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                                                                                                                                              OMB Control No.: 3245-0407 
                                                           Paycheck Protection Program                                                        Expiration Date: 01/31/2022 
                                     PPP Loan Forgiveness Application Form 3508S Revised July 30, 2021 
A B  ORROWER  MAY USE  THIS  FORM ONLY IF  THE  BORROWER RECEIVED A  PPP  LOAN O  F  $150,000  OR LESS  

                              Business Legal Name (“Borrower”)                                                DBA or Tradename, if applicable 

                              Business Address                              NAICS Code   Business TIN (EIN, SSN, ITIN)                   Business Phone  
                                                                                                                              (        )    -
                                                                                                        Primary Contact                  E-mail Address First Draw PPP LoanSecond Draw PPP Loan  (check one) 

SBA PPP Loan Number: ________________________                               Lender PPP Loan Number: __________________________ 

PPP Loan Amount:  _____________________________                             PPP Loan Disbursement Date:  ________________________ 
Amount of PPP Loan Increase   (if applicable):             ________________                  Date   ofPPP Loan Increase (if  applicable): _______________         
Employees   at Time   of Loan           Application:  ___________           Employees   at Time   of Forgiveness           Application:  __________ 
Covered Period:  ________________________   to ________________________ 

Amount   ofLoan Spent         on     Payroll Costs:    _______________      Requested Loan Forgiveness Amount: _________________ 

By Signing Below, You Make the Following Representations                    and Certifications on Behalf   of the Borrower: 
The Authorized Representative   of the Borrower            certifies       to all of the below   byinitialing next to each one.   
_____  The Borrower             has complied   with  all   requirements in  the Paycheck         Protection Program Rules  (Sections     7(a)(36),  
           (7)(a)(37), and 7A of the Small Business Act,             the PPP         interim final rules, and guidance issued by SBA through the         date 
           of this application), including the rules related to: 
                    •       eligible uses   of PPP loan proceeds; 
                    •       the amount   of PPP loan  proceeds   that must   be used for payroll costs      (including proprietor   expenses  for 
                            Borrowers that applied for loans     using SBA Forms 2483-C   or 2483-SD-C); 
                    • the calculation and       documentation of     the Borrower’s revenue         reduction   (if applicable); and 
                    • the calculation of       the Borrower’s Requested     Loan Forgiveness            Amount. 
           Information regarding these requirements              may be found in the Form 3508S            Instructions and the Paycheck Protection 
           Program  Rules.  

_____      The information provided in this application             is true and correct in all material respects.    I understand        that knowingly making 
              a false       statement   to obtain  forgiveness   of an SBA-guaranteed loan   is punishable         under the law,   including 18 U.S.C.   1001 
           and 3571 by  imprisonment of               not more   than five years  and/or    a  fine  of up  to $250,000; under 15 U.S.C.  645            by     
           imprisonment   ofnot more than two years and/or a fine of   not more                  than $5,000; and, if submitted to a Federally insured          
           institution, under 18        U.S.C.  1014 by imprisonment of     not more           than thirty years and/or a fine   of not more  than $1,000,000. 

Following submission of this forgiveness application,            the Borrower must retain           all records necessary to prove  compliance with             
Paycheck Protection Program           Rules    for four years for employment         records   and for three years for all other records.  SBA may       request 
additional information for the purposes of           evaluating the Borrower’s eligibility for the PPP loan and for loan forgiveness, and                the    
Borrower’s failure to provide information requested by SBA may                       result in a  determination that the Borrower was ineligible for the  
PPP loan       or indeniala of   the Borrower’s loan forgiveness application.             

The Borrower’s eligibility for loan forgiveness will   be evaluated   in accordance with the                Paycheck Protection Program Rules.             SBA 
may direct a lender to disapprove          the Borrower’s loan forgiveness           application if SBA    determines that the Borrower       was ineligible for 
the PPP loan.   

_____________________________________________________                                             ____________________________  
Signature   ofAuthorized Representative of   Borrower                                             Date 

_____________________________________________________                                             ____________________________ 
Print Name                                                                                        Title 

SBA Form 3508S (07/21) 



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                                                                                                                                   OMB Control No.: 3245-0407 
                                                      Paycheck Protection Program                                                        Expiration Date: 01/31/2022 
                                PPP Loan Forgiveness Application Form 3508S Revised July 30, 2021                  

                                        PPP Borrower Demographic Information Form (Optional) 

Instructions 

1.      Purpose   .  Veteran/gender/race/ethnicity data         is collected for program  reporting   purposes only. 
2.      Description   .  This      form requests information about      each of the  Borrower’s  Principals.  Add additional sheets   if necessary. 
3.      Definition   Principalof       .  The term “Principal” means: 
        •     For a self-employed individual, independent       contractor,     or a sole proprietor, the self-employed individual, independent 
              contractor,   orsole proprietor. 
        •     For a partnership,   all general partners and   all limited partners owning 20%   or more   of the equity of   the Borrower,   or any 
              partner that   is involved in the management   of the Borrower’s business. 
        •     For a corporation,   all owners   of 20% or  more of the Borrower,     and  each officer and   director. 
        •     For   alimited liability company,   all members owning 20% or more   of the Borrower, and each officer and director. 
        •     Any individual hired by the Borrower   to manage     the day-to-day operations   of the Borrower     (“key   employee”). 
        •     Any trustor   (if the Borrower is  owned     by a trust). 
        •     For   anonprofit organization, the officers and directors   of the Borrower. 
4.      Principal Name   .  Insert      the full name   of the Principal. 
5.      Principal Position   .  Identify the     Principal’s position;  for  example, self-employed    individual; independent   contractor;  sole 
        proprietor; general partner; owner; officer; director; member;   or key employee. 

Principal Name                                                                  Principal Position 

                                    Select Response Below: 
            Veteran                 □ Non-Veteran;  □Veteran;  Service-Disabled □    Veteran;  Spouse □   of Veteran;  Not □ 
                                    Disclosed 
            Gender                  □ Male;  □Female;  Not □ Disclosed 
            Race (more than   1     □ American Indian or Alaska Native;  □Asian;  Black □     or   African-American;  Native □ 
            may be selected)        Hawaiian   or Pacific Islander;  □White;  □Not Disclosed 
            Ethnicity               □ Hispanic   or Latino;  □Not Hispanic   or Latino;  □Not Disclosed 
                       Disclosure   is voluntary        and  will  have no   bearing  on  the loan    forgiveness decision 

Paperwork Reduction Act    – You are not required to respond to this collection of information unless it displays a currently valid OMB Control  
Number. The estimated time for  completing this application, including gathering data needed, is 15 minutes.  Comments about this time or the 
information requested should be sent to Small Business Administration, Director, Records Management Division, 409 3rd St., SW, Washington DC 
20416, and/or SBA Desk Officer, Office of Management and Budget, New Executive Office Building, Washington DC 20503.  PLEASE DO NOT 
SEND FORMS TO THESE ADDRESSES.  

SBA Form 3508S (07/21) 



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                                                                                                                                                OMB Control No.: 3245-0407 
                                                         Paycheck Protection Program                                                             Expiration Date: 01/31/2022 
                               PPP Loan    Forgiveness Application Form              3508S   Revised       July 30, 2021 

                       PPP  LOAN  ORGIVENESS  F    PPLICATION A    ORM F         3508S  INSTRUCTIONS FOR  ORROWERSB                 

In  accordance  with the instructions  below and  as  directed  by your  Lender,  you (the  Borrower)  can apply for  forgiveness  by 
completing  this  SBA Form  3508S  electronically  in SBA’s  Paycheck  Protection  Platform (SBA  Platform) or  by completing  
and submitting  this  SBA  Form  3508S  (or lender’s  equivalent  form)  either electronically  or in  paper form to  your  Lender 
(or  the  Lender  that  is  servicing your  loan).       

You can apply for forgiveness   of your First or         Second Draw Paycheck Protection Program             (PPP)  Loan  using this SBA Form 
3508S only if the loan amount     you received from      your   Lender was $150,000   or less      for  an individual   First   or Second        Draw   PPP 
Loan.     If you are not eligible to use this form,      you must   apply for  forgiveness   of your    PPP  loan using SBA Form            3508   or 3508EZ 
(or lender’s equivalent form).  Each PPP loan must use a separate           loan forgiveness application form.  You cannot use one form   to 
apply for forgiveness   of both a First and Second Draw PPP loan. 

SBA Form 3508S requires      fewer calculations and less        documentation for eligible    borrowers.  SBA Form 3508S does not require 
borrowers   toshow the calculations  used to   determine their loan    forgiveness amount.           However, SBA may request information and 
documents   toreview those  calculations as   part of     its loan review or   audit processes.    

If this forgiveness application   is being submitted for   a First Draw PPP Loan approved on or              before  August   8, 2020           and you are 
required   tosubmit an   SBA Form  3508D   disclosure    of     a controlling interest, that disclosure      must be   submitted to   the Lender       or 
through the SBA Platform not later than 30 days after submission   of this             loan forgiveness      application. See subsection B.16   of 
SBA’s interim final rule posted on January 6, 2021         (86 FR 3692),    as   amended.  

  If this forgiveness  application   is being submitted   for a Second      Draw   PPP Loan   and       you  did not previously    submit        to your    Lender 
documentation supporting the     revenue reduction certification on         your loan application,      additional steps  may      be required.     A 
COVID Revenue Reduction Score (score)         will   be assigned to your      PPP Loan   to determine   if you      are required   to provide        additional 
documentation supporting your revenue reduction certification.     If you are          applying for forgiveness         through the SBA          Platform,   you 
will   beautomatically prompted for  documentation       when the score     associated  with your PPP        Loan requires     it.       If you are applying 
for forgiveness through your Lender, you will   be advised by your Lender when the score                   requires you   to provide        documentation 
supporting your revenue reduction certification,   if not      previously submitted. 

  If your    Lender has  directed you to complete        this forgiveness application electronically through the SBA            Platform,        you must    first 
successfully register for   an account with the SBA Platform.     If the SBA         Platform cannot       validate your  identity (if, for      example, 
there has been an unreported change   of ownership), you will          not   be able to use the SBA        Platform and instead    must         submit your 
forgiveness application directly   to your Lender.   If you     are submitting your     forgiveness application through the           SBA Platform   y ou 
must complete   all required fields, initial   all representations and certifications, sign     the form,     and,   if required,  upload       revenue 
reduction documentation   tocomplete submission          of the application   in   the SBA Platform.         Your forgiveness application must   be 
completed, signed, submitted and accepted by the SBA Platform               in order   to continue the     deferment   of your    loan.  You will       receive 
  a confirmation when the    SBA     Platform has        accepted your forgiveness     application.     If you do not receive   a confirmation,         your loan 
will no longer   be deferred beginning ten  months       after the end   of the Covered Period, unless       you submit   a forgiveness          application 
to your Lender before the    end of the deferment period.   

After your forgiveness application is accepted by the         SBA   Platform,    your  Lender will   be notified   by the  SBA     Platform.  Your 
Lender has 60 days from the    date   of notice to review     your  forgiveness application and supporting          documentation (if           applicable) 
and issue   a forgiveness decision   to SBA through the SBA Platform.  Upon issuance   of the Lender’s forgiveness decision, SBA has 
90 days, subject to  any review of   the loan or loan application, to make   a forgiveness remittance   to the Lender,   if appropriate.  By 
submitting your forgiveness    application through the SBA Platform   (if applicable),          you are authorizing SBA   to share   all 
information and documentation you have submitted with your             Lender.      If you have already submitted a forgiveness application to 
your Lender, do not submit   a duplicate   forgiveness application though          the SBA   Platform.  

  If you   are completing    your  forgiveness        application  through    the  SBA Platform,        SBA  will prepopulate      certain       data   fields    as 
noted below on your electronic Form 3508S with the information   in SBA’s Electronic                         Transmission       (E-TRAN) system of 
record. If   you are unable to confirm   to   SBA that     your    records agree   with   all of   the pre-populated data         fields,   you     must     
apply for forgiveness   of your PPP loan through your Lender. 

  If you   are submitting    your forgiveness         application  through  your   Lender,    you    must    complete      all of the data       fields on the 
form.  Additionally,   if you  are completing         your forgiveness  application     through    the     SBA  Platform,      you must         complete all 
data fields that are not pre-populated. 

Business Legal Name (“Borrower”)/DBA   or Tradename   (if applicable)/Business TIN                         (EIN, SSN,   ITIN):       Enter the same 
information   ason your Borrower   Application        Form (SBA    Form 2483,    SBA   Form   2483-SD,       SBA  Form    2483-C,     SBA Form         2483- 
SD-C,   orlender’s equivalent).   This field will   be pre-populated   if you are      using the SBA       Platform. 

Business Address/NAICS  Code/Business  Phone/Primary  Contact/E-mail  Address:   Enter  the same  information  as  on  your  
Borrower  Application  Form,  unless  there has  been  a change  in  address  or  contact  information.   The  NAICS  Code  entered  must  
SBA Form 3508S (07/21)                                             
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                                                      Paycheck Protection Program 
                                 PPP Loan      Forgiveness Application Form       3508S    Revised    July 30,   2021 

match the business activity code      provided   on your IRS income tax filings,   if applicable.  This field      will   be pre-poluated if you are 
using the SBA Platform.     If you   have had a change in address   or contact information, you will         not   be able   to use the SBA   Platform 
to submit   your forgiveness application.   

First Draw PPP Loan or Second Draw PPP Loan:  Select the box                   that describes the   PPP loan     that this forgiveness  application is 
for.     If you only have    one PPP loan, select  First Draw   PPP   Loan.  This field will   be pre-populated if you are   using the    SBA 
Platform. 

SBA PPP Loan Number:  Enter the loan number assigned by SBA   at the                time   of loan approval.  Request this number           from the 
Lender   necessary.if     This field will   be pre-populated if you   are using the SBA    Platform. 

Lender PPP Loan Number:  Enter the             loan number assigned to    the PPP   loan by the   Lender.  This number   is not required if      you 
are using the SBA Platform. 

PPP Loan Amount:  Enter the original disbursed principal amount of the PPP loan (the original                    loan amount you       received from 
the Lender).  This field   will   be pre-populated   if you are using the SBA Platform. 

PPP Loan Disbursement Date:  Enter the date that you             received the PPP loan     proceeds    from  the   Lender.     If loan proceeds  were 
received on more than one date, enter the first date   on which       you received  PPP loan      proceeds.     If you received an authorized 
increase on your First Draw PPP Loan after December           27, 2020,   you must enter    the   date on which you received the        original 
disbursement   ofyour PPP     loan proceeds.     This field will   be pre-populated   if you are using the SBA Platform. 

Amount of PPP Loan         Increase:  Enter the disbursed amount   of an authorized increase on your           First Draw PPP Loan received 
after December 27, 2020 (if applicable).  This field       will   be pre-populated if you are     using the SBA    Platform. 

Date   ofPPP Loan    Increase:      Enter the date that you received     the proceeds   of the authorized   increase on      your First Draw  PPP 
Loan from the Lender   (if applicable).  This field will   be pre-populated if you are using the SBA Platform. 

The following fields must be completed         by the Borrower regardless   of forgiveness          application    submission      method: 

Employees   atTime of   Loan Application:          Enter the total number   of employees (including owners/partners)   at the time   of the 
PPP loan application.  

Employees   atTime of   Forgiveness Application:           Enter the total number   of employees      (including owners/partners)   at the     time the 
Borrower is applying for loan forgiveness. 

Covered Period:  The Covered Period begins on the date the loan              was  originally disbursed.     It ends     on a date selected by the 
Borrower that     is at least 8 weeks following the date   of loan disbursement     and  not more than 24 weeks        after the  date   of loan 
disbursement.  For example,   if the Borrower received their PPP          loan proceeds   on Monday, April       20, 2020,   the  first day of the 
Covered Period   isMonday, April      20, 2020,  and  the final day   of the Covered  Period   is   any date selected  by the     Borrower  between   
Sunday, June 14,   2020,   and  Sunday, October    4, 2020.  
Amount of Loan Spent on Payroll          Costs: Borrowers are generally eligible for       forgiveness for the payroll costs        paid and payroll 
costs incurred during the Covered Period. To        calculate eligible payroll costs    incurred   or paid during the  Covered Period, add       Cash 
Compensation, Employee Benefits, and Owner Compensation,   as follows: 

         Cash Compensation:  The sum   of gross salary, gross wages, gross tips, gross            commissions, paid leave       (vacation,  family, 
         medical   orsick leave, not including leave  covered   by the Families   First  Coronavirus    Response   Act),     and  allowances for    
         dismissal or separation paid   or incurred during the   Covered Period.  Do not include qualified         wages taken into account in 
         determining (a) the Employee Retention Credit under section 2301   of the CARES               Act,   as amended by sections 206 and 207 
         of the Taxpayer Certainty and Disaster     Tax  Relief  Act   of 2020; (b) the  Employee     Retention Credit       under section  3134 of  the 
         Internal Revenue Code   of 1986,   as enacted   by the  American    Rescue Plan Act   of 2021; and (c)       the disaster  credit  under 
         section 303   ofthe Taxpayer Certainty  and Disaster Tax     Relief Act  of   2020.   For each individual employee, the total amount 
         of cash compensation eligible for     forgiveness may not exceed an annual        salary of $100,000,   as prorated for       the Covered 
         Period.  For example, for   an 8-week Covered Period, the maximum   is $15,385; for   a 24-week Covered                  Period, the 
         maximum   $46,154.is      You can only include compensation of employees          who    were employed by     the   Borrower   at any point 
         during the Covered Period and whose principal place   of residence is   in the United         States. 

         Employee Benefits:  The total amount paid   by the      Borrower    for: 
            1.  Employer       contributions for employee    group health, life, disability,   vision,  or dental  insurance, including     employer 
                  contributions to a self-insured, employer-sponsored         group health plan,    but excluding any pre-tax   or after-tax 
                  contributions by employees.  Do not add contributions for these benefits            made on behalf     of a self-employed 
                  individual, general partners, or owner-employees     of an S-corporation,         because such payments         are already included 
                  in their compensation.  Additionally, do not add premiums for COBRA continuation coverage taken into account   in 
                  determining the credit under section 6432 of the Internal Revenue Code   of 1986. 
SBA Form 3508S (07/21)                                           
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                                                         Paycheck Protection Program 
                                   PPP Loan      Forgiveness Application Form       3508S     Revised  July 30, 2021 

           2.     Employer        contributions to employee   retirement plans, excluding     any pre-tax   or after-tax contributions  by 
                   employees.  Do not add employer retirement contributions made on behalf     of a self-employed individual   or general 
                   partners, because such payments are already included in their           compensation. 
           3.     Employer        state and local taxes paid by  the Borrower and assessed on employee         compensation (e.g.,    state 
                   unemployment insurance tax), excluding any taxes             withheld from employee    earnings. 

       Owner Compensation:  Any amounts the Borrower paid   to owners (owner-employees (with an ownership stake   of 5%   or 
       more),   aself-employed individual,   or general partners).  For each individual owner   in total across all businesses, this 
       amount   iscapped at   (a) $20,833 (the 2.5-month        equivalent of   $100,000 per year),   or (b) the 2.5-month     equivalent  of the  
       individual’s applicable compensation           in the year that was used   to calculate the loan   amount (2019   or 2020),    whichever   is 
       lower.     If Borrower       applied for  the loan  using SBA   Form  2483-C     or 2483-SD-C,  owner    compensation includes      proprietor 
       expenses (business expenses          plus owner compensation).  Proprietor expenses equal the difference between the Borrower’s 
       gross income and employee            payroll costs.  The Borrower’s proprietor expenses are capped at        (a) $20,833 (the 2.5-month 
       equivalent of $100,000       per year),   or (b) the 2.5-month equivalent   of the borrower’s      gross income   in the year  that was  used 
       to calculate the loan amount (2019 or          2020), whichever   is lower. 

Payroll costs are   considered paid on the day that paychecks are distributed   or that        the Borrower originates an ACH         credit 
transaction.  Payroll costs are considered incurred         on the day that the employee’s    pay   is earned.  Payroll costs incurred     but not paid 
during the Borrower’s last pay period   of the Covered          Period are eligible  for forgiveness   if paid on   or before the next regular 
payroll date.  Otherwise, payroll costs        must   be paid during the  Covered Period.  Count payroll costs      that were both paid and 
incurred only once.  Include only payroll costs          for employees whose principal place   of residence     is in the United States.   For 
information   onwhat qualifies      as   payroll costs, see SBA’s interim final  rule posted  on January  6, 2021  (86 FR   3692), as   amended       
by SBA’s interim final rule posted          on March 18, 2021 (86 FR 15083).  For information on what qualifies   as payroll costs for   a 
Borrower that applied for the loan using SBA Form 2483-C   or 2483-SD-C,                see SBA’s     interim final rule  on loan amount 
calculation and eligibility posted on March 3, 2021 (86 FR             13149),   as amended   by SBA’s interim   final rule  posted on March    18, 
2021 (86 FR 15083).  
        
Requested Loan Forgiveness Amount:  Enter the total amount   of your PPP loan that   is eligible                for loan forgiveness.  This 
amount   isthe “Amount     of   Loan Spent on     Payroll Costs”  plus any  amount    spent on eligible nonpayroll     costs (described    below)  
minus any required reductions (described below),     up to the         principal amount   of the PPP   loan.   
 
Nonpayroll Costs: Eligible nonpayroll costs consist of:  
 a.    covered      mortgage obligations: payments   of mortgage interest (not including any prepayment or             payment   of principal)   on  any 
       business mortgage obligation   on real   or personal       property incurred before February 15,       2020 (“business   mortgage    interest 
       payments”); 
 b.    covered rent      obligations:   business rent   or lease payments pursuant to lease agreements for      real   or personal property in  force 
       before February 15, 2020 (“business rent   or lease        payments”);   
 c.    covered     utility payments: business payments for   a service for the distribution   of electricity,    gas,  water, telephone, 
       transportation, or internet access for which service began before            February 15, 2020   (“business utility   payments”);   
 d.    covered     operations expenditures: payments for         any business   software   or cloud computing   service   that facilitates business 
       operations, product   or service delivery, the       processing,   payment,   or tracking   of payroll expenses, human resources,     sales  and 
       billing functions,   or accounting of      tracking   of supplies, inventory, records, and   expenses; 
 e.    covered property damage           costs: costs related to property damage    and vandalism   or looting due to public     disturbances   that 
       occurred during 2020 that were          not covered by    insurance   or other compensation; 
 f.    covered     supplier costs: expenditures made     to a supplier   of goods for the   supply of  goods that   are essential to the   operations   of 
       the Borrower   at the      time   at which the expenditure   is made, and made pursuant to a    contract,   order,   or purchase order   in effect 
       prior to the  beginning of the Covered Period (for perishable goods, the            contract,  order, or purchase  order   may have   been in 
       effect before or   at any time during the Covered         Period); and 
 g.    covered     worker protection expenditures: operating   or capital       expenditures that   facilitate the adaptation of  the business 
       activities     ofentityan to comply with the requirements   established   or   guidance issued  by the Department       of   Health and   
       Human Services, the Centers for Disease Control,            or the Occupational Safety and Health       Administration,   or any  equivalent 
       requirements established   or guidance issued   by a State or local government, during the             period starting  March 1,    2020 and 
       ending on the date on which the national emergency declared by the               President  with respect  to the   Coronavirus   Disease  2019 
       (COVID-19) expires related   to maintenance standards           for sanitation,  social distancing,   or any other   worker   or customer 
       safety requirement related   to COVID-19, but does not          include   residential  real property or  intangible  property. 
Eligible nonpayroll costs cannot exceed 40%   of the total forgiveness amount.  An eligible            nonpayroll      cost must   be either paid 
during the Covered Period or incurred during the Covered Period and paid on   or before               the next  regular billing date, even   if the 
billing date   is after the Covered     Period.  Count nonpayroll costs that were both paid and incurred only once. 
        
FTE and Salary/Wage Reductions: Borrowers that               received   a PPP loan   of more  than $50,000  and  Borrowers     of $50,000   or less that 

SBA Form 3508S (07/21)                                             
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                                                        Paycheck Protection Program 
                                  PPP Loan    Forgiveness Application Form           3508S    Revised   July 30,  2021 

together with their affiliates      received First Draw  PPP  Loans   totaling $2 million or       more   or Second Draw   PPP    Loans  totaling $2 
million   ormore must   adjust  their “Requested   Loan Forgiveness Amount”          due to   statutory requirements concerning      reductions in 
either full-time equivalent     employees or employee salary      and wages.  Such   a Borrower   is not       subject to any reductions   if the 
Authorized Representative   of the Borrower        can attest (1) that the Borrower did not        reduce  annual   salaries   or hourly wages   of any 
employee by more than 25 percent during the Covered            Period compared to        the most recent full    quarter  before  the Covered   Period, 
and (2) that either (a) the Borrower did not reduce        the number   of employees   or the average        paid hours   of employees   between 
January 1,    2020 and the end   of the Covered Period or (b) the     Borrower       was unable to operate during     the Covered    Period at  the  same 
level   ofbusiness activity as before   February   15, 2020, due  to  compliance with      requirements established       or   guidance issued between     
March 1, 2020, and December 31, 2020 (or, for   a PPP loan made after December                    27, 2020,  requirements    established or  guidance 
issued between March 1, 2020 and the last day of the Covered Period) by the Secretary of                   Health and Human Services,       the Director 
of the Centers for Disease Control and Prevention,   or the Occupational Safety and Health Administration,                   related to  the maintenance 
of standards   of sanitation,   social distancing,   or any other work or  customer      safety requirement     related to COVID-19.     If the 
Borrower does not    satisfy these requirements and   is potentially    subject   to reductions     in its Requested Loan Forgiveness Amount, the 
Borrower must follow SBA Form 3508 and   its instructions to calculate   its Requested Loan Forgiveness                   Amount.  The Borrower   is 
not required to submit the      Form 3508   or any related documentation with this forgiveness            application.  However, SBA may request 
information and documents   to review those calculations   as part     of its loan review         and audit  processes.  
 
Borrower Responsibilities: The Borrower must comply with all               requirements in the Paycheck Protection Program              Rules (Sections 
7(a)(36), 7(a)(37), and 7A of the Small Business         Act, the PPP interim final rules,        and SBA    guidance issued    through the  date   of this 
application), and must attest     to its compliance on the Loan Forgiveness Application.  Those requirements include the following:  
 •      Requested Loan Forgiveness Amount (which may not exceed the principal                     amount   of the PPP  loan):  
              o     must have been used by the     Borrower to pay business costs        that are  eligible  for forgiveness (payroll costs   to retain 
                    employees, business mortgage interest payments,        business rent   or lease payments,       business utility payments, 
                    covered operations expenditures, covered property          damage costs, covered       supplier costs,   or covered  worker 
                    protection expenditures) during the Covered Period; 
              o     must include    payroll costs equal to at least 60%   of the  Requested       Loan Forgiveness    Amount;  
              o     for any owner-employee     (with an ownership stake   of 5%   or more) or self-employed individual/general              partner, must 
                    not exceed 2.5 months’    worth   of compensation received during         the year  used to calculate the     PPP loan amount, 
                    capped at $20,833 per individual     in total across   all businesses;    and 
              o     for loans   ofmore than $50,000 and  loans of   $50,000 or less to   Borrowers that      together  with  their affiliates received    
                    First Draw PPP Loans totaling   $2 million   or more   or Second Draw PPP Loans totaling   $2 million   or more,            must 
                    meet the requirements   of either (A) or (B) (A)  :      is not  subject  to reductions  because   the Borrower     did not reduce 
                    annual salaries   or hourly wages   of any employee    by more than 25 percent         during the Covered Period     compared to 
                    the most recent full quarter   before the Covered Period and  either (1) the Borrower did not reduce             the number   of 
                    employees   orthe average paid hours of   employees between          January  1, 2020  and the  end of the  Covered   Period or     
                    (2) the Borrower was unable    to operate during the Covered Period at the            same level   of business activity as before 
                    February 15, 2020, due to compliance with         requirements established   or guidance      issued between March 1,      2020 and 
                    December 31, 2020 (or, for   a PPP loan    made   after  December 27, 2020, requirements established or             guidance  issued 
                    between March 1, 2020 and the last day of the Covered            Period)   by the Secretary   of Health and Human Services, the 
                    Director   ofthe Centers for Disease Control   and Prevention,       or   the Occupational  Safety and   Health  Administration,      
                    related   tothe maintenance of standards  of   sanitation, social    distancing,  or   any other work or customer    safety 
                    requirement related   to COVID-19,   or (B) the Borrower has included            any required   reductions   as described  in SBA 
                    Form 3508 and   its instructions. 
 •      The Borrower      must  accurately calculate the Requested Loan Forgiveness Amount                and  verify the payments    for the eligible 
        costs  included in it.  
 •           If the loan forgiveness   application is being submitted   for a Second Draw          PPP Loan,    the Borrower must    comply   with   all 
       revenue reduction documentation requirements and               must have used   all First   Draw PPP    Loan   amounts     on eligible expenses 
       prior to disbursement   of the Second Draw PPP Loan. 
       If the funds were  knowingly used for unauthorized purposes,           the federal  government      may pursue     recovery   of loan amounts   and/or 
 civil or criminal   fraud charges. 

                            Documents that Each Borrower Must Maintain but   is Not Required to                      Submit 
                                                                              
Payroll:  Documentation verifying the eligible          cash compensation and non-cash            benefit payments   from the   Covered  Period 
consisting   ofeach of the  following:    
 a.    Bank account      statements   or third-party payroll  service provider reports documenting the           amount   of cash compensation      paid 
        to employees. 
 b.    Tax forms     (or equivalent third-party payroll service provider reports) for the          periods   that overlap with the   Covered   Period:  
              i.    Payroll tax filings reported,   or that will   be reported,   to the IRS (typically,  Form   941); and 

SBA Form 3508S (07/21)                                           
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                                                     Paycheck Protection Program 
                              PPP Loan    Forgiveness Application Form         3508S  Revised     July 30, 2021 

           ii.  State  quarterly business and individual employee       wage reporting and   unemployment    insurance     tax  filings reported, 
                or that will   be reported,   to the relevant state. 
 c.    Payment   receipts, cancelled checks, or  account statements documenting the      amount   of any employer     contributions    to 
       employee group health, life, disability, vision   or dental   insurance and retirement plans    that the Borrower   included   in the 
       Requested Loan Forgiveness Amount. 
                 
Nonpayroll:  For categories a-c, documentation verifying existence   of the     obligations/services prior   to February       15, 2020 and, for 
all categories, eligible payments from the Covered Period. 
 a.    Business  mortgage interest payments:     Copy of lender amortization schedule and      receipts   or cancelled checks   verifying 
       eligible payments from the Covered Period;   or lender account    statements from February 2020 and        the months   of the   Covered 
       Period through one month after the     end of the Covered Period verifying interest amounts       and eligible payments. 
 b.    Business  rent   or lease payments: Copy of current    lease agreement  and receipts   or cancelled checks  verifying    eligible 
       payments from the Covered    Period;   or lessor account statements from February 2020 and from the         Covered      Period  through 
       one month after the end of the Covered Period verifying eligible       payments.  
 c.    Business  utility payments: Copy of invoices   from     February 2020 and those   paid during the    Covered Period and     receipts, 
       cancelled checks,   or account statements verifying     those eligible payments. 
 d.    Covered   operations expenditures: Copy of invoices, orders,   or purchase orders     paid during the    Covered Period and receipts, 
       cancelled checks,   or account statements verifying     those eligible payments. 
 e.    Covered   property damage costs: Copy of invoices, orders,   or purchase       orders paid during the Covered    Period and     receipts, 
       cancelled checks,   or account statements verifying     those eligible payments, and documentation that     the costs    were   related   to 
       property damage and vandalism   or looting due   to public    disturbances that  occurred during 2020 and      such costs   were  not 
       covered by insurance   or other compensation. 
 f.    Covered   supplier costs: Copy of contracts, orders,   or purchase orders   in effect   at any time before the Covered      Period (except 
       for perishable goods), copy of   invoices, orders,   or purchase orders paid during   the  Covered   Period and receipts,    cancelled 
       checks, or account statements verifying those eligible        payments. 
 g.    Covered   worker protection expenditures:     Copy   of invoices, orders,   or purchase orders  paid during the Covered Period and 
       receipts, cancelled checks,   or account statements    verifying those  eligible payments, and documentation that        the expenditures 
       were used by the Borrower   to comply with    applicable COVID-19 guidance        during the    Covered Period. 
                            
Other Records: All records relating   to the Borrower’s PPP loan,       including documentation   submitted     with   its PPP loan 
application, documentation supporting the Borrower’s certifications as     to its eligibility  for   a PPP loan (including     the Borrower’s 
revenue reduction certification for a Second Draw    PPP Loan,       if applicable), documentation necessary to support        the Borrower’s 
loan forgiveness application, and documentation demonstrating the Borrower’s material compliance with              PPP     requirements.   
 
Records Retention Requirement: The Borrower must retain   all employment records/payroll               documentation     in its files for four 
years and   allother documentation for three years   after the date the loan forgiveness application   is   submitted to   the lender, and  
permit authorized representatives of SBA, including representatives     of its Office of  Inspector General,   to access   such files   upon 
request.  The Borrower must provide documentation independently to a           lender to satisfy relevant  Federal, State, local   or other 
statutory or regulatory requirements   or in connection with an SBA loan review   or audit. 

SBA Form 3508S (07/21)                                         
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