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Funding Impact

Name

Today's Date

Name of Business

Email

Phone

What was your business start date?

Business Entity Type

LLC

Sole Proprietor

Corporation

S Corporation

Partnership

501c3

Not yet in business

What is the % of female ownership

Since your last visit and through the assistance of the Larimer SBDC, did you?"

Since last reported, how much ADDITIONAL personal investment have you made in the business in CASH?

Since last reported, how much ADDITIONAL personal investment have you made in the business in CREDIT?

Since last reported, how much ADDITIONAL personal investment have you made in the business in ASSETS (computers, tools, vehicles, etc.)?

Have you received any financing?

Yes

No

If you check yes, please identify the source and the amount received below.

If you received an SBA EIDL Loan – What was the amount?

If you received an SBA EIDL Advanced Grant – What was the amount?

If you were awarded the 1st Round Paycheck Protection Program (PPP) Loan, how much were you awarded?

Who was your Lender for the 1st Round PPP Loan?

If you were awarded the 2nd Round Paycheck Protection Program (PPP) Loan, how much were you awarded?

Who was your Lender for the 2nd Round PPP Loan?

If you received an SBA Bridge Loan – What was the amount?

If you receive a Traditional Bank Loan (other than the PPP mentioned above) What was the amount AND what type of loan was it (Commercial, Line of Credit, etc.)

If you receive funds from a Private Investor - What was the amount?

If you received Other funds – What was the amount AND from what source?

What are your sales as of April 2020?

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