Court filing
Exhibit 1 - ATS DocuSigned PPP Application — USA v. Thomas et al. (Dkt. 565-1, N.D. Ga.)
Summary
Exhibit 1, filed as Document 565-1 on 09/08/22 in Case 1:20-cr-00296-JPB-CMS, begins with a DocuSign Certificate of Completion for a Paycheck Protection Program envelope originated by Kimberly Moore and signed by Amanda Christian on 7/23/2020 after LexisNexis ID checks. It then reproduces a PPP Borrower Application Form (SBA Form 2483) for Advertising and Then Some Inc., an S-Corp listing Amanda Christian as Owner with 100% ownership. The application states Average Monthly Payroll of $304,038.00, a Loan Request of $760,207.00 and 65 employees, and selects payroll, lease or mortgage interest and utilities as the loan's purposes. The exhibit ends with Google subscriber information for an account in the name of amanda christian.
Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used
Filed September 8, 2022 in USA v. Thomas et al.; one of 541 filings from this case.
Record facts
| Court | U.S. District Court for the Northern District of Georgia |
|---|---|
| Filed | 2022-09-08 |
Cite this document
“Exhibit 1 - ATS DocuSigned PPP Application — USA v. Thomas et al. (Dkt. 565-1, N.D. Ga.).”
U.S. District Court for the Northern District of Georgia, No. 1:20-cr-00296-JPB-CMS, Doc. 565-1, filed 2022-09-08. Archived at Pandemic Darlings, https://pandemicdarlings.com/court-filings/full-docket-amanda-christian-gand-292218/2022-09-08-gov-uscourts-gand-292218-565-1-doc-565-1/
, SHA-256 3a7e4bcd4c3e51074239745231ef73fadefb6ac28b355748b87fdcaafc7dcf5f.Full text
Case 1:20-cr-00296-JPB-CMS Document 565-1 _ Filed 09/08/22 Page1of7 DocuSign, [illegible] Certificate Of Completion Envelope Id: 34296E822FA645798006D4651547C3FF Status: Completed Subject: Paycheck Protection Program Closing [illegible] Source Envelope: Document Pages: 11 Signatures: 5 Envelope Originator: Certificate Pages: 5 Initials: 11 Kimberly Moore AutoNav: Enabled 2448 Historic Decatur Rd # 200 Envelopeld Stamping: Enabled San Diego, CA 92106 Time Zone: (UTG-08:00) Pacific Time (US & Canada) kmoore@cdcloans:com [illegible] Address: 207.8.423.2 Record Tracking Status: Original Holder: Kimberly Moore Location: DocuSign 7/22/2020 4:05:31 PM kmoore@cdcloans.com Signer Events Signature Timestamp AMANDA CHRISTIAN [illegible] Sent: 7/22/2020 4:13:25 PM simplydevine88@gmail:com [ [illegible] CHRISTIAN Resent: 7/23/2020 9:44:17 AM [illegible] Security Level: Email, Account Authentication Resent: 7/23/2020 12:40:17 PM (None), Access Code, Authentication Viewed: 7/23/2020 12:44:37 PM i Adoption: Pre- | [illegible] Pre-selected Style Signed: 7/23/2020 12:51:02 PM Using IP Address: 107.77.232.98 Signed using mobile Authentication Details ID Check: Transaction: 31006139834975 Result: passed Vendor ID: LexisNexis Type: iAge Recipient Name Provided by: Recipient Information Provided for ID Gheck: Address, [illegible] SSN4, DOB Performed; 7/23/2020 12:43:05 PM ID Check: Transaction: 31006139835325 Result: passed Question Details: Vendor ID: LexisNexis passed [illegible] Type: iAuth passed county.lived.single.real Recipient Name Provided by: Recipient passed property.association.single.real Information Provided for ID Check: Address, passed person, [illegible] [illegible] SSN4, DOB failed vehicle.historical.association.real Performed: 7/23/2020 12:44:23 PM passed [illegible] Electronic Record and Signature Disclosure: Accepted: 7/23/2020 12:44:37 PM ID: [illegible] In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp CDC-SBF_00000048 Case 1:20-cr-00296-JPB-CMS Document 565-1 Filed 09/08/22 Page 2 of 7 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent [illegible] 7/23/2020 124017 PM Certified Delivered Seourity Checked [illegible] PM Signing Camplete Security Checked [illegible] 125102 PM Completed Secunty Checked 7/23/2020 12:51:02 PM Payment Events. Status [illegible] Electronic Record and Siqnature Disclosure CDC-SBF_00000049 DocuSign Envelope ID: [illegible] Case 1:20-cr-00296-JPB-CMS Document 565-1 Filed 09/08/22 Page 3 of 7 Paycheck Protection Program Borrower Application Form Revised June 24, 2020 OMB Control No.: 3245-0407 Expiration Date: 10/31/2020 Check One: [ ] Sole proprietor [ ] Partnership [ ] C-Corp [X] S-Corp [ ] LLC [ ] Independent contractor [ ] Eligible self-employed individual [ ] 501(c)(3) nonprofit [ ] 501(c)(19) veterans organization [ ] Tribal business (sec. 31(b)(2)(C) of Small Business Act) [ ] Other DBA or Tradename if Applicable Business Legal Name Advertising and Then Some Inc. Business Address Business TIN (EIN, SSN) Business Phone 701 Washington Ave N STE 111-110 27-2708976 8039207268 Primary Contact Email Address Amanda Christian someadvertising0@gmail.com Average Monthly Payroll: $304,038.00 x 2.5 + EIDL, Net of Advance (if Applicable) Equals Loan Request: $760,207.00 Number of Employees: 65 Purpose of the loan (select more than one): [X] Payroll [X] Lease / Mortgage Interest [X] Utilities [ ] Other (explain): Applicant Ownership List all owners of 20% or more of the equity of the Applicant. Attach a separate sheet if necessary. Owner Name Title Ownership % TIN (EIN, SSN) Address Amanda Christian Owner 100 251-716613 118 Pine Loop Drive Blythewood, SC 29016 If questions (1) or (2) below are answered "Yes," the loan will not be approved. Question Yes No 1. Is the Applicant or any owner of the Applicant presently suspended, debarred, proposed for debarment, declared ineligible, voluntarily excluded from participation in this transaction by any Federal department or agency, or presently involved in any bankruptcy? [ ] [X] 2. Has the Applicant, any owner of the Applicant, or any business owned or controlled by any of them, ever obtained a direct or guaranteed loan from SBA or any other Federal agency that is currently delinquent or has defaulted in the last 7 years and caused a loss to the government? [ ] [X] 3. Is the Applicant or any owner of the Applicant an owner of any other business, or have common management with any other business? If yes, list all such businesses and describe the relationship on a separate sheet identified as addendum A. [ ] [X] 4. Has the Applicant received an SBA Economic Injury Disaster Loan between January 31, 2020 and April 3, 2020? If yes, provide details on a separate sheet identified as addendum B. [ ] [X] If questions (5) or (6) are answered "Yes," the loan will not be approved. Question Yes No 5. Is the Applicant (if an individual) or any individual owning 20% or more of the equity of the Applicant presently incarcerated or, for any felony, presently subject to an indictment, criminal information, arraignment, or other means by which formal criminal charges are brought in any jurisdiction? [ ] [X] Initial here to confirm your response to question 5 -> AC 6. Within the last 5 years, for any felony involving fraud, bribery, embezzlement, or a false statement in a loan application or an application for federal financial assistance, or within the last year, for any other felony, has the Applicant (if an individual) or any owner of the Applicant 1) been convicted; 2) pleaded guilty; 3) pleaded nolo contendere; or 4) commenced any form of parole or probation (including probation before judgment)? [ ] [X] Initial here to confirm your response to question 6 -> AC 7. Is the United States the principal place of residence for all employees of the Applicant included in the Applicant's payroll calculation above? [X] [ ] 8. Is the Applicant a franchise that is listed in the SBA's Franchise Directory? [ ] [X] SBA Form 2483 (06/20) 1 CDC-SBF_00000044 DocuSign Envelope ID: [illegible] Case 1:20-cr-00296-JPB-CMS Document 565-1 Filed 09/08/22 Page 4 of 7 Paycheck Protection Program Borrower Application Form Revised June 24, 2020 By Signing Below, You Make the Following Representations, Authorizations, and Certifications CERTIFICATIONS AND AUTHORIZATIONS I certify that: * I have read the statements included in this form, including the Statements Required by Law and Executive Orders, and I understand them. * The Applicant is eligible to receive a loan under the rules in effect at the time this application is submitted that have been issued by the Small Business Administration (SBA) implementing the Paycheck Protection Program under Division A, Title I of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) (the Paycheck Protection Program Rule). * The Applicant (1) is an independent contractor, eligible self-employed individual, or sole proprietor or (2) employs no more than the greater of 500 or employees or, if applicable, the size standard in number of employees established by the SBA in 13 C.F.R. 121.201 for the Applicant's industry. * I will comply, whenever applicable, with the civil rights and other limitations in this form. * All SBA loan proceeds will be used only for business-related purposes as specified in the loan application and consistent with the Paycheck Protection Program Rule. * To the extent feasible, I will purchase only American-made equipment and products. * The Applicant is not engaged in any activity that is illegal under federal, state or local law. * Any loan received by the Applicant under Section 7(b)(2) of the Small Business Act between January 31, 2020 and April 3, 2020 was for a purpose other than paying payroll costs and other allowable uses loans under the Paycheck Protection Program Rule. For Applicants who are individuals: I authorize the SBA to request criminal record information about me from criminal justice agencies for the purpose of determining my eligibility for programs authorized by the Small Business Act, as amended. CERTIFICATIONS The authorized representative of the Applicant must certify in good faith to all of the below by initialing next to each one: AC The Applicant was in operation on February 15, 2020 and had employees for whom it paid salaries and payroll taxes or paid independent contractors, as reported on Form(s) 1099-MISC. AC Current economic uncertainty makes this loan request necessary to support the ongoing operations of the Applicant. AC The funds will be used to retain workers and maintain payroll or make mortgage interest payments, lease payments, and utility payments, as specified under the Paycheck Protection Program Rule; I understand that if the funds are knowingly used for unauthorized purposes, the federal government may hold me legally liable, such as for charges of fraud. AC The Applicant will provide to the Lender documentation verifying the number of full-time equivalent employees on the Applicant's payroll as well as the dollar amounts of payroll costs, covered mortgage interest payments, covered rent payments, and covered utilities for the 24-week period following this loan. AC I understand that loan forgiveness will be provided for the sum of documented payroll costs, covered mortgage interest payments, covered rent payments, and covered utilities, and not more than 40% of the forgiven amount may be for non-payroll costs. AC During the period beginning on February 15, 2020 and ending on December 31, 2020, the Applicant has not and will not receive another loan under the Paycheck Protection Program. AC I further certify that the information provided in this application and the information provided in all supporting documents and forms is true and accurate in all material respects. I understand that knowingly making a false statement to obtain a guaranteed loan from SBA is punishable under the law, including under 18 USC 1001 and 3571 by imprisonment of not more than five years and/or a fine of up to $250,000; under 15 USC 645 by imprisonment of not more than two years and/or a fine of not more than $5,000; and, if submitted to a federally insured institution, under 18 USC 1014 by imprisonment of not more than thirty years and/or a fine of not more than $1,000,000. AC I acknowledge that the Lender will confirm the eligible loan amount using required documents submitted. I understand, acknowledge and agree that the Lender can share any tax information that I have provided with SBA's authorized representatives, including authorized representatives of the SBA Office of Inspector General, for the purpose of compliance with SBA Loan Program Requirements and all SBA reviews. [signature] Signature of Authorized Representative of Applicant 6-26-2020 Date AMANDA CHRISTIAN Print Name OWNER Title DocuSigned by: AMANDA CHRISTIAN CA803FC35F4C47B... 2 SBA Form 2483 (06/20) CDC-SBF_00000045 [illegible] Document 565-1 Filed 09/08/22 Page 5 of7 Paycheck Protection Program Borrower Application Ferm Revised June 24, 2020 Purpose of this forni: This [illegible] be [illegible] by the authonived representative [illegible] the Applicant-and submited to your SBA Participating Lender Subroission af [illegible] requested information is required to make a determination regarding eligibility for financial assistance. Failure to [illegible] the information would affect that determination; lnstructions for completing this form: With respect to “purpose of the loan,” payroll costs consist of compensation to eniplovees (whose principal place.of residence iS the United Staies) in the form of salary, wayes. commissions, or [illegible] cash tips orthe equivalent [illegible] on emplover reccrds of past [illegible] absence of Such [illegible] a reasonable, [illegible] emplover estimate of such tips): payment [illegible] parental, [illegible] or sick [illegible] allowance for separation or dismissal. [illegible] for the provision of employee bencfits consisting of group health care coverage. eluding insurance [illegible] [illegible] payment [illegible] and local taxes assessed. on compensation of employees, and for ai iidepiendent [illegible] or sole [illegible] wage, [illegible] INCOME, oF net earnings from self employment or similar: compensation, For purposes of calculating “Average Monthly Payroll,” most Applicants will use the average monthly payroll for 2[illegible]19, excluding costs over $100,000 on an [illegible] basis for each employee. For seasonal businesses, the Applicant may elect lo instead use average monthly payroll forthe [illegible] period between February 15, 2019 and June 30, 2019 or any [illegible] period between May 1, 2019 and September 15, 2019, oxcluding costs over $100,000 [illegible] annualized basis foreach [illegible] For new businesses. average [illegible] payroll may [illegible] calculated wing the time period from [illegible] 2020 to February 2[illegible], 2020, excluding costs aver $100,000 [illegible] annualized basis for each employee: Applicant is refinancing an Economic Injury Disaster Loan [illegible] Add the outstanding amount ofan EIDL made between January 31, 2020and April 3, 2020, less the amount of any [illegible] under av [illegible] COVID-19 loan, to Loan Request 2s indicated on the form. All parties listed below are considered owners of the Applicant as defined in 13: CFR § 12[illegible].10, as well as [illegible] * Fora sole [illegible] the sole proprietor; * [illegible] all general partners, and wil [illegible] caning 20% Gr more of the equity [illegible] * Fora corporation, all [illegible] er 20% or [illegible] of the [illegible] @ Por [illegible] lability [illegible] members [illegible] 20% or [illegible] ef the company: and * Apy Truster UT tie [illegible] by a [illegible] [illegible] Reduction Act ~ You are not required [illegible] to [illegible] of information unless [illegible] valid OMB Conmol Nuniber. [illegible] tine for [illegible] this application, including [illegible] data needed, [illegible] minutes. [illegible] about this [illegible] or the information requested should be sent to: Small Business Administration, Director, Reeords. [illegible] Division. [illegible] Jad St, [illegible] DC 20416, andlor SBA Desk Officer, Office of Management and Budget, New Executive Office Building, Washington DC 20503. PLEASE DO NOT SEND FORMS TO THESE ADDRESSES. [illegible] Privacy Act ([illegible].[illegible].[illegible].[illegible], [illegible] Underthe provisions of the [illegible] Act, [illegible] not [illegible] to [illegible] Your Social security Huniber. [illegible] ta provide your social scourtly number may not allect any right, venelibor privilege [illegible] you are [illegible] (Bui see Dcbr Collection Notice renardine [illegible] identification number below.) Disclosures of name and other personal identifiers are required te provide SHA with [illegible] information [illegible] character [illegible] When [illegible] SBA [illegible] the [illegible] integrity, candor [illegible] dispésities toward criminal [illegible] [illegible] authorized us verifv-your criminal history, or lack thereof, [illegible] section [illegible] 1[illegible] USC Section [illegible] ofthe Small Business Aci (the Act) Disclosure of Information — Requests for information about another party may be denied wiless SHA has Ure written permission of the individual [illegible] release ihe information le the requestor or unless the [illegible] is subjectto disclosure: under the Freedom of Information Act The [illegible] authorizes SBA to make certain “routine wees” of information protected by that Act. One mich routine use is the disclosure af information [illegible] [illegible] SBA's [illegible] records when this information indicates a [illegible] or potential violation of law, whether [illegible] administrative [illegible] Specifically, SBA may refer the information to the appropriate agency. whether Federal. State; local or foreien, charged with [illegible] for: [illegible] otherwise involved in investigation. prosecution, enforcement or prevention of such violstions. Another routine usc is disclosure to other Federal [illegible] background checks [illegible] the extent the [illegible] w relevant [illegible] the requestine [illegible] tinction: See 74 FoR. 14890 (200[illegible]), and [illegible] amended from time to time for additional background and other routine uses, In addition, the CARES Act, requires SBA 10 register every loun made [illegible] the Paycheck Protection Act [illegible] te Taxpayer Ident fication Numiber( TIN) assigned [illegible] the borrower. Debt Collection Act of 1982, Deficit Reduction Act of 1984 (31 [illegible] 2701 [illegible] and other tithes) SBA must [illegible] your taxpaver identification [illegible] fora lost [illegible] do ror make payments [illegible] came duc, SBA may? [illegible] Ly report the [illegible] of your [illegible] [illegible] bureaus, (2) hire [illegible] agency to [illegible] your loan, (3) offset your Income [illegible] refund orether [illegible] tromethe Federal Government. [illegible] suspend or debar you or your company from doing business with the Federal Government, [illegible] your loan tu the [illegible] of [illegible] on collateral arteke other attion [illegible] in the [illegible] instruments, SBA Form 24[illegible]3 (06/20) CDC-SBF_00000046 [illegible] Document 565-1 Filed 09/08/22 Page 6 of 7 See Payeheck Protection Program [illegible] Borrower Application Form Revised June 24, 2020 Right to Financial Privacy Act of 1978 (12 U.S.C. 3401) — The Right to Financial Privacy Act of 1078. grants SBA access rights [illegible] heid by financial institutions tharate‘or have been doing business with you or your business [illegible] any financial institutions particinatiag ima loan or loan guaranty. SBA ig only required provide [illegible] certificate of its compliance with the Act [illegible] financial mbtitution in connection with its first request for access to your financial records. SBA’s access rights continue for the term of any approved loan [illegible] agreement SHA [illegible] authorized to [illegible] another Governmient authority any financial records concerning an approved loan or loan [illegible] as necessary to process, service dr foreclose ona loan guaranty. [illegible] on a defaulted loan [illegible] Freedom of Information Act (5 U.S.C. 552) ~ Subject to certain exceptions. SBA Must supply information reflected in agency fileyand mcordstoa person requesting it. Information about approved [illegible] be [illegible] includes: atnoud other things, statistics On our loan programs (individual borrowers are not [illegible] in the [illegible] and-other information: such [illegible] the borrowers [illegible] their [illegible] directors, stockholders or partners), the collateral pledged t¢ secure the loan. the amount [illegible] loan, its purpose in general terms endabe maturity: Proprictary dara on a borrower would not naninely be made avaiable to third parties: All requests [illegible] this Act are to be [illegible] to the nearest SRA office and be identified [illegible] Freedom. [illegible] Information request. Occupational Safety and Health Act (15 U.S.C. [illegible] seq.) ~ The Oceupational Safety and Health Administration [illegible] can require businesses to modify facilities and procedures to protect employecs. Businesses that do not comply may be fined, forced [illegible] operations, [illegible] starting operations. Signing this form is certification that the applicant, to the best of its knowledge, is in compliance with the appleable OSHA requirements, and will remain in compliance during the life of the loan, Civil Rights (13 [illegible] 112, 113, 117) ~All businesses receiving SBA financial assistance’ [illegible] agree [illegible] to [illegible] business practice, including employment practices and services to the public on the basis of [illegible] in [illegible] Parts 112, [illegible] and 117 of SBA Regulations. All borrowers [illegible] display the [illegible] Einployment Opportunity Poster" prescribed by SBA. Equal Credit Opportunity, Act [illegible] 1691) ~ Cooditors are prohibited from discriminating avzinst credit applicants [illegible] the basis of [illegible] religion, national origin, sex, marital stetus or age (provided the applicant has the [illegible] inte a binding [illegible] because all or part of the applicant's income derives from any public assistance program: or because the applicant hasin good [illegible] undertie [illegible] Credit Protection Act Debarment and Suspension [illegible] Order 12549; (2 CFR Part 180-and Part 2700) ~ By submitting this loan application, you verity [illegible] neither the Applicant or any owner of the Applicant have within the past three years been: (a) deburred, suspended. declared ineligible or voluntarily exciuded irom participation in a transaction by any Federal [illegible] (b) formally proposed. for debarment, with a, final determination ‘still pending: [illegible] indicted: convicted, or had a civil judgment rendered against you for anv of the offenses lisied m the regulations or (d) delinquemy [illegible] amounts owed tothe US. [illegible] dr ite [illegible] as of tie date Sf execution of this certification. SBA [illegible] 24[illegible]3 (0[illegible]/201 CDC-SBF_00000047 Case 1:20-cr-00296-JPB-CMS [illegible] Filed 09/08/22 Page/7of7 [illegible] * Google Confidential and Proprietary * [illegible] GOOGLE SUBSCRIBER INFORMATION Google Account ID: 626962689073 Name: amanda christian Given Name: amanda Family Name: christian e-Mail: simplydevine88@gmail.com Alternate e-Mails: Created on: 2010-08-08 22:55:57 UTC Terms of Service IP: 72.126.209.23 Terms of Service Language: en US Birthday (Month Day, Year): - -, - Services: Gmail, Android, Google Calendar, Google Hangouts, Google Alerts, Android Market, Location History, Google Photos, Google Voice, Google Maps, Web & App Activity, Google Chrome Sync, Google Cloud Print, YouTube, Google Payments, Google Maps Engine, Google Play Music, Wallet Transfer, Google Services, Google My Maps, Google Drive, Google Domains, Google Docs, Google My Business, Has Madison Account, Google Keep Deletion Date: Deletion IP: Status: Enabled Last Logins: 2021-05-23 21:09:26 UTC, 2021-05-23 19:46:38 UTC, 2021-05-22 10:38:44 UTC ACCOUNT RECOVERY Contact e-Mail: simplydevine88@gmail.com Recovery e-Mail: amandachristian@scsenate.gov Recovery SMS: +18039207268 [US] PHONE NUMBERS Signin Phone Numbers: User Phone Numbers: +18039207268 [US] Reachable Phone Numbers: 2-Step Verification Phone Numbers: IP ACTIVITY . Activity Android | Apple iOS Timestamp IP Address Type ID IDFV 2021-05-13 [illegible] i 14-13-32 UTC 2600:387:2:811::be Login 2021-05-13 2703D-00024892
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