W-9. (If selected, the grant applicant may be required to provide additional documentation.)
Businesses with 0-25 full-time equivalent employees (prior to COVID-19 impacts); For-profit, independently owned local business in a property zoned Commercial or Industrial; Home-based business not eligible; Physical establishment within the City of Wheat Ridge; Business in operation as of January 1, 2020; Have a verifiable hardship directly due to COVID-19; Funds to be used for operational needs such as lease/mortgage payments, payroll, materials, supplies and services; Business is in good standing with the City of Wheat Ridge (e.g., no liens or judgments, etc.), Independently owned franchises with 1-25 employees within the applicants corporate holdings are eligible to apply.
Any single business is eligible to receive a maximum of $5,000 in grant funding between rounds one and two of this program. Previous grant awardees should deduct any previous award amounts from this request for a total not to exceed $5,000.
I CERTIFY that all statements in this application are true and complete. I agree and understand that
any misstatements or omissions of material facts herein is grounds for immediate payback in full of any funds granted through this program, and that the City of Wheat Ridge may use any means necessary to collect on this debt.
If no ownership share, please put NA in the box
*This does NOT include locations owned and/or operated by other franchisees.
Enter up to 300 characters. Include what the business produces and how it generates revenue.
Days of the week and hours of operation
Enter up to 1500 characters. Please address impacts on revenues, number of employees, modified business hours, etc. (verification may be required).
A total of $5,000 can be awarded for both rounds of funding through this program. One application per business and/or individual.
If selected to receive a grant, applicant may be required to provide additional documentation including most recent tax returns, 941s, etc. The City of Wheat Ridge reserves the right to review the status and use of grant funds and pursue legal action for misuse of funds
The City of Wheat Ridge understands and supports the public’s right to access public records. Information submitted through this application is a public record and is subject to disclosure under the Colorado Public Records Act (CORA). In addition, the City of Wheat Ridge may be required to disclose information by subpoena, civil-investigative demand, or court-ordered or court-authorized discovery. ** By submitting this application, applicant certifies that all information is true and correct. Applicant acknowledges that they may be required to provide additional documentation including most recent tax returns, 941s, credit report, lease agreement, etc.
Applications may only be submitted electronically through this form. Call (720) 454-9040 with questions.
This field is not part of the form submission.
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