Jenna Nardinger 12/28/2020 - Laserfiche WebLink

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 N/A Purpose N/A Amount N/A ❑Government Loan 0 Government Grant 0 Government Forgivable Loan ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan ❑Private Loan 0 Other: Source of Funds#2 Lender/Grant Provider Name Purpose Amount ❑Government Loan 0 Government Grant 0 Government Forgivable Loan ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan ❑ Private Loan 0 Other: Source of Funds#3 Lender/Grant Provider Name Purpose Amount ❑Government Loan 0 Government Grant 0 Government Forgivable Loan ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan ❑ Private Loan 0 Other: Source of Funds#4 Lender/Grant Provider Name Purpose Amount ❑Government Loan 0 Government Grant 0 Government Forgivable Loan ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan ❑ Private Loan 0 Other: EVE R E T T Everett CARES Small Business Grant Program Round 3 page 10 WASHINGTON g p