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APPLICATION <br /> Indian River County CARES Act <br /> COVID-19 Small Business Recovery Grant <br /> PHASE 2 FUNDING <br /> All of the documents listed below must accompany your completed <br /> application (please scan them into one pdf document). If all items are not <br /> included, it may cause a delay in processing your application. <br /> DOCUMENT CHECKLIST — HAVE YOU INCLUDED . . . <br /> State of Florida business registration from the Florida Division of <br /> Corporation showing the business is registered in Indian River <br /> County; visit www.Sunbiz.org for assistance (except for 1099 <br /> employees) <br /> ❑ City or Indian River County Business License <br /> ❑ A copy of the business owner's(s) Driver's License or other photo <br /> government-issued identification <br /> ❑ Full employee list as of March I, 2020, noting if full-time or part-time <br /> (wage information is not needed) <br /> ❑ Completed and signed IRS W-9 form - Request for Taxpayer <br /> Identification Number and Certification (visit the IRS website for <br /> assistance) <br /> Documentation verifying loss of income/revenue due to COVID-19; <br /> this can include Profit & Loss statements from 2019 and 2020 (YTD) <br /> or QuickBooks reports, copies of business bank statements, etc.) <br /> Brief explanation of the proposed use of grant funds <br /> Registered with the Florida Small Business Development Center at <br /> IRSC <br /> Complete the application, and email it with the required documentation as <br /> listed above, to: fsbdc(a�irsc.edu <br /> Tom Kindred, Regional Director <br /> FL Small Business Development Center at IRSC <br /> Please scan your application and all required documents into one document <br /> (pdf), to send in one email or as one combined file. <br /> Indian River County Small Business Recovery Grant 2020— ROUND 2 Page 3 of 9 <br /> s, <br /> ' <br /> "`ZgatoA <br /> M-15 <br />