900 Church Street, Lynchburg, VA, 24504, US
The James River Arts & Culture District COVID Recovery Program is a one-time fund to provide financial assistance to non-profit 501(c)(3) arts & cultural organizations physically located within the James River Arts & Culture District of Lynchburg, Virginia, whose operations were either closed or restricted by the Commonwealth of Virginia in response to the novel coronavirus. Organizations that receive operational financial support from the City of Lynchburg will not be eligible to apply. This program is administered by the Office of Economic Development & Tourism of the City of Lynchburg through an allocation of the City of Lynchburg Amusement Tax funds within the James River Arts & Culture District.
Mailing address (if different)
Did your organization close as a result of Executive Order 53 or Public Health Order 2?
Are you currently open
Have you received any other grant assistance related to COVID-19?
The City reserves the right to audit expenses. Please keep documentation for five years.
Please upload a filled out copy of the financial statement form (Downloadable form listed under Required Documentation on main web page)
Are you a non-profit arts & cultural organization physically located within the James River Arts & Cultural District? (See map to determine eligibility)
Are you current on all taxes and utilities to the City of Lynchburg?
I certify that I do not currently receive operational financial support from the City of Lynchburg.
Upload a copy of your most recent IRS 990 Form (Return of Organization
Exempt From Income Tax)
Upload audit from the most recently completed fiscal or calendar year
Upload a copy of a completed and signed IRS W-9 Form (Downloadable form under Required Documentation on main web page)
I understand that this completed and signed application is only an application and does not constitute a commitment on behalf of the City of Lynchburg to extend credit, grant and/or loan funds. I understand I may be asked to produce additional documentation to clarify my submitted answers before a grant decision is made final.
I consent to public recognition as a participating organization in the James River Arts & Culture District COVID Recovery Program. My organization name will be included in a published list of participating organizations in print or digital format. The City of Lynchburg may contact me for further information to promote my organization's participation in this program.
I authorize the City of Lynchburg, on a confidential basis, to obtain any information it deems necessary to verify the information on this application as well as information needed to make a determination of grant eligibility. I further authorize the Commissioner of the Revenue to release any subsequent audit findings of said business, which may alter and/or adjust the original disclosure. The information provided by the Commissioner of Revenue’s Office as part of the application process is exempt from public disclosure under Section 58.1-3(A) of the Virginia Code and will not be made available to the public in response to a Freedom of Information Act request.
I affirm that all the information given herein is true and accurate to the best of my knowledge.
I acknowledge that I may be required to submit receipts for funds expended and to submit to an inspection of the premises to confirm grant funds were expended as stated in this application.