support@qac.org
110 Vincit Street, Centreville, MD, 21617, US
The goal of the QAC Restaurant Relief Fund is to assist food and beverage providers with expenses associated with adjusting their business model due to the pandemic as well as new operating procedures and regulations associated with CED safety guidelines.
Grant Requirements
Business Address:
Primary Contact Address
******ATTENTION*******
Your business must be located in Queen Anne's County to be eligible!
Please exit the application!
Physical Address of Business:
Your business had to be established before 12/31/2019 in Queen Anne's County to be eligible!
What date was the business Acquired/Established?
Your business must be in good standing with the State of Maryland to apply.
Ownership:
Please List Name, Title and Percentage of Ownership for anyone with 20%or more ownership. Guarantees will be required by anyone that owns 20% or more of Business.
Date Received
Please note that most grants will be no more than $12,000
Use of funds can include the following
Please upload payroll report or 941 Quarterly report for the period in which you are requesting assistance
Please upload invoice or cancelled check to support rent amount
Please upload proof of Purchase of equipment and services to expand outdoor dining, such as tents, heaters, warmers, and carts:
Please upload proof of Infrastructure improvements, such as HVAC system upgrade.
Please provide proof of technology to support carryout and delivery Please provide the total amount requested.
Please provide proof of Purchase of PPE and disposable food containers and utensils
Please provide proof Sanitization services
Did the business have any other critical Covid-19 related expenses?
Please upload income statement for the period from 4/1/2020-12/31/2020 as compared to 4/1/2019-12/31/2019. Company must illustrate a 25% reduction in gross revenues to qualify.
Please upload articles of Incorporation/Organization/Formation by-laws and operating agreement if applicable.
The questions below are for gathering statistical data only. Furnishing this information is voluntary; failure to do so will have no effect on the approval of the requested financial assistance.
Is Respondent the APPLICANT □ and/or RECIPIENT (or FACILITY USER)
Respondent is a business owned and controlled primarily by individuals who are identified in any of the following categories, please check all the categories that apply:
If the respondent is an individual please check all that apply
Which of the following categories describes the Respondent (multiracial respondents may select all applicable racial categories)
By signing this application you certify that this business has realized at least a 25% reduction in revenues in 2020 due to the Covid-19 pandemic and that all information in this application and in the attached exhibits, attachments, and addendums are true and complete to the best of your knowledge, information, and belief.
Please sign here to complete your application.