Mad Anthony's Inc dba Anthony's Homeport 12/29/2020

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 S385,000(please note that this amount is Anthnny's Everett's prorated share of the total PPP loan) ❑Government Loan 0 Government Grant 1.1 Government Forgivable Loan ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan 0 Private Loan 0 Other: Please note that this amount is Anthony's Homeport-Everett's prorated share of the total PPP loan that was funded to the Source of Funds#2 Anthony's tax ID. There are numerous entities that operate under the same tax IDIUBI number whch'nexeaved the overall Lender/Grant Provider Name loan amount 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 ❑Government Forgivable Loan ❑Nonprofit Grant ❑ Nonprofit Loan 0 Nonprofit Forgivable Loan ❑ Private Loan El Other: Source of Funds#4 Lender/Grant Provider Name Purpose Amount ❑Government Loan 0 Government Grant ❑Government Forgivable Loan ❑ Nonprofit Grant 0 Nonprofit Loan 0 Nonprofit Forgivable Loan ❑ Private Loan ❑Other: WASHINGTON EV E R E TT Everett CARES Small Business Grant Program I Round 3 page 10