Fertitta Entertainment/Landry's Employee Relief Application Question Title * 1. Last Name Question Title * 2. First Name Question Title * 3. Middle Initial Question Title * 4. Enter your date of birth (MM/DD/YYYY) Question Title * 5. Enter Your Address and Contact Information. Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * Question Title * 6. Enter the Name of the Concept Where You Work Question Title * 7. Enter the City/Location Where you Work Question Title * 8. Enter Department (if applicable) Question Title * 9. Enter Your Job Title Question Title * 10. Were you furloughed as a result of the Coronavirus? Yes No Question Title * 11. If furloughed, provide last day worked (MM/DD/YYYY). Question Title * 12. Are there minor children in your household for which you are financially responsible? Yes No Question Title * 13. How many children are in your household? Question Title * 14. What is your marital status? Single Married Question Title * 15. Enter the amount of relief you are requesting Question Title * 16. Describe the use of the intended funds. Done