Conditional Economic Development Grant Program
To access and download additional information about our Conditional Economic Development Grant Program, click the link provided below.
https://drive.google.com/file/d/1bZrhAJjwZBTmuztzE9Gkbn8z4s_vd9cv/view?usp=sharing
Grant Program materials can be made available in additional languages upon request of the applicant. Please contact the Economic Development Department by email at bizsupport@southportland.org for more information on translation services.
Date
*
-
Month
-
Day
Year
Date
Legal Business Name:
*
DBA (Doing Business As) if different from legal name:
Principal Place of Business (in South Portland, ME)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
*If your Principal Place of Business is not in South Portland, ME, please list your Principal address below.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner/Applicant Name:
*
First Name
Last Name
Business Phone Number
*
-
Area Code
Phone Number
Mobile Phone
-
Area Code
Phone Number
Email
*
example@example.com
Is your business located in your home?
*
Yes
No
Business Structure NOTE: Non-Profit/Not for Profit businesses are NOT eligible for this grant program.
*
Sole Proprietorship
General Partnership
Limited Partnership
Limited Liability Company (LLC)
Corporation
Total new/project investment in Building or Site Improvements:
*
NOTE: Required Minimum Investment of $100,000.
Number of Quality Jobs Created or Retained:
*
NOTE: Required Minimum Jobs created or retained: 15. Please see Grant Program Guidelines for Definition of "Quality Job". If the business is a real estate holding company, please provide a separate attachment with this application that details your largest tenants for at least 15+ new or retained full-time equivalent (FTE) jobs. If the tenant does not occupy the entire building, please describe the space they occupy (i.e. the fourth floor and half of the third floor, etc.)
Number of Total Full-Time Employees as of Today:
*
Do you provide benefits to employees?
Health Insurance
Paid Time Off (sick, vacation, etc.)
Other
Funding Requested
Total Amount Being Requested ($):
*
The maximum allowable grant is $50,000. Not to exceed 50% of the total project costs. Please see Program Guidelines for details on funding criteria.
Tax Payer ID (EIN) of the Applicant:
*
Please Attach: Completed IRS W-9 Tax Form below from the Applicant.
*
Browse Files
To access a copy of the W-9 tax form: https://drive.google.com/file/d/1YHpORQWYyjmf7YwjGWsjkj1HeBKQy5fW/view?usp=sharing
Cancel
of
Please Attach: Description of project, use of funds, and project budget.
*
Browse Files
Cancel
of
Please Attach: Detailed List of Tenants with Employment Summary
Browse Files
If applicable (i.e. Real Estate Holding Entity)
Cancel
of
Please attach: Copy of 2021 Business Tax Return (typically 1120,1120S, or Schedule C) from the Applicant
*
Browse Files
Cancel
of
Please Attach: Copy of 2022 Business Tax Return (typically 1120,1120S, or Schedule C) from the Applicant
*
Browse Files
Cancel
of
Please Attach: Current Payroll Summary with number of employees, salaries/wages, and positions (must be dated no less than 30 days prior to application submittal) or for NEW businesses, number of jobs expected to be created or retained.
*
Browse Files
If the applicant is not the operating entity at the building location, the property owner should request this information from their tenants. We understand that this may not be available in all cases. However, we must verify that the minimum employment creation or retention criteria is met and we will work with you to document this if the tenant is unable to provide this information.
Cancel
of
Certification
Signature of Authorized Representative
*
Date:
*
Print Name:
*
All statements contained in the Application are truthful and accurate. If statements are subsequently determined to be false or inaccurate, the Applicant may forfeit any Grant award and be required to repay the City any funds that have been received. For questions and/or program clarifications, please contact: William Mann, Economic Development Director, at: wmann@southportland.org.
Submit
Should be Empty: