CARES Act RLF Application

* Personal financial statements and tax returns are required for those with 20% or greater ownership interest. The Mississippi River Regional Planning Commission and/or its agents reserves the right to obtain credit bureaus on any business or individual in connection with this application.

Repayment Terms will be determined prior to closing, Please contact the MRRPC for current terms.

Sources include the loan you are requesting from the Mississippi River Regional Planning Commission plus any other financing that will go into the project including but not limited to bank financing and owner cash.

Note: Applicants are required to have 10% equity in the project (building, cash, etc.)

Please identify EACH position retained.

The following exhibits must be completed where applicable and included as part of your application. After you submit this first page, you will receive an email with the list of documents needed and a link to attach those exhibits at a later time. You will also be taken to a form to begin uploading any exhibits you may have already prepared.

The Mississippi River Regional Planning Commission reserves the right to request additional information above and beyond this list.

• Business Tax Return for last fiscal year.
• Balance sheet and profit and loss statement for an interim period not more than ninety days preceding the date of application.
• Schedule of business debt.
• Business description and financing proposal. This should include a brief company history and a description of the financing proposal; a discussion of the impact of COVID-19 on your business and your response; a discussion of your industry, sales, and markets; discussion of competition; description of owners and key employees; and other matters relevant to your application.
• Personal financial statements and most recent personal tax return of principal owners (owners with 20% or more ownership).

Has the company, any officer, subsidiary, or affiliate of your company been involved in any bankruptcy or insolvency proceedings in the last 36 months?

Has the company, any officer, subsidiary, or affiliate of your company been involved in any lawsuits in the last 36 months?

Does the company, any officer, subsidiary, or affiliate have any outstanding tax liens?

Does the company, owner(s), or member of Management Team have a controlling interest in other businesses?

Does your company buy from, sell to, or use the services of any concern in which owner(s), shareholder(s) or member(s) of the management team have a significant financial interest?

Are any of the individuals listed under "Management" on parole or probation?

Have any of the individuals listed under "Management" been convicted of a crime?

BY SIGNING BELOW, THE APPLICANT

• certifies that to the best of its knowledge and belief, the information being submitted to the Mississippi River Regional Planning Commission, and its agent is true and correct;
• certifies that the applicant is in compliance with all laws, regulations, ordinances, and orders of public authorities applicable to it;
• certifies that the applicant is not in default under the terms and conditions of any grant or loan agreement, leases, or financing arrangements with its other creditors;
• certifies that the Mississippi River Regional Planning Commission and its agent is authorized to obtain a credit check on any principal or business associated with this application for the purposes of determining credit worthiness;
• agrees to reimburse the Mississippi River Regional Planning Commission and its agent for any reasonable expenses made in connection with this loan request, including, but not limited to, title work, legal fees, appraisals, recording/filing fees, etc.;
• certifies that the applicant has disclosed and will continue to disclose any occurrence or event that could have an adverse material impact on the project. Adverse material impact includes but is not limited to lawsuits, criminal or civil actions, bankruptcy proceedings, regulatory interventions or inadequate capital to complete the projects; and
• understands that unless it qualifies as a trade secret, all information submitted to the Mississippi River Regional Planning Commission is subject to Wisconsin’s Open Records Law.

In the event credit is extended, the applicant agrees to complete a direct payment authorization form allowing loan payments to be electronically debited via automatic clearing house (ACH).