Main Street Initiative

I request business management counseling from a Small Business Administration resource partner, the Small Business Development Center. I request counseling and assistance from the St. Louis Small Business Empowerment Center (“SBEC”), New Leaf Climate Partners, and Edward D. Jones & Co., L.P. (together, the “Mentors”). In consideration of the provision of grant funds from SBEC, and counseling and assistance by representatives of the Mentors, I agree to release and waive all claims arising out of the grant funds disbursement, and the counseling and assistance provided by any of The Jones Financial Companies, L.L.L.P. and its affiliated organizations, SBEC, and New Leaf Climate Partners (each an “Organization”), and any representative of an Organization.

I self-certify that I am not currently debarred, suspended or declared ineligible from doing business with any federal department or agency.

I self-certify that I am current on my tax payments.

If selected, I permit the name and logo of my business to be used in external promotions about the Main Street Program. Each Organization may elect to co-brand external communications with the small business upon request, including but not limited to, marketing collateral, press releases, and publications. Each Organization will have the ability to reference my business and use my business’s approved logo (in accordance with brand guidelines) in its marketing materials as a partner.

I consent to the following:

I consent to the vetting of my business for consideration of this program. The Organizations may conduct due diligence to include that I: have paid taxes on time (federal, state, and local income tax; sales tax;); Obey local zoning and permitting requirements; Keep business and professional licenses current.

I self-certify that I am a/the owner of this business.