Laserfiche WebLink
Company Information <br /> Full Legal Business Name: <br /> Please indicate your business structure (Choose one): <br /> Sole Proprietor or Partnership <br /> C-Corporation or S-Corporation <br /> Limited Liability Company (LLC) <br /> 1099 Employee <br /> Please indicate your business type — see page 2 for a list of eligible businesses <br /> Business Phone Number: Cell Phone Number: <br /> Current Business Address: <br /> City: State: FL Zip: <br /> Mailing Address, if different from above: <br /> Business Website: <br /> Primary E-mail Address: <br /> Primary Owner's Name: <br /> Additional Owners' Names: <br /> 4, Indian River County Small Business Recovery Grant 2020— ROUND 2 Page 4 of 9 <br /> 111 <br />