Small Business Micro Grant Application

Greater Easton Development Partnership: Business Improvement Grant Application Form
Applicant Information
Name of Business
Name of Person Representative
Years in Business
Position
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Full-Time Employees
Number of Part-Time Employees
Business Email
example@example.com
Nature of Business
Grant Information
Requested Microgrant Amount ($5,000 maximun)
Grant Category (select all that apply)

Technology UpgradesMarketing AssistanceEquipment PurchasesInterior renovationsStartup costs (for businesses less than 1 year old)Accessibility ImprovementsOther
Briefly describe your business and its importance to the Easton Main Street district: (150 words maximum)
Detailed description of how grant funds will be used (250 words maximum)
Timeline for implementation (please provide estimated start and completion dates)
Start Date

MonthDayYear
Date
Completion Date

MonthDayYear
Date
Business Impact
How will this grant help grow or sustain your business? (150 words maximum)
How will this grant benefit the Easton Main Street district and local economy? (150 words maximum)
How will you measure the success of this project? (example: increased sales, new customers, jobs created, etc.)
Two month cash flow projection:

INFLOWS:
Sales revenue
Grant Proceeds
Other contributions
OUTFLOWS
Employee Wages, Benefits, Etc.
Insurance
Mortgage/Rent expense
Materials and Supplies (COGS)
Repairs and maintenance
Other expenses
NET INFLOW/OUTFLOW
Is the Applicant or any owner of the Applicant an owner of any other business, or have common management with, any other business? If yes, list all such businesses and describe the relationship:
- I have read the statements included in this form, and I understand them.
- The Applicant is authorized to apply for this grant on behalf of the Business.
- I understand that if awarded, grant funds must be used as specified in this application
- I agree to allow my business name and project to be used in Main Street promotional materials
- All grant proceeds will be used only for business-related purposes as specified in the Loan Application and Guidelines.
- The Applicant is not engaged in any activity that is illegal under federal, state or local law.
- I further certify that the information provided in this application and the information provided in all supporting documents and forms is true and accurate in all material respects.
Signature

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Name
Date Signed

MonthDayYear
Date
Please include/attach the following:
The first page of Applicant’s most recent business tax filing, including the balance sheet submitted with the tax filling

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The Applicant’s most recent personal tax filings of owners of 20% or more of the equity of the Business.

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Additional documents (e.g. sketches, plans, timelines, screenshots) to support your proposal

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Should be Empty:

Greater Easton Development Partnership: Business Improvement Grant Application Form

Business Impact

Please include/attach the following: