Hamilton County 2012-2013 Microenterprise Program
SUMMARY OF PROGRAM
Purpose: This grant program targets qualified microenterprises to create job opportunities for low- to moderate-income residents. A microenterprise is defined as a business with five or fewer employees, one (or more) of whom is the owner.
Eligibility Requirements:
Applicant must be the owner of a microenterprise located in Hamilton County or be seeking assistance with starting a business in Hamilton County.
The applicant must meet ONE of the following income/job creation requirements:
The owner’s annual income is below the 2013 low- to moderate-income limit for Hamilton County.
The business will create at least one job that will be made available to someone from a low- to moderate-income
household.
The applicant must be planning an investment in working capital, equipment and inventory purchases or have other documented business needs (excluding construction).
The applicant must be able to contribute a minimum of 10% of the total cost of the project as cash equity.
At least 51% of the awards will be made to businesses that have been operational for less than 6 months.
As part of this program, applicants will be required to complete a small business institute entrepreneur course at no charge to the applicant. Eligible
Activities:
Acquisition of machinery; furniture, fixtures and equipment; real property; or for working capital. Construction and renovation are NOT eligible uses of funds under this program.
Funding Limitations:
Grants are available for a minimum of $5,000 and a maximum of $35,000 but cannot exceed 90% of the total cost of the project. The Hamilton County Industrial Development Agency board reserves the right to offer grant awards in the amount they see fit.
Repayment Terms:
If the business training and/or applicable job creation goals are not met by December 2013, the business owner will be required to repay the grant.
Application Deadline:
Monday, February 25, 2012 for Round 1 of funding. Availability of future rounds will depend upon the outcome of Round 1.
Point of Contact:
Ann Melious, Director
Hamilton County Community Development and Tourism [email protected]
(518) 548-3076
PART 1. APPLICANT INFORMATION
1. Business Name: 7. Corporation: Year State
2. Address: 8. Partnership: Year State
9. Sole Partnership: Year
3. Contact Person: 10. Federal ID# or SS#:
4. Telephone: ( ) - 11. Unemployment ID #:
5. Fax: ( ) - 12. How long in business:
6. Email Address:
13. Company Attorney: 14. Accountant:
Firm Name: Firm Name:
Firm Address: Firm Address:
Firm Telephone: ( ) - Firm Telephone: ( ) -
15. Nature of Business: (e.g., restaurant, specialty retail, marina, etc..)
16. Describe Ownership:
17. Resume(s) Attached: Yes No PLEASE NOTE: The submission of a resume and/or business experience narrative is required for consideration.
18. How many family members currently live in your household?
19. What is your anticipated total annual household income for the next 12 months? $
Annual household income includes salaries, wages, retirement income, social security and disability payments, royalty payments, business income or income from rental properties, and other forms of regular income received by you or other members of your household.
19. Paystub(s) Attached: Yes No PLEASE NOTE: Copies of your paystub and other regular payments received by you and any other member of your household are required for
consideration.
20. What percentage of your current/projected annual sales is derived from tourism spending? % 21. Identify the seasons in which the facility currently operates (check all that apply):
Year-Round
Winter (December, January, February)
Spring (March, April, May)
Summer (June, July, August)
Fall (September, October, November)
Company Officers Company Principals (Shareholders/Partners)
22. Is the company current in all its tax obligations? Yes No
Explain
23. Is the company delinquent in the payment of any loans? Yes No Explain
24. Has the company been declared in default on any of its loans? Yes No Explain
25. Has the company ever filed for bankruptcy? Yes No
Explain
26. Have any of the company’s principals ever personally filed for bankruptcy or in any way sought
protection from creditors? Yes No
Explain
27. Are there currently any unsatisfied judgments against the company? Yes No Explain
28. Are there currently any unsatisfied judgments against any of the company’s principals?
Yes No
Explain
29. Provide a brief narrative describing the company’s history.
30. Provide a description of the company’s current operations including products/services, customers and markets, etc.
31. Provide a description of the company’s current operating facilities – both owned and leased.
32. Provide a description of the company’s need to undertake the proposed project.
PART 2. PROJECT DESCRIPTION 1. Summary Project Description:
2. If the business operates seasonally, will the proposed project extend the period in which the
establishment is open for business? Yes No
Project Costs Property Acquisition $
Construction $ Machinery/Equip. $ Professional Fees $ Working Capital $
$ Total $
Sources of Funds
Bank $
Hamilton County MEP$ Equity/Cash* $
$
$
$ Total $
*Cash equity can be no less than 10% of the total project cost
Note: Please attach to this application the source of all Project Costs identified above: vendor quotes, negotiated sales prices, engineer’s or contractor’s estimates, purchase agreements, catalog prices, etc. 3. Summarize the status of any proposed project financing identified in the “Sources of Funds” column
above, including status of other applications, sources of equity capital, etc.
4. Will the proposed project result in any business or residential relocation? Yes No If yes, explain
5. What is the company’s current employment and projected new hirings resulting from this proposed project for each of the next three years?
Current Year 1 Year 2 Year 3
Full-time Part-time
6. Based on the above totals, how many of these jobs will be available year-round?
Current Year 1 Year 2 Year 3
Full-time Part-time
PART III. REQUIRED EXHIBITS
Note: Financial statements must be in a form acceptable to the lender. The applicant may wish to verify the acceptability of its statements prior to preparation.
Exhibit A – Financial Information (for items checked)
Balance Sheet and Income Statement for prior 2 years
Projected Balance Sheet and Income Statement for 2 year(s) following completion of the project.
Projected monthly cash flows for 1 year(s) following completion of the project.
Interim financial statements of the company through the most recent month available, but in no case more than three months prior to the loan application date.
Personal financial statements (on attached standard bank form) for each principal owning at least 20% of the company.
Aging Account Receivable & Payable Schedules
Resumes of owner(s) and key management personnel
Projected employment descriptions and salary estimates
Copy of dba, partnership papers or incorporation agreement
Completed Credit Authorization form
Previous 3 years of corporate and/or personal Federal Tax Returns and Schedule C
Current business plan (will be required upon completion of business training program) Exhibit B – Additional Information (for items checked)
Documentation of project costs including vendor quotes, buy/sell agreements, binding options to purchase engineer’s or contractor’s estimates, appraisal for realty to be acquired, etc.
Documentation of other required financing including bank and other public lending agency commitment letters, bond inducements and evidence of availability and commitment of cash equity requirements.
Any other information which may serve to document the information provided with this application or which may affect a credit decision by the lender.
Note: No person in the United States shall, on the ground of race, color, creed, religion, national origin or sex be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any project assisted with Community Development Block Grant Funds.
PART IV. DECLARATIONS
I (we) authorize Shelter Planning & Development, Inc. to order credit reports and/or other financial background information on my (our) personal and business financial background. I (we) authorize disclosure of all information submitted in connection with this application to any financial institution in consideration of any assistance that may be provided. I (we) waive all claims against Hamilton County, the Hamilton County Industrial Development Agency and its consultants.
I (we) attest that to the best of my (our) knowledge and belief, the information contained in the foregoing application is correct and true. I (we) am (are) aware that the filing of a false instrument in connection with this application may constitute an attempt to defraud Hamilton County and may be a felony under the laws of New York State.
If applicant is sole proprietorship or partnership, If applicant is a corporation, sign below: sign below:
Signature Date Name of Corporation
Printed Name and Title Authorized Signature Date
Signature Date Printed Name and Title
Printed Name and Title STATE OF NEW YORK } } SS: COUNTY OF HAMILTON }
On this ____ day of ____________, ______, before me personally came _______________________, to me known, who, being by me sworn, did dispose and say that deponent resides at
that deponent is the of , the company described in
and which executed the forgoing instrument; that deponent had the authority to execute same by order of the Board of Directors or other authority of said company; and that deponent signed deponents name thereto by like order.
Notary Public
STATE OF NEW YORK } } SS: COUNTY OF HAMILTON }
On this ____ day of ____________, ______, before me personally came _______________________, to me known, who, being by me sworn, did dispose and say that deponent resides at
that deponent is the of , the company described in
and which executed the forgoing instrument; that deponent had the authority to execute same by order of the Board of Directors or other authority of said company; and that deponent signed deponents name thereto by like order.
Notary Public
