Apply for the St. Louis City Small Business Grant Fund

Legal Business Name (Name used for tax reporting purposes)

Business Trade Name (Doing Business As Name)
If different from legal business name

What year did this business open?

Is this business still operating?
Choose one Yes, at or near normal Yes, but reduced hours and/or capacity Yes, but we are no longer operating out of a brick and mortar building No, we are waiting to reopen when the pandemic is under control No

Business Type
Choose one Sole Proprietorship Partnership Limited Partnership Corporation Limited Liability Company (LLC) Cooperative

How is your business categorized?
Choose one Sales Service Both

Please select whether or not your business falls into any of the following categories:
Choose one Banks and Financial Institutions Law Firms and Attorneys Physicians, Dentists, Surgeons, Optometrists, Chiropractors, and Veterinarians Insurance Brokers and Agents Real Estate Brokers and Agents Architects, Engineers, and Land Surveyors None of the above

Did this business location receive a grant from the St. Louis Local Development Corporation Cares Act Grant Fund?
Choose One Yes No

Does this business currently have a valid City of St. Louis Business License?
Choose one Yes No

Enter your business license number below. If you have multiple business licenses for the same location, you may enter any one of the license numbers.
Numbers only, no letters (Do not enter "AL" or "LC", just the number that follows)

Primary St. Louis City Business Street Address (No PO Box)
Must be within the City of St. Louis

Street Address Line 2
Apartment, suite, etc

City

State

Zip

Business Mailing Address
If not the same as above address

Business Mailing Address Line 2
Apartment, suite, etc

City

State

Zip

Please provide a copy of your business license, form W-9, and bank statements. You also have the option of submitting supporting documents in person.

Submit in Person:
I will drop off all the requirement documents to the SLDC office in person within the next 1-3 business days.

Owner Name
Please provide the name of the majority owner of this business

Name of Person Applying

Your Relationship to this Business
Business owner or individual acting on the owner's behalf (manager, consultant, bookkeeper/accountant, employee, friend, relative, etc.)

Your Email Address

Confirm Email Address

Your Phone Number (including area code)

Your Alternate Phone Number (including area code)

Including yourself, please indicate how many full-time equivalent employees (FTEs) your business has

Including yourself, please indicate how many part-time employees your business has

Explain what the "Other" funds will be spent on

All must be checked to be eligible.

I hereby certify that:

All of the information I have provided is true, accurate and complete.

I have the authority to submit this application.

This business is not listed in the above categories of businesses that are not eligible to apply for this grant.

No elected or appointed officials of the City of St. Louis, employee of the St. Louis Development Corporation, or board members of The St. Louis Local Development Company or any of their immediate family members have an ownership interest in this business. Immediate family ties include (whether by blood, marriage, or adoption) the spouse, parent (including a stepparent), child (including a stepchild), brother, sister (including a stepbrother or stepsister), grandparent, grandchild, and in-laws.

This business does not unlawfully discriminate because of race, creed, religion, color, gender, sexual orientation, gender identity, national origin, age, marital status, disability, or any unlawful basis.

This business has been significantly impacted by the COVID-19 pandemic.

If this business is delinquent on any payments or reports due to the St. Louis City Collector of Revenue, it acknowledges that it must satisfy any and all such delinquencies before receiving any grant funds. Furthermore, if this application is rejected for any reason, including but not limited to submitting an incomplete application, this business acknowledges that it must clear up all deficiencies and then reapply for this grant after doing so.

The use of funds identified above were not previously covered by other Federal financial assistance programs including the Small Business Administration's Paycheck Protection Program (PPP) or Economic Injury Disaster Loan (EIDL). This grant cannot duplicate payment for costs from other federal benefits received.

I understand that any false statements, representations, or submissions may disqualify this application and business from grant consideration.

Grant funds will not be used for any ineligible purpose inconsistent with the Final Rule, which may include using funds to satisfy a judgement or settlement. View a copy of the Final Rule

I agree to keep a record of how these funds have been used for a minimum of five years. I also agree to SLDC's right to perform an audit of these funds if deemed necessary.

I consent to receiving emails and/or calls from third party partners collecting information/feedback about the application process and how the funds were utilized.

I authorize St. Louis Development Corporation (SLDC) to check the status of my business license.

I understand that without the following documents, my application will be considered incomplete:
- A copy of my W-9
- A copy of my current Business License
- Approved CBI form
- Bank or income statements demonstrating adverse economic impact resulting from COVID-19, OR a completed and signed COVID-19 adverse impact certification

I understand that any false statement, representations, or submissions may disqualify this application and business from grant considerations.

The statements presented in this submission are true and correct to the best of my knowledge and belief, and that I am subject to the penalties provided under section 575.040 RSMo. for making a false declaration under Section 575.060 RSMo.