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HomeMy WebLinkAboutGrant Related - BOCCGRANT COUNTY INFORMATION SERVICES 1" t G l! L-1 v erno NOV 3 0 2020 GRANT COUNTY COMMIS; To: Board of County Commissioners From: Janice Flynn, Administrative Services Coordinator Dates November 30, 2020 Re: BOCC Review/Action on Round 9 CARES Act Grant Funding Applications from the Grant County EDC Grant County is in receipt of the EDC's Phase 9 applications for CARES Act Grant funding, which were electronically forwarded to BOCC members for review. All Phase 9 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. RECEIVED NOV 3 0 2020 GRANT COUNPI COMMISSIONERS ROUND 9 APPLICATIONS Company Name Area # of Emploees Employees Laid Off due to COVID-19 # of potential jobs lost Estimated Revenue Lost Amount Requested Liklihood of Business Closing BOCC Approv d. Y If Approved, For What Amount? American Legion Post 209 Moses Lake 6 6 6 b $ 10,000.00 High Art of Fades Quincy 1 0 1 a $ 10,000.00 High Zolman Chiropractic Clinic PLLC Quincy 3 2 2 a $ 10,000.00 Medium TM's American Made Construction Royal City 1 0 1 a $ 10,000.00 Low Diamond Salon Quincy 0 0 4 $ 10,000.00 Medium Ephrata Saw & Mower LLC Ephrata 1 0 1 b $ 10,000.00 High Inca Mexican Restaurant ML LLC Moses Lake 24 6 6 d $ 10,000.00 Medium Gies Health & Fitness LLC dba Jazzercise Moses Lake 1 1 5 $ 7,000.00 Medium Jones & Jones Property LLC Moses Lake 1 1 1 a $ 10,000.00 Medium Youth Outdoors Umlimited Moses Lake 2 0 2 d $ 10,000.00 Low Loyal Order of Moose Lodge 2147 Royal City 1.2 0.2 1 a $ 10,000.00 Medium \ Tranquility Body Mind & Spirit Moses Lake 1 0 1 a $ 10,000.00 Closed Tacos Colima 1 0 0 $ 10,000.00 Medium Carniceria Y Antojitos EI Drimo Moses Lake 10 4 4 30% $ 10,000.00 Loose Ends Salon Moses Lake 1 1 0 a $ 10,000.00 Low �\ Carter Ag Inc Royal City 2 0 2 d $ 10,000.00 Low $ 157,000.00 $ Key for Estimated Revenue ) $0-$49,999 $50,000-$99,999 $100,000-$249,999 I) $250,000-$499,999 0$500,000-$749,999 total tsuaget >rpuu,wu.uu Amount PAID OUT TO DATE $ 1,999,653.27 Total Remaining $500,346.73 (before rounds 6, 7, 8, 9) GRANT COUNTY BOARD OF COUNTY COMMISSIONERS Data December 2, 2020 Re: Round 9 Small Business & Non-profit Grant Application Approvals through the Coronavirus Relief Fund CARES Act Grant, Contract No. 20-6541 C-013 The ninth round of applications for small business and non-profit grants has been submitted by the EDC for a total request of $157,000.00. 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 American Legion Post 209 Moses Lake $ 10,000.00 $ 10,000.00 Art of Fades Quincy $ 10,000.00 $ 10,000.00 Zolman Chiropractic Clinic PLLC Quincy $ 10,000.00 $ 10,000.00 TM's American Made Construction Royal Cit $ 10,000.00 $ 10,000.00 Diamond Salon Quincy $ 10,000.00 $ 10,000.00 Ephrata Saw & Mower LLC Ephrata $ 10,000.00 $ 10,000.00 Inca Mexican Restaurant ML LLC Moses Lake $ 10,000.00 $ 10,000.00 Gies Health & Fitness LLC dba Jazzres Moses Lake 7,000.00 $ 7,000.00 Jones & Jones Property LLC Moses Lake $ 10,000.00 $ 10,000.00 Youth Outdoors Unlimited Moses Lake $ 10,000.00 $ 10,000.00 Loyal Order of Moose Lodge 2147 Royal Cit $ 10,000.00 $ 10,000.00 Tranquility Body Mind & Spirit Moses Lake $ 10,000.00 $ 10,000.00 Tacos Colima $ 10,000.00 $ 10,000.00 Carniceria & Antojitos El Drimo Moses Lake $ 10,000.00 $ 10,000.00 Loose Ends Salon Adams Count Othello $ 10,000.00 $ 0.00 Carter Ag Inc Ro al Cit $ 10,000.00 $ 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 $147,000.00. BOARD OF COUNTY COMMISSIONERS Cindy ,arter, air tom Taylor Date of BOCC Approval: November 30, 2020 Richard Stevens Date Submitted: 11/24/2020 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: American Legion Post 209 Establishment Date: In Operation for at UBI Number: Least 6 months? Location: 538 W Brosdway Moses Lake WA 98837 12/1983600-622-311-000 © Yes ❑ No CEO/Owner Name: Bill Purcell Email: amerlegion209@nctv.com Phone: 509-765-1126 or 509-760-1507 Industry ❑ Retail 9 Restaurant Food Business ❑ H non profit veterans post Sector: / Hospitality El B Other: Has your business been affected by emergency public health protections in place and/or mandatory closure by executive order due to COVID-19? 0 Yes EJ No Amount of Emergency Grant Money Being Requested: $ O up to $10,000 Total Number of Employees as of 01/01/2020: 6.0 COMPANY BACKGROUND If one employee only, is this a sole proprietor? ❑ Yes ❑ No Number of Workers Laid Off Due to COVID-19: 6.0 Company Description: Describe the company and its products/services. provide facilities and opportunities for veterans interaction, resources and assistance. 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? Without our club and kitchen, we have no income coming in to pay the utilities or pay taxes that are now past due. We tried to make it through the first closure by cutting hours and all around cut backs, but bills and taxes are making this impossible. Without some help we will be forced to close, which would not be good for our veterans in this community, Page 1 of 2 When did the impact start? Start Date: 03/14/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. Estimated loss is 75150.62 this is due to shut down because of Covid , plus having to cut back to 3 days a week due to lack of revenue. Last years revenue for these months was 118430.01 this year during those months it is 43279.39 difference of 75150.62 Likelihood of Permanently ®High ❑ Medium ❑ 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 at least 3 but hopefully all 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. past due taxes - pay utilities - restock inventory- fix equipment- and pay other misc bills- extend hours back to normal and rehire employees Allowable Expensesfunding can be used towards COVID-19-related medical or public health expenses, payroll expenses for employees who are jbstantially dedicated to mitigating or responding to the COVID-19 public health emergency, expenses to facilitate compliance with COVID-19 public health 7easures, expenses associated with the pro vision 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 ,ork 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 i Average Annual Payroll: ;$ 77,000.00 Average Annual salary for $ 12,000.00 One Individual: Benefits Paid to Employees?: ❑ Yes No Is the applicant's LNIj ® Yes ❑ No ❑ Not Sure account current? j You may look up the businesses online at https://secure.Ini.wa.gov/verify/ f What measures the company €they have all been on unemployment is already taking or trying to i take to support employees during the pandemic? j 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": William Purcell Digitally signed by William Purcell Date: 2020.11.24 17:06:53 -08'00' Page 2 of 2 Date Submitted: 11/11/202€? Grant County Economic Deve4ment 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 -;rust 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) Busing with zo 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 $10,0:30.00. Company Name: ART OF FADES Establishment Date: { in Operation for at i UBI Number: i Least 5 moraw Location: 21ST D STREET SW, QUINCY WA 98848 01/2001 ®Yes o No �604-386-652 ... .�.... ..... ..___.____._._, Name: NOEL A PEREZ Email: noetangelperez@yahoo.com mossesmom@yahoo.com Phone: 509-607-6396 Industry ❑ Retail 0 Restaurant/Food Business ❑ Hospitality 0 Manufacturing M Other: BARBER/HAIRDRESSER Sector: Has your business been affected by emergency public health protections In place and/or mandatory closure by executive order due to COVID-193 Amount of Emergency Grant Money Being Requested: $$ 10,000.00 fil up to $10,000 Total Number of Employees as of 1.0 01/01/2020: ■ Yes D No COMPANY BACKGROUND Number of Workers Laid Off due to COVID-19: 0.0 1 If one employee only, is this a sole proprietor? IN Yes 0 No Company Descrtptivn: Describe the company and Its products/services. - SINGLE CHAIR HAIR STYLIST/BARBER LICENSED WITH HAIR CUTS, SHAVES, GROOMING, j FACIALS, BEARDS AND EYEBROWS TRIMS, FACIAL MASSAGES 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? I HAD TO BE CLOSED FOR 3.5 MONTHS. DUE TO THE FACT THAT I AM SO CLOSE TOM PEOPLES FACES AND BEARDS THE PUBLIC IS AFRAISD To COME IN. i HAVE TO HAVE TIME BETWEEN EACH CLIENT AND BY APPOINTMENT ONLY, SO MY DROP IN BUSINESS AND WALKINS ARE NOT ALLOWED. MY BARBERS WORK ON A WALK IN BUSINESS. THIS HAS PRETTY MUCH SHUT DOWN THE REMAINDER OF MY CLIENTALE. THE FUNDING WILL ALLOW ME TO CONTINUE TO PAY RENT FOR MY BUSINESS SPACE AND MY BUSINESS BILLS THAT ARE DUE REGARDLESS OF AMOUNT OF CUSTOMERS. Page 1 of 2 When did the impact start? Start Date: 03112/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. Ukelihobci of Permanently N High O Medium 0 Low F1 Business Closed Due to Governor's Directive Closing the Business Number of potential jobs last Will this grant help retain jobs? if so, how many? THIS GRANT WILL ALLOW ME TO CONTINUE TO RENT THE BUILDING I AM IN, PAY FOR BUSINESS INSURANCE AND SANITIZING SUPPLIES CONTINUED TO NEED PURCHASING. I AM CURRENTLY SO SLOW DUE TO COVID I CAN NOT PAY MY RENT AND KEEP MY COMPUTER SYSYTEM THAT DOES CONTACTLESS SCHEDULING AND PAY FOR ACCOUNTING ETC. Has the company re meed any state, f kwa, or others? If yes, Please provide details. NO UMATION OF USE OF Fl)NDS Explain haw funds wits be used to help the business. This Information can help Grant County ye ensure re that the expenses proposed _are eligible for reimbursement Applicationswithout a fia of proposed expenses will be considered incomplete. 1 WILL BE ABLE TO CONTINUE TO PAY FOR RENT, ADVERTIZE I AM OPEN, PAY FOR MORE SANITIZING EQUIPMENT, PRODUCTS I USE ON CLIENTS, PHONE AND COMPUTER SYSYTEMS, BUSINESS INSURANCE ETC. ALL THE THINGS THAT HAVE TO BE PAID REGARDLESS OF BUSINESS. Allowable Expensesfunding can be used towards COMP -19 -related me dal or public health expenses, payroll expenses for employees who are vbstantyally dedicated to mitigating or reWonding to the COVID-19 public health urgency, expenses to fail tate compliance with COWD-19 public health neasuresy expenses associated with the proymon of economic support necessary for responding to COWD49. Unallowable ExpensesExpenses for the state sham of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday vork defies are not substantially dedicated to responding to COVID-19, expenses that have been or will Ix reimbursed under any federal program such s CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated itarns or services, workforce bonuses other han hazard pay or overt nae, severance pay, and legal its. I*PLt3yMFJ T INFORMATION Average Annual Payroll: ''.g O.00 Average Annual Salary for One Ind'ividuaL- �$ 0.00 Bertefilts Paid to Employees?: 1 p Yes w No Is &fie applicant`s .._— .. account current? ■Yes ■ No ❑loot Sure 3 I. You May low* up the businesses Online at h=9Usecure int wa govlver1fv/ What measures the company, IT IS JUST ME, AND I HAD TO BE CLOSED FROM MARCH TO JULY 1, 2020, AND take to support employees already taking orgingto INOW THAT COVID IS EVEN MORE RAMPED BUSINESS HAS DROPPED OFF tl during the pandernic? _ 53% SINCE I REOPENED. ADDITIONALIN - -- -=-= __.__ __ __... 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 hive 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": Page 2 of 2 AftGrant County Economic Development Council GRANT COUNTY SMALL BUSINESS AND NONPROFIT CARES ACT GRANT �f'tYiY Fr's41+ Mi*m ^r it:-�rt^mt Y f, 'ri'sr.r iJ Na�.:$t YJi+ S -Y9 dFh�s=�a�- tis .-rrrA2 �"s,:l C! Ked u t �. wt C}Ti{.`r ha f/at^w?s'izs.a+`ds�sl947e+t�.Y.wS>1fC..v+k.!a^.n,-.+q'n hY'l"«X.n tr+C Y2M3-N:+' J �7�l.�IK ITP6OJe:b �'rmiYYNfta M ?b HiUhWi4 P(� w r• IrMwa. • fb 5�.�16 CfIv3 `e Y W'H.ea �. i > Nr M llwt pxtrhr.; va-va w :¢l tie 4.A+ML h 1✓aa� Gra` C.+.M, w';�V.'•5�,. BF$ •.1fM !w+» i� t: u� k gw'lRW Ea try�s $M. YNd..bRi. �Ttr 7VerM aas 3i YlGi/ ufea �.r,+wa. itud/v :155 tr`T-te kYr.YMr:lb azrk{irebr kerks<,m �!✓s rlr l.i R.r✓f.w.ws �=r.�-. .,z. r.• 'Y"tiH.f/1rgtq��y>Y �Nb. tYYritw�^. i"Y.ti S.Hxxl.�.'XS aw..110. KqW f'a"•'r >'M+^��l-s In l+�ya.ac&c .:.•.e M..0 ?V bA0 -'q iw.l 3h O %+ 6- si 'MI ft'- 0--y 'ieu—y u: aar<•as tA1vt _s-a!3'IYf3 ruF >rcer rKs. hrea, .rt«t i W .aar.N*cr a —M w t.-Cevo �^ fir• r,a!a. n+.�wbtc+r csr+w. h c,ma,. >xe« au w CeYV7D7Tr ' rn :� ti: er r. -W.. tt-•..wr a. VV rt�a..-esteJ: iS�=r aire? rr•....,fm�;01 CONPAXY "ClIGA00141) 91 iced 9R 0e Cu _ ;rr ,rt'3-4'YTr rrrr. +c T+t d vx ✓.c•..+,:. • _., .... , iti S^'�".L''_•Y t+i'ta`5' Yc rA ;r*.+4Le_ s a-.ct� Chirapractir; service ::r'..�T<L*�. s"^21 Ts :a#art¢.si"�cR:�cn+r,^L-:re�an�n'rn a�xk:M M.L'k i�l'•F`C .^t to .-a 't.*Y� �z r�rr:: r:4chran-.�' Pat=ent load is dawn by 213 with all the lock downs and restrictions. n'r+• sd rr r... cr• �n o S46,600 lost with decrease in patient visits. a "';+�t.7 ✓ Aw.wanwAJy : iy}. S:.T.eE.r,s ,,,+r M..r. Cu ' fi+.r m +ervr-aY Ca,t+9x j � Wt ^:f TM !tt T.in +J14�itY hw•.y1r. 2 �� *1n :Y ["sS'vl ntiNrM Jnj if.Y[y !:11rr,f :. .CM tNyitvJi FJ Yr4, £JE'�r �M'r Mi1?. Received 5460 from Medicare. E7SPU.NA17[]H 9J 73i[ C4 FUM75 ._�,a.-!.;.. `jvf Mt/r .xsrc�x'�'�'hrrx- �rF.r.K '..s ,. .� n:.y•..-,r. ;iy'.r .s •-, r..v<-. l r-�z..:rs .er!.. � 4 aF d?t4fiai re.•rr�.f w{4 er�r:se.M ±.J ..... + Keeping the monthly hills paid to maintrFin the practice. i.e. Payroll, Rent, Phone, Internet, Supplies, Electricity, Water, Garbage. atwrbie �ynMst cal x .:n7 Jtis tLYb'>J3�T�ts�.cnAia rr J.avt.'++tdrt r'S'""'"x PrrfX' n�++►'+.b mt,k'pers .rra- r.Cx-:�s`=•stick.A:XNd+.f+to�*Jn'�'`i spy's se i'YR�74nt:Y haet�w+.r�>e).t.tvt�s 67 ta,�trn`%rF+rr wti Ck'4;JJ9,abh,'*•aCT r' �ttT!°L tr.'s ss:q[ue•CA .r+ % Pe' OS'f'f+7'-+`.9(R'110.•K' iiciv'rk=s3U'Y TY tAR'+ "5i �' 0.'FY.�JA t7asAahsr►9k f�ref+i'rrr�c't hr Cs ftrde ftis c+ rhRnf :i:•w:sn a•n+Td JY rwz•'rcr,rr#a.>T>Ps r'a++i ft+.K f. R n ;iii Mr aY YFh"+'rf4A)F d+.Rt !Y! Jfi.}KTfYyt b (C"7'S. r,��-:+•i ^ x V:e :.rr a..+� irA sn¢:�u'YrT .+LYf J3 JLt4TtJ A'••Tar- 9uh n a;�k??S M. e_K'rSLtivtc W g -V, b JL#+' tt�.,trh'AA+x'rd F.+f.Y. 'rv'.4+cn •. < ? n,:+•. Sr Nr ak4 i a <n'la r,YE4�etr tfYVR's ;. .v "a^ ..;drd :.•r .v .�rM.t'�f: pr+,r"vtT i-ra: aaBiW w:tY-a>^ _. EMKOYMEMT INFOUMATTCNJ . a'f'?+u'{ t:rrNV' r.a, _...�, •..ve-_..... T..er 1 ,.. -: Paying cut . ' pocket, J1E){)TTiCtiV�,F. n�frxuAit 41°1 „rr7.• :�ea-e>'+...e 'seq rT. r -.x .. - �r.n�,-.an•.s No —FN G'r't>a" / k' s`r R.At iY+-?%r.-L "•: ut: r, nsu+wC<. 'A'31aa'+j�'r 1 b'Gt'w-r iCXr ✓v Ae P tglC rk�Y :uatea: No 4u�r=>ft•uvkK arszt =rimfl r;Ax �gxr Yz,xe �.4a�r�yt@x �sr y,Tr ,�+y.i+rx le"a ca+ai}: " F Aft Grant County Economic Development Council Date Submitted: 11/27/2020 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: TM'S AMERICAN MADE CONSTRUCTION Establishment Date: In Operation for at I UBI Number: Least 6 months? Location: Royal City Wa 02/2019 0 Yes ❑ No 604381774 CEO/Owner Name: Antonio F Martinez Email: generallee0010@gmail.com Phone: 5097973193 Industry ❑ Retail ❑ Restaurant/Food Business ❑ Hospitality ❑ Manufacturing 8 Other: Construction Sector: Has your business been affected by emergency public health protections a 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 ❑ up to $10,000 COMPANY BACKGROUND ---------- ----- -- ---- - ------ -- _ ---- --_..----..___---—_— Total Number of Employees as of 1.0 Number of Workers Laid Off Due to COVID-19: 0.0 01/01/2020: . ..... ......-- ------------- _......_........... ._....__­­­­ If one employee only, is this a sole proprietor? 19 Yes ❑ No Company Description: Describe the company and its products/services. Home repairs and finish packages. 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? Others have lost their jobs and had to postpone their repairs/hiring me and some don't want me in their house because of COVID. Some have not been able to pay me for jobs that I did at the beginning of the crises. PPE/disinfecting supplies, job isolation materials and operational expenses. 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. $11,000. Jobs cancelled or delayed because of COVID Likelihood of Permanently ❑ High ❑ Medium _ B Low T ❑ 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? 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. Pay for expenses already incurred since crises started, operational expenses. Allowable Expensesfunding can be used towards COVID-19-related medical orpublic 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 easures, 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 s CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other an hazard pay or overtime, severance pay, and legal settlements. EMPLOYMENT INFORMATION .... ..._....._._ ._.._..-------... Average Annual Payroll: $ 15,000.00 Average Annual Salary for $ 15,000.00 One Individual: Benefits Paid to Employees?: ❑ Yes 19 No Is the applicant's LNI ❑ Yes ❑ No ® Not Sure account current? You may look up the businesses online at https://secure.Ini.wa.goylverify/ What measures the company, Employee works other job. is already taking or trying to take to support employees during the pandemic? 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 periury under the laws of the State of Washington that the foregoing is true and correct": Antonio F Martinez Digitally signed by Antonio F Martinez Date: 2020.11.27 19:49:36 -08'00' Page 2 of 2 AftGrant County Economic Development Council Date Submitted: 11/19/2020 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: Diamond Salon Location: 311 Central Ave S Quincy Wa 98848 CEO/Owner Name: Gina R Avalos Email: gina.avalos29@gmail.com Phone: 509-398-1845 Establishment Date: In Operation for at UBI Number: Least 6 months? 11/2008 '604546914 9 Yes ❑ No Industry ❑ Retail ❑ 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: $ O up to $10,000 ❑ Manufacturing 11 Yes ❑ No A Other: Salon COMPANY BACKGROUND Total Number of Employees as of 0.0 Number of Workers Laid Off Due to COVID-19: 0.0 01/01/2020: If one employee only, is this a sole proprietor? O Yes ❑ No Company Description: Describe the company and its products/services. own a Hair/Nail Salon and I rent out the hair stations. I also sell hair and beauty products. 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? This has affected my business because for a time the salon had to be shut down and I was not recieving rent money but had to pay rent out of pocket, as well as insurance,security system, and PUD. My products are not selling due to closing the business. I have also had to increase sanitation products as well as purchasing sneeze guards etc. 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. i I cant compare to last year, as this is my first year in business. j i Likelihood of Permanently Closing the Business ❑ High 8 Medium ❑ Low ❑ Business Closed Due to Governor's Directive Number of potential jobs lost 4 I Will this grant help retain jobs? If so, how many? It will help me to keep Salon open for Stylist to continue to work. Has the company received any state, federal, or other funding? If yes, please provide details. 4-21-2020 there was a deposit made in the amount of $1,000.00. 1 assumed it came from a grant that I filled out but there was no explination or documentation on it. The number on the deposit was j EIDG3600247312. 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. The funds will be used to continue to pay the rent/utilities/security and increased sanitation supplies. I I 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 easures, expenses associated with the provision of economic support necessary for responding to COVID-19. Unallowable ExpensesExpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday mork duties are not substantially dedicated to responding to COVID-19, expenses that have been or will be reimbursed under any federal program such 0 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: Average Annual Salary for j One Individual: I Benefits Paid to Employees?: ❑ Yes 19 No --- Is the applicant's LNI - .. ............. .. ........_. ........... - -._._ ... .-.--.- ---- ----------- account current? ❑ Yes ❑ No ® Not Sure _ You may look up the businesses online at https1/secure.Ini.wa.goWverify( ___.--.._...._....-- —----- What measures the company - - -- --... - i Do not have employees, but I am trying to keep the Salon doors open so the Stylist is already taking or trying to !can continue to work what is currently allowed by governor. take to support employees during the pandemic? ...... — ADDITIONAL INFORMATION Currently, is the company facing any pending litigation or legal action? No I Has the company had any state compliance/regulatory issues within Washington or another state you are or have done business in? I No Signed: Gina R Avalos i SIGN: "I declare under penalty of perjury under the laws of the State of Washinqton that the foregoinq is true and correct": Page 2 of 2 Date Submitted: 11/22/2020 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: Ephrata Saw and Mower, LLC Location: Ephrata, Washington CEO/Owner Name: Bryan Lindner Email: lindner.5@hotmail.com Phone: 509-899-8140 ......... _ ........._.......... -_.............. __...... . -- Establishment Date: In Operation for at UBI Number: Least 6 months? 12/2016 9 Yes ❑ No :604074310 Industry ® Retail ❑ Restaurant/Food Business ❑ Hospitality Sector: l 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: $ $ 8,000.00 ❑ up to $10,000 ❑ Manufacturing ❑ Other: A Yes ❑ No COMPANY BACKGROUND Total Number of Employees as of 1.0 Number of Workers Laid Off Due to COVID-19: 00 +01/01/2020: If one employee only, is this a sole proprietor? O Yes ❑ No Company Description: Describe the company and its products/services. Small engine repair, lawn and garden equipment, agricultral equipment, power sports, and full service sharpening 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 lock downs and closures of other businesses has impacted the amount of income our business has lost due to covid-19. Our business has lost at least 2/3 of our regular business. Funds will be used to pay for bills such as phone, utilities, insurances, advertising/ licensing, inventory, and other operating cost. Page i 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. About 12,000+ has been lost. The spring and summer are our busiest time of year, but this year that wasn't the case. We have very low customer volume this year. Likelihood of Permanently B High ❑Medium ❑Low Closing the Business Number of potential jobs lost 1 Will this grant help retain jobs? If so, how many? Yes, one job Has the company received any state, federal, or other funding? If yes, please provide details. ❑ Business Closed Due to Governor's Directive Yes, we recived an EIDL Loan of $14,000.00 in August. Which helped us catch up on bills at that time. 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. The funds will be used to pay leases, utilities, insurances/ licenses, advertising, inventory and other business related expenses. Allowable Expensesfunding can be used towards COVID-19-related medical or public health expenses, payroll expenses for employees who are vbstantlally 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 ExpensesExpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday fork 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 Jan hazard pay or overtime, severance pay, and legal settlements. !` EMPLOYMENT INFORMATION Average Annual Payroll: 1 $ 12,000.00 Average Annual Salary for $ 12,000.00 ' One Individual: Benefits Paid to Employees?: ❑ Yes O No _.... - -- - — -- ---- -- __.........._............ ..... — -- Is the applicant's LNI ❑ Yes ❑ No A Not Sure I account current? You may look up the businesses online at https://secure Ini.wa.goy/verify/ I What measures the company No employees sole proprietor. is already taking or trying to take to support employees during the pandemic? 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": Digitally signed by Bryan Lindner Bryan Lindner Date: 2020.11.22 18:37:17 -08'00' Page 2 of 2 Date Submitted: 11/10/2020 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 relmhursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. *"Requirements *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: Inca Mexican Restaurant Moses Lake LLC Establishment Date: In Operation for at i UBI Number: I Least 6 months? Location: V Yes 11 No U04 z CEOJOwner } Name: Javier Rodriguez Email: incarestaurants@gmaii.com Phone: 509-579.2249 Industry 0 Retail 5 Restaurant/Food Business ❑ Hospitality O Manufacturing ❑ Other: Sector: Has your business been affected by emergency public health protections ■ Yes 0 No In place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested: $ t7 up to $10,000 COMPANY BACKGROUND Total Number of i i Employees as of 24.0 Number of Workers Laid Off Due to COVID-19: 6.0 01/01/2020: if one employee only, Is this a sole proprietor? CI Yes I] No company Description: Describe the company and Its products/services. Full service family Mexican restaurant. 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? Page 1 of 2 When did the impact start? Start Date: 03/16/2020 Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. Our revenue losses have been about $400, 000 compared to the same time period last year. Likelihood of Permanently 0 High N Medium 0 Low 0 Business Closed Due to Governor's Directive I Closing the Business Number of potential Jobs lost 6— Will this grant help retain jobs? If so, how many? Yes, this grant will help retain jobs because it will help with rent and utility cost which are taken a toll on our business right now. Has the company received any state, federal, or other funding? If yes, please provide details. Payroll Protection Program Funding was received to help keep employees at work, 100% of this loan was used to pay our employees and has now been exhausted. . ......... . . 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. The funds from this grant will be used to cover rent and utility expenses and this will relieve some of the stress of covering payroll especially in the coming slow winter months. -5, Pa )To expenses for employees h are Allowable ExpensesiFunding can be used towards COVID-19-related medical or public health expenses, e S MP10Ye who ffie COVID-19 public health emergency h sutstantiaf�, dedicated to mitigating or responding to expenses to facilitate compliance with CO VID-19 public health iveasures, eypen-s-es associated with the provision of economic support necessary for responding to COVIO-19 1 to employees whose everyday by insurance, payroll or benefits Unallowable Expens4esfxpenses far the state share Of Medicaid, damages covered 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: 1$ 829,000-00 Average Annual salary for is 18,000.00 one Individual; Benefits Paid to Employees?: I 0 Yes 19 No Is the api6iiczritli LN? a Yes 0 No D Not Sure account current? You may took up the businesses online at httE)S:/iseaire.int.wa.(iov/ventyI What measures the company We are taking the necessary steps to protect our employees and provide the is already taking or trying to take to support employees necessary PPE items such as masks, gloves, disinfectant and hand sanitizes. during the pandemic7 ADDITIONAL INFORMATION Currently, is the company facing any pending litigation or legal action? No ; Has the company had any state compharice/regulatory issues within Washington or another state you are or have done business in? No SIGN: 1 declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct": U! (77— Page 2 of 2 Date Submitted: 11/19/2020 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: Gies Health and Fitness LLC DBA Jazzercise Location: 824 W 3rd Ave, Moses Lake, WA 98837 CEO/Owner Name: Brittany Gies Email: brittanygies@gmail.com Phone: 509-760-5406 Establishment Date: In Operation for at UBI Number: Least 6 months? 604542120 10/2020 ❑ Yes ® No Industry ❑ Retail ❑ 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: $$ 7,000.00 ❑ up to $10,000 ❑ Manufacturing ❑ Yes ❑ No COMPANY BACKGROUND Total Number of Employees as of 01/01/2020: 1.0 8 Other: Health and Fitness Number of Workers Laid Off Due to COVID-19: 1.0 If one employee only, is this a sole proprietor? [E Yes ❑ No Company Description: Describe the company and its products/services, We are a health and fitness center that provides in person aerobics classes, personal training and a commuinty of support for women and men in our community. 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? Our doors almost closed for business in September until 1 decided to buy the business from the past owner. I was an instructor during the first shut down and I took it hard when I realized that the community I (and so many others) rely on was about to be non existent. I did not want to see a business that has been in our commuity for over 38 years close its doors. I saw the toll it took on our customers mental and physical health, as well as us instructors when we could not offer our services. I hoped that I'd be able to tum around the business when things opened back up with restrictions, and fortunately we were able to offer our customers a healthy outlet and way to stay healthy by taking in person classes. However, now that we have to shut our doors for a second time I am concerned that my hope to save this business may not be successful. Our customers are concerned as well and don't know what to expect as we roll in to the next year. Many of them have decided to cancel their memberships, we have lost over half of our customers due to this pandemic. As a new business owner I do not have the revenue needed to pay for my lease and expenses as we continue to have customers cancel daily. I would appreciate your help so I can keep this business and community afloat. Please help keep this long tern business of our community going, us instructors and our community of women and men thank you for attempting to offer assisance. Page 1 of 2 When did the impact start? Start Date: 03/20/2000 I Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. So many of us need Jazzercise for health reasons, I have been surprised by how many customers have approached me because they hope we can continue to offer some sort of service for them as they are required by insurance and their doctors to stay physically active fora certain amount of hours a week. Some of these people are not able to walk outside in the cold and do not have a treadmill or other resources, so they are relying on our online services to keep them moving. Likelihood of Permanently Closing the Business ❑ High 9 Medium ❑ Low 11 Business Closed Due to Governor's Directive Number of potential jobs lost 5 Will this grant help retain jobs? If so, how many? I have worked for this business for 4 years and other instructors have worked here for up to 38 years. We all rely on this income and some of us have health issues that require consistant activity, so we need this for health reasons as well. 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 would use the funds to help pay for our expenses and hopefully offer a reduction of pricing for our customers so more people can afford to continue their memberships. Allowable Expensesfund/ng can be used towards COVID-19-related medical orpublic 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 easures, expenses associated with the provision of economic support necessary for responding to COVID-19. Unallowable ExpensesExpenses 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 s 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: $ 24,000.00 Average Annual Salary for $ 4,000.00 One Individual: Benefits Paid to Employees?: ❑ Yes ❑ No -................ .......... - Is the applicant's LNI account current? -- _ ______ 2 Yes ❑ No C3Not Sure You may look up the businesses online at https://secure.lni.wa.goy/yerifY1 What measures the company -- - - ---- - —..................... ...... ..._..._..._...__..._..--------- --..__.._.__.—..... _... _..... .__........... ............_.._ i We are supporting our instructors as they do their best to offer online classes for our I is already taking or trying to ,customers. j take to support employees during the pandemic? ....... _._ .............. .. _._ . _ __._......_....._ .. ..._ —._. _. . -- ._ _.......... .. .. _ _ ......... _.... — -- ----- --j 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 SIG- "I derlare under nanalty of neriury iindpr tha laws of tha Qttwta of Wachinntnn that tho fnronninn is tnja and rnrrort"- Page 2 of 2 Aft Grant County Economic Development Council Date Submitted: 11/15/2020 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 reinibursable grant that will be awarded after proper documentation and submission of verified expenditures accrued. * ** Requirements for this reimbursable grant are as follows.-* (a) Businemes with 20 or less full-time equivalent empbyer--; (b) The Wanew is situated in Grant County, washington; (c) Th,- buses has been in operation frit longer than six -months; (d) The buskjaw has a valid Undiled Budne-A iderAifier (LIBI); (e) The business has completed an Application form and entered into the agreement with Grant County EDC (f) The tAd arrimmt of grant funds avakble to any one business shall not exceed $10,000.00. Company Na me: JONES & JONES PROPERTY LLC Establishment Date: In Operation for at I UBI Number: Least 6 months? Location: 0312015N Yes 0 Na 603488574 cEolowner Name: ROBERT & RENE JONES Email: 1R0EkJ0NES@1CL0UD-COM Phone: 206-979-8493 Industry 0 Retail 0 Restaurant/Food Business 0 Hospitality 0 Manufacturing Sector: Has your business been affected by emergency public health protections Fa Yes 0 No in place arid/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested: $ 110,000.00 0. up to $10,000 - Total Number of Employees as of 01/0112020: COMPANY BACKGROUND 1.0 11 Number of Workers Laid Off Due If one employee only, is this a sole proprietor? R Yes 0 NO Company Description: Describe the company and its products1servkes. PROPERTY MANAGEMENT TO FOUR SPACES. rg other: PROPERTY MANAGEMENT 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? WE LOST 2 LEASERS DUE TO THE PANDEMIC WITH BACK OWED RENT. FUNDING IS CRITICAL TO FRESHENING UP THE SPACES TO APPEAL TO NEW TO CLIENT. Page 1 of 2 When didthe impact start? Start Date: 04/01/2020 Lsamaceo revenue tosses in slauzu-tul1-uzu compares to iasc year, prease give aetaits. 14,400.00 LOST IN RENTAL INCOME COMPARED TO 2019. WITH CURRENT STATE OF LOCK DOWN I NOW COMING AGAIN. 1 AM UNSURE HOW TO FILL THE LOCATION. Likelihood of Perntanently dosed Closing the Business 0 High 9 Medium CI Low Ci Business Due to Governor's Directive Number of potential jobs lost t 1 I Will this grant help retain jobs? If so, how many? 1 - IT WILL HELP UP KEEP THE BUILDING AND PUT SOME MONEY INTO CLEANING UP AFTER , LEASER LEFT A MESS AND RENT FROM FEBRUARY. I 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 carr help Grant County ensure that the expenses proposed are eligible for reimbursement. Applications without list be a of proposed expenses will considered incomplete. FUNS WILL BE ALLOCATED TOWARD CLEANING UP MESS LEFT BEHIND FROM PREVIOUS TENANT. I NEIN DRY WALL FROM DAMAGE AND PAINTING AND FINISH WORK TO HOUSE NEW LEASER. Allowable Expensesfunding can be used towards CoVID-19 related medical or public health expenses, payro#1 expen.ses for employees who are �sur5stantiaJ#y dedicated to mitigating or responding to the COWD-19 pubic health emergency, expenses to facAriate compliance with COVID-19 public health measures, expenses associated with the provision of economic support necessary for responding to CO WD 19. i Unallowable Expensesfxpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to emp#oyees whose everyday work duties are not substantially dedicated to responding to COWD-19, expenses that have been or wrrl be reimbursed under any federal program such �s GVES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or servfce4 wortrharre bonuses other ithan hazard payF or over#inre, severance Ray, and legal settlements. i EMPLOYMENT INFORMATION Average Annual Payroll: $ 37,000-00 Average Annual 5aiary for $18,500.00 One Individuai: Benefits Paid to Employees? ❑ Yes IN No Is the appfcant's Lrdl account current? D Yes 0 No 11 Not Sure You may look up the businesses online at httns:l#secure.ini.wa.gov/verifyi What measures the company is already taking or trying to take to support employees SOLE PROP ; during the pandemic? r i ADDITIONAL INFORMATION j 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 eeriury under the laws of the State of Washinntnn that the fnrenninn iS trite and rnrrrarr- r Page 2 of 2 Washington State Department of Revenue < Business Lookup License Information: Entity name: JONES & JONES PROPERTY LLC Business JONES & JONES PROPERTY LLC name: Entity type: Limited Liability Company UBI #: 603-488-574 Business ID: 001 Location ID: 0001 Location: Active Location address: 10259 ROAD 5.7 NE MOSES LAKE WA 98837-8334 Mailing address: PO BOX 1157 MOSES LAKE WA 98837-0175 Excise tax and reseller permit Click here status: Secretary of State status: Click here New search Back to results n y Governing Pe o r e May include governing people not registered with Secretary of State Governing people Title JONES, ROBERT The Business Lookup information is updated nightly. Search date and time: 11/30/2020 10:26:25 AM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported V, ft Grant County Economic Development Council Date Submitted; 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. (e 7 b 7�'& 3' Company Name: nut _, nV GM5 L�t1��M� Establishment Date: In Operation for at UBI Number; � `, Least 6 months? Location: ❑ NO A — - � i L. es CEO/Owner k--,% f � �kz�o Name: �Email: Q V .a �D 1.��( 5 V..1� floc Phone: ,Ll i3` -r+(,Ob U Industry. Sector: ❑Retail ❑ Restaurant/Food Business ❑Hospitality ❑Manufacturing 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: $ (0, nl_ n ❑ up to $10,000 COMPANY BACKGROUND Total Number of Employees as of I Number of Workers Laid Off Due to COVID-19: 01/01/2020: Yl o If one employee only, Is this a sole proprietor? ❑ Yes ❑ No Company Description: Describe the com ny and Its prodLXWservices ,1S 1 CCR _n Economic Impact: ^^Describe the effect of the public health crisis on hj business and how allocated. funds can hell the business. Why funding is critical to this mess? ct-S - ©fie S�Page i of 2 When did the impact start? Start Date:.C;' O 1'r"wx� Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. t- ae I o ai o bro- Likelihood of Permanentl Closing the Business y ❑ High ❑ Medium Low ❑ Business Closed Due to Governor's Directive Number of potential jobs lost_ I Will this grant help retain jobs? If so, how many? H; the c�ompan received any state, federal, or otherfunding? If yes, please provide de IsL ( Pfd 10«� �. 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. (� _ k C� `F L,13' 419 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 easures, expenses associated with the provision of economic support necessary for responding to COVID-19. Unallowable ExpensesExpenses 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 COWD-19, expenses that have been or will be reimbursed under any federal program such Rs CARES Act contributions by state to state unemployment funds, reimbursement to donors for donated items or services, workforce bonuses other han hazard pay or overtime, severance pay, and legal settlements. EMPLOYMENT INFORMATION Average Annual Payroll: (Do � � .-ft Average Annual Salary for One Individual: T Benefits Paid to Employees?: ; Wfes ❑ No Is the applicant's LNI account current? .yes ❑ No ❑ Not Sure I You may look up the businesses online at https://secure.Ini.wa.cov/verifyl What measures the company C9 f i \ k is already taking or trying to take to support employees during the pandemic? ADDITIONAL INFORMATION Currently, is the company facing any pending litigation or legal action? , t1 Has the company had any state compliance/regulatory issues within Washington or another state you are or have done business in? co •�1 SIGN: "I declare under oenalty of Deriury under the laws of the State of Washington that the foregoing is true and correce': as - Page 2 of 2 Date Submitted: 11/17/2020 Aft Grant County........... ........ _............... .... 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: Loyal Order of Moose Royal City Lodge 2147 Establishment Date: In Operation for at I UBI Number: Least 6 months? Location: 105 Camelia St NE, Royal City WA 99357 02/1967 9 Yes ❑ No 600-015-725 CEO/Owner Name: Brett Schrom Email: lodge2147@mooseunits.org Phone: (509) 346-9502, (509) 855-3923 Industry ❑ Retail R Restaurant/Food Business ❑ Hospitality ❑ Manufacturing ❑ Other: Sector: Has your business been affected by emergency public health protections M Yes ❑ No in place and/or mandatory closure by executive order due to COVID-19? Amount of Emergency Grant Money Being Requested: $ O up to $10,000 Total Number of Employees as of 01/01/2020: 1.2 If one employee only, is this a sole proprietor? Company Description: COMPANY BACKGROUND ❑ Yes 19 No Number of Workers Laid Off Due to COVID-19: 0.2 Describe the company and its products/services. Local community service organization that operates a bar and restaurant. Profits generated are used for local community programs. Building space is utilized community members for meeting/gatherings and by other service organizations with our community. 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? With bars and restaurants being closed to indoor seating for the second time this year our main business activity is being reduce yet again. At this point we are looking to survive covid. As a service organization we would like to be about to help those in need within our community. Page i of 2 r When did the impact start? Start Date: 03/14/2020 ! i Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. i i In the given time frame we are down nearly $15,000 in our business activities over last year and, we were closed for 2 months then when open we were at reduced occupancy capacity first 25% then later 50%. We are now reduced to outside seating in cold weather for the next month. Likelihood of Permanently' Closing the Business ❑ High B Medium ❑ Low ❑ Business Closed Due to Governor's Directive j Number of potential jobs lost 1 i Will this grant help retain jobs? If so, how many? i This grant will allow us to remain operating which will retain 1 employee and if business picks up we will higher more. We also have deferred projects on building maintenance that if eligible we'd like to do. Has the company received any state, federal, or other funding? If yes, please provide details. As of now we have not received any funding. We applied for $3400 from Royal City's program with most of that going towards employee wages. 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 be used to help purchase inventory, pay utilities, pay for cleaning supplies for covid, purchase supplies for community programs. 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. 1 Unallowable ExpensesExpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday �ork 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 than hazard pay or overtime,severance pay, an egase emen . EMPLOYMENT INFORMATION ___.._.._......_...._......-- Average Annual Payroll: $ 10,530.00 i Average Annual Salary for $ 9,963.00 ' One Individual: Benefits Paid to Employees?: ( ❑ Yes 19 No ' .. ..... .......... Is the applicant's LNI account current? - --- -- - ---- __... Yes ❑ No 11 Not Sure —....._.._...._............ ... - -- — .._.... You may look up the businesses online at https,l[secure.lni.wa.gov/verify/ -------- -- - - - - -- - ---- ---- - -- What measures the company 3 We have encourage during closed times to draw unemployment, we have cut all is already taking or trying to take to support employees unnecessary spending to ensure the business is around, we are flexible with the employees during the pandemic? for sick days and time off if needed. 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? i No STC,N• "T riorlara unriar nanalty of narii rry i inrlar tha laws of tha Stats of Wachinntnn that tha fnranninn is truce and rnrrart"- Brett Schrom Digitally signed by Brett Schrom Date: 2020.11.17 10:56:52 -08'00' Page 2 of 2 Date Submitted: 1111212020 Grant County 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 doamentation and submission of verified expenditures accrued. —Requimments for this reimbursable grant are as follows:*" (a)Businesses with 20 or leu full-time equivalent employees; (b) The business is sduated M Grant County, Washington; (c) The business has been in operation for longer than she -months; (d) The business has a valid Unified Business Identifier (1.1111);(e) The business has completed an Wii. ion form and enured 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: Tranquility Body Mhrtl&Sprit Establishment Date In Operation for at USI Number: Least 6 months? 603-132-213 Location 216 W Third Ave Moses Lake WA 98837 09/2001 N yes O No Name: Tamen Wright EmaO: tafhenw@yerxw.com Phone: 509-7609072 Industry p Retail G 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 17 up to $10,000 ❑ Manufacturing B Other; ■Yes Cl No COMPANY BACKGROUND Total Number of Employees as of 1.0 Number of Workers Laid Off Due to COVID-19: 0.0 01101/2020: If one employee only, is this a sole proprietor? O Yes ❑ No Company Description: Describe the company and Its product/services. Licensed Massage Therapist. Specialize in therapeutic and rehabilitation. Work on a lot of L&I and PI cases. 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? 1 have had my practice since 2011. 1 am a self-supporting individual that relies coley on my business and income to provide basic living needs. During Covid, I was forced into lockdown and resorted to working with a chiropractor just to make ends meet. I lost patients, revenue. Still had to pay bills without the normal income. Page 1 of 2 ---- __ .__ . — ------- When did the impact start? Start Date: 03116i2020 Estimated revenue losses in 312020.10)2020 compared to last year, please give details. I lost between $4700-$5700 per month. Likelihood of Permanently ❑ High ❑ Medium O Low o Business Closed Due to Governors Directive Closing the Business _. I Number of potential jobs lost t a> will this grant help retain jobs? If so, how many? b - � supporting, able to This grant would help me get re-estabilished in a permanent full-time practice again. I would be self re -credential with insurances, work on re -building my practice. A practice I worked over 10 years to build. 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. 1) New buikiing lease 2) Set up expenses (intemeL electricity, phone, etc) 3) Supplies (masks, sanibzers, gkrves, oils, toiletries, etc) 4) Advertising Allowable ExpensesFunding on be used towards COWD-19-related medial or public health expenses, payroll expenses for employees who are substantially dedicated to mitigating or responding to the COWD-19 pubic health emergency; expenses to facilitate compliance with COVID-19 public health measures, expenses associated with the provision oferonomic support necessary for responding to COVID-19. Unallowable Expenses£zpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday work duces are not substantially dedicated to responding to COWD-19, expenses that have been or will be reimbursed under any federal program such as C4RF5 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: 539,000.00 - e Average Mnual SalaWt $ 3,250.00 i One Individual: Benefits Pard to Employees?: 0 Yes 0 No Is the hranrs LNI 1�r/ p sure I accountt cugement? ou may up the businesses online at https !/secure Ini wa.0ov/vedfv/ what measures the companyI am sole -proprietor with no employees. I haven't been able to pay myself out of the is already taking or trying to 'two days I work for myself as it goes to space rent. I am doing what 1 canto salvage take to support during the pandemic? erhPlogees my oN practice with the ADDIAI INFORMATION ts I can see the o days Lwork on my own_ currency, is iie company facing any pending rltigation 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 lawns oftheState of Washington t�thh�a(att the/aforegoing is true and correct ' Page2v `Rocha' [84aNd.; Ah ra garx.aaaalcaiN fia .aud. oP<raaao rl \omsro 4[:EI: eFca:Pm4l.mc --=-� rt d zi%Zo s.a v �.�� �'tac(rc� �erdvLca t�n�«,raal.a: �-�1 cxy�Q Verd uZCt� ®'+flood ' •Cam TNir _ 5oq � p � 01 Iada,V rfat; 7aaJa (il P. —I � ►szduYcma��-u da csmr�++ " iLnpea:uL 1 ,Fabw -ian , �. . ARais ba s:do afecfyda par-�-� f,e. p'rnlrr� ul.d pab&n }a E}? 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Fn ne ahmtn`� a Per 9na peparcixc hv6ra N %} I v i EXPWCAG)ON DEL L30 DE FO\DOS FYRgvc nwm < uvi!�rean 4xs kadn pva rru. d r fin.. Ew.f .aia p.cJr a)vd. at .vwMv ee Gr.a �vmca+ to . rR*nam., La. adK,n.do f�a ux i� ar �: mr� i< � Afa �o+n�3 QY �'fo7tj(-T (pti}o rna3cRJa a "ClA plc toralar�c ciC r 1�,� fit✓ ,.�UStfl C��-�tx.-�o� D Y5o��1ti4� htce.�Iia �i C�tulr � d eu!•,D if .�osr rat+smavAu.a /.:lKad.ss:ir�vram�ow4r a:a .-. aivA aarilid'ha lel CallzA19.t�+a /�'.'�+rl <lccs cab+a CUrlD19. M`aienv eur Lu r.Jedcr d, -Id PaA(wJrlf01'1D-19. Fran aavnvaku eon 6r f`.^bfoe.k a7<ry eawasew .u�eaa.fo pra n� t G..taa .. parwxda< e..+ra. �•,.. i ivc.n, of 1.4 ue,6i.:+4 J -J., rsivr...,rna. a+Te*t +a+a 4 awiSx. a k r yr u egl<,aLva 6 pne m. e..cr J m,rarorrd<a.+e.aA.me 6rhr4c ^Is,.dr•d Myla$9. g-e..,.c.. e.m.ratimn..r dc. ssc.a.fq..<.r^. >•Sdr.rJ e.rm.. ca rnh,-.,a.ns.n GfRP3J<nnda al�4.r d=&.srntt a nJ.n«r .vr.a�«sa..9sar<a r..:::cadN ....vr.n awdo.. a.�v .r y.rnd we++e ee p,r,aar ro.h.av*ra P�;< ra �aes�a..• •--- . .�..... ,..>ota^.n«!.. IT ea a MFORSL\CIO] DE EMPLEO S.lb,n,,aa.I U _ ;tet« pa�niaa--�-:-_• v. – m ciao de L -W. iOw tarSdsa )a em waadu vazmdo d. k *�! pva ay ryr a 4.c cv.p$.. 'x,*— b paa.'ssar? V, L/ "VIA 4I{, kss3+ V amen p�+a Cc rrmV+*cau',orsenaa racea4t dczeea 7IRiit: "Declaro bajo pe s __ frecedente es verdadero,Y_ "- -39( Fecha de Entrega; ;rant county Ecunprrt(� i':votaa};rne4�f tt���elci$ SUBVENCION DE LA LEY CARES PARA PEQ,iUENOS NEGOCIOS Y LainfomtaddnpORGANIZA�CIONES SIN FINES aIDEudr eLUCROSDEL jjciGCONDtAkDO DE cansiderado para la subvendan de la ley CARES. Esta es una subvencion es reembaisab�e que sera propordnnado cte fates de .r lenadocco NT apropiada fs d_be sr- .r Ifenado cansPletarrenta para ser entrega de gastos acumulados verificados, y ***Los requisitos para esta subvencion reembolsabte son las siguietes:*** (a) Ser un negocio con 20 o mends empleados de tiernpo completo; (b) El negocio tient, que estar situado en el condado de Grant, Washington; (C) EI negocio tiene que haber operado Por mas de secs meses; (d) El negocio Bebe tenor un numero de identification empresanal unificado (numero U81) valido; (e) EI negocio debe compietar un formulano de solicitud y ha entrado en el acuerdo con EDC del condado de Grant. (f) La canbdad total de fondos de subvendon disponibles a cualquier negocio no deberan exeder $10,000 Nombre del Ne - - — — goci. ClVY1�C(YJC _.—__._ -- _ _ �� J�i1j(}�f }fiS t ( Ano en que se establecio iHa estado operandof Numero de U9I: Ubicacidn — i�Y (� 0 el neg �lo:�! el ne ocio oral 9 P1Q�(� Gl%H i i meS�Os 6 mNsoes? �t� CEO/Presidente i Nombre: �' eY(jl d KY�CtUC'Z` '7 j CorreoElectronico:��7_//6 Ou 1 -lefono: SectorY1� L _ 1C�_ �� �a(� C'Ut- industnal: -� Tienda al �- - --`- ( por menor _ _ ) Restaurante/negocio de comida Hos 'talidad ! p Fabrication Su negocio ha sido afectado por las protecciones de salad publlca de �tro: -a de — - eme encia -- - ----_. Y / o el cierre obligatorio per orden ejecutiva debido a CONID 191 -_.....__ Si No Cantrdad de-dine- ro de subvencion d ej„ _ Hasty $10,000 - emer encia que esta soluitando: i 9 q - ---- _ SOBRE LA EMPRESA f Numero total de empleados a partir del 01/01/2020. t Numero de trabaladores despedidos debido al COYID-19:�_ �f Si hay un solo ernpleado, Les este propietano unico?: No i Description del Negocio: Descnba la empresa y sus- Productos/servidos.t Ck - - -- _ �a i (s bemwv - Cu- z mpacto Economico: Descr ba el eftcta de 1a rnsis de salad publica en su negocio y eorno los fondos pueden ayudario. LPorque (a financiadon es cridca ora e GS Y�(�if( bQS��t��� OCv �� �� ��i�FY�} - U este negocio? L,,1� 1>"1 U S � i p� tt i vck- Yi �}l y` �� c: G u G �-IC o �Aus LO V Q, Sl Page lof2 t e Cuando comenzo el impacto? Fecha de inicio, r t f 1 Cst;mado de perdidas en los Ingresos de 3/2020-10/20,10 romharado con el afio pasado, por favor dig detail es V M(A Probabilidad de cerrar permanentemente el negodo Alta Medio Baja 11 negodo se encventra cr3rrado dr:bido a Pa directiva del gobemador Nurnero de empleos potendaimente perdidos 1 c EEsta subvention ayudari a retener empleos? Si es asi, tcuantos? ly'L (,d6 S ?Ha reabido la compafi a algun financiamiento estatal, federal u otro? En caso afirmativo, por favor propordone detalies. EXPLICAa6N DEL USO DE FONDOS , Explique cdmo se utilizaran los fondos para ay udar at negodo. Esta information puede ayudar al condado de Grant a arantuar que los gastos propuestos sean elegibies para reemb„ iso. Las solicitudes sin una lista de gastos propuestos se consideraran incompletas. "" astos permitidos: la finandacidn se puede ublizar para gastos de sa/ud meclica o publica reladona dos a/ COWD- 19, gastos de nomina de sueldos para pleados que estan substanoalmente dedicados a mitigar o responder a la emergencia de salud publica del COVID-19, gastos para facilitar el cumplimiento las medidas de sa/ud publ,+ca del CovID-19, gastos ascoados con la provision de apoyo economico necesario para responder al COVID-19. Gastos no permitidos: Castos para la parttipadon estatal de Medicaid, dads cubiertos porseguro, nomina de sueldos o beneficios a empleados de quienes tareas diarias no ellen subsbndalmente dedicadas a responder al COVTD-19, gastos que han sido o seran reembolsados bajo cualquier programa federal tal tomo contnbudones de la ley CARES de estado a Tondos de desempleo estatal, reembolso a donadores por articulos o servioos donados, bones al Personal aparte de pago por conditions nesgosas o dempo extra, indemnizacicn por despido, y resolutions jundicas. _ INFORMACION DE EMPLEO de Sala rio Anua�-- ho: --n Individuo l Benefidaspagadosz i—_ --- N _. 1 saliritante esta al corriente- on su cuenb de CNI? Si No Not Sure a— Pu buscar su negodo en Tinea para saberio hi 2s://secur e.Ini.vva.00y/verify/ ------- ---- _-- ----- , _ _— Que medidas ya esra tomardo vl -C,� } a - - --- -- _��� Gv� i ( S rJS_...- tratando de tomar para i `U � Id�u 3 poyar a los empleados urante la pandemia? r � , INFORMM614 ADICIONAI _ i` Actuaimente, lenfrenta la empresa algun litigio pendiente o accien legal? LHa temdo la empresa problemas de cumplimiento / normabvos estatales dentro de Washington u otro estado en el qu ya fiecho negocios? rV FIRI tE: °peclaro bajo Pena de perjurio bajo las (eyes delestado de UJashi ken ve 'o n9 q Precedente es verdadero y corre[to ---- Sl Page 1 of 2 1f/ Grant County Economic Development Council Date Submitted: 11/30/2020 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. in o3 -5,S8'- y(�� Company Name: Carter Ag Inc. ....... ..... _... _ _ ... t .._....._ _..._....x..._ Establishment Date: In Operation for at UBI Number: --- ; Least 6 months? 535170144 i Location: 10583 Rd 12.5 SW, Royal City, WA 99357 1-2017 __........... .... ...... _........ ------ -- ._----____._..---- ❑ Yes N No , ; ................ CEO/Owner _....... ..._......_.................. ......._... Name: Luke Carter Email: luke@carteraginc.com i Phone: 509-760-6215 Industry ❑ Retail ❑ Restaurant/Food Business ❑ Hospitality ❑ Manufacturing 8 Other: export Sector: -- F 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 ❑ up to $10,000 COMPANY BACKGROUND Total Number of Employees as of 2 Number of Workers Laid Off Due to COVID-19:0 ;01/01/2020: If one employee only, is this a sole proprietor? ❑ Yes ❑ No - ----------- ----- _— -- - Company Description: — Describe the company and its products/services. We export hay to Japan and Korea and because of COVID the export business has greatly slowed down. 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? This will keep the business going since the overhead is still there, revenue is trickling in. It's been a tough year exporting with the worldwide pandemic. Page 1 of 2 i When did the impact start? Start Date: 3-30-20 i Estimated revenue losses in 3/2020-10/2020 compared to last year, please give details. I Estimated loss is 250K from last year. i Likelihood of Permanently ❑ High ❑ Medium R Low ❑ Business Closed Due to Governor's Directive Closing the Business i Number of potential jobs lost 2 Will this grant help retain jobs? If so, how many? I This will help retain employees so they can continue working I Has the company received any state, federal, or other funding? If yes, please provide details. no i i I I 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. This will help with employee or contracted services when business resumes. I I Allowable Expensesfunding can be used towards COVID-19-related medical orpublic 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 Expensesfxpenses for the state share of Medicaid, damages covered by insurance, payroll or benefits to employees whose everyday lvork 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 han hazard pay or overtime, severance pay, and legal settlements. EMPLOYMENT INFORMATION ........_ .. ...._. __ - --................... ............. _ _ ._ ................. ......... ----- — - -----:.�- -_--- - -- - Average Annual Payroll: 80,000 i Average Annual Salary for 40,000 I One Individual: Benefits Paid to Employees?:❑ Yes O No ---- ---- __ __..._........._.._.._.........._._................_...._....._...._............------------ - Is the applicant's LNI j ® Yes ® No 0 Not Sure account current? I You may look up the businesses online at https://secure.lni.wa.gov veri What measures the company Trying to keep product moving is already taking or trying to take to support employees i during the pandemic? -....... -........ ................... - - --- - --._ .......... _ ..... ............... _..- -- - ------..__....- - --- ._.....------... -....... ADDITIONAL INFORMATION j 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 signed by Luke Carter 11/30/2020 CTGN• "T rlarlaro unrlar —.1h, of nari,. v i inriar tho lawc of tha Ctato of Wnchinnfnn that fho fnranninn is to is and rnrrart"- Page 2 of 2