7.2. EDSR 04-19-2021 �J
etyof
ElkRequest for Action
River
To Item Number
Economic Development Authority 7.2
Agenda Section Meeting Date Prepared by
General Business April 19, 2021 Colleen Eddy, Economic Development Specialist
Item Description Reviewed by
COVID-19 Small Business Emergency Microloan Cal Portner, City Administrator
Application Reviewed by
Action Requested
Approve,by motion,the COVID-19 Small Business Emergency Microloan Application for Azitala Yoga.
Background/Discussion
At the March 20, 2021, meeting,the Joint Finance Committee recommended approval of the Azitala Yoga
COVID-19 Small Business Emergency Microloan Application.Azitala Yoga is requesting$5,000 for property
tax relief.
Azitala Yoga was closed in the Spring of 2020 for 89 days,November 20, 2020, and January—March 15,2021.
They propose to utilize the $5,000 for property tax relief. A complete application and all supporting
documentation was submitted and they are an eligible business type noted in Executive Orders 20-04 and 20-
08.
Financial Impact
The EDA allocated funding of up to $200,000 for this program from the general microloan fund account.
Currently, the total forgivable loans disbursed for this program is $113,374,leaving an available balance of
$86,626. The Microloan fund balance is about$829,000.
Attachments
■ Azitala Yoga Application Documents
The Elk River Vision
A Y�elcoming community nvith revolutionary and spirited resourcefulness, exceptional P U W E H E o s r
service, and community engagement that encourages and inspires prosperity ,g /` UR
IKiver
COVID-19 Small Business
Emergency Microloan Program
13065 Orono Parkway
Elk River, MN 55330
763.635.1000
ElkRiverMN.gov
MAR 4 3 2021
P OR E RER Rr
NATURE
COVID•19 Small Business Emergency Microloan Program
Purpose
The City of Elk River Economic Development Authority (EDA) has developed the small business
emergency assistance nucroloan program to provide financial assistance to locally owned and operated
businesses adversely impacted by the COVID-19 pandern c.
Eligibility
The COVID-19 Small Business Emergency Microh an Program is available to locally owned and
operated small businesses located within the City of Elk River.
1. Eligible business types include locally owned and operated businesses noted in
Executive Orders 20-04 and 20-08, including but not limited to:
a. Restaurants, cafes, coffeehouses, and other places of public accommodation
offering food or beverage for on -premises consumption
b. Tavems, brew pubs, microbreweries, distilleries, wineries, tasting counts and
other places of public accommodation offering alcoholic beverages for on -
premises consumption
c. Gymnasiums, fitness centers, indoor sports facilities, indoor exercise facilities,
exercise studios, businesses offering massage therapy of similar bodywork,
spas, salons, nail salons, cosmetology salons and barber shops. This includes,
but is not limited to, all salons and shops licensed by the Minnesota Board of
Cosmetologist Examiners and the Minnesota Board of Barber Examiners.
d. Art and music studios
e. Bowling alleys, skating rinks and other similar recreational or entertainment
facilities
E Other businesses deemed nonessential under executive orders adopted by the
Governor of the State of Minnesota
g. Other businesses as approved by the EDA
2. The business must have been in operation prior to the Governor's Executive Order
3. Be a legal entity registered with the Office of the Minnesota Secretary of State and be
in good standing
4. Be a conforraing or legally nonconforming use under the current city zoning
regulations of the city
5. Not be in violation of the city's zoning code
6. Be in compliance with city ordinances, codes, licensing, and must not have any
delinquent taxes, bills, or other charges due to the city
Amount: Up to $20,000 Loan
Up to $5,000 in Property Tax Relief
Application Pee: Waived
Equity: None
Rare: Fixed at 0'/u
Term: Loans will be payable over 5 years and will be amortized over a period of 10 years.
21' a-
Payment: Loan is defected for 6 months upon approval of the loan agreement.
Forgivable: Up to $5,000 is eligible for forgiveness for property net relief for taxes payable in 2020.
Lease or ownership documentation is required. Forgiveness for property tax relief will be granted if
the Borrower has met the reporting requirements listed below.
Extension: In the event the Borrower is unable to obtain conventional financing to replace the
N icmloan at the end of five years, the loan may be extended up to two additional years at a market
rate of interest.
Collateral: Loans most be supported by sufficient collateral, which will include personal guarantees
and/or corporate guarantees.
Supporting Documentation:
1. Proof of ownership or signed lease.
2. Proof of submittal, acceptance, approval and/or denial of SBA and DEED loan
applications (not absolutely required)
3. Copy of page from business's most recent federal tax return indicating gross receipts or
sales
4. A W-9 form (with signature)
5. Other supporting documentation you wish to provide to the EDA to assist in
understanding the applicant's situation.
6. Narrative descriptions and estimated calculations of the negative impacts on the business
due to COVID-19
7. Description of costs to be paid with the proceeds of the loan
8. Nanative description of the plans for resuming operations following the COVID-19
crisis
Permitted Fund Uses:
Awarded funds may be used exclusively for current payroll obligations (may not include employees
who have been laid oft), lease or mortgage payments, utilities, accounts payable, property taxes and
other critical business expenses that can't be paid as a direct result of the COVID-19 pandemic.
Awarded funds may not be used for business owner's/manager's personal uses or expenses.
Ineligtible Fund Uses:
Assistance cannot be provided to businesses or nonprofits that
1. Do not have a physical business address within the City of Elk River
2 Are home-based businesses
3. Derive income from passive investments without operational ties to operating businesses
4. Primarily generate income from gambling activities
5. Generate any pan of its income from adult-oriented or tobacco/vaping-related activities
6. l3ave no content or historical financial statements
7. Previously received emergency funds from the EDA
Fund Availability:
31 a,
Funds are granted on a fust come, fust serve basis and will be provided until the fords ate exhausted
or the city -declared state of emergency declaration is lifted, whichever comes fust.
Repotting.
As a condition for receiving funding, all recipients are requited to submit a brief report to the EDA
widen sixty (60 days of receiving funds, specifying how the funds were used and providing evidence
in the form of paid invoices, statements or similar documentation.
41,.'g
COVID-19 Small Business Emergency Microloan
Program Application
Applicant Information
DBA- Legal Name of the Business: Azitala
❑ Sok Proprietorship
❑ Partnership
❑ Corporation
® LLC
Length of Time in
. Years a
Fed
MN State
Business
Months 11
Tax Id# 46-2080929
License
Mailing Address
716 Freeport Ave
City Elk River
Zip 55330
Location Address
716 Freeport Ave
City Elk River
Zip 55330
Business Phone
( 763 ) 5951099
Business Fax
( )
&Mail Address
i
Web Address
www.witala.mm
Contact Name
Tanya Rice
Title
Owner
Is your business
Is yaw business
currently in good
currently registered
YES
with the
YES
Minnesotastanding
with the Minnesota
Minnesota
Secretary of State?
?
Secreta of State?
8 - Loan
Total amber of employees: I
Amount of Funding
S 5000 _
The number of your employees
Requested
Forgivable Loan
who have been impacted by the
(Property Tax Relief)Governor's
Executive Orders? 1
Was your business subject to the Govetnods Executive Orders 20-04 and 20-08? How has
the Govemoes Executive Orders financially affected your business?
As a work out facility, we were required to be closed from spring 2020 for 89 days as well as
November 2020 into November. Also, during the time we were able to be open from June -November,
2020, as well as January -March 15, 2021 it was at a 25% capacity. The latest mandate, is still at a
reduced capacity of 50%. Our Monthly revenue has been greatly impacted, as we were unable to have
classes, and now have strong mandates around the group classes. In addition, we have had many
Members cancel their memberships.
51
For what purpose will these funds be used? Please include proposed expenses up to
rural funding request. (For example: lease expenses for June ($2,000), payroll for
employees, utilities, etc).
Lease espenaes specific W property lazes: 927.44/mo for 12 months= $11,129.28 Annually
We have continued to offer online classes whenever possible, and 0 maintain our class schedule, when we
are allowed by mandate to be open.
Principal #1
Name Tanya Rice
DOB 03-27-1972
SS#
Address 25396164 1/2 st
City Big Lake, MN
ZIP 55309
Percentage of Ownership loo
Title
Prim incl #2
Name
DOB
SS#
Address
City
ZIP
Percentage of Ownership %
Title
prima,v i�ndre
Nerve
Phone
Ref#
Address
Fax
Contact
Title
61'
Eligible Applicants
• All eligible business categories must be referenced in Governor Walz's Executive Orders
(EO 20-04 and EO 20-08).
• Must have a physical, commercial location, whether owned or leased, that is located in city
limits of Elk River, MN.
• Most be registered with the Minnesota Secretary of State.
• Must be current with Sherburne County property taxes.
Application Requirements
• The "COVID-19 Small Business Emergency Microloan Program" application most be
completed in its entirety by the applicant and submitted to:**
City of Elk River
13065 Orono Parkway
Elk River, MN 55330
Electronic submissions ase also accepted to andho udrr i e1krivcmin,vo
• AO loans will be subject to the EDA's COVID-19 Small Business Emergency Microloan
Program.**
• Applications will be considered on by the Joint Finance Committee and acted on by the
EDA.**
• The most recent federal tae return fled by the business indicating gross receipts of sales.
• Income statements and balance sheets for the past year or cutrent within 90 days, if the
business has been in business less than one year.
• Proof of ownership or signed lease.**
• Proof of submittal, acceptance, approval and/or denial of SBA and DEED loan applications
(not absolutely required).
• A W-9 form (with signature).**
• Other supporting information requested fiorn staff to review eligibility.**
• If funds are awarded, a brief report to the EDA within two months after receiving funds,
specifying how the finds were used and providing evidence in the form of paid invoices,
statements or similar documentation.**
**Only needed brpmpen7 mxreffef
Applicant Acknowledgement:
• The applicant shall hold the EDA, its officers, consultants, attorneys, and agents harmless
from any and all claims arising from or in connection with the COVID-19 Small Business
Emergency Microlom Program or its application, including but not limited to, any legal or
actual violations of my state or federal laws.
• The applicant recognizes and agrees that the EDA retains absolute authority and discretion
to decide whether or not to accept of deny any particular application, and that all
expenditures, obligations, costs, fees, or liabilities incurred by the Applicant in connection
with the application are incurred by the applicant at its sole risk and expense.
71P g
• The applicant acknowledges that they have read the COVID-19 Small B¢shiess Emergency
N icroloan Program guidelines and understands that if the applicatlon is approved for
funding, loan funds awarded must only be used to pay eligible expenses.
Data Privacy Notice: The city and the EDA are subject to Minnesota Statutes Chapter 13 (the
"Minnesota Government Dara Practices Acq, The application shall become the property of the city
and/or EDA and is subject to the Minnesota Government Data Practices Act.
LOAN PROGRAM POLICY
AUTHORIZATION FOR RELEASE OF INFORMATION
I declare that the information provided in this application and on the accompanying exhibits is
true and complete to the best of my knowledge. I agree to be bound by all terms and
conditions of the COVID-19 Small Business Emergency Microlom Program The City of Elk
River Economic Development Authority has the right to verify any information contained in
this application, including creditreports on the individuals and the business, and may contact any
individuals and institutions involvedwith the proposed project. The lenders named herein have
the tight to share information with the EDA, its Finance Committee and boards u is necessary
W approve the application forits loan funds.
Signature/Title of Applicanta[e:
Siguature/Title of
Applicants are encouraged to review the Governor's Executive Orders 20-04 and 20-08 for
further definition and clarification of businesses that are or are not eligible for this COVID-
19 Small Business Emergency Microlom. The EDA retains final authority m determine if a
business is eligible or not, and whether to approve a loan or not.
For questions, call 763.635.1042 or cell at 763.218.2766 or email � of houdrg eiknvcrmn .o.,.
COVID-19 Small Business Emergency Microloan Program
Policy History
Ado ted b(date) - Item
it
EDA 5/1/1 8/2020 7.2
8
LEASE
TRIS LEASE ("Lease'), the "Effective Date" of which is April }q 2019, is made and
entered into by and between ELK SLIVER PLAZA MANAGEMENT, on behalf of Ellavia Elk
River, LLC, a Minnesota limited liability company, Naples Partners 8, LLC, a Minnesota limited
liability compmry, and Naples Partners C, LLC a Minnesota limited liability company
(collectively, the "Landlord") and AZITALA L.L.C., a Minnesota limited liability company
("Tenant'), upon the fotlo mg tams and conditions:
ARTICLE 1 • DEVINMONS
Unless the context otherwise specifies or requires, the Following terms shall have the
meaning specified harm:
Lt. B119ditu. The term "Building" shall meant the building located at $O4 Freeport
Avemte NW, Elk River, Minnesota 55330, in winch the Premises is located-
[.2,
ocated
L2. Prelim gg. t:e term "Ptentises" sA®li mean Suite 716 in the Building.
1.3, Rentable Arra of the Premises, The term "Romablc Area of the Premises" shalt
mean approximately 3,1)00 square feet, wtuch Landlord and Tenant have stipulated as the
Rentable Arca of the Prem aes, which stipulation shall be binding on Landlord and Tenant.
Tenant acknowledges that the Rentable Area of the Premises includes the usable area, without
deduction for columns or projections, multiplied by a load or connection factor to reflect a share
of certain areas, which may include lobbies, coindaS, mechanical, utility, janikui34 boiler and
service rooms and ulcacN restrooma and ctber public, common and service areas of the
Building.
1.4 Leas@ Term. The term "Lease Term" or "Term" aball mean the period between
the Commencement Date and the Expiration Date (as such terms are hereinafter defined), unless
sooner terminated as otherwise provided in this Lease
I.S. Lease Year. The first "Lease Year' shall be the period from the Commenxmcat
Doc through the end of the twcifth ()2th) fall calendar month thereafter. Each subsequent Cease
Year abell be the twelve (12) calendar months after ibccad of the prceeding Least Year.
I.6. Comme_uremeat Dote. Subject to adjustincm as provided m Article Int, the term
•+Cormnencetneo Date" shell mean May 1, 2019.
I.7. Exuhetiun Date. Subject to adjustment as provided in Article BL, and subject to
the "Renewal Options" as set forth in Article VI, the term "Expiration Date" shall mean July 31,
7022.
I.S. TenaaYs Pemenl.Ye_ Shure. Except as otherwise set forth w Section 4.02, the
terra "Tenant's Perxnrage ShAre" shall initially mean Eleven and 9r100tha percent (l I A9%)
with respect to Operating Expenses and TwcntyTwo and 751100ths percent (22.75%), with
respect to Property Taxes (as suck terms are hereinafter defined) and one hundred percent
_2.
(100'1.) with IeTW to Tetaat's law compliance obligations under Section 7.02 of this Lease.
Landlord may reasonably re -determine Tenant's Percentage Sparc from time to dme m refleel
mon igivation, additions or modifications to the Building.
1.9. TemaIll Porsini i . 711c tern "remnt's Permitted Use" shall mean for the
provision of a yoga sod fitness studio and no other use.
1.10. Landl M'ss Address For Nottow. The tern "Landlord's Address for Ntouces"
shall mean P.O. Box 270263, Golden Valley, MN 55427, with a copy to Ellavia Elk River, LLC,
P.O. ism 3345, Minneapolis, Minmsata 55403.
Ll1. Trnant's Address For Notteea The term 'Tenant's Address for Notices" shall
mean 904 Freeport Avenue NW, Suite 716, Elk River, Minnesota S5330.
1.11. GuardritPS. Guarantor shall mean Tanya Rice, pu suent to the ouatanty attached
hereto as Exhibit A_
ARTICLE II • PSLEMURS
ll.l. Mese of Premises, For and in consideration of tho renis herein reserved to be
paid by Tenant w Landlord, and of the mutual covenanu and agreements set forth herein
Landlord hereby lcasas The Premises to Tenant, and Tenant hereby leases the Premises from
Landlord for the Term set forth in this Lease.
11.2. Acceptance of Premises On the Commencement Date described heroin, Tenant
shall receive fiom Landlord electrical, plumbing and HVAC in certified good working condition.
Except as noted above, Tenant shall receive from Landlord the Premises in it lhcn current "AS
13, WHERE IS, WITH ALL iAULTS" ooadilion together with any existing fixnnes and
improvements currently located within the Premises From and afterde)ivery of the Premises to
Tensn4 Tenant shall be solely responsible for all oasts incurred in connection with the design
and construction of the "Initial Tenant Improvements" described in Article X and for complying
with the provisions of Article X in convection with the design and emlSlNetion of the Initial
Tenser Improvements, Tenant acknowledges that Landlord has not made any representation or
warranty with respect to the oondidon of the Premises or the Building or with toMlsect to lbe
suitability or fitness of either for the conduct of Tenant's Pcrmttted Use or for say 011ier purpose.
TIC(,lR LE III - TERNS
Rl.l. Except as otherwise provided in this Lease, the (.ease Term shall be for the period
described in Samioo 1.05 of this Lcase, commencing an the Commencement Date described in
Section 1.06 of this Lease and ceding ter the Expiration Date described in Section 1.07 of this
Lease; provided, however, that, if, for any reason. Lendlo*d is unable to deliver Possession of the
Premises on any date certain Landlord shall not be liable for any damage caused thereby, nor
shall the Lease be void or voidable, but, rather, the Leasc Term shall commettre upon, and the
Commeneemiatt Date sboll be the date that the possession of the Premises is se tendered to
Tenant (except for Tenant -caused delays which aball not be deemed to delay commatament of
the Lease Teter), and, unless Landlord elects. otherwise, the Expiration Date described in
Section 1.09 of this Lease shall be extcrWcd by an equal number of days.
-3-
IN WMMS WHEREOF, d>< parties horew have ema tad dim Lease as of the date
first above written.
ELK RIVER PLAZA MANAGEMENT
By: Ellavia 1. iver, LLC
cwmn,C efManWr
Mmu
TENANT•
AZITALA L.L.C.
"I SiAlc
Taoya Eine. !=mbar and Manager
7l•
-►..'Flop
rr
December 14, 2020 YOGA
RE: Board Meeting For Azitala Yoga, Azitala LLC:
To: U.S. Small Business Administration
Office of Disaster Assistance
Attn: Yashua Carter, Case Manager
Yashua,
I'm writing this letter in reference to the email you sent 11/25/2020, in regards to a signed letter
from the board stating, it is accepting the SBA Loan in question: #7857567903.
Address: Azitala LLC,
716 Freeport Ave, Elk River, MN 55330
a) The LLC, is a sole proprietor, under Tanya Ann Rice.
b) The board, Tanya Am Rice, authorizes the acceptance of the SBA loan fm $52,600.00
c) Tanya Am Rice, as owner, is authorized to sign for the SBA Low Closing documents.
Please feel free to contact me if you have my questions in regards to the above information.
Tanya Am-�iee (1
OwnerryL BL4
azltala yoga
azltala Yoga 716 Freeport Ave, Elk River, MN 55330
(763) 595-1099 Studio
(763) 400.1589 Owuer Cell Page 1
business or profession, including product or service (am Instruction) i S EMaraeMhem Imeactloru
Business nertre. 6 no sale to businew more, leave blank.
E Businessaddresapncludingsuifeorromnnc.)► 716 Freeport Ave
City town or post office state and ZIP coda Elk River, MN 55330
F Accounting method: (1) ®Cash w ❑Accrued (3) ❑OIMr(specify)►________.__._._._._____...__...._...._.-..__._.__
at
G Did you"merially Participate" n the cloorgon of this business during 2019? If'hb," wr inshuctlonafor llm9on bwm ®Yes L]No
H If yes warted or acquired Mie business dudng 2019, check here . . . . . . . . . . . . . . . . . ► ❑
Did you make any payments in 2019 that would raquke you to fin Fonnls)10 . (sea instructions) . . . . . . . . ®Yes ❑ No
1 Gross receipts w sales. See instructions for line 1 and check the box R this Income ams reported to you on
Profit or Loss From Business
OMBNo.
oC4asN
(Sole Proprietorship)
G�1Fl�i
2 Returns and allowarroes . . . . . . . . . . . . . . . . .
►Go to www.frs.9ov/Schedull for instructions and the latest in mom
Anac20
vvka Osi)
►Altach to Form 1010.111,10-SR,1090-NR, orl0n:partntuahips generolN must Me Man 1055.
1 3eweno
business or profession, including product or service (am Instruction) i S EMaraeMhem Imeactloru
Business nertre. 6 no sale to businew more, leave blank.
E Businessaddresapncludingsuifeorromnnc.)► 716 Freeport Ave
City town or post office state and ZIP coda Elk River, MN 55330
F Accounting method: (1) ®Cash w ❑Accrued (3) ❑OIMr(specify)►________.__._._._._____...__...._...._.-..__._.__
at
G Did you"merially Participate" n the cloorgon of this business during 2019? If'hb," wr inshuctlonafor llm9on bwm ®Yes L]No
H If yes warted or acquired Mie business dudng 2019, check here . . . . . . . . . . . . . . . . . ► ❑
Did you make any payments in 2019 that would raquke you to fin Fonnls)10 . (sea instructions) . . . . . . . . ®Yes ❑ No
1 Gross receipts w sales. See instructions for line 1 and check the box R this Income ams reported to you on
9
4,809.
Form W-2 and the "Statutory employed box on thatform wars chccked . . . . . . . ► ❑
1
114, 095.
2 Returns and allowarroes . . . . . . . . . . . . . . . . .
2
0,
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . .
3
114, 095.
4 Cost of goods sold (from line 42) . . . . . . . . . . . . . . .
4
1 r 167 .
5 Grow profit Subtract line 4 from line 3 . . . . . . . . . . . . .
6
112,928.
5 Other Income, Including federal and state gasoline or fuel true credit or refund (see netructiom) . .
S
21
use of your
e Advertising . . . . .
9 Car and truck expenses fees
Instructions). . . .
10 Commissions and fees
11 Contract labor poor instructions)
12 Depletion
13 Depreciation and! section 179
expense deduction (not
Included ire Part III) (see
instructions). .
14 Employee barrow programs
(other than an line 110.
15 Insurance (other then Melih)
16 Interest (we instructor):
a Motgage(paid to banks, atc.)
b Other . . . . . .
17 Legal and proFasaicml waves
9
4,809.
18 Office expense (am instructions)
19 Pension and pre tshadng plans
20 Rent or leans (see instructions):
a Vehicles, machinery, and equipment
Is Other business property . .
21 Repairsardmaintersnce. .
22 Supplies (not included in Part 110.
23 Taxes and lkerses
'N Travel and meals:
a Travel . . . . . . .
b Deductible meals (sae
nstructrons).
25 ufilifim . . . . . .
26 Wages liew employment credits).
Us 011ier expemes (from line 48) .
b Reserved for fubre use .
19
9
5 r 159.
19
0.
20s
0.
10
6. 572.
11
40,106.
201;
37,584.
12
0.
21
18,063.
13
15,794.
22
12,360.
23
6,564.
Me
0.
14
0.
24b
15
2 r 807.
160
0.
26
9.698.
--
16b
5,775.
270
5,117.
17
1,245.
271;
28 Total expenses before expenses for business use of home. Add mass 9 through 27a. . . . . . le
M Tentative profit or Ohms). Subtract line 28 from line 7 . . . . . . . . . . . . . .
30 Expanses for business use of your Mme. Do not report these expenses elsewhere. Attach Form 6829
unlms using the simplified method (see instructions).
Si pliBed method Idlers st9Y; enter the total square footage of: (a)your home: 2200
and (b) the part of your hone used for business: 106 . use the Simplified
Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . .
31 Het profit or Qom). Subtract line 30 from line 29.
e If a prefer, enter on bah Schedule 1 (Form 1040 or 1040.918, Jim 3 (or Form 1040�NR, Ilse 1
131 and on Schedule SE, One 2. (If you checked the box on One 1, see inshuctions Estates and I
28
174,653.
29
-61,725.
30
3/
-61,725.
trusts, enter on Form 1041, line 3. t
• If a low, you must go to line 32. J
32 If you have a low, check Me box that deaoribw yaw investment In fins actively fees instructions).
" If you checked 32a, enter Me was on both Schedule 1 (Form 1040 or 104 61% Has 3 (or
Form to40-1111, line 13) and on Seheduk SE, Me 2 If you checked Me box an line 1, see the line Sibs ® At Investment is st risk
31 hatructions). Estates and trusts, enter an Form 1041, line & 32h some investment Is no[
M risk.
• If you checked 32b you must attach Farm BID& Your low may be limited.
For Paperwork Reduction Act Notice, see the separate Instructions. BAA REYO&20I201TW whedula 0(Furan law or 1040-5162019
Seledule C(Form 1010 or 10 Sfl 2019
When did you place your vehida in service for business purposes? (month, day, year)
pace
Cost of Goods Sold (see instructions)
Of the total number of miles you drove your vehble during 2919, enter the number of miles you used your vehicle for.
a
Business b Commuting (see instructions) a Other
33
Method(s) used to
Was your vehble available for personal use during o8 -duty Mum? . . . . . . . . . . . . . . .
0 Yes
E] No
value closing Inventory: e ® Cosi Is ❑ bower of cost or market
o ❑ Other (attach explanation)
❑ Yes
34
Was there any change In determining quantities, coals, or valuations between opening
and dosing Inventory:±
-
El
ff "Yes; attach explanation . . . . . . . . . . . . . . . . . .
. . . . . . . . ❑ Yea
® No
36
Inventory at beginning of year. If different from last year's closing inventory, attach explanation . . .
36
0.-
.36
W
Purchases less cost of items withdrawn for personal use . . . . . . . .
. . . . .
as
4f 153.
37
Cost of labor. Do not include any amounts paid to yourself . . . . .
. . . . .
37
0.
38
Materials and supplies . . . . . . . . . . . . .
. . . . .
38
0.
39
Other costs . . . . . . . . . . . . . . . . . . . .
. . . . .
30
351.
40
Add lines 35 through 39 . . . . . . . . . . . . . . . . . .
. .40
4x504.
4/
hwenry [oat and of year . . . . . . . . . .
. . .
41
3,337.
43
Coat of goods add Subtract line 41 from line 40. Enter the result fere and on line 4.
e3
1r 167.
Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out If you must
43
When did you place your vehida in service for business purposes? (month, day, year)
44
Of the total number of miles you drove your vehble during 2919, enter the number of miles you used your vehicle for.
a
Business b Commuting (see instructions) a Other
45
Was your vehble available for personal use during o8 -duty Mum? . . . . . . . . . . . . . . .
0 Yes
E] No
46
Do you (or your spouse) have another vehicle available for personal use?. . . . . .
❑ Yes
❑ No
47a
Do you have evidence to supportyour deduction? . . . . . . . . . . . . . . . . . . . .
❑ Yes
El
h
if Wan- in fhanWAanm umthan4 I. . . . . . . . . . . . . . . . . . . . .
f -i Yen
rl No
_.bank char es
Education
non-cash donations free services-3nods
_._._._.._.._._._._....__..._-..__----------------------------- ---- ._.__.._...__—_—............ ._-------- __--____---
ser WLN[a TIW 3Nadrle 0 (Form less or 10WIM) MS
Jonathan B a Tanya A Rip
Smart Worksheets from your 2019 Federal Tax Return
SMART WORKSHEET FOR: Schedule C (yoga services): Profit or Loss from Business
Business Address Information Smart Worksheet
Business street address. 716 Freeport Ave
City, State and Zip Code (do not enter State and Zip Code if foreign address)
Elk River tMl 55330
Or, foreign country Information:
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Request for Taxpayer
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Identification Number and Certification
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requester. Do not
(Hev.OttgRr 2018)
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Elk River, MN 55930
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Enter WurTlN In the appropriate box. The IN provk)e0 most match one name given on line l to sold
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Under peaenies of perjury. ) oalgymd:
1. The number hewn on this farm N mYOamOt taxpayer Matficatlm number (or I
2.1 am not sub)ectro backup w9hholdiag ttewuse: (a) I am exempt hem backup W
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3.1 am a U.S. cGizan w ether U.S. person (de belowY, and
d. The FATCA entails) entered on this form of my) indicating that I am exempt from FATCA reporting Is contrast.
General lnstmetions
Section references are to this Intents Revenue Code utess Warsaw
noted.
Rumors, devNopmmb. For the Ntmt Information about developments
related to Form W-9 and iia insbucnorms, such es Ngblation erected
after Ilrey, were published. 90 to raver gov/FomtWB.
Purpose of Form
An Individual or may (Fenn W-9 requeseq who N recull to Ne an
Information nWm with the IRS most obtain your correct ta:eponer
itlemttMsdan norrlb n(TIM which may be your social security number
(SSN). irdivAtud taxpayeridentiAcatwn number (ITIN), adoption
laxptyer ids, fl ion number (ATIM, or employer identification number
(EIN), to report on an iinformation mem US amount paid m You, w ether
amount rationales on an inlomenon occur. Examples of Information
Mums htGude, but are not limited to.IDe following.
• Form 10994NT (interest aimed or paid)
tat notified by the Intwnal Revenue
or (c) the IRS has notMw me that I am
• From /099,11MV (dividends. mduding those from stouts or mutual
Nroo
• Form 1099,11,4I1 (various types of Income, groes, awards, or gross
proceeds)
• Furm 1089-B (todt or mutual hued sales and chain W or
heneactioreby brokere)
• Form jmM-S Uncoeeda from reel eNate tratmaCgpna)
• Form IN" (memoure card sed third very moerk transactions)
• Fern 1Om (home mortgage interest). 1 QN-E (student loan iWerm),
1099-TMlnon)
• Form 1099-C (canfted debt)
• Fars 1098-A mcquaNion oramelonmentof served property)
Use Farm W-9 only N you are a U.S. pavan pmwlu ling a resident
then), to provide your cometh IN.
If you d0 not mkm Form W.9 in not requester with a IN you might
be subject to focomp wilMoloYrg. See What IS backup withhoki
MEW.
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