This grant application requires that certain business and financial documents be uploaded for consideration of this grant. Please check the box below. By checking this box, the applicant acknowledges that they are authorized to provide this information, and release the Upton Planning Committee and Historic Pennsylvania Avenue Main Street Program from any liability that may result from the upload of documents through this application. *
Required
Business Legal Name *
Your answer
Primary Owner Name *
Your answer
Primary Owner Phone *
Your answer
Primary Owner Email *
Your answer
Primary Owner Residency-Where does the business owner reside? *
Your answer
Business Street Address *
Your answer
Suite/Unit Number *
Your answer
City/State/Zipcode *
Your answer
. Business Legal Structure- Please select the business type that best describes your business *
Required
Business Website-Please provide your business website, if applicable
Your answer
Describe your business- Please provide a description of your business, what do you sell or what services do you provide? *
Your answer
Jobs Prior to COVID-How many people did the business employ prior to COVID? *
Your answer
Current Jobs -How many people does the business currently employ?
Your answer
Please Submit a Business Profit & Loss statement for 2020 that identifies Gross Business Income; Business Expenses and Net Business Income. Note: This does not need to be an officially prepared document, and can take the form of a spreadsheet, Microsoft word document, PDF. Email to nturner@pa-mainstreet.com *
Required
What was your business's Gross Revenue for the first 9 months of 2020, from January 1, 2020 to September 30? *
Your answer
What are the businesses current operations? (Ex. Open, Closed, Part-Time, Online Only, By Appointment Only etc) *