Conejo Valley Small Business Relief Fund Application

Conejo Valley Small Business Relief Fund Application

The Conejo Valley Small Business Relief Fund has been established by the Greater Conejo Valley Community Foundation in partnership with the cities of Thousand Oaks, Westlake Village and Agoura Hills. The fund will provide much needed grants to local small businesses as they navigate the financial impacts of COVID-19.

To be eligible for funding, applicant organizations must:
•Be a small business with under 25 employees in the Conejo Valley.
•Company has been substantially impacted by COVID-19.
•Company has been in operation for over 1 year.

Applications to the Greater Conejo Valley Community Foundation are accepted and reviewed on an on-going basis; maximum grant is currently $2,500. All applicants will be notified of the Foundation’s decision.

Companies wishing to apply must complete the attached application and provide the following documentation:
•Company financial statements for the most recent fiscal year and a balance sheet,
•Current year’s annual operating budget.

Additional information may be requested once the application is reviewed. Please not that nonprofits are not eligible for this program.
Company

Date *
Format: M/d/yyyy

Amount Requested *

Name of Company *

Date Founded *

Address

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Telephone *

Website

Personnel Contact

Owner *

Telephone *

E-mail Address *

Grant Contact *

Title *

Telephone *

E-mail Address *

About the Company

Small Business Tax Status *
(LLC, S-Corp, C-Corp., Sole Proprietor and Partnership)

Company's Operating Budget (current year) *

Number of paid staff (full-time) *

Number of paid staff (part-time) *

Have you reduced the number of paid staff due to COVID-19? *

Yes No

If yes, how many?

Briefly describe the applicant company, its purpose, range of services: *

How the Grant Will Be Used

Briefly describe how the requested grant will be used: *

How has your company been impacted by COVID-19? *

Have you received PPP or EIDL funding? *

PPP EIDL - Grant Both None

Please upload your 2019 Profit and Loss

Please upload your 2019 Balance Sheet

Current Annual Operating Budget

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