TSB Full Day On-site Application Drive The Targeted Small Business (TSB) Program of Iowa presentsOn-Site Mobile ApplicationApril 24Location: Iowa City Downtown District offices 103 E. College St., #200, Iowa City, IA 522408:00 a.m. - 5:00 p.m. Sign up to meet with TSB staff to discuss the value of certification. Use technology at the lab to apply onsite and upload required documentation. Learn about eligibility for certification and what documentation you need to bring to the session. Questions may be directed to Jill Lippincott at 515.348.6159 or email tsbcert@iowaeda.com. Question Title * 1. To begin your registration, please provide your name and contact information: Name: Business Name: Address: City: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Zip: Email: Phone: Question Title * 2. Business Structure Sole proprietorship Partnership Limited Liability Company (LLC) Corporation (C Corp, S Corp, B Corp, nonprofit, etc.) Cooperative Other (please specify) Question Title * 3. Business Description, including product(s) sold or service(s) provided Question Title * 4. Please select a preferred time that you plan to attend the event to apply for TSB certification. (Attendees are required to select three time slots and will receive confirmation regarding their scheduled time a couple of days before the event.) 8:00 – 8:30 a.m. 8:30 – 9:00 a.m. 9:00 – 9:30 a.m. 9:30 – 10:00 a.m. 10:00 – 10:30 a.m. 10:30 – 11:00 a.m. 11:00 – 11:30 a.m. 11:30 – 12:00 p.m. 12:00 – 12:30 p.m. 12:30 – 1:00 p.m. 1:00 – 1:30 p.m. 1:30 – 2:00 p.m. 2:00 – 2:30 p.m. 2:30 – 3:00 p.m. 3:00 – 3:30 p.m. 3:30 – 4:00 p.m. 4:00 – 4:30 p.m. 4:30 – 5:00 p.m. Question Title * 5. During the time of your application, TSB staff will walk you through the online application process. In addition to the online application, TSB certification requires additional documentation to be included with the application. TSB staff will contact you in advance of the event to confirm your registration and to help you prepare the documents you need to bring to apply. These may be uploaded at the time of your application or at a later date. Scanners will be available to scan your hard copy documents. If you wish to scan and upload the required documents needed for your application during your reserved time, use the list below to identify the documents required for your business type. If you have questions, please contact Jill Lippincott at tsbcert@iowaeda.com or at 515.348.6159.Documents for All Applicants Registration of business name: County Recorder or Secretary of State Proof of TGP status (See list below) Two years business tax returns. If you do not have tax returns for your business, provide your personal tax returns and an IRS letter verifying the businesses' Federal Employer ID number (if using an FEIN) Proof of liability insurance and Workers Compensation insurance, if applicable Copy of each and every license, registration and permit required for business Purchase agreement, if the business was acquired within the last five years Signed and notarized application Additional Documents for LLC Applicants Certificate or Articles of Organization Operating Agreement, if more than one member/manager Additional Documents for Partnership Applicants Partnership Agreement Additional Documents for Corporation Applicants Proof of capital contribution from each owner (if the business was started/acquired within the last five years) Bylaws and Articles of Incorporation, including corporate borrowing resolution Meeting Minutes reflecting election of current directors/officers Stock ledger, if applicable Proof of TGP status for board of directors/officers. See list of acceptable proof below. Targeted Group Person (TGP) Status Forms If applying as a minority person or as a woman, provide documentation of your status. Acceptable documentation includes a driver’s license, passport, tribal record, birth certificate or other documentation. If applying as a person with a disability or have a physical or mental impairment that substantially limits one or more major life activities, provide written verification from one of the following entities: Iowa Department of Education, Division of Vocational Rehabilitation, Iowa Department for the Blind, a licensed medical physician. The physician must complete and sign the Verification of Disability form which can be found HERE. This form must be signed by a licensed medical physician. If you are applying as a Service-Connected Disabled Veteran, provide documentation from the U.S. Department of Veterans Affairs or the U.S. Department of Defense confirming your disability is service connected and the extent of the disability. Please comment below if you have questions regarding the items listed above. Done