2026 AADP Black Business Grant Application
Business Information
Business Legal Name
*
EX: ABC Towing, LLC
DBA (Doing Business As) - If applicable
Legal Entity
*
Sole Proprietorship
Partnership
Corporation
LLC
Other
Federal Tax ID
*
Federal Tax ID
Business Phone Number
*
Business Phone Number
Business Email Address
*
example@example.com
Business Start Date
*
-
Year
-
Month
Day
Date
Business Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you have a business website?:
*
Yes
No
Business Website:
*
Business Website
Brief Description of Business
*
To verify business, please upload business license, articles of incorporation, a most recent tax return, or entity documents:
*
Browse Files
Please submit one of the suggested documents to verify your business.
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Next Section (2 of 4)
Owner/Primary Contact
Name of Business Owner
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
E-mail of Business Owner
*
Mobile Phone Number of Business Owner
*
Phone Number
% of Ownership
*
Date of Birth of Business Owner
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Year
Are there more owners of this business?
*
Yes
No
If yes, please list the first and last names of all other owners of this business below:
*
To verify your identity, please upload either your Driver's License/State ID or your Passport (Information Page Only):
*
Browse Files
Please submit one of the suggested documents to verify the identity of the primary contact.
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Financial Information
How has COVID 19 effected your business?
*
Describe the impact COVID 19 has had on your business
Has your business experienced a decrease in revenue?
*
Yes
No
If yes, by how much?
*
Please enter the percentage by which your revenue decreased
Have you received funding from another Lender?
*
Yes
No
How would this business grant help your business during this time?
*
Describe how you would use the funds for your business
To verify your decrease in revenue, please upload a Profit & Loss report from or any other documentation as proof:
*
Browse Files
Please submit both Profit and Loss reports
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Certification
I certify that the information submitted in this application is true and correct to the best of my knowledge. I further understand that any false statements may result in denial of my application.
*
Yes
Applicant Signature
*
Please verify that you are human
*
Submit
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