Company/Organization Information

Please answer the following questions so we can learn more about your nonprofit.
Address
State
Is your organization a nonprofit?
Name of individual should Pueblo County have questions regarding this application.

Maximum of $50,000.00. Pueblo County reserves the right to fund a lower amount than requested.
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Attach the budget describing how the funds will be used.
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CARES Act Requirements
Existing Program Funding
Subcontracting
COVID-19 Related Funds
Pueblo County Contracts
COVID-19 Economic Relief
Good Standing
Bankruptcy

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Signature Authority
Signature Name
Title
Is entity a Corporation, LLC or Partnership?

Is there other information you would like to provide regarding your application?


Entity acknowledges that unused funds must be returned to Pueblo County by December 15th, 2020.


By clicking "I agree" you represent 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 the grant and sign a grant agreement if your application is approved.
 


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