Business Information

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* 1. Business Name

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* 2. FEIN (Federal Employer Tax Identification Number)

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* 3. Business Address

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* 4. Date Business Established

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* 5. Business Structure (select one)

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* 6. Number of full-time employees on March 1, 2020?

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* 7. Current number of full-time employees?

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* 8. Please attach a current City of Albuquerque business registration.

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* 9. Please attach a current City of Albuquerque business license/ permit.

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* 10. Have you received any other grants or relief funds?

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