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Napa Microbusiness COVID-19 Relief Grant Application
In order to support small businesses and employers facing financial impacts and layoffs from COVID-19, the County of Napa, in partnership with the Solano-Napa Small Business Development Center (SBDC), has established the Napa Microbusiness COVID-19 Relief Grant initiative. The fund will provide micro-grants to small businesses experiencing economic stresses through the California Microbusiness COVID-19 Relief Grant Program.
Please read and answer each question carefully as this application will determine your eligibility for a microgrant
Legal Business Name:
DBA:
Owner Name:
First Name
Last Name
Business Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner E-mail:
example@example.com
Owner Phone Number:
Please enter a valid phone number.
Is your business based in Napa County?
Yes
No
Was your business operating on or before Dec. 31, 2019?
Yes
No
Is your business currently open and operating?
Yes
No
This microgrant is for small businesses that reported less than $50,000 in gross revenues for the 2019 tax year. Was your gross business revenue less than $50,000 in 2019?
Yes
No
Did you have zero to five full-time equivalent employees in the 2019 and 2020 tax years?
Yes
No
Do you currently have zero to five full-time equivalent employees?
Yes
No
Are you the majority-owner and manager of this micro-business?
Yes
No
Was this business the owner's primary means of income in the 2019 tax year?
Yes
No
If selected for a microgrant, are you able to provide acceptable form of government-issued photo ID (state, domestic, or foreign) and business documentation that includes the owner’s name, per grant program guidelines?
Yes
No
Did your business receive a grant under the California Small Business COVID-19 Relief Grant Program? (Note: Businesses that received funding from the California Relief Grant are not eligible for this microgrant.)
Yes
No
My business is a:
Sole Proprietor
Independent Contractor/1099 Work
C-Corp
S-Corp
LLC
Partnership
Nonprofit
What is your Employer's Federal ID number (Sole Proprietors or Independent Contractors using their Social Security Number can include the last four digits in space below)?
What is your California Payroll Tax Number, if applicable?
Please select the industry that most aligns with your business:
Accommodation and Food Service
Administrative or Waste Management
Agriculture, Forestry, Fishing and Hunting
Arts and Entertainment
Construction
Education
Finance/Insurance
Health Care and Social Assistance
Information
Manufacturing
Professional, Scientific, and Technical Services
Real Estate
Retail Trade
Transportation and Warehousing
Utilities
Wholesale Trade
Other Services
Please describe how your business was significantly impacted by the COVID-19 pandemic.
Please identify your intended use of grant funds (check all that apply):
The purchase of new certified equipment, including, but not limited to, a cart
Investment in working capital
Application for, or renewal of, a local permit, including, but not limited to, a permit to operate as a sidewalk vendor
Payment of business debt accrued due to the COVID-19 pandemic
Costs resulting from the COVID-19 pandemic and related health and safety restrictions, or business interruptions or closures incurred as a result of the COVID-19 pandemic.
The following questions are optional and are requested for recording purposes:
Business Owner's Gender:
Male
Female
Non-Binary
Prefer to not state
Business Owner's Race:
Hispanic
Non-Hispanic
Business Owner's Ethnicity
White
Hispanic or Latino
Black or African American
Native American or American Indian
Asian/Pacific Islander
Other
Would your business be included in any of these SBA Groups?
Minority-Owned
Woman-Owned
LGTBQ+-Owned
Veteran-Owned
Signature of Owner
I hereby certify that I am an authorized representative of the business named above, with the authority to commit the business to legally binding contracts and agreements. I further certify that the information given as part of and attached to this application is true and accurate. I am aware that any false information or intended omissions may subject me to civil or criminal penalties for filing of false public records and/or forfeiture of any funds approved through this program. This application does not constitute a contractual agreement. If any portion of the application is approved, a formal agreement between parties will be executed to obligate funds for the approved expenditures.
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