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ELK RIVER ECONOMIC DEVELOPMENT <br /> III MICRO LOAN FUND APPLICATION <br /> I. CONTACT INFORMATION <br /> Company: _ Display Solutions Inc. <br /> Address: 18983 York St. N.W. <br /> City / State / Zip Elk River, MN 55309 <br /> Contact Person(s) Tom Buchta / Bob Michalek / Jim Studee <br /> Business Phone (763) 274-0609 Fax: (763) 274-1282 <br /> 1 Home Phone (763) 753-1859 Email: tombuchta@msn.com <br /> ) <br /> Check One: Proprietor V Corporation Partnership <br /> (Tom)474-76-5158 (Bob) 471-50-0342 (Jim) 390-70-5942 <br /> Social Security No. <br /> 0 Federal ID # State ID # <br /> � l <br /> II. NATURE OF LOAN REQUEST <br /> Which Micro-Loan Program are you applying for? <br /> Supplemental Financing Program <br /> Redevelopment Financing Program <br /> F:) Industrial Incentive Program <br /> Amount Requested: $ 50,000 Total Project Cost: $ 3 a o,o mo <br /> Type of project: <br /> :, New construction for a start up business. <br /> r New construction for an existing business. <br /> On site expansion <br /> ✓ Equipment purchase <br /> Remodeling: (circle one) Commercial / Retail / Industrial <br /> Other <br /> Please give a brief summary of your business and its products or service: <br /> DSI will design, engineer, manufacture and distribute two product lines. Store Fixtures <br /> and Point-of-Purchase displays. DSI will also outsource through local venders to provide <br /> our customers a fulfillment program. Outsourced items are typically stored at our location <br /> and shipped in conjunction with our manufactured product. <br />