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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 COVID-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 /> Lender/Grant Provider Name 1"0V1v <br /> Purpose <br /> Amount <br /> C}Government Loan ❑Government Grant 0 Government Forgivable Loan <br /> ❑ Nonprofit Grant ❑Nonprofit Loan ❑Nonprofit Forgivable Loan <br /> ❑Private Loan ❑other: <br /> Source of Funds#2 <br /> Lender/Grant Provider Name M0 <br /> Purpose <br /> Amount <br /> ❑Government Loan ❑Government Grant C7 Government Forgivable Loan <br /> ❑Nonprofit Grant 0 Nonprofit Loan ❑Nonprofit Forgivable Loan <br /> 0 Private Loan 0 Other: <br /> Source of Funds#3 <br /> Lender/Grant Provider Name <br /> Purpose <br /> Amount <br /> ❑Government Loan 0 Government Grant ❑Government Forgivable Loan <br /> ❑Nonprofit Grant 0 Nonprofit Loan ❑Nonprofit Forgivable Loan <br /> C]Private Loan 0 Other. <br /> Source of Funds#4 <br /> Lender/Grant Provider Name <br /> Purpose <br /> Amount <br /> ❑Government Loan ❑Government Grant ❑Government Forgivable Loan <br /> ❑Nonprofit Grant ❑Nonprofit Loan ❑Nonprofit Forgivable Loan <br /> 0 Private Loan 0 Other. <br /> `. EV E R E TT Everett CARES Small Business Grant Program Round 3 page 10 <br />