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Ventura County Rapid Response Fund

Business Assistance Grants Related to COVID-19
1. Name of Business / Nonprofit Organization
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Please provide the name you use for your business (DBA)
2. Tax ID Number / EIN
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Example: 12-3456789.
3. Has your business registered to reopen at www.vcemergency.com/vc-reopens?
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Yes

No – please note, you will not be eligible to apply for funding until registered if your business is required to have registered. If you are interested in registering, please visit www.vcemergency.com/vc-reopens. We then invite you to come back to this site and apply for this grant program.

Our business is not eligible for registering
4. If you selected that your business is not eligible for registering at www.vcemergency.com/vc-reopens, please let us know the reason.

Example: Our business is not allowed to reopen at this time
5. This is the ONLY application I am submitting for this grant. Those who own or co-own multiple businesses are only eligible to apply for ONE business.
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Yes, this is the only application I am submitting

No, I have applied previously – please note, you are only allowed to submit one application
6. Was your business or nonprofit organization established as of March 17, 2020?
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Yes

No – please note, you will not be eligible to receive a Business Assistance Grant
7. If you are a nonprofit, please affirm that your organization has not received previous funding from the Ventura County Community Foundation COVID-19 Relief Efforts.
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I have NOT received previous support from the Ventura County Community Foundation COVID-19 Relief Efforts

I have received previous support from the Ventura County Community Foundation COVID-19 Relief Efforts – please note, you will not be eligible for Business Assistance Grants but you may be eligible to apply for additional grant funding at www.vccf.org

Our business is not a nonprofit
8. Is your primary business or nonprofit organization located in Ventura County?
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Yes

No – please note, you will not be eligible for the Business Assistance Grant if your business or nonprofit organization is located outside of Ventura County
9. For nonprofit organizations, have you registered with the California Attorney General’s Registry of Charitable Trusts and are you current with the California Attorney General? If you are a new nonprofit organization established on or after January 1, 2020 but before March 18, 2020, have you submitted or are you in the process of submitting your initial registration with the California Attorney General? If you have any concerns, please visit https://oag.ca.gov/charities/content/info as whether you meet this criteria.
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Yes, our nonprofit has registered

Yes, our nonprofit was established on or after January 1, 2020 but before March 18, 2020, and has submitted, or is in the process of submitting, our initial registration

No, our nonprofit is not registered and is delinquent with the California Attorney General’s Registry of Charitable Trusts – please note, you will not be eligible for the Business Assistance Grant if your nonprofit organization has not registered with the California Attorney General and/or is not current with the California Attorney General, or if your new nonprofit has not submitted, or will not submit, an initial registration with the California Attorney General

N/A (Not Applicable) – our organization is NOT a nonprofit
10. For nonprofit organizations, have you received an IRS determination letter that indicates 501(c)(3) status? If you are a new nonprofit organization established on or after January 1, 2020 but before March 18, 2020, have you applied for or are you the process of applying to be exempt from tax under 501(c)(3)?
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Yes, our nonprofit has received an IRS determination letter

No – please note, you will not be eligible for the Business Assistance Grant if your nonprofit organization does not have an IRS determination letter indicating 501(c)(3) status, OR your new nonprofit organization has not, or will not, be applying to be exempt from tax under 501(c)(3) status, OR your new nonprofit organization has not, or will not, be applying to be exempt from tax under 501(c)(3)

N/A (Not Applicable) – our organization is NOT a nonprofit
11. For nonprofit organizations, is your nonprofit organization affiliated with another nonprofit organization? Affiliation means (1) one nonprofit controls the other or (2) the two nonprofits are commonly controlled.
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Yes – please note, only ONE of the affiliated nonprofit organizations may apply or receive for the Business Assistance Grant (please see next question)

No

N/A (Not Applicable) – our organization is NOT a nonprofit
12. If the answer to the previous question is yes, please list the names and taxpayer identification numbers for each affiliated nonprofit organization:
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N/A (Not Applicable)
13. Name of authorized representative applying for funding
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Prefix

First Name

Last Name

Suffix
14. Title of authorized representative applying for funding.
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15. Please list all additional business owners of the business, including their titles, if applicable.
16. Please list all nonprofit board members, if applicable.
17. Email
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example@example.com
18. Confirm Email
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example@example.com
19. Website (if business has website)
20. Phone Number
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21. Phone Type
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22. Alternative Phone Number
23. Alternative Phone Type
24. Does your business have a valid business license in the City of Camarillo?
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Yes

No

N/A (Not Applicable), my business is not in Camarillo

N/A (Not Applicable), we are a nonprofit organization
25. Does your business have a valid business license in the City of Moorpark?
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Yes

No

N/A (Not Applicable), my business is not in Moorpark

N/A (Not Applicable), we are a nonprofit organization
26. Business Building Address (P.O. Boxes will NOT be accepted)
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Street Address

Suite or Unit

City

State

Zip Code

Country
27. If awarded a Business Assistance Grant, where would you like your check mailed? (P.O. Boxes ARE accepted)
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Street Address

Street Address Line 2

City

State

Zip Code

Country
28. Does your business operate from a physical location (aka, “brick-and-mortar”)? If your business is located inside your home, regardless of whether you rent or own, click NO. If your business is an online business with no physical location outside of your home, click NO. Please note, being a home-based business DOES NOT disqualify you from the County of Ventura’s funding.
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Yes

No
29. Are you an independent contractor or self-employed individual working in Camarillo in a physical location (aka, “brick-and-mortar”) and your business is not located inside your home? (For example, working as an independent contractor in a salon or other personal services firm, real estate business, etc.) where you are NOT the primary owner of the physical location of the business? Please note, being an independent contractor or self-employed DOES NOT disqualify you from the County of Ventura’s funding.
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Yes

No

N/A (Not Applicable), I do not work as an independent contractor in Camarillo
30. Primary Industry Sector
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Please choose the one that most resembles your business
31. What type of work does your business or nonprofit organization do?
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32. Is your business or nonprofit a licensed childcare provider?
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Yes

No
33. Will this grant money help you retain employees, including yourself?
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Yes

No
34. I own a business where at least 51% of the business is directly owned by (1) one or more women.
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Yes

No

N/A (Not Applicable), we are a nonprofit
35. I own a business where at least 51% of the business is directly owned by (1) one or more minority. Minority is defined as an owner whose racial or ethnic background is Asian Indian, Asian Pacific, Black, Native American or Hispanic, as defined by the U.S. Small Business Administration 8A program for Disadvantaged Businesses (see 13 CFR §124.103). To read more, please visit https://www.ecfr.gov/cgi-bin/text-idx?SID=206c17928aa11264630e3c4f61b7c625&mc=true&node=se13.1.124_1103&rgn=div8.
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Yes

No

N/A (Not Applicable), we are a nonprofit
36. I am a business where at least 51% of the business is owned by a combination of (1) one or more women AND (1) one or more minority as defined in the proceeding questions above.
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Yes

No

N/A (Not Applicable), we are a nonprofit
37. For businesses and nonprofits OPENED PRIOR to January 1, 2020, what was your annual gross revenue in 2019? Please consult with your tax advisor if you have questions regarding your gross revenue.
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Less than $25,000

$25,000-$500,000

$500,000-$1million

$1million-$2million

More than $2million

N/A (Not Applicable), my business or nonprofit WAS OPEN AFTER December 31, 2019
38. For businesses and nonprofits OPENED BETWEEN January 1, 2020 and March 17, 2020, what is your gross revenue from January 1, 2020 to July 8, 2020? Please consult with your tax advisor if you have questions regarding your gross revenue.
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Less than $25,000

$25,000-$500,000

$500,000-$1million

$1million-$2million

More than $2million

N/A (Not Applicable), my business or nonprofit was OPENED PRIOR TO January 1, 2020
39. Have you received a Paycheck Protection Plan Loan (PPP)? (This DOES NOT disqualify your organization from receiving funding).
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Yes

No
40. Have you received an Economic Injury Disaster Loan (EIDL)? (This DOES NOT disqualify your organization from receiving funding).
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Yes

No
41. Please provide a brief summary (no more than three sentences) of what you anticipate to use the granted funds for, if you are awarded funding.
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42. Briefly describe (no more than three sentences) how COVID-19 impacted your business or nonprofit (loss in sales, worker layoffs, etc.).
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43. ID Verification: Please upload a photo/screenshot or scan a copy of a Real ID or Driver’s license to verify your identity.
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44. Business License/ IRS Determination Letter: Please upload a photo/screenshot or scan a copy or proof of your business license OR, for nonprofit organizations, your IRS Determination Letter. If you do not have a current copy of your Business License, please see our FAQS section at RapidResponseVC.org/faqs/. If you are a nonprofit and need assistance locating your IRS Determination Letter please call the IRS Tax Exempt and Government Entities Customer Account Services at (877) 829-5500 (toll-free number).
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45. W-9 Verification: Please upload a photo/screenshot or scan a copy of your most recent IRS form W-9.
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46. Gross Revenue Verification: In an effort to prevent fraud and abuse, a financial document is required. Any of the following documents will be accepted and an organization only has to submit ONE of the following options: A photo/screenshot or scanned copy of your (1) 2018 or 2019 income statement – this can be on your Fiscal Year or on the Calendar Year, OR (2) your 2018 or 2019 tax return, OR (3) a bank statement ending March 31, 2020. Please note, the bank statement MUST be as of month-end March 31, 2020 if that is the document you select to upload.
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Ventura County Rapid Response Fund