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City of Lynchburg

sdcandm@lynchburgva.gov

900 Church Street, Lynchburg, VA, 24504, US

434-455-3800

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City of Lynchburg CARES Business Support Program
NonProfit Application

The City of Lynchburg CARES Business Recovery Grant Program is a fund to offer financial assistance to businesses and organizations whose operations were either closed or restricted in response to the COVID-19 pandemic. The program is administered by the Office of Economic Development & Tourism and the Economic Development Authority (EDA) of the City of Lynchburg through an allocation of the City of Lynchburg Coronavirus Relief Funds provided through the federal CARES Act.

Receipt Number

You will be provided with a Receipt Number upon submission.

Organization Information

Name

Physical Address

Mailing Address (if different)

Is your property tax exempt?

Are you currently open?

Additional Questions

Number of employees

The following information is being requested to help the Office of Economic Development & Tourism assess the equity of our work and our ability to reach and include a diverse business owner population.

Demographics (check all that apply)

The City of Lynchburg Office of Economic Development & Tourism is partnering with the Small Business Development Centre – Lynchburg Region (SBDC) to provide business counseling and education. Please check if you are interested in any of the following:

Check all that apply

The City of Lynchburg Office of Economic Development & Tourism is partnering with Centra Health, HealthWorks, and Piedmont Community Health Plan to provide webinars and focus groups for health and safety operations for small businesses. By indicating your interest, you agree to allow the City of Lynchburg to share business contact information with these service providers.

Please check if you are interested

Eligibility

Are you current on all taxes and utilities to the City of Lynchburg? (if applicable)

Upload a copy of your 2019 IRS Form 990, IRS Form 990EZ or IRS Form 990-n

Click Here to Upload

Upload a copy of a completed and signed IRS W-9 Form

Click Here to Upload

Upload a copy of the completed Financial Statement of Impact

Click Here to Upload

Qualifying Expenses

Grant funds must be expended in compliance with state and federal law. Funds may be used to reimburse the cost of business interruption caused by required closures, which may include: 

  • Operations (i.e., payroll, rent, supplies, working capital, insurance, etc.)
  • Pivot to respond to new market conditions (i.e., develop or expand online sales/e-commerce, delivery or take out; develop a new product line, etc.)
  • Equipment and inventory purchases
  • Rent or mortgage expenses
  • Deep cleaning services, PPE, protective barriers, etc.
  • Other critical operating expenses

City of Lynchburg grant funds may not be used for expenses that have been or will be reimbursed under any federal program, such as the reimbursement by the federal government pursuant to the CARES Act or otherwise, including State unemployment funds, PPP and EIDL.

Have you received any other assistance related to COVID-19 or CARES Act funding from the United States or the Commonwealth of Virginia, such as the Paycheck Protection Program (PPP) or Economic Injury Disaster Loan (EIDL)?

If yes, please upload a copy of your application.

Click Here to Upload

The City reserves the right to audit expenses. Please keep documentation for five years.

Deposit Information

The Economic Development Authority of the City of Lynchburg will utilize ACH for grant payments.

Account Type

Certifications

I understand that this completed and signed application is only an application and does not constitute a commitment on behalf of the Economic Development Authority 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 business in the Lynchburg CARES Business Recovery Grant Program. My business name will be included in a published list of participating organization in print or digital format. The City of Lynchburg may contact me for further information to promote my business’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.

Signature

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