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PART 3. GOVERNMENT, BANK AND OTHER FUNDING SOURCES <br /> Government, bank,and all other funding received by a business for COVID-19 Pandemic National Emergency related losses. Please <br /> identify any sources of funds that the business received as a result of the COVED-19 Pandemic National Emergency other than <br /> insurance.Sources of funds include but are not limited to: Federal,state and local loan/grant programs, private or bank loans, <br /> nonprofit donations or loans. <br /> Please indicate below the amount allocated to your business from any and all funding sources: <br /> Source of Funds#1 <br /> N.,1 <br /> �� <br /> Lender/Grant Provider Name �� <br /> .C>/i) ; 4- :0.4A-- <br /> 1 Purpose ?PI � <br /> like G � 1- ibil, C:(.-`L/t rlfl- S.4t#/tA.* <br /> AmountA t` 1 <br /> ❑Government Loan ❑Government Grant R Government Forgivable Loan <br /> 1 ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan <br /> ❑Private Loan 0 Other: <br /> Source of Funds#2 <br /> Lender/Grant Provider Name ' - � � ~n �� ��µ�� <br /> Purpose <br /> Amount <br /> C4l <br /> 0ii..61..., I 4t-7_" <br /> sigAre <br /> . Government Loan 0 Government Grant 0 Government Forgivable Loan <br /> ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan <br /> ❑ Private Loan ❑ Other: <br /> m,.w ..e �._w�.._. . . v� n._..w.ww.��a.M ,, , ..« <br /> Source of Funds#3 <br /> Lender/Grant Provider Name �4i <br /> , <br /> Purpose <br /> I <br /> Amount <br /> A <br /> ❑Government Loan 0 Government Grant 0 Government Forgivable Loan <br /> ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan 1 <br /> ❑Private Loan. __ ,....�. a�.. .��.,a�.. El Other: .�n. .�,.n .,.._. .�., . ,1 <br /> Source of Funds#4 <br /> Lender/Grant Provider Name <br /> i <br /> gPurpose <br /> I' i <br /> Amount <br /> ❑Government Loan 0 Government Grant 0 Government Forgivable Loan <br /> , <br /> I ❑ Nonprofit Grant ❑ Nonprofit Loan 0 Nonprofit Forgivable Loan i <br /> ❑ Private Loan ❑Other: <br /> E,.w.,.:,d...,r......»..w.H»..v,...,.:,..,. ....<,:.:. ., ,.,.,.,.»,..M......,.�.. .,..,,....-k...�.,..<........,.,»,.....,.,.�..,..:-.,.,,�.....__.e.......».,.....-.,..,,..�,,.-.-,_....�..,.,V.,.....<. .>.,.....„..�.,�.....w...-.:r,.,..,..».�,•.M..,«-.,,,,.....,..,.«..,,,v,.,»«.�<g:.....,.' <br /> Z �T Everett CARES Small Business Grant Program 1 Round 3 l page 10 <br />