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Danville Business Assistance - Business Interest Questionnaire
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Danville Business Assistance Program - Business Interest Questionnaire
Please provide the following information to apply for Danville's free Business Assistance for Cares Act Funding Program. <br>All proprietary information shared in this survey will be kept confidential with the Town and the Danville Business Assistance Program. <br>Priority will be given to brick-and-mortar businesses based on the volume of requests. Your understanding is appreciated.
Please provide the following information to apply for Danville's free Business Assistance for Cares Act Funding Program.
All proprietary information shared in this survey will be kept confidential with the Town and the Danville Business Assistance Program.
Priority will be given to brick-and-mortar businesses based on the volume of requests. Your understanding is appreciated.
Business License Number
Title / Relation to Business
Business Website (if applicable)
Current number of employees during pandemic
Normal estimated number of employees without pandemic
Business Tax Type
For example, Sole proprietor, LLC, 501c3, etc.
Brief Business Description
For example, bakery, full-service restaurant, marketing firm, preschool daycare, etc.
Have you applied for and received SBA Paycheck Protection Program (“PPP”) funds?
If yes, what lender did you receive PPP funds through?
For example, Wells Fargo, Paypal, etc.
Have you applied for and received SBA Economic Injury Disaster Loans (EIDL)?
Please list any other COVID-19 assistance funding you have already applied for
Please list any other COVID-19 assistance funding you have already received
Are you able to work at all during the pandemic? At what capacity?
For example, 50% of normal, 25% of normal, etc.
Have you been able to make business adjustments to operate during the pandemic
For example, outdoor seating, take-out ordering, online ordering, etc.
What are current costs you can’t avoid paying even with being shut down by the pandemic?
Regarding rent, has your landlord allowed you to defer payments during the pandemic, or any other rent easement arrangements?
What do you consider your most pressing business needs that are not being met during the pandemic?
For example, payroll, facility rent, specific business expenses, etc.
Do you have any affiliations?
For example, does your business have the power to control another business, or does another business has the power to control yours?
Please provide a brief description of any additional information we should know in order to best serve you.
Please print a copy of this form for your records before submitting.
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