Revolving Loan Fund Application

I. General Information

1. Name of Applicant Firm(Required)

First Last

Date of Request(Required)

2. Firm address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Firm Phone Number(Required)

3. Names and addresses of all persons or corporation who would be obligated as either applicant or personal guarantors of loans:

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

4. Names and addresses of the principal officers and directors of this applicant:

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

5. Nature of applicant's business:

6. The products to be assembled or manufactured or service to be rendered:

7. Applicant's Attorney

First Last

Phone

8. Applicant's Financial Adviser

First Last

Phone

9. Applicant's Accountant

First Last

Phone Number

10. Estimated amount of loan:(Required)

11. Number of years to retire loan:(Required)

12: List previous loans and credit references:

II. Use of Loan Proceeds

1. Amount requested for purchase of land:

2. Amount requested for land improvements (buildings):

3. Amount requested for machinery and equipment:

4. Capitalized debt service:

5. Loan closing costs:

6. Working capital:

7. Other (specify):

TOTAL REQUEST

III. Loan Proposal

1. Will the loan refinance an existing project?

2. Will the loan proceeds be used to expand or replace an existing facility?

3. Is the applicant presently located in the City of Pittsburg?

4. What type and size of building will be constructed?(Required)

5. Name and address of contractor and/or architect:

6. What type of equipment will be financed?

7. If the applicant will be in direct competition with local firms,

(a) Name of firms:

(b) Describe nature of the competition:

IV. Loan Analysis

1. Has a financial adviser submitted an analysis indicating the need for the loan, the advisability of the loan or benefit to the applicant of the loan?

If yes, please upload a copy to this application

Max. file size: 40 MB.

2. Has additional financing, whether internally generated or through other loans, been arranged? (If yes, please explain)

3. Has the applicant investigated conventional financing?

V. Proposed Location

1. Location of the proposed facility

2. If the facility is a proposed expansion or replacement of another plant, stat size and location of current operations

3. What percentage of the facility will be occupied by the applicant?

4. Is the prospective location properly zoned?

5. If a zoning change is pending, cite application number and present status. If application has not been made, briefly describe what change will be needed and plans for submitting application

6. If unusual demands for water or sewer services or police or fire protection will be made, specify the demands

VI. Ownership & Management

1. Describe the organization structure of applicant (proprietorship, partnership, subsidiary, corporation, etc.):

Note relationship to parent company

2. What portion of the project is being financed from other company funds (in addition to this loan)? Please answer in dollar amount ($xxx)

Please explain

3. Describe all threatened or outstanding litigation

4. Attach proforma statements for the first three (3) years of operation after issuance of the loan, including revenue projections, operating expense projections and a debt amortization schedule.

Max. file size: 40 MB.

VII. Measure of Economic Growth & Benefit

1. What dollar amount of sales is contemplated?

2. What percentage of sales will be sold locally?

3. What is the estimated amount of merchandise and services purchased locally, per year?

4. How many people will the project employ:

(a) Professional

(b) Technical

(c) Clerical

(d) General Labor

5. Number of current full-time employees at applicant's present location

6. What is the ratio of loan fund dollars to jobs created?

VIII. In order to facilitate the timely processing of the application, please upload as part of the proposal the following items

1. Copies of applicant's financial statements for the past three years certified as correct by owner or authorized officer.

Max. file size: 40 MB.

2. Applicant's most recent annual or quarterly financial report.

Max. file size: 40 MB.

3. Interim financial statements, to date, for the current fiscal year.

Max. file size: 40 MB.

4. Financial statements, current to date, for each personal guarantor, on forms, certified by a Certified Public Accountant or the guarantor.

Max. file size: 40 MB.

5. Copies of both federal and state income tax returns filed by applicant and each personal guarantor during the past three years.

Max. file size: 40 MB.

6. In certain cases, due to the size of the loan, audited financials may be required.

Max. file size: 40 MB.

7. Completed business plan with three year financial projections.

Max. file size: 40 MB.

8. Loan (if approved) must be personally guaranteed.

Max. file size: 40 MB.

IX. Applicant should be aware that additional financial data shall be required if requested by the City Manager, City Attorney, or any other persons authorized by the City of Pittsburg, Kansas, including the Economic Development Revolving Loan Fund (Sales Tax) Committee (EDAC).

X. Attached hereto is a copy of the Collateral Requirements for the Economic Development Revolving Loan Fund (Sales Tax) for informational purposes. HOWEVER, APPLICANT ACKNOWLEDGES AND AGREES THAT SAID REQUIREMENTS, AS WELL AS THIS APPLICATION, ARE A SET OF GUIDELINES AND ANY OF THE PROVISIONS STATED THEREIN MAY BE WAIVED OR ADDED TO AT THE DISCRETION OF THE PITTSBURG CITY COMMISSION.

IRB Guidelines

XI. EACH APPLICANT ALSO EXPRESSLY AGREES AND UNDERSTANDS THAT THE CITY’S MONETARY PLEDGE OF MONIES FROM THE FUND AND COMMITMENTS MADE IN ANY AGREEMENT SHALL BE CONTINGENT UPON THE CITY CONTINUING TO COLLECT THE ONE-HALF CENT CITY RETAILERS’ SALES TAX; AND APPLICANT ACKNOWLEDGES THAT SAID SALES TAX MAY BE DISCONTINUED AS PROVIDED BY THE PROVISIONS OF K.S.A. 12-187 et. seq. AND AMENDMENTS THERETO, AT ANY TIME.

Email(Required)

Revolving Loan Fund (RLF) Loan Application

I. General Information

II. Use of Loan Proceeds

III. Loan Proposal

IV. Loan Analysis

V. Proposed Location

VI. Ownership & Management

VII. Measure of Economic Growth & Benefit

VIII. In order to facilitate the timely processing of the application, please upload as part of the proposal the following items

Quick Links

You are leaving the City of Pittsburg website