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Please check each box below to state that you have read and understand each eligibility criteria. If you do not check all the boxes below, you may not be considered for the grant.
Please check each box below to state that you have read and understand each Ineligible use of funds. If you do not check all the boxes below, you may not be considered for the grant.
Here are the required documents that must be submitted/uploaded later on in this online form.
Please check each box below to state that you have read and understand each document that must be submitted. If you do not check all the boxes below, you may not be considered for the grant.
Please check-off each box below to state that you have read and understand each document that is needed for the specific funding. If you do not check all the boxes below, you may not be considered for the grant.
Please type your signature above if you understand the above statement
Following questions determine your eligibility and must be completed for grant consideration.
If you do not check any of the boxes below; your organization will not qualify for the McKinley County CARES Small Business Continuity Grant.
Following questions are about your business information
As shown on Line 1 on W9
As shown on Line 2 on W9
As shown on Line 5 & 6 on W9
If sole proprietorship, enter social security number of sole proprietor
As shown on Line 3 on W9
Note: This does not disqualify your organization for funding. Your organization is still under consideration. Only include information about funds that your organization received.
DO NOT ENTER information about funding not received or applications for which you were denied.
Following questions are about how your organization was impacted by COVID-19.
Do not exceed the maximum of $50,000
Your budget items may include mortgage/rent, payroll, utilities, insurance, PPE, technology update services to virtual or touch-free interactions and other. Do not exceed the maximum of $50,000 or the amount you are requesting.
Do not exceed the amount you are requesting for or the $50,000 maximum.
Following are the documents required for application submission:
• Current W-9
• Copy of County of McKinley business license. Non-profits must attach a copy of their 501 (c) 3 document.
• Front page of bank statement, letter from the bank, OR voided check confirming a current business account.
• Combined Reporting System (CRS) statements from April through June 2019 and April through June 2020. Non-profits must submit an IRS 990 instead of CRS statements.
Non-Profits must also attach a copy of their 501(c) 3 document
Letter from the bank, or Voided Check confirming a current business account
Non-Profits must submit an IRS 990 instead of CRS statments.
Following are for uploading supporting documents for your budget. Upload the documents that coincide with the specific category below. These documents are for the review committee to establish that your expenses from March through December 2020 match or exceed the funding you are requesting for.
• Funding need for your mortgage/rent; upload your lease agreement or mortgage statement.
• Funding need for your payroll; upload IRS 941 forms
Select any of the funding you're requesting for and upload your documents below it.
You will be required to submit quotes at a later time
Please read and certify the following information:
The application, including attachments, is subject to disclosure under New Mexico’s public records law, subject to limited applicable exemptions. Applicant acknowledges, understands, and agrees that, except as noted below, all information in its application and attachments will be disclosed without any notice to the applicant if a public records request is made for such information. The County will not be liable to applicants for such disclosure.
Social Security numbers are collected, maintained, and reported by the County in compliance with IRS 1099 reporting requirements and are not considered public records pursuant to N.M. Sat. Ann _§14-3-7.1.
If an applicant believes that information in its application, including attachments, contains information that is confidential and exempt from disclosure, the applicant must include a general description of the information and provide a reference to the New Mexico statute or other law exempting such designated information from disclosure in the event of a public records request. The County does not warrant or guarantee that information designated by Applicant as exempt from disclosure is exempt and will make disclosure in accordance with applicable law in its sole discretion. This general description would be submitted to the County's contractor, the Gallup McKinley County Chamber of Commerce.
At this time the County of McKinley has not received information about the taxable nature of the CARES Act funding.
This field is not part of the form submission.
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