Brooklyn EXCELerate Loan Fund Inquiry Form

Thank you for your interest in the Brooklyn EXCELerate Loan Fund supported by the Social Justice Fund of the Joe & Clara Tsai Foundation. We look forward to supporting the recovery of your small business with this loan program. Please complete and submit the inquiry form below and you will be contacted within two days by a representative of either the Brooklyn Chamber of Commerce or TruFund Financial Services, the two participating CDFI lenders of this program.
Personal Information
First Name*
Last Name*
Preferred Pronoun (for example he/she, him/her, they/them)*
Email Address*
Phone Number*
Race*
Ethnicity*
Gender*
LGBTQ
Disabled*
Military Status*
% Ownership of Your Business*
For example: 100
Business Information
Business Legal Name*
Business DBA, if different
Business Email*
example@example.com
Business Phone Number*
Business Website
Business Street Number*
Ste/Apt Number
Street Name*
City*
State*
Use Abbreviation
Zip Code*
Please briefly describe your business*
Legal Entity*
Please write in the month and year the business was legally established. Please note a business must have been established at least since January 1st, 2019 to qualify for this program. *
Date
Gross revenue in 2019*
Gross revenue in 2020*
Did your business temporarily close as a result of the COVID-19 pandemic?*

YesNo
Did your business experience a reduction in revenue of 33% or more in2020 compared to 2019 as a result of the COVID-19 pandemic?*

YesNo
Is your business currently operating?*

YesNo
Please select the bracket below that best represents your requested loan amount. Please note: Loan amounts of $15,000 or less will have 0% interest and loan amounts of greater than $15,000 will have 2% interest. You will be asked to itemize and explain the use of your loan request amount when contacted by your lender.*

$1,000 - $5,000$5,001 -$10,000$10,001 - $15,000$15,001 - $25,000$25,001 - $50,000$50,001 - $75,000$75,001 - $100,000
Did you file 2019 tax returns for your business?*

YesNo
What was your business financial performance in 2019?*

Had a profitBroke-evenHad loss
How did you learn about this loan program? *
By clicking submit below, I attest that:
- My business has been legally established at least since January 1st, 2019
- My business was adversely affected by the COVID-19 pandemic by way of a business shutdown or a significant decline in revenue in 2020 compared to 2019
- My business is 51% or more owned by an individual who identifies as Black, Indigenous, or a person of color (BIPOC), and my business is located in Brooklyn, New York
- The information provided is correct to the best of my knowledge.
- I am currently unable to access capital from mainstream lending institutions.
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