The Heart of Jtown: Small Business Resiliency Fund Grant Program Final Report
Please complete the below form and submit for review.
Any questions? Please contact Melissa Ayumi Bailey at melissa@jtowncbd.org

Name of Recipient

First Name

Last Name

Email of Recipient

Phone Number of Recipient

(###)

###

####

Name of Business

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone Number

(###)

###

####

Business Website (if applicable)

http://

Did you receive any sneeze guards or get reimbursed for sneeze guards from the JCBD?*

Please check Yes or No.

Yes

No

Received Grant Amount:

How did you use your grant?

Please check all that apply. *

Payroll

Rent

Utilities or Other Operational Costs

Other (Please explain below)

Other ways you used the grant:

Please briefly explain how it benefited your business.

Thank you for completing the Final Report! We may use the information you have provided in a future newsletter to help promote your business and the community. We may also contact you if we require more information. Please be sure to keep records showing how the funds were used in case we have any questions.