Owner #1 Owner #1 Photo Id: Schedule of Ownership Form
Uploaded by
GlendaOwner #1 Owner #1 Photo Id: Schedule of Ownership Form
Uploaded by
GlendaNYS COVID-19 PANDEMIC SMALL BUSINESS RECOVERY GRANT PROGRAM 1
Schedule of Ownership Form
OWNER #1 OWNER #1 PHOTO ID
To complete the funding for the grant, applicant must submit schedule This step is required. Please upload your photo ID by clicking the box
of ownership information for all owners with 20% or more ownership below. NOTE: You must download this form and save it on your
of business: listing of names, addresses, Social Security Numbers, device before uploading your photo ID. Your form responses and
phone numbers, e-mails, percentage ownership, and photo ID. photo ID will not save if completed in your web browser.
Name
Residential Address
City
State
Postal Code
Phone Number
Percentage
Ownership
NYS COVID-19 PANDEMIC SMALL BUSINESS RECOVERY GRANT PROGRAM 2
Schedule of Ownership Form
OWNER #2 OWNER #2 PHOTO ID
This step is required. Please upload your photo ID by clicking the box
below. NOTE: You must download this form and save it on your
device before uploading your photo ID. Your form responses and
photo ID will not save if completed in your web browser.
Name
Residential Address
City
State
Postal Code
Phone Number
Percentage
Ownership
NYS COVID-19 PANDEMIC SMALL BUSINESS RECOVERY GRANT PROGRAM 3
Schedule of Ownership Form
OWNER #3 OWNER #3 PHOTO ID
This step is required. Please upload your photo ID by clicking the box
below. NOTE: You must download this form and save it on your
device before uploading your photo ID. Your form responses and
photo ID will not save if completed in your web browser.
Name
Residential Address
City
State
Postal Code
Phone Number
Percentage
Ownership
NYS COVID-19 PANDEMIC SMALL BUSINESS RECOVERY GRANT PROGRAM 4
Schedule of Ownership Form
OWNER #4 OWNER #4 PHOTO ID
This step is required. Please upload your photo ID by clicking the box
below. NOTE: You must download this form and save it on your
device before uploading your photo ID. Your form responses and
photo ID will not save if completed in your web browser.
Name
Residential Address
City
State
Postal Code
Phone Number
Percentage
Ownership
NYS COVID-19 PANDEMIC SMALL BUSINESS RECOVERY GRANT PROGRAM 5
Schedule of Ownership Form
OWNER #5 OWNER #5 PHOTO ID
This step is required. Please upload your photo ID by clicking the box
below. NOTE: You must download this form and save it on your
device before uploading your photo ID. Your form responses and
photo ID will not save if completed in your web browser.
Name
Residential Address
City
State
Postal Code
Phone Number
Percentage
Ownership
