Bonus Bucks Program Application

Business Information

Business Name: *

Type of Business: *

Physical Business Address: *

Business Phone: *

Email: *

Owner Information

Name of Owner: *

Owner Mailing Address: *

Owner Phone: *

Owner Email: *

Questions

Please reply to each question below for your application to be considered complete. By providing an affirmative response to any of these questions, you certify that you can provide verification of the corresponding information to the City of Redlands.

Does the entity meet the requirements to be defined as a small business concern by the Small Business Act such as independently owned and operated, non-dominant in their field, and having less than 500 employees including all affiliates (franchises)?: *

Yes

No

How many employees? : * #

Does the entity involve the sale, distribution, or use of tobacco/vaping, alcohol, firearms, adult/21 and older only, cannabis?: *

Yes

No

If yes, please explain.:

What is the current status of the entity?: *

Business is open with no covid restrictions

Business is open with covid restrictions

Business is permanently closed

Provide a brief explanation about any restrictions currently in place at your business.: *

What financial hardships have had a lasting effect on your business as a result of the COVID-19 pandemic? (such as declines in revenue, difficulty paying and/or retaining employees, difficulty covering mortgage, rent, utilities, or other economic impact)

Please provide details of the entity's financial hardship due to COVID-19 below: *

What date did the business establish a physical location within Redlands? : *

What date was the business legally incorporated? : *

Is the business in good standing with the City of Redlands? (No outstanding code violations, compliance orders, etc.): *

Yes

No

Does the business have a valid Redlands Business license?: *

Yes

No

Please provide a copy of your current valid business license: *

Please provide evidence of economic impacts due to COVID-19: *

Acceptable documentation includes a profit and loss statement or other financial documents reflecting economic hardship due to COVID-19

Application Certification and Signature

There are limited matching funds for the Bonus Bucks Program and once those funds are used, the program will cease

By signing below, I attest that there shall be no discrimination against or segregation of any person or group of persons, on account of race, color, creed, religion, sex, marital status, national origin, or ancestry in connection with this program in accordance with the following authorities: Title VI of the Civil Rights Act of 1964 (Title VI) Public Law 88-352, 42 U.S.C. 2000d-1 et seq., and the Department’s implementing regulations, 31 CFR part 22; Section 504 of the Rehabilitation Act of 1973 (Section 504), Public Law 93-112, as amended by Public Law 93-516, 29 U.S.C. 794; Title IX of the Education Amendments of 1972 (Title IX), 20 U.S.C. 1681 et seq., and the Department’s implementing regulations, 31 CFR part 28; Age Discrimination Act of 1975, Public Law 94-135, 42 U.S.C. 6101 et seq., and the Department implementing regulations at 31 CFR part 23.

I certify that I am the owner of the business applying for the City of Redlands Bonus Bucks Program and have read and understand the application questions. I certify that all information provided herein is true and correct to the best of my knowledge and will provide additional verification if requested. I acknowledge that the completion of this application does not in any way indicate eligibility or approval. If approved, I understand that Redlands Bonus Bucks may not be used to purchase alcohol or tobacco products. I acknowledge that due to the limited funds available for this program, some qualifying applications may not be accepted into the program. Your electronic signature is the legal equivalent of your manual signature on this application.

Name: *

Title: *

Date: *

Bonus Bucks Program Application Eligible Businesses May Receive up to $10,000 in Increased Revenues!

Business Information

Owner Information

Questions

Application Certification and Signature

Log in

Commands

Bonus Bucks Program Application
Eligible Businesses May Receive up to $10,000 in Increased Revenues!