HomeMy WebLinkAboutWDOS- Oshkosh ARPA Application 2024_American Rescue Plan Act (ARPA)
Funding Application for
Non-Profit Entities,Community Groups,and Neighborhood
Associations Due Date:March 1,2024,4:30 PM
Application must be completed in full to be considered.
Submit complete application &budget sheet electronically to citymgr@oshkoshwi.gov -or
Mail -City Manager’s Office,215 Church Ave –PO Box 1130,Oshkosh WI 54903-1130 -or
Place in City Hall Dropbox
Attachments,brochures or other materials may be included as part of the application
packet.Application Review Criteria
The electronic version (including email message and all attachments)cannot exceed 10
MB GENERAL INFORMATION
1.Name of Project/Program:Covid Relief
2.Organization Name:White Dragon Oriental store
3.Address:1120 N-main street Oshkosh,WI 54901
4.Primary Contact Person:Jenny Xiong
5.Title:Store phone Phone:920-312-5345
6.E-mail:Jennyxiong76@gmail.com
7.If applicable:Federal Tax Identification Number:456-102492325-03
8.If applicable:DUNS number:-
Provide Mission Statement/Purpose:
Eliminate cost burdens so that our business can be at full potential in order to become a
place customers can go to get their Asian grocery needs.
PROPOSAL OVERVIEW –must match Budget Overview sheet
Funds Requested Total Project Cost Annual Organizational Budget
$300,000 $350,000 $50,000
1
PROPOSAL DETAILS
(Please limit to 700 words)
Since covid-19,it has been hard to buy specific goods and supplies to provide for the business.
Because of that,We lack customers and that creates little to no money to supply the things we need to
get in order to keep the business in stock.
The relief fund would help get our business up to its full potential,by creating a reliable place for
customers to get all the Asian dry goods and produce they need.Making smaller changes into bigger
ones,we want to create an exciting place for customers to come and enjoy their time while they’re there.
Such as building a kitchen to serve Asian cuisines to customers who visit our current grocery store.
PLEASE COMPLETE THE ATTACHED BUDGET OVERVIEW AND SUBMIT WITH YOUR
APPLICATION.
2
BUDGET OVERVIEW /INCOME AND EXPENSES
ORGANIZATION NAME:White Dragon Oriental Store
REVENUE SOURCE PROJECTIONS
Estimated
Funding for this Project/Program
Proposed ARPA Funding 300,000
OAUW Funding
Donations/Other Fundraising
Internal/Self-Funding
Other –list:
TOTAL REVENUES $300,000
EXPENSES
REGULAR OPERATING
EXPENSES
Project/Program
Budget
(PROPOSED)
Salaries/Benefits (2 new employees)
66,560
Occupancy
Professional Fees/
Contracted Services
Business Loan
39,557
Program/Office Materials POS System
1,685
Marketing/Printing Signage
2,000
Professional Development Business growth
150,000
Supplies/Materials
Other –list:Machinery Fixes 20,189
Other –list:Dry goods &produce 50,000
Other –list:
COVID RELATED EXPENSES
(please identify)
Other:Line of credit for past supplies 20,009
Other
Other
TOTAL EXPENSES $350,000
NOTE:Revenues and Expenses must balance
3
THE APPLICATION CERTIFIES TO THE BEST OF ITS KNOWLEDGE:
1.The information submitted to the city of Oshkosh (“City“)in this application,and
substantially in connection with this application,is true and correct.
2.The applicant is in compliance with applicable laws,regulations,ordinances and
orders applicable to it that could have an adverse material impact on the project.
Adverse material impact includes lawsuits,criminal or civil actions,bankruptcy
proceedings,regulatory action by a governmental entity or inadequate capital to
complete the project.
3.The applicant is not in default under the terms and conditions of any grant or loan
agreements,leases or financing arrangements with its other creditors that could have
an adverse material impact on the project.
4.The applicant has to close,and will continue to disclose,any occurrence or event that
could have an adverse material impact on the project.
THE APPLICANT UNDERSTANDS:
1.This application and other materials submitted to the City may constitute public
records subject to disclosure under Wisconsin’s Public Records Law.The applicant
may mark documents “confidential”if the documents contain sensitive information.
2.Submitting false or misleading information in connection with an application may result
in the applicant being found ineligible for financial assistance under the funding
program,and the applicant or its representative may be subject to civil and/or criminal
prosecution.
YES NO (circle one)I certify that the requested funding is needed to ensure this project will
happen in the City of Oshkosh.
Signature Jenn Xion Date 2/24/2024
Authorized representative of Applicant/Organization
PRINTED NAME:Jenny Xiong
TITLE OF APPLICANT:Owner
ORGANIZATION NAME:White Dragon Oriental Store