Georgia Microenterprise Network ("GMEN"), in partnership with Atlanta Wealth Building Initiative ("AWBI") and LISC Atlanta, has undertaken to provide a loan fund for small businesses. This application form captures preliminary information for a business seeking funding from the Metro Atlanta Small Business Flex Fund.

Terms and Conditions

Each loan is limited to one loan per individual and business tax ID. Loans will be made to qualified businesses, and eligibility is based on accurate and complete submission.

Priority will be given to businesses owned by people of color and women.

Privacy: Information provided through the application process is the responsibility of each applicant. Applications submitted to the portal remain confidential to the general public and any fellow applicants. Applicants will not hold LISC, GMEN, AWBI, their affiliates, members, partners, and staff liable for any losses, damages, costs, or expenses, of any kind relating to the use or the adequacy, accuracy, or completeness of any information loaded in the form. For further information please see LISC’s privacy policy. Data entered on this secure form utilizes FormAssembly. More info.

Conflict of Interest: Current directors, officers, employees, and contractors of LISC, GMEN, AWBI and such individuals' family members (spouse, parents, children, grandchildren, great-grandchildren, and spouses of children, grandchildren, and great-grandchildren) are not eligible to apply or seek an award.

Publicity: If a loan is made, please be advised that GMEN, AWBI and/or LISC may request that the business/applicant’s application information, name, statements, and other information provided during the lending process be used for promotional purposes in all forms and media and the business/applicant may be contacted by GMEN, AWBI, LISC and/or the program sponsors for such purposes.

Monitoring: GMEN, AWBI and/or LISC may monitor and evaluate activity funded by the Metro Atlanta Small Business Flex Fund. This might involve a review of quantitative or qualitative data needed to understand the impact of the fund.

Submission Guidance: It is recommended that before completing and submitting the online form, respondents save their answers in a separate backup document, as your work may not be saved if you leave the web page before submitting the application. You may also lose your work if your internet is disconnected, or as a result of other potential web browser issues. We cannot accept changes to your application once it has been submitted, so please review it carefully.

You will see a confirmation page after successful completion of this application.

1. I acknowledge I have read and agree to the Terms and Conditions stated above:

YesNo

Declined Terms

Thank you for your interest in the Metro Atlanta Small Business Flex Fund. We will be unable to process any funding application to your business without agreement to the terms and conditions. If you have questions or clarifications, please email GMEN, adam@gmen.org.

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References and Documentation

30. Please provide 3 business references (e.g. bank, vendor, supplier, landlord). These are people who have interacted materially with your business, not personal references.

30.1.a Reference #1 name

30.1.b Reference #1 email address

30.1.c Reference #1 phone number

30.1.d Reference #1 relationship (how do you know this person?)

30.2.a Reference #2 name

30.2.b Reference #2 email address

30.2.c Reference #2 phone number

30.2.d Reference #2 relationship (how do you know this person?)

30.3.a Reference #3 name

30.3.b Reference #3 email address

30.3.c Reference #3 phone number

30.3.d Reference #3 relationship (how do you know this person?)

31. Management Resume: Provide complete resume(s) on all individuals, including key managers. (Anyone with 20% or more ownership in the business.)

32. Please provide two years of financial projections with a narrative assumption (may be included in business plan)

33. Please provide a profit and loss statement for the entirety of last year.

34. Please provide a balance sheet for the entirety of last year.

35. Please provide a profit and loss statement for this year to date.

36. Please provide a balance sheet for this year to date.

37. Please provide your business tax return for last year.

If you are a DBA and include your business on your personal tax return, please upload that.

38. Business Plan Summary: include a description of the business, management, target population/customers served, description of the business location, demographics, assumptions, use of funds, and other pertinent information

39. Please provide a copy of your existing or proposed lease agreement.

Only applicable for loan requests for leasehold improvements.

40. Please provide a list of inventory or equipment to be acquired with the loan proceeds.

Only required for equipment and inventory loan requests.

41. Please provide Organizational Documents (e.g., Articles of Incorporation, Articles of Organization, Partnership Agreement for Corporation or Partnership, Business License and/or State Licenses or certificates. where applicable)

42. Please provide a copy of a government issued identification, such as a driver's license or passport.

43. Please download the credit authorization form here, print it and fill it out completely, sign it, and email it to creditscore@lisc.org, with the subject line, "Request for Credit Report - Jewel Williams." Your loan application will not be considered complete until this has been done. Please do NOT email this form to anyone else, including anyone else at LISC, GMEN, or AWBI.

44. After review of your application, you may be asked to provide a personal financial statement. A form is attached here. Please go ahead and download this so that you have it handy if it is required.

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Submission

Thank you for completing your application. Please click 'Submit' below to complete your submission.

Please note that you may be contacted to provide additional documentation in connection with this application. A timely response will ensure prompt processing of your application.

For general questions, please email adam@gmen.org. We are monitoring this email regularly.

For data security questions, please review LISC’s Privacy Policy.

By checking yes, you are signing your name and submitting the application, you confirm that the information provided about you and your business are true in all material respects.

Yes

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All business debts, such as vehicles, accounts payable, loans with other lenders, banks, suppliers, etc. We need the total balance of any loans or debts. These are only debts for the business- we are not asking for personal debt information.

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