�.J .. ✓'`�'�. '�.. _. �, 2 . a fVC2,F /-7.! cacr7— etJGT k 'S' a ' C... Page I of 2 L��' r.,!..t%'L4.: f" Z'.-t°.Gi't.� G^'�.xr.-:.-»,-- the impad stait'> StairtDate, _31/71::P0R0 revenue losses in 3/2020-10/2020 compared to last year, please give details. _;?�qv e -"(u 4— AU -7c' � Likellihood o( Permanently ; 11 High Closing: the Business Nu m be r of potential jobs lost O(Medium Will the grant help retain jobs? if so, how many? � -4W 'S Has the company received any state, federal, or other funding? If yes, please provide details. EXPLANATION OF USE OF FUNDS Explain how funds will be used to help the business. This information can help Grant County enure that the expenses proposed are efigbe for reirnbursmient. Apphcations without a fist of proposed expenses will be conslidered incompide. C) ITZI X6' -;K> Aflowable E)qvirisesFundIng can be used towards CO VID- 19 -related medical or public health expenses, payroll expenses for ernpOyees who ,me wbstanAWdedicated tv inftatlrg or responding to the COVJD-19pubkc health emergency, expenses to facilitate Wmplvmce wffi CVV7D-19pLik heaM rr—eawnes, expenses associated math the pmv1];ion of economic support necessary for responding to COVID-19 : Unalknvable Expensesf),penses for the state share of Medicaid, damages covered by Insurance, payroll or benefits to employees wtxtse eveyday work duties ,are not substantiaffy dedicated to respoWing to COWD-19, expenses that have been or MY be rewftr-secd undc- any federal Awam sud7 as GVE-5 Act contribmbors by state to state unemployment funds, reimbursement to donors for donated items or services, ernrftrce bonuses ottkar Vian hazard pay ot overtime, sewance pay, and kval setMeimnts EMPLOYMENT INFORMATION Average Annual Payroll: Benefits Paid to Employees?: Is the applicants LBI account current? 0 yes A NO 0 Not sure AIV A> IE_ You may look up the businesses online at Whet measures the company 1 1sa1readytakhV_0rtry1n9tD take to support employees /"4. SIGN: "I declare under penalty of perjury under the laws of the State of Washington that the foregoi nd correct"; I AftGrant County Economic Development Council Date Submitted: Y GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The information provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered for the CARES Act Grant. This grant is a reimbursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. ***Requirements for this reimbursable grant are as follows:*** (a) Businesses with 20 or less full-time equivalent employees; (b) The business is situated in Grant County, Washington; (c) The business has been in operation for longer than six -months; (d) The business has a valid Unified Business Identifier (UBI); (e) The business has completed an Appiication form and entered into the agreement with Grant County EDC . (f) The total amount of grant funds available to any one business shall not exceed $10,000.00. �mpany Name--:, �.�Q U�.C�uS Establishment Date. In Operation for �� ,� � 'Least 6 months? Location: G� ���}� �` ��� Yes El No '� �.111�-I1►'aC� Ill .,tai at UBI Number: CEO/Owner �� C>A&' 5 Name:\G CDC—) ,Email: �\C`"'C \i�.C�UfZc��-l'J�.C�v��..c�U� • �J'�"'-` "C •� . �j7c \�� Phone Industry ❑ Retail ❑ Restaurant/Food Business ❑ Hospitality ❑ Manufacturing Other: L1`-�.N�K'C)&'- U(\\ Qr Sector: L_9J N qct `. - Has your business been affected by emergency public health protections in place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested: $ �� ❑ up to $10,000 \Q Yes ❑ No COMPANY BACKGROUND Total Number of Employees as of Number of Workers Laid Off Due to COVID-19: 01/01/2020: If one employee only, is this a sole proprietor? Yes ❑ No Company Description: Describe the company and its products/services.Q �O\)\,&� �CJ-�CGC Q 4--j Q'(' ".3 vsL �U C �.ca c•.1`c�.s .�,� t� �2.0-'C S c�� U� .Q.�-c=v��,• �jc,,�ctcar�� Economic Impact: W4� _\COrry lzx 9 6\\\S�& Describe the effect of the public health crisis on the business and how allocated funds can help the business. Why funding i cnticai to thisbusiness? S�k'j% C_c 4 L. 11 Q c Q c v carn c�.rc'� 5 Q t Q -�c� C.uo q Page 1 of 2 When did the impact start. Start Date: CC�GCCr�� Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. 'ccJ,3V<-\- �vd.v"3 Likelihood of Permanently ❑ High ❑ Medium `e�ow ❑ Business Closed Due to Governor's Directive Closing the Business Number of potential jobs lost Will this help retain jobs? If so, how many? Has the company received any state, federal, or other funding? If yes, please provide details. EXPLANATION OF USE OF FUNDS ---- _.._.._._....__� Explain how funds will be used to help the business. This information can help Grant County ensure that the expenses proposed are eligible for reimbursement. Applications without a list of proposed expenses will be considered incomple e. o..c�.c�.��.or.�,\ cc -"D �vC\LeS -. ;...Allowable Expensesfunding canbeused, towards-COVID-19-related medical or public health expenses, payroll expenses for employees who are substantially dedicated to mitigating or responding to the COVID-19 public health emergency, eVenses to facilitate compliance with COVID-19 public health measures, expenses associated with the provision of economic support necessary for responding to COVID-19. Unallowable Expensesfxpenses for the state share of Medicaid, damages covered by Insurance, payroll or benefits to employees whose everyday work duties are not substantially dedicated to responding to COVID-19, expenses that have been or will be reimbursed under any federal program such as CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other than hazard pay or overtime, severance pay, and legal settlements r- - EMPLOYMENT INFORMATION ... ...... ... _... _ Average Annual Payroll: AAA v p , v 1 AverageAnnualSalary for One Individual:_.__........ j Benefits Paid to Employees?: i 0 Yes Y,QNo FIs the applicant`s LNI ❑ Yes ❑ No '9�Not Sure account current? You may look up the businesses online at httgs://sectire.irii.wa.gov/verifyl j—What measures the company '5G%e Q_Q c^AQ'� �S �•� �'`�`��i'� CC Cts-` �'� GC\� ? is already taking or trying to j JVb S��v� �� \S ht`�� V �� � `� C o\S Q take to support employees I during the pandemic?cJ �Q Jt r., �c7 5C_ CA \\ �, t ___..___... ....___ ___._ _..___-._—___- _ i ADDITIONAL INFORMATION Currently, its the company facing any pending litigation or legal action? Has the company had any state compliance/regulatory issues within Washington or another state you are or have done business in? i SIGN: "I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct": r � A,,,,c- Page 2 of 2 AAftGrant County Economic Development Council V Date Submitted: X' 0 1 '? 0 1 / r, GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The information provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered for the CARES Act Grant, This grant is a reimbursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. —Requirements for this reimbursable grant are as follows: (a) Businesses with 20 or less full-time equivalent employees, (b) The business is situated in Grant County, Washington; (c) The business has been in operation for longer than six -months; (d) The business has a valid Unified Business Identifier (UBI); (e) The business has completed an Aplilicatxin form and entered into the agreement with Grant County EDC (f) The total amount of grant funds available to any one business shall not exceed $10,000.00. Company Name: DC Drilling Inc Location: 6333 N Frontage Road S Moses Lake, WA CEO/Owner Name,* Daniel C Eilers Email: kylie,_Wdrdrillinginc.com Phone. 500..750-2171 Establishment Date: In operation for at USI Number: Least 6 rnortths? 603325333 08/2013 W y C-. U 4") Indus" 0 Retail :J Restaurant/Food Business Cl Hospitality 13 Manufacturing Sector. Has your business been affected by emergency public health protections 0 Yes 0 No in place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested: $$ 10,00 0 up<51�01000 Total Number of Employees as of 20 01/01/2020: ... ...... . If one employee only, is this a sole proprietor? 0 Yes 0 No ........... . ......... . . .... ._ . .... ... .... . .... Company Description: Describe the company and Its products/services. DC Drilling is a water well drilling company for residential and agriculture purposes. COMPANY BACKGROUND MEMMEM Number of Workers Laid Off Due toCOVID-19: 0_0 Economk Impal: Describe the effect of the public health crisis on the business and how allocated funds can help the business. Why funding is critical to this business) Our business has been affected by the time of work lost due to the Covid-1 9 shutdown. New construction wells are 75% of our business and during the shutdown we lost the ability to generate our normal income. The cost of supplies has inflated and we are seeing a large difference in cost for our necessary supplies. Also we have seen that the affects on the agriculture industry from loss of restaurant sales has effected our normal winter work with farms conserving money and not hiring us for Agriculture work. Page 1 of 2 When did the impact start? Start Date: 04/01/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. Our estimated revenue losses are 209,000 compared to last year in that time period. The spring is historically one of our busiest seasons of the year and with the strict lock down rules for construction we weren't able to drill any new construction wells until Grant County was moved to Phase 2. Likelihood of Permanently 0 High 0 Medium N LOW L1 Business Closed Due to Governoes Directive Ckxdna the Business Number of potential jobs lost 4— WdI this grant help retain jobs? If so, how many? Yes, if we are chosen for this grant it will free up other funds to continue paying our employees through the winter when weather plays a huge part in our ability to work. I am worried with the already previous slow down of Covid-19 we will have a hard time keeping our employees on this winter after being affected by two slow downs. Has the company received any state, federal, or other hinding? If yes, please provide details. Yes, our company has used PPP funds to continue paying payroll in previous months when we needed it. EXPLANATION OF USE OF FUNDS Explain how hinds will be used to help the business. This information can help Grant County ensure that the expenses proposed are eligible for reirnburswient Applications without a list of proposed expenses will be considered incomplete. The use of funds will be dedicated to payroll expenses and keeping the valuable employees we have hired and trained this year on to get us through into when our business picks up when the weather warms up. Allowable ExpensesiFtindrg can be used towards COVED -19 -related medical or public hwii!A expenses, POYrOtl eV -1S1!5 far e-#OYEes who are substantially dedcated to mitigating or responding to the COWD-19 public health emeryency, expenses to Wlitare com#iance wiM COWD-19 pu&jc hinalth measures expenses associated with the provision of economic support necessary for responding to COKaI9 Unallowable ExpensftExpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose eioeryday work duties are not substantially dedicated to responding to COV70-19, expenses that have been or w/1 be reimbursed under any &-denal program such as r,4RA!5 Act contnbuPons by state to state unemployment funds, reimbursement to donors for donated items or services , workforce bonuses offier than hazard pay or overture, severance pay, and legal settlements EMPLOYMENT INFORMATION Average Annual Payroll., $ 134 00 Average Ann" Salary for $44,67 W One mdual: ....... .... Berieft Paid to Employees?: 0 Yes 19 No Is the applicant's LNI 8 Yes 0 No 0 Not Sure account oirrent? You may took up the businesses online at what measures the company Our company is providing all necessary gear for employees to take proper is already talang or trying to precautions to protect themselves and allowing any time off that may be needed due take to support employees during the pandemic. to Covid-19. ADDITIONAL INFORMATION Currently, is the company facing any pending litigation or legal action? No Has the company had any state compitance/regulatory issues within Washington or another state you are or have done business in? No SIGN: 'I declare under Penalty Of perjury under the laws of the State of Washington that the foregoing is true arid correct": Page 2 of 2 v Date Submitted: 10/27/2020 Grant CountyAft Economic Development Council GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The information provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered for the CARES Act Grant. This grant is a reimbursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. ***Requirements for this reimbursable grant are as follows:*** (a) Businesses with 20 or less full-time equivalent employees; (b) The business is situated in Grant County, Washington; (c) The business has been in operation for longer than six -months; (d) The business has a valid Unified Business Identifier (UBI); (e) The business has completed an Application form and entered into the agreement with Grant County EDC . (f) The total amount of grant funds available to any one business shall not exceed $10,000.00. Company Name: GOSI, Artisan Wood Fire Location: 9545 Baseline .5 SE CEO/Owner Name: Nicholas F Galfano Email: contactgosi@yahoo.com Phone: 509-989-8149 Establishment Date: I In Operation for at i UBI Number: Least months? 07/2019E Yes ❑ No 604427044 Industry ❑ Retail B Restaurant/Food Business ❑ Hospitality Sector: Has your business been affected by emergency public health protections in place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested: $ $ 10,000.00 ❑ up to $10,000 ❑ Manufacturing ❑ Other: ❑ Yes ❑ No COMPANY BACKGROUND Total Number of Employees as of 1.0 01/01/2020: If one employee only, is this a sole proprietor? O Yes ❑ No .... _ .. _ ......... _......................................... - Company Description: ................ . Describe the company and its products/services. Brick Oven food traler and catering! Number of Workers Laid Off Due to COVID-19: 1_0 Economic Impact: Describe the effect of the public health crisis on the business and how allocated funds can help the business. Why funding is critical to this business? Gosi was shut down in January due to Covid-19 Payments on financed trailer mounted and I was unable to open my door. Once we entered phase 2 1 was able to open with many restrictions and unable to cater events. My entire events calender was cancelled and unable to re -schedule due to the uncertainty of Covid-19. I am currently leasing a space at 1517 Yonezawa Moses Lake, WA. I am working on re-buiding my business, however, I have trailer payments that need to be brought current and funds to advertise are short. Page 1 of 2 When did the impact start? Start Date: 02/01/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. $56,000.00 1 opened GOSI July 2019, and then my health failed and I had to wait until October 2019 before opening again. Then, along came Covid-19 in February 2020, which stages closed me down. I was able to re -open again after the opening of phase 2. All of my catering that was sheduled had to be cancelled and no re -scheduled due to the uncertainty of Covid-19 Likelihood of Permanently ❑ High ❑ Medium ❑ Low ® Business Closed Due to Governor's Directive Closing the Business Number of potential jobs lost 2 Will this grant help retain jobs? If so, how many? 2 Has the company received any state, federal, or other funding? If yes, please provide details. no EXPLANATION OF USE OF FUNDS .. ......... ............................. _ _ ..... __. ......... ......... _ Explain how funds will be used to help the business. This information can help Grant County ensure that the expenses proposed are eligible for reimbursement. Applications without a list of proposed expenses will be considered incomplete. Help to catch up on payments. Allow me to advertise so I can re -build business lost. Allow me to hire 1 more employee. Allowable Expensesfunding can be used towards COVID-19-related medical orpublic health expenses, payroll expenses for employees who are ubstant/ally dedicated to mitigating or responding to the COVID-19 public health emergency, expenses to facilitate compliance with COVID-19 public health Measures, expenses associated with the provision of economic support necessary for responding to COVID-19. Unallowable Expensesfxpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday Cork duties are not substantially dedicated to responding to COVID-19, expenses that have been or will be reimbursed under any federal program such s CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other Tan hazard pay or overtime, severance pay, and legal settlements. EMPLOYMENT INFORMATION Average Annual Payroll: $ 48,000.00 Average Annual Salary for $ 48,000.00 One Individual: Benefits Paid to Employees?: ❑ Yes O No Is the applicant's LNI i Yes ❑ No ❑ Not Sure account current? You may look up the businesses online at https:/Isecure.ini.wa,gov/verify/ What measures the company is already taking or trying to take to support employees during the pandemic? I have only been able to pay myself sometimes. ADDITIONAL INFORMATION Currently, is the company facing any pending litigation or legal action? no Has the company had any state compliance/regulatory issues within Washington or another state you are or have done business in? no SIGN: "I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct": nicholas f galfano Digitally signed by nicholas f galfano Date: 2020.10.27 15:51:17 -07'00' Page 2 of 2 Y Date Submitted: 10/16/2020 Grant CountyAft . Economic development Council GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The information provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered for the CARES Act Grant. This grant is a reimbursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. ***Requirements for this reimbursable grant are as follows:*** (a) Businesses with 20 or tens full-time equivalent employees; (b) The business is situated in Grant County, Washington; (c) The business has been in operation for longer than six -months; (d) The business has a valid Unified Business Identifier (UBI); (e) The business has completed an Application form and entered into the agreement with Grant County EDC. (i) The total amount of grant funds available to any one business shall not exceed $10,000.00. Company Name: Ice Works, LLC Location: Quincy, WA CEO/Owner Name: David Adams Email; rimmy56@outlook.com Phone: 509-750-9716 Iedusby 0 Retail M Restaurant/Food Business Sector: Establishment date: In Operation for at URI Number: Least 6 months? 0712018 E Yes o No 1604174502 O Hospitality O Manufacturing 0 Other: Has your business been affected by emergency public health protections yes • No In place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested:; $ 10,000.00 Total Number of Employees as of 01/01/2020: 1.0 If one employee only, Is this a sole proprietor? Company Description: Describe the company and its products/services. 19 up to $10,000 -_11—- COMPANY BACKGROUND M Yes O No Number of workers Laid Off Due to COVID-19: 0.0 Ice Works, LLC is an Ice manufacturer. Our manufacturing facility in located in Quincy, WA. Water and ice is available for public access 24/7. 1 also distribute and deliver to bath private parties and businesses in the Community. Finally, I have multiple 24 -hr merchandisers that are stocked with ice and available to the public within Grant County. _.. _ ......... .......... Economic Impact: _._. _... _..._ .._ _ ...... _. Describe the effect of the public health crisis on the business and how allocated funds can help the business, why funding is critical to this business? The lack of large gatherings per WA state mandates was a huge detriment to my income stream in 2020. As we all know this state mandate effected, recreation, tourism, weddings, concerts, graduations and other family functions, all of which are directly correlated to my delivered and catering income. Funding is critical to my business as 1 depend on the spring and summer months to not only cash-flow my operation, but build enough income to pay my liabilities through the winter months. Page 1 of 2 When did the impact start? Start Date: 03/10/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. The manufacturing location stayed open for public access due to water and ice service being an essential business. Income lasses are still estimated at just under $3,500 compared to the same time period last year. Ice delivery income for catering and gatherings is down for the same time period as 2019 at around $11,500. Closli g the B Permanently ? o High 8 Medium ❑ Low 0 Business Closed Due to Governor's Directive Cia�ing the Busanes$ ! Number of potential jobs lost 1 Will this grant help retain jobs? If so, how many? Yes, 1 - The sole proprietor. Has the company received any state, federal, or other fLnding? If yes, please provide details. Yes, I received the City of Quincy, WA COVID Relief Grant for $5,000. EXPLANATION OF USE OF FUNDS ....... ... ......... . Explain how funds will be used to help the business. This information can help Grant County ensure that the expenses proposed are eligible for reimbursement. Applications without a list of proposed expenses will be considered incomplete. As mentioned funding is critical to my business as I depend on the spring and summer months to not only cash-flow my operation, but build enough income to pay my liabilities through the winter months. I will use these funds to reimburse my personal exhausted operating line to stay in businesses. I have included my basic expenses from March to October 2020 as well as a supporting document that includes added COVID-19 cleaning supplies that I tracked earlier in the year from March to May 312020, Allowable Expensesfundiog can be used towards COVID-19-related medical or public health expenses, payroll expenses for employees who are wbstantally dedicated to mitigating or responding to the COVID-19 public health emergency, expenses to facilitate compliance with COVID-19 public health neasures, expenses assodated with the provision of economic support necessary for responding to COVID-19. Unallowable Expensesfxpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday vork duties are not substantially dedicated to responding to COVID-19, expenses that have been or will be reimbursed under any federal program such is CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other han hazard pay or overt me, severance pay, and legal settlements. EMPLOYMENT INFORMATION Average Annual Payroll: $ 10,000.00 Average $10,000.00 Benefits Paid to Employees?: l o Yes 19 No is the applicants LNI account current? ® Yes 0 No 0 Not Sure You may look up the businesses online at haps://secure.lni.wa. /verify What measures the company We are a sole proprietor, start-up Company, so no employees. We already follow Grant talready taking or trying to Count health guidelines per our license. We added masks to our delivery protocol on top of take to support employees Y � during the pandemic? plastic gloves and changing our sanitation schedule from weekly to daily for community safety. ADDITIONAL INFORMATION Currently, is the company facing any pending litigation or legal action? NO Has the company had any state compliance/regulatory issues within Washington or another state you are or have done business in? NO SIGN: "I declare and penalty of perjury under the laws of the State of Washington that the foregoing is true and correct': Page 2 of 2 Grant County Economic Development — CARES Act Application Operating Expenses Ice Works, LLC EXPENSES Mar -20 Apr -20 May -20 Jun -20 Jul -20 Aug -20 Sep -20 Oct -20 SUM Insurance 0 0 1,250 0 0 0 0 0 1,250 Re airs/Maint 50 50 50 75 75 75 360 75 810 COVID-ExCleani 250 250 250 250 250 250 250 250 2,000 Vehicle Exp 251 260 327 315 405 305 367 150 2,380 Bags = Average 120 120 120 120 120 120 120 120 960 Phone S stems 125 125 125 25 125 125 125 125 900 CC Fee- 7 7 18 26 37 57 29 9 190 Taxes/CPA Fee 238 0 0 0 0 0 0 0 238 Adver / Signage 25 390 1,400 0 0 0 0 0 1,815 Refi Expenses 0 0 5,722 0 0 0 0 0 5,722 POWER - Avq 100 100 100 100 100 100 100 100 800 Water - AA 50 50 50 50 50 50 50 50 400 Loan Machine 1,800 1,800 1,800 1,800 2,493 2,493 2,493 2,493 17,172 Loan Trailer #1 381 381 381 381 381 381 381 381 3,048 Loan Trailer #2 280 280 280 0 0 0 0 0 840 TOTAL Expenses 3,677 3,813 11,873 3,142 4,036 3,956 4,275 3 753 -B,525 Detail of Expenses: Insurance includes liability and property insurance for the main vending machine. Repairs and maintenance include weekly cleaning, weed control around the ice machine etc. COVID-Ex cleaning is the additional sanitation supplies needed to keep our community safe from the spread. Every day at least once I wiped and sanitized all major public access points. I've included a list of expenses I tracked from May to June to support my average estimation. Vehicle Expenses are the costs associated with the business activities. More trips for sanitation were needed during the months of March to May and continue to this day. Ba&s are the plastic approved bags for ice. Bags are actually paid in one lump sum for the year due to ordering restrictions, we average these costs monthly. Phone systems include my business phone and the electronic safety tracking system of the machine CC fees are credit card fees associated with credit card transactions Taxes and CPA fees are the fees associated with my annual filing of federal and state taxes. Power/Water Usually jumps a little in summer months, I just average it in my budget. Loan Machine is the loan paid monthly for the main ice vending machine. Loan Trailer #1 is the monthly loan payment for one of my catering trailers. Loan Trailer #2 is the monthly loan payment for one of my catering trailers. ICE WORKS LLC Sanitation Expenses & Operating Supplies / Expenses Date Where Amount Including: 13 -Feb Costco $ 308.14 Wipes 14 -Feb Quicy Ace $ 64.71 Bleach 17 -Feb George $ 42.96 Towles 18 -Feb George $ 68.16 Rags 20 -Feb Costco $ 36.37 Brushes 6 -Mar George $ 51.98 Tools 9 -Mar Bi -Mart $ 66.59 11 -Mar Quicy Ace $ 15.83 16 -Mar Akins $ 36.64 18 -Mar George $ 36.64 6 -Apr Akins $ 24.84 17 -Apr Bi -Mart $ 57.30 23 -Apr Wal-Mart $ 27.30 29 -Apr Wal-Mart $ 58.43 1 -May Costco $ 134.19 15 -May Bi -Mart $ 34.68 18 -May Akins $ 22.29 1 -May Costco $ 51.91 19 -May Grainger $ 132.74 1 23 -May Fred Meyer $ 95.82 1 -Jun Akins $ 31.20 11 -Jun Walmart $ 53.20 TOTAL $ 1,451.92 Water Filters 23 -Mar Filters fast $ 55.03 23 -Mar H2O Distributors $ 100.00 23 -Mar H2O Distributors $ 100.00 TOTAL $ 255.03 :EB $ 520.34 MARCH $ 207.68 APRIL $167.87 vlAY $ 375.81 GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The information provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered for the CARES Act Grant. This grant is a rsefrobursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. ***Requirements for this reimbursable grant are as follows.*** (a) Businesses with 20 or less full-time equivalent employees; (b) The business is situated In Grant County, Washington; (c) The business has been In operation for longer than six -months; (d) The business has a valid Unified Business Identifier (Uel); (e) The business has completed an Application form and entered Into the agreement with Grant County EDC . (f) The total amount of grant funds available to any one business shall not exceed $10,000.00. Company Name: Levi's Auto Parts Establishment Date: In Operation for at UBI Number: Least 6 months? Location: Moses Lake, WA 06/2010 IC Yes ❑ No X603022301 CEO/Owner Name: Levi Jones Email: ievisautoparts@gmail.com Phone: 509-765-4567 Industry Sector: N Retail ❑ Restaurant/Food Business ❑ Hospitality ❑ Manufacturing ❑ other: Has your business been affectedby emergency public health protections K Yes ❑ No in place and/or mandatory closure by executive order due to COVID-19? Automotive ana commercial auto di u pidilita.Iutallct. us ti3usiness? �� ids will be us Page 1 of When did the impact start? Start Date: 03116/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. Between the months of 3/2020-10/2020 we have lost $15,000, The biggest being in March and April. We have been slowly chipping away at these losses by cutting employment. Likelihood of Permanently ❑ High lil Medium ® Low ❑ Business Closed Due to Governor's Directive Closing the Business Number of potential jobs lost 2 Will this grant help retain jobs? If so, how many? Every bit of help will help retain jobs. 3 Has the company received any state, federal, or other funding? If yes, please provide details, No funding. EXPLANATION OF USE OF FUNDS _._. ... Explain how funds will be used to help the business. This information can help Grant County ensure that the expenses proposed are eligible for reimbursement. Applications without a list of proposed expenses will be considered incomplete. Retaining current employees and updating our store front for current guidelines. Allowable Expensesfunding can be used towards COVID-19-related medical or public health expenses, payroll expenses for employees who are substantially dedicated to mitigating or responding to the COVID-19 public health emergency, expenses to facilitate compliance with COVID-19 public health measures, expenses associated with the provision of economic support necessary for responding to COVID 19. Unallowable Expenses Expenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday Work duties are not substantially dedicated to responding to COVID-19, expenses that have been or will be reimbursed under any federal program such as CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other than hazard pay or overtime, severance pay, and legal settlements ._.. EMPLOYMENT INFORMATION Average Annual Payroll: $ 160,000.00 Average Annual Salaryfor $ 40,000.00 One Individual: - __ Benefits Paid to Employees?: ❑ Yes 0 No is the applicant's LNI ®Yes ❑ No ❑ Not Sure account current? You may took up the businesses online at Ip'1Cseeure'lni wa gpylyerifyl What measures the company; We are trying; to keep everyone on staff that we can, even during the slow times, is already taking or trying to take to support employees , however when cut Is made, it is what has to be done. during the pandemic? ADDITIONAL INFORMATION going is true and correct': Date Submitted: 10/26/2020 GrantCounty Aft Economic Development Council GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The information provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered fol the CARES Act Grant. This grant is a reimbursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. ***Requirements for this reimbursable grant are as follows:*** (a) Businesses with 20 or less full-time equivalent employees; (b) The business is situated in Grant County, Washington; (c) The business has been in operation for longer than six -months; (d) The business has a valid Unified Business Identifier (UBI); (e) The business has completed an Application form and entered into the agreement with Grant County EDC . (f) The total amount of grant funds available to any one business shall not exceed $10,000.00. Company Name: Mikes Barbershop Location: 641 S. Pioneer Way CEO/Owner Name: Michael Asay Email: mikethebarberml@gmaii.com Phone: (509)750-4960 Industry ❑ Retail ❑ Restaurant/Food Business Sector: Establishment Date In Operation for at ; DBI Number: Least 6 months? 0512006 6040636611 i I9 Yes ❑ No i 0 Hospitality ❑ Manufacturing Has your business been affected by emergency public health protections N Yes 0 No in place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested: $$ 10,000.00 Rl up to $10,000 COMPANY BACKGROUND Total Number of i Employees as of 1.0 01/01/2020: If one employee only, is this a sole proprietor? Rl Yes ❑ No Company Description: N Other: service Number of Workers Laid Off Due to COVID-19: 1_0 Describe the company and its products/services. The company is a barbershop. 1 offer haircuts and beard trims. Economic impact: ....... _ ..... _ _.___ _- .... Describe the effect of the public health crisis on the business and how allocated funds can help the business. Why funding is critical to this business? The public health crisis affected me and my business dramatically. I am a sole proprietor so therefore I am the single employee. My wife is a stay at home mom, so the income I make from the barbershop is what my family and I rely on for bills and to put food on the table. With the Governor's stay at home order tasting for about 11 weeks, we were stretched really thin and it was an extreamly stressfull time for us; which we are still playing catch up for. As a business owner having to cover the bills for both the household and the barbershop added up quickly and we had to rely on credit cards etc. The benefits of this grant would greatly help me out as I am still trying to come back from those 11 mandatory weeks of shutdown, plus it would also help provide a cushion for the business to continue to stay open since about 114 of my total clientele have a fear of being in public now because of the Pandemic and are in self quarantine. It would be such a blessing to be considered for the grant and would definetly help relieve a lot of stress for me and my family. Page i of 2 When did the impact start? Start Date: 03/17/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. My estimated loss while not working for 11 weeks due to the stay at home order was roughly $15,000 for those weeks. To this date. I still haven't recovered up to full steam cause people are still nervous to leave their homes and I've had to take safety precautions to remain open. I only allow one person into my shop for a haircut at a time and take everyone's temperature who enters the shop. All the extra steps suck time out of my day that I normally would fill with cutting hair. Time really is money. I've estimated I'll realistically have about a 35-50% loss this year from March-Decamber if things and restrictions continue as they are now. Likelihood of Permanently ❑ High ❑ Medium N Low 11 Business Closed Due to Governor's Directive Closing the Business Number of potential jobs lost 1 + Will this grant help retain jobs? If so, how many? It will definently help me retain my job by not forcing me to close my doors. (am a sole proprietor so I am the only one working at Mike's Barbershop. I've been in business locally for 14 years and am proud of the small business community I am a part of in Moses Lake. I would love to stay in business so I can continue to take care of the locals that I enjoy each and every day. Has the company received any state, federal, or other funding? If yes, please provide details. applied for and did receive a PPP for the business. I did also apply for unemployment and received a few installments before they stopped paying because of the high number of fraud cases. Unfortunately the installments I did receive didn't come close to i covering the loss the barbershop took because of the 11 week stay at home order. EXPLANATION OF USE OF FUNDS Explain how funds will be used to help the business. This information can help Grant County ensure that the expenses proposed are eligible for reimbursement. Applications without a list of proposed expenses will be considered incomplete. Since my income from the barbershop covers both shop and household bilis, the funds will allow me to professionally cover my insurance payments, products and tools used to provide haircuts and maintain the shop, heating, water, garbage, electric, as well as cleaning supplies and all the extras that come with the safety supplies for COVID-19 that are mandatory right now. As for personal,household funds it would help go towards house payments, groceries, providing for my wife and son, credit card payments, our medical insurance, It will also help us recuperate from the 11 weeks I was not allowed to work and would greatly help to offset our finical struggle Allowable Expensesfunding can be used towards COWD-19-related medical or public health expenses, payroll expenses for employees who are substantially dedicated to mitigating or responding to the COVID-19 public health emergency, expenses to facilitate compliance with COVID-19 public health treasures, expenses associated with the provision of economic support necessary for responding to COVID-19. Unallowable ExpensesE'xpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday Work duties are not substantially dedicated to responding to COVID-19, expenses that have been or will be reimbursed under any federal program such as CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other than hazard pay or overtime, severance pay, and legal settlements. EMPLOYMENT INFORMATION I Average Annual Payroll: ,$ 60,000.00 Average Annual Salary for i$ 60,000.00 One Individual: _ Benefits Paid to Employees?: IN Yes ❑ No Is the applicant's LNI N Not Sure account current? You may look uyp the businesses online at https;//secure.Ini.wa.goylverifd What measures the company is already taking or trying to take to support employees during the pandemic? Taking approicate action toward safety protocol so the business won't get shutdown due to covid-19. ADDITIONAL INFORMATION Currently, is the company facing any pending litigation or legal action? Has the company had any state compliance/regulatory issues within Washington or another state you are or have done business in? no SIGN: "I declares under penalty of perrjjurry/ under the laws of the State of Washington that the foregoing is true and correct": Page 2 of 2 L/ Date Submitted: 10/22 /202 0 Grant County _.............. .__................. _.._.................. _..... _-______ Aft Economic Development Council GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The information provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered for the CARES Act Grant. This grant is a reimbursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. ***Requirements for this reimbursable grant are as follows:*** (a) Businesses with 20 or less full-time equivalent employees; (b) The business is situated in Grant County, Washington; (c) The business has been in operation for longer than six -months; (d) The business has a valid Unified Business Identifier (UBI); (e) The business has completed an Application form and entered into the agreement with Grant County EDC . (f) The total amount of grant funds available to any one business shall not exceed $10,000.00. Company Name: New Fashion LLC Establishment Date: Location: 123 Evergreen Ave NW, Royal City, WA, 99357-0896 01/2005 CEO/Owner Name: Martha Raygoza Email: Raygozamartha@ymail.com Phone: (509)346-1681 In Operation for at I UBI Number: Least 6 months? 1602-475-153 F Yes ❑ No Industry 8 Retail ❑ Restaurant/Food Business ❑ Hospitality ❑ Manufacturing ❑ Other: Sector: Has your business been affected by emergency public health protections ■ Yes ❑ No in place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested: $ $ 10,000.00 O up to $10,000 COMPANY BACKGROUND Total Number of Employees as of 6.0 Number of Workers Laid Off Due to COVID-19: 0.0 01/01/2020 If one employee only, is this a sole proprietor? ❑ Yes ❑ No ____...... ............................ . Company Description: ...................... ......... ----........ ........ ---... _._............................ _.... __—........ ___..... —_........ __. Describe the company and its products/services. In this company the products being sold are clothing, shoes, electronics, blankets, and suitcases. We also offer money sending services for our customers. Economic Impact: .................... ..... .......................... .--...................... _....... -----....... __._..... .... .......... .. ............. Describe the effect of the public health crisis on the business and how allocated funds can help the business. Why funding is critical to this business? The effect COVID-19 had on our business was bad. We were forced to shut down for a while leaving us with unpayed bills and losing some of our customers to other businesses that weren't shut down along with us. This funding is critical to us because it'll help us pay for those unpayed bills and to also pay our employees. Page 1 of 2 t/ ..._........... ..... _................... ............ When did the impact start? Start Date: 03/28/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. About $30,000.00 compared to last year is what we lost because of COVID-19. Likelihood of Permanently ❑ High ❑ Medium M Low ❑ Business Closed Due to Governor's Directive Closing the Business Number of potential jobs lost 6 Will this grant help retain jobs? If so, how many? Yes, 6. Has the company received any state, federal, or other funding? If yes, please provide details. No. EXPLANATION OF USE OF FUNDS ........... _.... _...... Explain how funds will be used to help the business. This information can help Grant County ensure that the expenses proposed are eligible for reimbursement. Applications without a list of proposed expenses will be considered incomplete. We will use these funds to pay employees, pay rent, and bills from the insurance. Allowable Expensesfunding can be used towards COVID-19-related medical or public health expenses, payroll expenses for employees who are ybstantially dedicated to mitigating or responding to the C:OVID-19 public health emergency, expenses to facilitate compliance with COVID-19 public health 7easures, expenses associated with the provision of economic support necessary for responding to COVID-19. Unallowable Expensesfxpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday Cork duties are not substantially dedicated to responding to COVI0-19, expenses that have been or will be reimbursed under any federal program such s CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other Tan hazard pay or overtime, severance pay, and legal settlements. EMPLOYMENT INFORMATION Average Annual Payroll: i$ 51,254.01 Average Annual Salary for $ 20,735.00 One Individual: Benefits Paid to Employees?: ❑ Yes 0 No Is the applicant's LNI i Yes ❑ No ❑ Not Sure account current? You may look up the businesses online at https•//secure.Ini.wa.gov/verify/ What measures the company. The meausres the company is already taking to support employees is providing our employees with is already taking or trying to facial masks which is not only helping them but our customers as well. What we are also doing is take to support employees cleaning surfaces after every customer and we require our employees to stay 6ft apart from our during the pandemic? i customers. ADDITIONAL INFORMATION Currently, is the company facing any pending litigation or legal action? No. Has the company had any state compliance/regulatory issues within Washington or another state you are or have done business in? No. SIGN: "I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct": i Page 2 of 2 .✓ Date Submitted: 10/27/2020 Grant County Aft Economic Development Council GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT The information provided allows the Department of Commerce to evaluate your grant application. This contract must be filled out completely to be considered for the CARES Act Grant. This grant is a reimbursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. ***Requirements for this reimbursable grant are as follows:* ** (a) Businesses with 20 or less full-time equivalent employees; (b) The business is situated in Grant County, Washington; (c) The business has been in operation for longer than six -months; (d) The business has a valid Unified Business Identifier (UBI); (e) The business has completed an Application form and entered into the agreement with Grant County EDC . (f] The total amount of grant funds available to any one business shall not exceed $10,000.00. Company Name: Olive Branch. LLC Establishment Date: In Operation for at UBI Number: Least 6 months? Location: 1025 S Pioneer Way Moses Lake, WA 98837 01/2017 19 Yes 0 No 604115404 CEO/Owner Name: Mario K Galfano Email: mariogalfanol954@a gmail.com Phone. 509-793-8145 Industry 0 Retail 0 Restaurant/Food Business 0 Hospitality Sector: Has your business been affected by emergency public health protections in place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested: $110,000-00 Total Number of Employees as of 1.0 01/01/2020: If one employee only, is this a sole proprietor? [7 Yes 0 No Company Description: Describe the company and its products/services. Insurance sales commission based 0 up to $10,000 0 Manufacturing 0 Yes 0 No COMPANY BACKGROUND Number of Workers Laid Off Due to COVID-19: 0_0 Economic Impact: Describe the effect of the public health crisis on the business and how allocated funds can help the business. Why funding is critical to this business? Insurance sales are down and many clients are unable to pay their premiums resulting in no commission. Other business's closing down, cancelling insurance. Page 1 of 2 When did the impact start? Start Date: 02/0112020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. $22,000.00 Likelihood of Permanently ❑ High ❑ Medium IN Low ❑ Business Closed Due to Governor's Directive Closing the Business Number of potential jobs lost 0___.._..__.__�. _. Will this grant help retain jobs? If so, how many? 1 myself Has the company received any state, federal, or other funding? If yes, please provide details. none EXPLANATION OF USE OF FUNDS Explain how funds will be used to help the business. This information can help Grant County ensure that the expenses proposed are eligible for reimbursement. Applications without a list of proposed expenses will be considered incomplete. Funds will help catch up on living and business expenses Allowable Expensesfunding can be used towards COVID-19-related medical or public health expenses payroll expenses for employees who are substantially dedicated to mitigating or responding to the COVID-1.9 public health emergency, expenses to facilitate compliance with COVID-19 public health measures, expenses associated with the provision of economic support necessary for responding to COVID-19. Unallowable Expenses Expenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday work duties are not substantially dedicated to responding to COVID-19, expenses that have been or will be reimbursed under any federal program such as CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other than hazard pay or overtime, severance pay, and legal settlements. EMPLOYMENT INFORMATION Average Annual Payroll: $ 52,944.00 Average Annual Salary for $ 52.944.00 One Individual: Benefits Paid to Employees?: ❑ Yes & No Is the applicant's LNI N Yes ❑ No 11 Not Sure account current? You may look up the businesses online at talps:i: sec€,€re.lni,wa, v; Ierify% 9<% ` What measures the company Self employed/no employees is already taking or trying to take to support employees during the pandemic? ADDITIONAL INFORMATION Currently, is the company facing an ? Y p y g y pending litigation or legal action. no Has the company had any state compliance/regulatory issues within Washington or another state you are or have done business in? SIGN: "I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct": Mario K G a l fa n o Digitally signed by Mario K Galfano Date: 2020.10.27 19:29:25 -07'00' Page 2 of 2