McLeod County Coronavirus Relief Fund Grant Program for Eligible Businesses and Non-Profit Entities

McLeod County Coronavirus Relief Fund Grant Program for Eligible Businesses and Non-Profit Entities

Applications accepted JANUARY 21, 2021 - FEBRUARY 1, 2021
Businesses and non-profits in McLeod County were eligible to apply for grant funds through the CARES Act allocation given to McLeod County in Fall 2020; at the end of December 2020, the State of Minnesota allocated additional funds of $709,749.09 (including administrative cost allocation) to McLeod County. These funds are to be distributed as grants to businesses and non-profits, based on certain eligibility criteria (minus the administrative costs to McLeod County). To learn if your business or non-profit is eligible for a portion of these funds, please read below, follow the approval process through our online application, and review the Frequently Asked Questions.

Funds awarded shall be used for operating expenses that were incurred during the most recent State of Minnesota Emergency Executive Order (20-99) shutdown requirements (such as expenses for rent, mortgage, utilities, payroll, payments to suppliers, and other similar costs that occur in the regular course of business). Preference will be given to entities that did not receive funding from other federal, state, or other relevant sources due to the COVID-19 pandemic. The County will require business owners to provide proof of need and loss, financial statements and tax filings, business documentation, NAICS code, Form W-9, along with the requirement to provide a Form REV185b upon request. Eligible entities must have been affected directly by the most recent Executive Order (20-99) shutdown orders.
Grant Funding Program
This information is intended to be general guidance. Final grant recommendations will be made by the McLeod County Coronavirus Relief Fund Committee, final decisions will be made by the McLeod County Board of Commissioners. Applications will be reviewed at the close of the application acceptance period; only complete applications will be reviewed. Late or amended applications will not be accepted.

Priority will be given to those impacted by Executive Order 20-99 (November 2020) OR who experienced a 20% or more reduction in revenue in 2020 in comparison to 2019 AND did not receive direct payments from the State of Minnesota through the recent COVID-19 related Business Relief Programs through the Department of Revenue and Department of Employment and Economic Development.

Amounts of the grants will be based upon number of eligible applicants, the need demonstrated on the Profit & Loss statement and the narrative within the application. The State has requested that Counties do not rely on an equal distribution model for this round of funding.
Eligibility Criteria
Business or non-profit organization must be one of the following types of entities: Restaurant, Entertainment, Museum, Bar, Event Center/Facility, Sport Instruction Facility, Dance Facility, Bowling Alley, Gym, or certain types of Non-Profits (read program detail below to determine if you non-profit is eligible).

Entity must have 35 or less full-time equivalent employees.

Business/Organization must be locally owned and operated and have a physical establishment in McLeod County. "Locally owned" is defined as the ownership group being located within McLeod or a bordering county. Locally owned and operated franchise businesses are eligible. One application per business tax ID number will be accepted.

Applicant must be able to demonstrate and document a financial hardship as a result of the COVID-19 pandemic, specifically in relation to the Emergency Executive Order 20-99 shutdown requirements.

Applicant must be in good standing with the Minnesota Secretary of State with no outstanding tax liens filed against the organization.

Business/Organization must be compliant with all State of Minnesota Executive Orders, both at the time of application and after they receive assistance. If found in violation of any Executive Orders, they will be responsible for paying back any funding received under this program.

As required, Applicant must be licensed and in good standing with all local city or county ordinances.

Business or non-profit must operate from a physical location within McLeod County.

Business or non-profit must have the majority (over 50%) of their sales in-person (vs. online).

Business or non-profit must have been in operation no later than December of 2020, and continue to be in operation.

Businesses/Organizations that opened during the pandemic are eligible. However, the applicant must provide clear documentation of how the pandemic impacted the operating expenses of the organization. No start-up costs will be considered.

Eligible non-profits include 501(c)3 and 501(c)9 veteran's organizations, as well as Chamber of Commerce organizations under 501(c)6.

Ineligible Businesses/Organizations

Businesses that primarily derive income from gambling or adult entertainment.

Corporate chains, multi-state chains (however, locally owned and operated franchise businesses are eligible).

Businesses that derive income from passive investments; real estate transactions; commercial property rentals or commercial property management; billboards; or lobbying.

501(c)6 non-profits (except Chamber of Commerce entities).

Applicant Information to Provide

Must disclose all federal, state, or local grants received since March 2020 and grants for which they have applied, or are eligible to receive automatically, but remain pending at the time of this application.

Must provide a Profit & Loss statement for Quarter 4 of 2019 and Quarter 4 of 2020 (if business was not operational in 2019, must provide all available Profit & Loss statements for each quarter of 2020 in operation).

Must provide Sales and Use Tax filings for Quarter 4 of 2019 and Quarter 4 of 2020 (if business was not operational in 2019, must provide all available Sales and Use Tax filings for 2020).

Must provide a signed IRS Form W-9 if no previous county funding has been received.

Must attest to, and certify in good faith that all documentation submitted is accurate and that any misrepresentations or fraudulent information will require recoupment of funds.

IMPORTANT NOTE: McLeod County reserves the right to revise these guidelines as needed to best address the impact to businesses of the current pandemic.
IMPORTANT: COMPLETE ALL FIELDS AND REQUIREMENTS LISTED BELOW. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.

The information you submit may be reviewed and retained, as required and allowable by applicable law, by applicable McLeod County committee and staff members, the McLeod County Board of Commissioners, PHB Piehl-Hanson-Beckman PA, the State of Minnesota, other auditing authorities, and any other necessary parties.
Applicant Name *

First Name Last Name
Applicant Email Address *
example@example.com
Applicant Phone Number *
Please enter a valid phone number.
Applicant's Business or Non-Profit Entity Name *
Is your business or non-profit entity locally owned and operated in McLeod County, Minnesota? *

Yes No (If "No", you are not eligible to apply)
Does your business have a physical location in McLeod County, Minnesota? *

Yes No (If "No", you are not eligible to apply)
McLeod County Jurisdiction of Business (Name of City or Township) *
Physical Location of Business or Non-Profit *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Are the majority of your sales (over 50%) in-person (vs. online)? *

Yes No (If "No", you are not eligible to apply)
Is your business or non-profit one or more of the following categories (must be supported by NAICS code filing): Restaurant, Entertainment, Museum, Bar, Event Center/Facility, Sport Instruction Facility, Dance Facility, Bowling Alley, Gym or specified type of Non-Profit (see above)? *

Yes No (If "No", you are not eligible to apply)
If you answered "Yes" above, list entity type: *
NAICS Code (6 Digits) *
If you do know your NAICS code, copy & paste this link in a new browser to identify your code. https://www.naics.com/search/
Minnesota State License # (if applicable)
Federal Tax ID # *
Is your business or non-profit entity in good standing with the Secretary of State office in Minnesota? *

Yes No (If "No", you are not eligible to apply)
Does your business or non-profit entity have any outstanding tax liens? *

Yes (If "Yes", you are not eligible to apply) No
Was your business or non-profit entity directly affected by the State of Minnesota Emergency Executive Order 20-99 shutdown requirements? *

Yes No (If "No", you are not eligible to apply)
Did your business or non-profit entity experience loss of revenue directly related to the State of Minnesota Emergency Executive Order 20-99 shutdown requirements? *

Yes No (If "No", you are not eligible to apply)
Are you able to provide Sales and Use Tax filings for the State of Minnesota, and, Profit and Loss Statements, which will demonstrate loss of revenue from Quarter 4 of 2019 in comparison to Quarter 4 of 2020? (If your business opened in 2020, are you willing to provide every quarter of sales and use tax filings for the year 2020 instead)? *

Yes No (If "No", you are not eligible to apply)
Are you able to provide a Form W-9 with your application? *

Yes No (If "No", you are not eligible to apply) Not Applicable
Does your business or non-profit entity employ 35 or less full-time equivalent employees? *

Yes No (If "No", you are not eligible to apply)
List the number of full-time equivalent employees prior to March 20, 2020: *
List the number of full-time equivalent employees as of today's date: *
Will you plan to continue business or non-profit entity operations if you receive a portion of these funds? *

Yes No (If "No", you are not eligible to apply)
Have you received other COVID-19 related funding from federal, state, or local government entities since March 1, 2020 *

Yes No
Have you been notified or received a grant in 2021 from the Minnesota Department of Revenue (DOR) for losses due to MN Governor Walz's Executive Orders to close or reduce your business because of the COVID-19 pandemic?

Yes No
If you answered "Yes" to the question above, please note the following below: type of funding (i.e. PPP, EIDL, MN Small Business Loan, MN Small Business Relief Grant, City/County CARES Act Grant/Loan, or MN Dept of Revenue 2021 Grant Funds), date funds were received, amount received, and what is was used for. This field is required if you answered "Yes" to the above question regarding COVID-19 related funding. List detail for ALL applicable types of funding:
Do you expect to receive other COVID-19 related funding from any federal, state, or local government entities, or, have you applied for any other COVID-19 related funding which you have not yet received since March 1, 2020? *

Yes No
If you answered "Yes" to the question above, please note the following below: type of funding, date applied, amount applied for or expected, and what is would be used for. This field is required if you answered "Yes" to the above question regarding COVID-19 related funding:
Has there been any COVID-19 related funding provided by federal, state, or local government entities for which you did not qualify due to specific circumstances that applied to your business or non-profit? *

Yes No
If you answered "Yes" to the question above, please provide detail if you wish:
I attest, by my signature shown below, that the above information regarding COVID-19 related funding receipt, allocation, and/or expected funds is true to the best of my knowledge. I understand that if I have misrepresented the information provided above, I may be required to return any funding allocated to my business or non-profit entity upon request. *

Yes No
Signature *

Clear
Statement of Loss, Need for Grant Funds, and Usage Statement

In the field below, explain how your business or non-profit has experienced loss due to the State of Minnesota Emergency Executive Order 20-99 shutdown requirements, the need for grant funds and amount that is needed, along with what the grant funds will be used for if received. Provide narrative that demonstrates the financial hardship your organization experienced as a result of the COVID-19 pandemic. Include an estimate of the entity's loss of revenue and how it was calculated.
Type Below: *
List the amount of grant dollars you are requesting based on lost revenue and needs: *
What is your intended use of the grant funds if received?
Document and Requirement Submission

All documents listed below must be attached in order for the application to be considered complete.
List your current number of full-time equivalent employees below (must be 35 or less): *
Upload your W-9 Form Below

Cancel of
What was your 4th Quarter Revenue for 2019? (if not operating in 2019, write n/a) *
Upload your Quarter 4 2019 Sales and Use Tax Filing Form Below *

*If your entity was not operational in 2019, use this space to submit all Sales and Use Tax filings from 2020
Cancel of
What was your 4th Quarter Revenue for 2020? *
Upload your Quarter 4 2020 Sales and Use Tax Filing Form Below *

Cancel of
Upload your Quarter 4 2019 Profit and Loss Statement Below *

*If your entity was not operational in 2019, use this space to submit all Profit and Loss Statements from 2020
Cancel of
Upload your Quarter 4 2020 Profit and Loss Statement Below *

Cancel of
Attestation and Acceptance

By checking each box and submitting my signature below, I attest to the following:
You must be able to check all fields to submit a completed application *

All information listed within this application is true and accurate to the best of my knowledge I will provide a completed Form REV185b (Minnesota Department of Revenue) upon request from McLeod County and/or it's governing entities or partners My business or non-profit entity is in good standing with the Secretary of State in Minnesota My business or non-profit entity is physically located in McLeod County, Minnesota My business or non-profit entity is locally owned and operated within McLeod County, Minnesota I have accurately reflected the loss that my business or non-profit has experienced due to the Emergency Executive Order 20-99 shutdown requirements I have provided accurate information in regards to any COVID-19 funding received, applied for, or expected, since March 1, 2020, through today's date I consent to a tax lien search on my organization, at the County and State level, as required by the State of Minnesota for eligibility of these relief funds
Signature *

Clear
Today's Date *

Month Day Year
Should be Empty:

McLeod County Coronavirus Relief Fund Grant Program for Eligible Businesses and Non-Profit Entities

Grant Funding Program

Eligibility Criteria

IMPORTANT: COMPLETE ALL FIELDS AND REQUIREMENTS LISTED BELOW. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.

Statement of Loss, Need for Grant Funds, and Usage Statement

Document and Requirement Submission

Attestation and Acceptance