City of Fitchburg Emergency Small Business Grant Program

The City of Fitchburg has developed an emergency relief package for small businesses in jeopardy as a result of COVID-19 public safety measures.

This program is funded through the Community Development Block Grant Program. Certain eligibility criteria must be met in order to be eligible for this funding source.

Eligibility:
Must be a Fitchburg business impacted by the COVID-19 public health and safety measures, including, but not limited to: restaurants, coffee shops, bars, entertainment, retail, salons, barber shops.
Must be a for-profit business.
Must have documentable business income loss, including business income comparisons and narrative description of impacts.
Must have BUSINESS mortgage/lease obligations.
Must meet CDBG requirements by qualifying as either:
A microenterprise business- meaning a business with five employees or less including the owner AND owner must earn a household annual income of equal to or less than 80% of the area median income.
A small business having any number of employees where at least one, job is either retained by a low-moderate income employee, or created (in this case re-created) and available to low-moderate income persons.
80% Area Median Income limits are as follows:

1 person HouseHold= $49,700 2 Person HH=$56,800 3 Person HH=$63,900 4 Person HH=$70,950 5 Person HH= $76,650 6 Person HH =$82,350 7 Person HH =$88,000 8 Person HH=$93,700

A business with at least one employee (not including the business owner) where the employee(s) are in jeopardy of losing their job due to COVID-19 AND the business commits to either, retaining the employee(s) because of assistance or hires employee(s) back within a reasonable period when normal business resumes.

The City of Fitchburg will give preference to:

· Businesses who have or will imminently have to lay off employees

· Businesses with an existing loan with the City of Fitchburg’s small business program.

· Businesses that involve assembly or personal contact my nature.

. Businesses with a separate location (not home based).

. Businesses that have applied for other local, state or federal assistance.

. Businesses with high fixed expenses.

Assistance is in the form of a grant. Grant will require repayment only if terms of grant agreement are not met.

The following industries are ineligible for funding:

Real Estate
Multi-Level Marketing
Adult Entertainment
Cannabis
Firearms
Social Clubs

Business Owner Information

Question Title

* 1. Contact Information

Business Name

Owner Name

Owner Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Cell Phone Number

Question Title

* 2. As business owner, do you also work in the business?

Yes

Question Title

* 3. Is this your only source of income?

Yes

Question Title

* 4. Please explain other sources of income.

Business Information

Question Title

* 5. Type of Business

Question Title

* 6. Address

Business Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone Number

Property Owner

Question Title

* 7. Contact Information

Property Owner Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Funding Criteria

Question Title

* 8. Prior to the COVID-19 restrictions, how many people did your business employ (including yourself)?

Question Title

* 9. How many employees are full-time?

Question Title

* 10. How many employees have the following benefits:

Sick Time

Vacation Time

Employer-Provided Health Insurance

Question Title

* 11. Have you had to lay off any employees?

Yes

If so, how many?

Question Title

* 12. Do you anticipate future layoffs?

Yes

If yes, will you rehire employees after the COVID-19 restrictions are lifted?

Question Title

* 13. Are you a low- or moderate-income business owner?
(Moderate Income is defined as a household income of less than or equal to 80% of the Area Median Income (AMI), based on the number of persons in the household. See chart below for reference.)

Yes

Question Title

* 14. What was your business annual income from your most recent tax return?

Question Title

* 15. What is your current household annual income? please include income from all members of the household

Question Title

* 16. how many people live in your household? Household income questions help us determine if you qualify as a "microenterprise".

Question Title

* 17. Do any of your employees qualify as low- or moderate-income?

Yes

Monthly Expenses

Question Title

* 18. Fixed Expenses - per month

Mortgage/Lease

Utilities

Debt Obligations

Insurance

Question Title

* 19. Variable Expenses - per month

Payroll

Payroll Taxes

Employee Benefits

Cost of Goods

Question Title

* 20. What was your monthly gross revenue on average, before this crisis?

Estimated Adverse Impact

Question Title

* 21. When did your business start declining?

Question Title

* 22. What were your business revenues during the affected damage period?

Question Title

* 23. What were your business revenues in the last two weeks?

Question Title

* 24. Please provide a brief explanation of what adverse economic impacts COVID-19 has had on your business:

Question Title

* 25. How many people did you employ prior to COVID-19?

Question Title

* 26. How many people do you currently employ?

Question Title

* 27. Have you applied for any other forms of assistance? We strongly encourage you to apply for multiple forms of assistance in this uncertain time.

SBA Economic Injury Disastster Loans https://disasterloan.sba.gov/ela

North Central Ma Development Corp. Emergency Micro loans emergency micro loan

Other (please specify)

Question Title

* 28. Certifications

I certify the info is true and accurate under pains and penalties of perjury

I have a copy of my most recent tax returns and will provide them to the City of Fitchburg upon request.

Name and Date

City of Fitchburg Emergency Small Business Grant Program

Question Title

* 1. Contact Information

Question Title

* 2. As business owner, do you also work in the business?

Question Title

* 3. Is this your only source of income?

Question Title

* 4. Please explain other sources of income.

Question Title

* 5. Type of Business

Question Title

* 6. Address

Question Title

* 7. Contact Information

Question Title

* 8. Prior to the COVID-19 restrictions, how many people did your business employ (including yourself)?

Question Title

* 9. How many employees are full-time?

Question Title

* 10. How many employees have the following benefits:

Question Title

* 11. Have you had to lay off any employees?

Question Title

* 12. Do you anticipate future layoffs?

Question Title

* 13. Are you a low- or moderate-income business owner? (Moderate Income is defined as a household income of less than or equal to 80% of the Area Median Income (AMI), based on the number of persons in the household. See chart below for reference.)

Question Title

Question Title

* 14. What was your business annual income from your most recent tax return?

Question Title

* 15. What is your current household annual income? please include income from all members of the household

Question Title

* 16. how many people live in your household? Household income questions help us determine if you qualify as a "microenterprise".

Question Title

Question Title

* 17. Do any of your employees qualify as low- or moderate-income?

Question Title

* 18. Fixed Expenses - per month

Question Title

* 19. Variable Expenses - per month

Question Title

* 20. What was your monthly gross revenue on average, before this crisis?

Question Title

* 21. When did your business start declining?

Question Title

* 22. What were your business revenues during the affected damage period?

Question Title

* 23. What were your business revenues in the last two weeks?

Question Title

* 24. Please provide a brief explanation of what adverse economic impacts COVID-19 has had on your business:

Question Title

* 25. How many people did you employ prior to COVID-19?

Question Title

* 26. How many people do you currently employ?

Question Title

* 27. Have you applied for any other forms of assistance? We strongly encourage you to apply for multiple forms of assistance in this uncertain time.

Question Title

* 28. Certifications

* 13. Are you a low- or moderate-income business owner?
(Moderate Income is defined as a household income of less than or equal to 80% of the Area Median Income (AMI), based on the number of persons in the household. See chart below for reference.)