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Contact Information


Business Information


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Colorado Income Tax Exemption?
Business Start Between 01/01/20 and 03/26/20?
2019 Revenues > $2.5 Million?
Business Sector
Type of Business
NOTE: Nonprofit organizations are not eligible for this program.

Documentation


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Self Certification


I represent and warrant that the following statements are true, correct, and complete to the best of my knowledge:


I am current on all state and local taxes.


My business is in good standing with the Colorado Department of Regulatory Agencies or my relevant licensing agency.


My business is located in Pueblo County Colorado.


I have had at least a 20% revenue loss due to the COVID-19 public health crisis using a month/month OR year/year analysis since 3/26/20, or my business began between 1/1/20 and 3/26/20.


I plan to stay in business for at least six months.


I pledge to use these funds to pay for business expenses including salary, rent, utilities, inventory, equipment, business loans interest/principal or other business uses and no other purpose.


I have not applied for other Senate Bill 20B-001 funds, which include the Arts Relief Program or Minority Business Relief Program.


I certify that the small business at this location is in compliance with all current public health orders at this time and will continue to comply with all public health orders.


If this business received CARES Act funding, I certify that the funds received from this Relief Grant will not be used to cover expenses paid for or reimbursed with CARES Act funding.


I certify that I am an officer of the above-named company with the authority to sign on its behalf.


I understand, covenant, and agree to the following:

I understand that the statements in this application are subject to verification and validation and I may be asked to provide documentation including financial or bank statements and other documents supporting their accuracy during subsequent follow-up communications with the State of Colorado, Pueblo County, or their agents and I will cooperate in providing such information. I will retain for 3 years the documents described herein and will provide such documentation if requested. I am aware that I may be audited and asked to provide these documents to justify my award. If I cannot validate the accuracy of these statements, I understand I may be asked to pay back this award and/or be subject to legal remedies.

I understand that if I knowingly provide any inaccurate information on this application I will be subject to penalties, including potential repayment of any funds received and any appropriate legal action.

Signature


By clicking "I agree" you represent and warrant that that information provided in this application is true, correct, and complete to the best of your knowledge. You further understand that any false or misleading statements may result in denial or revocation of the grant. By clicking I agree you also covenant and agree that you will comply with all of the requirements for this grant as set forth in herein and as more particularly described in C.R.S. 24-32-129 and any additional guidance provided by the State of Colorado. The parties agree to the use of electronic signatures with respect to this Small Business Relief Grant Program.