The City of Groveland is allocating up to $300,000 in emergency relief to support local Small Businesses who have been negatively impacted by the COVID-19 pandemic. As part of The Coronavirus Aid, Relief, and Economic Security (CARES) Act, the City of Groveland will be distributing these funds on a first-come, first-serve basis. 

The goal of the Grant Program is to provide economic assistance to help businesses and nonprofit entities impacted by COVID-19 to get them open, keep them open, and help prevent more from going out of business.

Qualifying businesses may be eligible to receive a grant between $1000 - $3000 to help offset some of the negative financial impact of the COVID-19 pandemic.  All fields marked with an asterisk are required.  Incomplete applications will not be considered for review.

BEFORE COMPLETING THIS FORM:

Be sure to have the following information available: 

• IRS Form W-9

• IRS 501(c)(3) determination letter

• State of Florida Business Filing (Annual Report)

• Copy or Picture of each owner's State-issued Driver's License or photo ID

To Save Your Application
If at any time you'd like to leave this form and save it in progress, please click on the next button and exit your browser. To resume your submission at a later time, return to the form from the link contained in your registration email. (YOUR BROWSER MUST BE ENABLED TO ACCEPT COOKIES. DATA IS SAVED LOCALLY IN YOUR BROWSER UNITL SUBMITTED)

 
Technical Assistance
Should you have technical questions regarding the online submission process, please contact us at GrovelandCARESAct@gmail.com.

NOTE: A full-time equivalent (FTE) is a way for employers to measure how many full-time employees they have, along with the number of part-time employees that can be translated into full-time terms.  For the purposes of this application, full-time is based on a 40-hour workweek.  Your FTE number is = (Total number of hours worked by part-time employees per week / 40) + The number of full-time employees you have.   

Calculate your Financial Loss Verification and Determination of Need by using the table OR using the following formulas: Average Monthly Revenue – Average Monthly Cost of Goods Sold – Average Monthly Expenses = Average Monthly Net Income OR Average Monthly Total Revenues – Average Monthly Total Expenses = Average Monthly Net Income

The City will leverage local and regional resources to review and process your application in an effort to ensure prompt attention to all grant requests. These partners may include business support organizations like the Service Core of Retired Executives (SCORE) and/or the Small Business Development Centers (SBDC), among others. You hereby acknowledge and agree to receive or have your application and related information processed by professional members of these organizations. Each organization and its members will take reasonable steps to keep your information confidential to the extent allowed by law. Nothing herein shall create any cause of action by or on behalf of Applicant against the City or its officers, elected officials, employees, agents or representatives, including, without limitation, or any other agency identified above (collectively, the “City Parties”). The City Parties shall not be liable to Applicant for any damages of any kind or nature whatsoever arising out of or relating to the Program or this application, whether based in contract, common law, warranty, tort, strict liability, contribution, indemnity or otherwise.  

The submitted Application, including attachments, is subject to disclosure under Florida’s public records law subject to limited applicable exemptions. Applicant acknowledges, understands, and agrees that, except as noted below, all information in its application and attachments will be disclosed, without any notice to Applicant, if a public records request is made for such information, and none of the City Parties, as defined above, will be liable to Applicant for such disclosure.

Social Security numbers are collected, maintained and reported by the City to be in compliance with IRS 1099 reporting requirements and are exempt from public records pursuant to Florida Statutes §119.071. 

If Applicant believes that information in its application, including attachments, contains information that is confidential and exempt from disclosure, Applicant must include a general description of the information and provide reference to the Florida statute or other law which exempts such designated information from disclosure in the event of a public records request.

The City does not warrant or guarantee that information designated by Applicant as exempt from disclosure is in fact exempt, and if the City disagrees, it will make such disclosures in accordance with its sole determination as to the applicable law.

The City is authorized to make all the inquiries you deem necessary to verify the accuracy of the information contained herein. Additionally, applicant agrees that in the event that money is provided pursuant to this application, the City or its agent shall be entitled to access and audit such records as may be necessary to prevent fraud in this process or ensure compliance with federal requirements, and applicant shall fully cooperate with the City or its agent and timely respond to any requests for such records. Without limiting the generality of the foregoing, the Applicant specifically acknowledges and agrees that, if awarded funds pursuant to this Application, the City, and any duly authorized agents or representatives of the City, including, without limitation, the Department of Inspector General of the Clerk of the Circuit Court and County Comptroller, shall be provided access to all of the Applicant’s records and supporting documentation which concern or relate to this Application at any and all times during normal business hours upon request.

Under penalties of perjury, I declare that I have read the foregoing application and that the facts stated in it are true. I understand that knowingly making a false written declaration may be charged as a felony of the third degree.