Chillicothe and Ross County COVID-19 Recovery Grant Program
Read more: http://chillicotheohio.com/chillicothe-ross-county-team-with-chamber-for-covid-19-relief-fund/

Money has been made available by the City of Chillicothe through the CARES Act and the Chillicothe Ross Chamber of Commerce to support small businesses in the city limits with expenses related to COVID-19 and related stay-at-home orders. Money is also available for modifications to help spur revenue in the coming months.

Please understand you may be asked to provide additional documentation before a grant can be awarded.

Businesses must submit this application to be eligible. Applications will be reviewed by a subcommittee of the Chillicothe Ross Chamber of Commerce.
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Business contact information (please include business name, address, city, state, ZIP) *
Business Owner's contact information (name, address, city, state, ZIP, email, phone number) *
Business information (EIN or SS#, type of business [sole proprietorship, C or S corp, LLC., general partnership, LP, LLP, other]; years in operation and start date, brief description of business, *
Are you in receivership or bankruptcy? *
Are you current on all net profit income tax filings? *
Have you applied for other forms of assistance? *
If you answered "yes" to the last question, please explain what assistance and whether you were given funds from those request(s).
How many employees did you have on March 16,2020; How many of those employees worked 20 hours or more per week; Did you issue W-2 for those employees?; Have you laid off any employees (if yes, how many?);  Are you current on all employee payroll tax filings and payments? *
Please provide a description on how your business was impacted by COVID-19. This might include business closure, lost revenue, employee loss, etc. Please be specific and provide details on how the grant might help offset the impact. *
Between March 17, 2020 and Sept. 1, 2020, did this business experience a decrease in income and/or sales greater than 25% in comparison to the same time period in 2019? If so, explain. *
Why are you seeking funds? *
If seeking funds to relieve financial stress due to shutdown or restrictions, please explain.
If seeking funds for modifications to assist future business, please describe what changes the business will be making.
CERTIFICATION: By typing your full name in the space below, you certify that all information you have provided in this application is true & accurate and supporting documentation will be provided.
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