RUSSELL MAIN STREET INCENTIVES WITHOUTWALLS PROGRAM

Russell,Kansas

FY2016Application

Administered by:

Russell Main Street,Inc. PO Box58

507 N Main Russell, KS67665

IncentivesWithoutWalls

FY 2016APPLICATION

1. / Main Street Organization
Organization Name:
Main Street Manager:
FEIN:
Address:
City: / County: / Zip:
Telephone: / Fax:
2. / Applicant Information
Business Name: / Project Information
Name ofProject:
Name: / Address of Project:
Title:
Address:
City:
State: / Zip:
Social Security#:

3.TypeofProject (checkone)

MajorProject ($1,500-$20,000 seeguidelines forspecific information)

Small ProjectLoan ($500-$2,000 seeguidelines forspecific information)

4.Amount Requested

Amount of funds requested bylocal Main Street program forthis project.$

This moneywillbedistributed locallyas a: (check one)

Directgrant to the business– mustmeet criteria for a grant

No-interest loan

What is the ratio of thegrantto privateinvestment?

Ifaloan, list thedateforfinal repayment and theinterest rate(term maynot exceed sevenyears).

CurrentIWWRevolving LoanFund balance$

5.Project Narrative

Usethe spacebelow to describetheentirescopeof theprojectand justifyhow it meets at least

oneof thetwo categoriesfor eligibility.Besuretoaddress theseareas:

Project description: Provide an overalldescriptionofthe project.What is the scope?

Magnitudeof theneed: Presentyour casefor funding.What is the needforthis project to becompleted?

Theproject proposed impacts (solves) theproblem: What impact will thisproject havenot onlyon this building/business, butonyour district?

Theproject proposed haslong-term impact on thedowntown district: Howwillitimproveyourdistrict’s economichealth and vitality?Will it provide aviablebusiness base?

Has potential to havelong-term impact on thetaxbase: Howwillthis project impactyour taxbase?

Relationship to and consistencywith current downtown plan: Relatethis project and its potentialimpact toyour downtown plan.

Job creation or retention:Will this project createnew jobs or retain current?If so, how and howmany. Do not includejobs created byconstructionor renovation work.

Creates orretains viablebusiness: Will theproject resultin a maintainablebusiness inyourdowntown district?

6.Budget

Include theproposed lineitem expenses forthe project showingtheamount of investment and the

amountofIWWfunds applied to thespecific expenses.Budget should be broken down to include eachexpense bylineitem.(Besureto include local program administrative cost if applicable.)

ExpensePrivate FundsIWW FundsTotal PerExpense

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TOTAL AMOUNT OF FUNDS / $ / $ / $

7.Project Schedule

Outlinethe proposed time scheduleforthe project(bespecific). Keep in mind that theproject

mustbegin within 90 days (30 days foran open round project)after fundsareawarded,and it mustbe completed within one calendaryear ofthe award.

8.Resolution

This resolution of support must be approved bytheMain Street Board ofDirectors and signed by

theBoard Chair.

A Resolution EndorsingtheApplication forFY2016IWW Funds

WHEREAS, thehas been created to workto revitalize

(Name ofLocal Program)

the downtown business district;and

WHEREAS, the BoardofDirectors ofagreeto specifically

(Name ofLocal Program)

utilize FY2016IWWfunds in the manner outlinedin this application and consistent with the program guidelines.

NOW, THEREFORE, BEITRESOLVED BYTHEBOARDOFDIRECTORS OF

MAINSTREET PROGRAM, that wedo herebysupport the formal

request forFY2016IWWfunds.

Passed and approved this dayof , 2016

SIGNED:ATTEST:

Main Street Board ChairMain Street Board Secretary

DateDate

9.Attachments/Checklist

The following attachments must be included with thisapplication:

Architectural drawings showingproposed changes (if part ofthis project involves design)

Current photograph ofproject site (if part ofthis project involves design)

Footprint map ofdesignated district with location of application project highlighted

Business plan (ifthis project will assist an existingor new business)

Market analysisor strategic plan(ifthis project ispart of an overallplan for downtown revitalization).

Letter ofsupport from the mayororcitymanagerofyour community.Thislettermust demonstrate anawareness of theproject on behalfofthe cityand represents the support of citygovernment.

Photocopies of bids/estimates used to determinebudget

Originalapplication andattachments plus one complete photocopy.