DISCLAIMERS
By completing, signing, and submitting this application, the applicant (business owner or a representative) is affirming that:
(i) the business meets the eligibility requirements for the Pitkin County Relief Grant described above and in the application;
(ii) the applicant and its related parties are not an officer or director of Aspen Community Foundation (ACF), a selection committee member, or a member of any such individual’s respective families or households, and any grant received will not benefit—either directly or indirectly—such individuals;
(iii) all the information provided is complete, correct, and true to the best of the applicant’s knowledge;
(iv) any losses the applicant may have suffered in connection with this emergency have not been covered to date by insurance, funds available through governmental or other agencies, federal or state relief funds, or readily available personal financial resources;
(v) the applicant understands that the applicant may be denied assistance if any of the above is false;
(vi) the applicant may be required to repay any assistance that it receives based on false or incomplete information;
(vii) the applicant agrees to provide required materials to corroborate application information;
(viii) the applicant understands that the application becomes the property of Pitkin County and Aspen Community Foundation when submitted;
(ix) the applicant understands that Aspen Community Foundation’s annual tax return is open to public inspection and that, if the applicant receives a grant, Aspen Community Foundation will be required by federal tax law to disclose on its annual return its identity and address, the grant amount and purpose; and
(x) the applicant understands that, if it receives a grant, Aspen Community Foundation will report on its annual tax return the business address it provided.
---