Small Business Relief Fund Application The Brown County Chamber's Development Foundation, in partnership with the Duke Energy Foundation, will be awarded a total of $15,000 in relief grants to distribute to small businesses in Brown County. Instructions These funds will help small businesses successfully move forward as we continue to recover from the pandemic. The grants may be used for various operational expenses to help businesses recover, support employees, and grow. Grants will range from $1,000 up to $5,000. The selection committee will select award recipients based upon their completed applications, and considering the significance of the positive impact for which funding is sought. Once all applications are reviewed, grant recipients, as well as all applicants, will be notified by December 15, 2022. Applications must be submitted by end of day on November 30, 2022. Business Name Additional documentation may be required to screen and verify business information for due diligence. Business Address Address Line 1 Address Line 2 City State Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code Authorized Contact Person First Name Last Name Phone Number Email Are you a member of the Brown County Chamber of Commerce? Current Chamber Member Non-Member Future Member Are you a Duke Energy customer? Yes No Is your business certified as any of the following: Minority-Owned Woman-Owned Veteran-Owned N/A Total Number of Employees Enter 0 for self-employed with no employees. Please check any COVID funding previously received: Paycheck Protection Program (PPP) Economic Injury Disaster Loan (EIDL) Targeted EIDL Advance Supplemental Targeted Advance Brown County Small Business Relief Grant Other Prior COVID funding will not disqualify your application. Please describe how COVID has negatively affected your business: Please explain how the funds would be used to benefit your business: Upload File (Word or PDF) You may upload a document if you need more space to reply to the questions.