Mad Anthony's dba Anthony's Woodfire Grill 12/28/2020

PART 3. GOVERNMENT, BANK AND OTHER FUNDING SOURCES Government,bank, and all other funding received by a business for COVID-19 Pandemic National Emergency related losses. Please identify any sources of funds that the business received as a result of the COVID-19 Pandemic National Emergency other than insurance.Sources of funds include but are not limited to: Federal,state and local loan/grant programs,private or bank loans, nonprofit donations or loans. Please indicate below the amount allocated to your business from any and all funding sources: Source of Funds#1 Lender/Grant Provider Name SBA PPP Loan Purpose Government loan to cover payroll, benefits, utilities, lease payments Amount $385.000(please note that this amount is Woodfire GniI's prorated share of the total PPP loan) • Government Loan 0 Government Grant a Government Forgivable Loan ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan Please note that Ih1'amount is Anti. ❑ Private Loan 0 Other: Woodfire Gnlrs prorated mart of the• total PPP loan that was funded to the Anthony's tax ID There are nuntero—, entities that operate under the same Ito, Source of FundS2 IDiU8l number which.increased the overall loan amount. Lender/Grant Provider Name Purpose Amount ❑Government Loan 0 Government Grant 0 Government Forgivable Loan ❑ Nonprofit Grant 0 Nonprofit Loan 10 Nonprofit Forgivable Loan 1 0 Private Loan ❑ Other: j Source of Funds#3 Lender/Grant Provider Name Purpose Amount 0 Government Loan 0 Government Grant ❑Government Forgivable Loan ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan ❑ Private Loan ❑Other: Source of Funds#4 Lender/Grant Provider Name Purpose Amount ❑Government Loan 0 Government Grant 0 Government Forgivable Loan ❑ Nonprofit Grant ❑ Nonprofit Loan 0 Nonprofit Forgivable Loan Private Loan ❑Other: E R E T T MIN WAsaa Hr,TOH Everett CARES Small Business Grant Program Round 3 page 10 w�