Please list eligible expenses totaling at least the total of the original grant amount PLUS the requested
increase in order to receive your maximum award. You may use the same expenses listed in your original grant
application, new expenses, or a combination.
For example, if you received an original award of $4,500, expenses
listed below should total $9,000 or more to receive the full grant increase. Expenses you list cannot be covered
by another state or federal funding source (e.g. PPP, PUA, EIDL loan, etc.). You may list expenses since
March 1, 2020 or that you will have through December 1, 2020. (Future expenses are allowed.)
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Select category from dropdown menu for each entry.
Example: Rent or mortgage interest payment.
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Describe the fixed cost or COVID-related expense.
Examples: (1) May rent, (2) April internet bill, and (3) tent and planters from hardware store for new outdoor seating area.
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Date of invoice or payment (shown on retained documents).
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Amounts must match those shown on retained documents(e.g. receipt, invoice, monthly statemtent, lease statement, etc.)
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Note: you will be required to attest that data provided is accurate and true when you submit.
Making intentional misrepresentations of fact will be subject to federal criminal prosecution.
Please retain documentation (e.g. receipts, invoices, bank statements, etc.) of expenses you list as you
may be asked to provide documentation during the application process. Listing higher value expenses
(e.g. rent) may reduce the documentation you need to retain.