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ana SE;PN HOME OF PELICAN ISLAND CITY OF SEBASTIAN, FLORIDA COVID-19 RECOVERY & STIMULUS PLAN GRANT APPLICATION Eligible Small Businesses: The City of Sebastian has decided to award grants of $5,000.00 to eligible small businesses located within the City limits to assist in addressing their immediate cash flow needs as a result of demonstrated economic injury due to the COVID-19 Virus. Each business can only receive one grant. Applications will be reviewed to confirm eligibility using the parameters listed below: 1. Must be a for-profit, privately -held small independently owned and operated business currently maintaining a commercial physical location within the City limits of Sebastian. 2. Must not have any current unpaid code enforcement liens and must not be operating in violation of any state, federal or local laws. 3. Must have been mandated by the government to reduce or eliminate services or have a demonstrated reduction in sales revenues of 25% or more due to the loss of business income related to COVID-19. Documentation may consist of (1.) certified Point of Sale or QuickBooks reports, (2.) certified income statements or (3.) sales tax returns, which demonstrate a comparison of the current month sales revenues versus the same month the previous year. 4. Must be a small business that as of March 1, 2020 had no more than 20 full time and/or part time employees or independent contractual workers in addition to the owner. Documentation may consist of (1.) the 2019 IRS Form W-3, (2.) the IRS Form 941 or (3.) the summary filed with IRS of 1099s issued to individual independent contractual workers for that time period. 5. Must submit a copy of the primary applicant(s) current driver's license(s), a copy of the applicant(s) current passport or other photographic identification. 6. Must submit a copy of a completed and signed IRS Form W-9. 7. Must submit completed COVID-19 Small Business Grant Application no later than September 30, 2020. 8. Must submit COVID-19 Employee Grant Application(s) at the same time as submitting the COVID-19 Small Business Grant Application. Employers are encouraged to inform eligible employees of their intention to apply and the possibility that employees may also be eligible. Mail or hand deliver the Application and all supporting documentation to 1225 Main Street to the attention of the Administrative Services Director or email them to COVID19Grant@cityofsebastian.org. Do not forget to include any Applications for the COVID-19 Employee Grants, as described on the next page. Eligible and fully completed applications will be promptly processed and awarded on a first-come, first-served basis. Payments for those approved will be made via checks mailed to the Applicant's business mailing address or the employee's mailing address. Page 1 of 2