FRLA HOSPITALITY CARES FUND APPLICATION

The FRLA Hospitality Cares Fund is an initiative of the Florida Restaurant & Lodging Association Educational Foundation. This initiative strives to provide economic support to Florida’s restaurants[1] and lodging establishments[2] and their employees who have suffered economically from the impact of Hurricane Ian. The FRLA Hospitality Cares Fund provides immediate financial support in the form of grants valued at up to $50,000 per restaurant or lodging location. At a minimum, 50% of the support provided must be earmarked to support employees in financial need.

For the absence of doubt, a restaurant or lodging establishment is defined as a restaurant[1] or lodging establishment[2] owned by a corporation, limited liability partnership, general partnerships, or sole proprietorship. Franchisees of national chains are eligible, but only if the owner owns no more than three (3) franchised locations. Restaurant and lodging chains do qualify for this grant. Only one application is required for all multi-unit operators.

[1] Defined as any eating place maintained by a facility certified or licensed and regulated under 381.0072 as defined in 509.013(5). Florida Statutes.
[2] Defined as a lodging establishment licensed as a hotel, motel or bed and breakfast as defined in 509.242. Florida Statutes.

Question Title

* 1. FRLA HOSPITALITY CARES FUND APPLICATION

FIRST NAME

LAST NAME

STREET ADDRESS

ADDRESS LINE 2

CITY

STATE

ZIP CODE

COUNTY

PHONE NUMBER

EMAIL ADDRESS

To support restaurants[1] and lodging establishments[2] and their employees who have suffered economically from the impact of Hurricane Ian, the FRLA Hospitality Cares Fund will distribute grants of up to $50,000 per owner to immediately support their financial needs. Because we want to put money in your hands as quickly as possible, we are asking you to provide your bank information so that, once approved and funded, we can transmit your grant to you via ACH.

Eligible restaurants and lodging establishments must be open and operating or actively planning to re-open. Permanently closed restaurants and lodging establishments are NOT eligible for this grant. Only restaurants and lodging establishments within Lee, Collier, Charlotte, Sarasota, Flagler, Hardee, or Volusia counties in the state of Florida are eligible.

After submitting your application, it will be reviewed by the internal committee and a decision letter will follow. If approved, you will receive the grant as soon as funds are available. We will remain in contact with you throughout the process.

If you have any questions, or to check status of your application, email hospitalitycares@FRLA.org.

[1] Defined as any eating place maintained by a facility certified or licensed and regulated under 381.0072 as defined in 509.013(5). Florida Statutes.
[2] Defined as a lodging establishment licensed as a hotel, motel or bed and breakfast as defined in 509.242. Florida Statutes.

Question Title

* 2. CORPORATE INFORMATION

CORPORATE NAME

RESTAURANT OR HOTEL NAME

COMPANY TAX ID NUMBER

BUSINESS LOCATION ADDRESS

BUSINESS LOCATION CITY

BUSINESS LOCATION STATE

BUSINESS LOCATION ZIP CODE

BUSINESS LOCATION COUNTY

BUSINESS CONTACT NAME AND TITLE

BUSINESS CONTACT PHONE NUMBER

BUSINESS CONTACT EMAIL ADDRESS

OWNER CONTACT NAME

OWNER CONTACT INFORMATION

CORPORATE TWITTER HANDLE

CORPORATE FACEBOOK PAGE

CORPORATE INSTAGRAM PAGE

WHEN WAS THE BUSINESS FOUNDED?

Question Title

* 3. DO YOU OWN ANY OTHER LOCATIONS THAT MAY BE ELIGIBLE FOR THIS GRANT?

Question Title

* 4. WHAT TYPE OF ESTABLISHMENT IS YOUR COMPANY?

RESTAURANT (defined as any eating place maintained by a facility certified or licensed and regulated under 381.0072 as defined in 509.013(5). Florida Statutes)

LODGING ESTABLISHMENT (defined as a hotel, motel, or B&B as defined by 509.242, Florida Statutes)

Question Title

* 5. ARE YOU A CURRENT MEMBER OF THE FLORIDA RESTAURANT & LODGING ASSOCIATION?

NOTE: THIS DOES NOT HAVE ANY BEARING ON GRANT ELIGIBILITY. THIS IS FOR INFORMATION USE ONLY.

YES

NOT SURE

Question Title

* 6. DESCRIBE IN DETAIL HOW YOUR BUSINESS HAS BEEN IMPACTED BY HURRICANE IAN. IS YOUR BUSINESS LOCATED IN AN AREA OF SEVERE DEVASTATION? PROVIDE PHOTOS.

Question Title

* 7. UPLOAD A PICTURE OF THE DAMAGE CAUSED BY HURRICANE IAN HERE.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 8. UPLOAD A PICTURE OF THE DAMAGE CAUSED BY HURRICANE IAN HERE.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 9. UPLOAD A PICTURE OF THE DAMAGE CAUSED BY HURRICANE IAN HERE.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 10. IF AWARDED, DESCRIBE HOW YOU WOULD UTILIZE THE FUNDS CONSISTENT WITH THE AUTHORIZED USES. ALSO, DISCLOSE WHAT PERCENTAGE OF THE AWARD WOULD GO TO ASSISTING EMPLOYEES, OWNERS OR REHABILITATING PROPERTY.

Question Title

* 11. IS YOUR BUSINESS STILL OPEN/IN OPERATION?

NOTE: TO BE ELIGIBLE, BUSINESSES MUST BE OPERATING OR ACTIVELY PLANNING TO RE-OPEN.

YES

Other (explain)

Question Title

* 12. IF YOUR BUSINESS IS NOT CURRENTLY OPEN, PROVIDE A LETTER OF INTENT OR PROOF OF A PLAN TO RE-OPEN.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 13. TO RECEIVE FUNDS VIA ACH, PLEASE PROVIDE YOUR CORPORATE BANK ACCOUNT INFORMATION AND ATTACH A VOIDED CHECK.

BANK NAME AND ADDRESS

ABA/ROUTING NUMBER

ACCOUNT NUMBER

ACCOUNT NAME AND ADDRESS

Question Title

* 14. ATTACH VOIDED CHECK HERE

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 15. ATTACH COMPLETE W-9 HERE

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 16. SHARE YOUR NARRATIVE. (THIS IS AN OPTIONAL FIELD. HOWEVER, AS THE FRLA CONTINUES TO FIGHT TO SUPPORT FLORIDA’S RESTAURANTS AND HOTELS, WE NEED YOUR STORIES. BY SUBMITTING YOUR NARRATIVE HERE, YOU AGREE TO ALLOW THE FRLA TO SHARE THIS STORY. YOU MAY INDICATE IF YOU WOULD LIKE YOUR BUSINESS TO REMAIN ANONYMOUS IF WE USE YOUR NARRATIVE.)

Question Title

* 17. PLEASE ATTACH A COPY OF YOUR PAYROLL REGISTER FOR SEPTEMBER OF 2022 OR PRIOR. SOCIAL SECURITY NUMBER MAY BE REDACTED.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 18. Please enter the number of employees you are applying for.

Question Title

* 19. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #1

Employee #1 Name:

Amount Requested:

Question Title

* 20. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #2

Employee #2 Name:

Amount Requested:

Question Title

* 21. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #3

Employee #3 Name:

Amount Requested:

Question Title

* 22. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #4

Employee #4 Name:

Amount Requested:

Question Title

* 23. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #5

Employee #5 Name:

Amount Requested:

Question Title

* 24. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #6

Employee #6 Name:

Amount Requested:

Question Title

* 25. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #7

Employee #7 Name:

Amount Requested:

Question Title

* 26. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #8

Employee #8 Name:

Amount Requested:

Question Title

* 27. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #9

Employee #9 Name:

Amount Requested:

Question Title

* 28. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #10

Employee #10 Name:

Amount Requested:

Question Title

* 29. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #11

Employee #11 Name:

Amount Requested:

Question Title

* 30. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #12

Employee #12 Name:

Amount Requested:

Question Title

* 31. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #13

Employee #13 Name:

Amount Requested:

Question Title

* 32. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #14

Employee #14 Name:

Amount Requested:

Question Title

* 33. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #15

Employee #15 Name:

Amount Requested:

Question Title

* 34. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #16

Employee #16 Name:

Amount Requested:

Question Title

* 35. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #17

Employee #17 Name:

Amount Requested:

Question Title

* 36. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #18

Employee #18 Name:

Amount Requested:

Question Title

* 37. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #19

Employee #19 Name:

Amount Requested:

Question Title

* 38. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #20

Employee #20 Name:

Amount Requested:

Question Title

* 39. ACKNOWLEDGEMENT OF DECLARATION STATEMENT REGARDING USAGE OF FUNDS

I, the above-named representative of the above-named restaurant or lodging establishment, do hereby agree to the following restricted usage of funds provided by the FRLA Hospitality Cares Fund to benefit the business and workforce development.

1. To assist owners and employees recovering from the catastrophic impacts of hurricane Ian and to support workforce development.

2. To support property improvements to restaurant and lodging establishments.

I further acknowledge that these funds are to provide direct support to restaurants and lodging establishments to assist in recovering from hurricane Ian.

I also authorize the FRLA to include my establishment in promotion of the fund.

Recipients should prepare to provide proof of how the funds were distributed, should the FRLA Hospitality Cares Fund request it.

I AGREE

Question Title

* 40. ACKNOWLEDGEMENT OF RELATIONSHIP

I, the above-named representative of the above-named restaurant or lodging establishment, do hereby agree that I have no direct relationship with any officers, directors, key employees, or other substantial contributors of FRLA or the Education Foundation of the FRLA.
• Carol Dover, President & CEO
• Robert Dearden, COO/CFO
• Geoff Luebkemann, Senior Vice President of Service Operations
• Samantha Padgett, Vice President of Government Relations and General Counsel

I AGREE

FRLA HOSPITALITY CARES FUND APPLICATION

Question Title

* 1. FRLA HOSPITALITY CARES FUND APPLICATION

Question Title

* 2. CORPORATE INFORMATION

Question Title

* 3. DO YOU OWN ANY OTHER LOCATIONS THAT MAY BE ELIGIBLE FOR THIS GRANT?

Question Title

* 4. WHAT TYPE OF ESTABLISHMENT IS YOUR COMPANY?

Question Title

* 5. ARE YOU A CURRENT MEMBER OF THE FLORIDA RESTAURANT & LODGING ASSOCIATION? NOTE: THIS DOES NOT HAVE ANY BEARING ON GRANT ELIGIBILITY. THIS IS FOR INFORMATION USE ONLY.

Question Title

* 6. DESCRIBE IN DETAIL HOW YOUR BUSINESS HAS BEEN IMPACTED BY HURRICANE IAN. IS YOUR BUSINESS LOCATED IN AN AREA OF SEVERE DEVASTATION? PROVIDE PHOTOS.

Question Title

* 7. UPLOAD A PICTURE OF THE DAMAGE CAUSED BY HURRICANE IAN HERE.

Question Title

* 8. UPLOAD A PICTURE OF THE DAMAGE CAUSED BY HURRICANE IAN HERE.

Question Title

* 9. UPLOAD A PICTURE OF THE DAMAGE CAUSED BY HURRICANE IAN HERE.

Question Title

* 10. IF AWARDED, DESCRIBE HOW YOU WOULD UTILIZE THE FUNDS CONSISTENT WITH THE AUTHORIZED USES. ALSO, DISCLOSE WHAT PERCENTAGE OF THE AWARD WOULD GO TO ASSISTING EMPLOYEES, OWNERS OR REHABILITATING PROPERTY.

Question Title

* 11. IS YOUR BUSINESS STILL OPEN/IN OPERATION?NOTE: TO BE ELIGIBLE, BUSINESSES MUST BE OPERATING OR ACTIVELY PLANNING TO RE-OPEN.

Question Title

* 12. IF YOUR BUSINESS IS NOT CURRENTLY OPEN, PROVIDE A LETTER OF INTENT OR PROOF OF A PLAN TO RE-OPEN.

Question Title

* 13. TO RECEIVE FUNDS VIA ACH, PLEASE PROVIDE YOUR CORPORATE BANK ACCOUNT INFORMATION AND ATTACH A VOIDED CHECK.

Question Title

* 14. ATTACH VOIDED CHECK HERE

Question Title

* 15. ATTACH COMPLETE W-9 HERE

Question Title

Question Title

* 17. PLEASE ATTACH A COPY OF YOUR PAYROLL REGISTER FOR SEPTEMBER OF 2022 OR PRIOR. SOCIAL SECURITY NUMBER MAY BE REDACTED.

Question Title

* 18. Please enter the number of employees you are applying for.

Question Title

* 19. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #1

Question Title

* 20. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #2

Question Title

* 21. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #3

Question Title

* 22. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #4

Question Title

* 23. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #5

Question Title

* 24. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #6

Question Title

* 25. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #7

Question Title

* 26. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #8

Question Title

* 27. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #9

Question Title

* 28. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #10

Question Title

* 29. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #11

Question Title

* 30. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #12

Question Title

* 31. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #13

Question Title

* 32. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #14

Question Title

* 33. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #15

Question Title

* 34. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #16

Question Title

* 35. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #17

Question Title

* 36. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #18

Question Title

* 37. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #19

Question Title

* 38. PLEASE PROVIDE EMPLOYEE NAME AND AMOUNT REQUESTED FOR EMPLOYEE #20

Question Title

Question Title

Question Title

* 41. By typing your name below you attest all above to be true and accurate.

* 5. ARE YOU A CURRENT MEMBER OF THE FLORIDA RESTAURANT & LODGING ASSOCIATION?

NOTE: THIS DOES NOT HAVE ANY BEARING ON GRANT ELIGIBILITY. THIS IS FOR INFORMATION USE ONLY.

* 11. IS YOUR BUSINESS STILL OPEN/IN OPERATION?

NOTE: TO BE ELIGIBLE, BUSINESSES MUST BE OPERATING OR ACTIVELY PLANNING TO RE-OPEN.