Waterloo CDBG Economic Development Funds Application for Business Financial Assistance SUBMISSION DEADLINE IS DECEMBER 30, 2017 Business Requesting Financial Assistance: Individual Home Address Name of Applicant Business Full Street Address of Business Phone Number & Email Address DUNS Number (REQUIRED): Type of Business Date Business Established Commercial Lender’s name, Address and Contact Person’s phone and email address: NOTE: The City will not provide assistance in situations where it is determined that any representation, warranty or statement made in connection with this application is incorrect, false, misleading or erroneous in any material respect. If assistance has already been provided by the City prior to discovery of the incorrect, false or misleading representation, the City may initiate legal action to recover City funds. Section 1: Description of Business and Proposed Project Describe the proposed "project" (for example, company relocation, building expansion, remodeling, new product line, number of new jobs, amount of investment in machinery and equipment) and the expected benefits it will receive from the financial assistance requested: Provide a history of your company:
Waterloo CDBG Economic Development Funds Application for Business Financial Assistance SUBMISSION DEADLINE IS DECEMBER 30, 2017 Business Requesting Financial Assistance: Individual Home Address Name of Applicant Business Full Street Address of Business Phone Number & Email Address DUNS Number (REQUIRED): Type of Business Date Business Established Commercial Lender’s name, Address and Contact Person’s phone and email address: NOTE: The City will not provide assistance in situations where it is determined that any representation, warranty or statement made in connection with this application is incorrect, false, misleading or erroneous in any material respect. If assistance has already been provided by the City prior to discovery of the incorrect, false or misleading representation, the City may initiate legal action to recover City funds. Section 1: Description of Business and Proposed Project Describe the proposed "project" (for example, company relocation, building expansion, remodeling, new product line, number of new jobs, amount of investment in machinery and equipment) and the expected benefits it will receive from the financial assistance requested: Provide a history of your company:
Application%202019%20for%20business-econ%20dev%20fillable%20Waterloo.docx