LiftFund El Paso English COVID-19 Small Business Grant Application

LiftFund and El Paso Small Business Grant Program Overview and Guidelines
Thank you for visiting the small business relief grant program. The purpose of these funds is to serve as an immediate gap to the economic injury your business is facing during the COVID-19 crisis. Applications must be completed in order to set up a consultation and review. The funds for this program are limited and the criteria for receiving funds includes the following items:
- Must be in business as of August 1, 2019 and the business must be located in El Paso
- Must be able to share
  - 4th quarter 2019 business profit and loss
  - last 90 days of financials demonstrating a 20% or more loss in revenue due to COVID-19 (bank statements or account transaction detail)
- No more than 5 full time employees
- No more than $1 million in gross revenue
- Documentation of expenses and forecast of funds will be required for grant to be awarded
- At least two consultations with team member
  - to review financials and plan and
  - for a site visit 6 months post the award.
Applicant Information
Name of Applicant*
PrefixFirst NameMiddle NameLast Name
Applying as*
Sole Proprietor/DBACorporation/LLCPartnership
How many full time employees do/did you have? FT= a person with more than 30 hours of work.
Employer Identification Number (EIN)
Your Social Security Number/ITIN*
Business Information*
Business Name
Street Address
CityState
Zip Code
What county is your business located in?
Additional business address location(s): *
Date Business was registered*
MonthDayYear
E-mail of Applicant*
Email Validator*
Best Phone Number of Applicant*
Area CodePhone Number

Business Assessment and Forecast Plan
Please provide a brief overview of the small business. Include a summary about the business including information about products and/or services, operation hours and days, and the target markets it serves. *
Please describe the impact that COVID-19 has caused. *
Is the business currently operating?*
YesNo
If yes, Please provide a brief description of the plan to operate during the next six months. *
If no, please provide the date the business stopped operations.
If no, Please provide a brief description of the plan to reopen within the next six months.*
Will you reopen in the county your business is/was established in?

Insurance and Financial Section
Do you have insurance that will help to cover your short-term losses from COVID-19 (coronavirus)? If yes, please complete table with the appropriate options.*
YesNoUnsure

Insurance and Financial Information Table 1*

	Coverage	Deductible Amount $	Claim Submitted	Funds Received	Amount Received $
*Property Insurance
Commercial General Liability Insurance
Directors/Officers Insurance
Errors & Omissions Coverage
Workers Compensation Insurance
Other

*Standard property insurance policies usually include two types of valuable coverage for disruptions like the coronavirus. Business interruption coverage insures against losses resulting when the policyholder’s operations are directly affected; and contingent business interruption coverage insures against the risk of indirect losses, such as when suppliers or customers are affected.

Insurance and Financial Information Table 2. These are Payment Deferments that are in process or completed. *

	Response	One Month Prior to COVID-19	Current Month/Projection Expense	# of Months Deferred
Rent Deferred for Business Lease
Accounts Payable Renegotiated/Extended
Deferred Business Installment Debt
Deferred Business Credit Card Debt
Any "other" Business Deferments

Disaster Relief 2020 Budget Worksheet
Calculator
Please provide Budget for Household*
Cash flow for Dec-2019 or Jan- 2020 COVID-19 Impacted Cash Flow (Last 30 days)
Household Income
Household Expenses
Balance (Income- Expenses)
Please provide for Business *
Cash flow for Dec-2019 or Jan- 2020 COVID-19 Impacted Cash Flow (Last 30 days)
Business Revenue
Business Expenses
Balance (Income-Expenses)
Cash Flow needed for 6 months ( = Balance shown above for COVID-19 impacted cash flow x 6)*
Sources to cover 6 month cash flow gap.*

Expenses Modified or In Process of Modification*

	Monthly Budget Projected
Total Rent Deferred
Accounts Payable Extended
Business Debt Payments Deferred
Available Credit in Lines Open
Insurance Benefits Expected
Any Other Deferred Expenses
Business Cash Available
Personal Savings
Total Available (Sum of lines above)
Working Capital GAP (= Amount listed above for Cash Flow Needed for 6 months - Total Available Amount)

See PDF for full calculations.
Calculator

Grant Amount Requested and Documentation
Requested Grant Amount*
How will you use the Grant Funds*
Working CapitalRent/Lease CostsEmployee SupportOther
Please attach 1) Bank statements for January, February and March. If you do not yet have a March bank statement, please attach a transaction detail report. 2) Receipts and documentation of the costs that the grant will cover.*
Upload Documentation Files
Cancelof

	Cash flow for Dec-2019 or Jan- 2020	COVID-19 Impacted Cash Flow (Last 30 days)
Household Income
Household Expenses
Balance (Income- Expenses)

LiftFund and El Paso Small Business Grant Program Overview and Guidelines

Applicant Information

Business Assessment and Forecast Plan

Insurance and Financial Section

Disaster Relief 2020 Budget Worksheet

Grant Amount Requested and Documentation

Application Demographic Details