Apply - McAllen Small Business Support Fund

BEFORE YOU BEGIN Please gather all documents below before moving forward with this application. All documents must be uploaded at the time of submission. The application must be completed during one session, and cannot be saved.

Texas Secretary of State Texas File number
2019 and 2020 signed tax return
Social Security Number
Employer Identification Number, or Individual Taxpayer Identification Number.

Business Name*

Applicant Information

Applicant Name (Owner)*

First Last

Phone*

Email*

Address*

Street Address City State ZIP Code

SSN*

Texas Driver License Number*

Percentage ownership over the company*

Business Information

Date Established*

Ownership Type*

Sole Proprietor
General Partnership
S-Corporation
C-Corporation
Limited Liability Company
Limited Liability Partnership
Non-profit Organization

Employer Identification Number (EIN); (SSN if Sole Proprietor)*

Texas Secretary of State File Number

Physical Business Address*

Street Address City State Zip Code

Mailing Address (if different from physical business address)

Street Address City State / Province / Region ZIP / Postal Code

Number of employees as of February 1, 2020*

Number of current employees*

How many owners does the company have?*

Gross Receipts for 2019*

Gross Receipts for 2020*

Industry*

Is your business a home based business?*

Yes
No

If you selected yes to the previous question, please attach proper documentation to showcase that you are a valid home-based business

To show you are a legal home-based business, please attach a valid home occupation permit issued by the City of McAllen. No other documentation will be accepted, no exceptions.

Owner 2 (if applicable)

Name

First Last

SSN

Texas Driver License Number

Percentage ownership over the company

Phone

Email

Address

Street Address City State ZIP Code

If additional owners, please upload additional documents with information

Full Name, SSN, Percentage ownership, Phone Number, Email, Address

File

Purpose of the requested funds*

Select all that apply

If other, please describe:

Please upload the following documents (file size should not exceed 50MB)*

Texas Secretary of State Texas File number; If the business is a Partnership please upload IRS Form 1065; If the business is an S-Corporation please upload IRS Form 1120-S; If the business is a C-Corporation please upload IRS Form 1120; If the business is a Sole Proprietor or single-member LLC please upload IRS Form 1040 Schedule C. Please submit signed tax returns for 2019 and 2020.

Drop files here or

COVID-19 Economic Impact Statement*

I hereby state that the COVID-19 pandemic has adversely impacted my business by causing loss of income, sales, employment, hours of operation, and customers, as well as causing inventory disruption, production delays, negative regulatory changes, workforce changes, and significant loss of business contracts. This adverse impact also includes other government actions, such as shelter-in-place orders and having been deemed a non-essential business.

Audit and Claw-Back Provisions*

By accepting the McAllen Small Business Support Fund, I agree to allow the possible audit and/or review by the City of McAllen of the use and distribution of the funds from the grant for the benefit of my business. In addition, I also agree that if the money allocated is misused, i.e., used or distributed for purposes other than for what is qualified under the McAllen COVID-19 Small Business Grant, I will be required to pay back the money granted and misused.

Consent*

I hereby certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify me for benefits.

I attest that all of the information on this application is true. I authorize the City of McAllen and the McAllen Chamber of Commerce to investigate and verify the above information and contact any references regarding this application. I also authorize to perform a criminal background check, as authorized by law. The release of all information by the City of McAllen and the McAllen Chamber of Commerce in any manner is hereby authorized whether such information is of record or not and I hereby release all persons, agencies, firms, companies, etc., from any damages resulting from such information. I understand that the City of McAllen and the McAllen Chamber of Commerce will make a final decision whether the grant is approved or denied and that I can’t appeal the final decision if the benefits are denied. I attest that the funds are necessary due to conditions caused by COVID-19. I agree to be audited for the use of grant funds received.

Signature