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ELK RIVER ECONOMIC DEVELOPMENT <br />MICROLOAN FUND APPLICATION <br />1. CONTACT INFORMATION <br />Legal Name of Business: Patriot Converting,Inc. <br />Project Site Address: 12698 Industrial Blvd <br />City / State / Zip Ells River, MN 55330 <br />Contact Person(s) Mike Stilwell <br />Business Phone 763-427-5710 Fax 763-427-5710 <br />Home Phone N/A Email: mik atriotconvertin _com <br />Check One: Proprietor X Corporation Partnership <br />Federal ID # 42.15$9774 State ID ## <br />2. NATURE OF LOAN REQUEST <br />Which Micro -Loan Program are you applying for? <br />Industrial Incentive Program <br />Downtown Revitalization Financing Program <br />Energy Efficiency Improvement Program <br />X Jobs Incentive Program <br />Amount Requested: $ 200,000.00 Total Project Cost: 3 3,981,340.00 <br />Type of project; <br />New construction for a start-up business <br />New construction for an existing business <br />On site expansion <br />X Equipment purchase <br />X Remodeling. (iircle one) / Industrial <br />X Other Building Purchase <br />Page 12 of 19 r 0 r t e 1 6 e r <br />1VA tURB <br />