Company/Organization Information

Please answer the following questions so we can learn more about your small business.

My business is for profit.


Business Information

Physical Address of Business

Physical Address of Business. This address must be in Pueblo County to be eligible.

State

Contact Information

Name of individual should Pueblo County have questions regarding this application.
Contact's Address

Contact's Address

State

Home Based Business
Home based businesses are not eligible for this grant.
Pueblo Property Tax Current
Colorado Withholding Current
Bankruptcy
Located in Pueblo County
Applying for Other Locations
Marijuana businesses are not eligible for this grant.

COVID-19 Related Funds
Applicants will be cross-referenced with City of Pueblo
Good Standing
Your business must be registered and in good standing with the Colorado Secretary of State.

Businesses with 50+ employees are not eligible for this grant
National Chain Owner
Corporately owned national chains are not eligible for the grant unless you are an individually owned franchise operator with 49 or fewer employees total at all locations and owner is a Colorado resident.
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Pueblo County reserves the right to fund a lower amount than requested.
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Business Impacts of COVID-19
Check all that apply.

Financials

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Signature Authority
Signature Name
Title
If your grant application were approved, who would sign the grant agreement and what is that person’s title? 

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

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. You understand that these funds cannot be used to pay any obligations to the government including property taxes and licensing fees, it cannot be used for permanent infrastructure changes.  You further understand that incomplete applications may lead to disqualification for receiving funding.


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Signature Name