Court filing
Exhibit 1 — USA v. Zaghab (Dkt. 21.1)
Filed October 29, 2021 in USA v. Zaghab; one of 27 filings from this case.
Record facts
| Court | U.S. District Court for the District of Colorado |
|---|---|
| Filed | 2021-10-29 |
Cite this document
“Exhibit 1 — USA v. Zaghab (Dkt. 21.1).”
U.S. District Court for the District of Colorado, No. 1:21-cr-00188-RBJ, Doc. 21-1, filed 2021-10-29. Archived at Pandemic Darlings, https://pandemicdarlings.com/court-filings/full-docket-anthony-zaghab-cod-207501/2021-10-29-gov-uscourts-cod-207501-21-1-doc-21-1/
, SHA-256 aaba1e7e832c1cea1708f54a8b62fc2468caa43883951434163c52d4d0c342d3.Full text
Case 1:21-cr-00188-RBJ Document 21-1 Filed 10/29/21 USDC Colorado Page 1 of 3 SBA U.S. Small Business Administration Existing Deals Tasks Home / Application / Intake Application Summary Intake Application Summary EIDL Application Number: [redacted]323 Date Created: 06/23/2020 11:36:45 PM IP Address: 2601:280:c300:c950:5086:e932:818d:c930 Disclosures Eligible Entity Verification [x] Applicant is not engaged in any illegal activity (as defined by Federal guidelines). [x] No principal of the Applicant with a 50 percent or greater ownership interest is more than sixty (60) days delinquent on child support obligations. [x] Applicant does not present live performances of a prurient sexual nature or derive directly or indirectly more than de minimis gross revenue through the sale of products or services, or the presentation of any depictions or displays, of a prurient sexual nature. [x] Applicant does not derive more than one-third of gross annual revenue from legal gambling activities. [x] Applicant is not in the business of lobbying. [x] Applicant cannot be a state, local, or municipal government entity and cannot be a member of Congress. Business Information Business Legal Name ZIPPY DOCUMENT PREPARATION & TAX Trade Name ZIPPY DOCUMENT PREPARATION & TAX EIN/SSN for Sole Proprietorship [redacted] Organization Type C-Corporation Is the Applicant a Non-Profit Organization? No Is the Applicant a Franchise? No Gross Revenues for the Twelve(12) Month Prior to the Date of the $1,000,000.00 Disaster (January 31, 2020) Cost of Goods Sold for the Twelve(12) Month Prior to the Date of the $2,500.00 Disaster (January 31, 2020) Rental Properties (Residential and Commercial) Only - Lost Rents Due to the Disaster Compensation From Other Sources Received as a Result of the Disaster Provide Brief Description of Other Compensation Sources Primary Business Address (Cannot Be P.O. Box) 1244 S Wadsworth Blvd City Lakewood State CO County CO ZIP 80232 Business Phone (303)-669-6666 Alternative Business Phone Business Fax Business Email zippyprep@gmail.com Date Business Established 01/01/2020 Current Ownership Since 01/01/2020 Business Activity Business Services Business Sub Activity Advertising Sales Number of Employees (As of January 31, 2020) 10 Case 1:21-cr-00188-RBJ Document 21-1 Filed 10/29/21 USDC Colorado Page 2 of 3 Business Owners Information Owner 1 First Name Anthony Last Name Zaghab Mobile Phone (303)-669-6666 Title / Office Owner Email zippyprep@gmail.com Ownership Percent 100% SSN [redacted] Birth Date [redacted]/1969 Place Of Birth kwet US. Citizen Yes Residential Street Address 6165 E Iliff Ave, A106 City Denver State CO Zip 80222 Additional Information In the past year, has the business or a listed owner been convicted of a No felony committed during and in connection with a riot or civil disorder or other declared disaster, or ever been engaged in the production or distribution of any product or service that has been determined to be obscene by a court of competent jurisdiction? Is the applicant or any listed owner currently suspended or debarred No from contracting with the Federal government or receiving Federal grants or loans? a. Are you presently subject to an indictment, criminal information, No arraignment, or other means by which formal criminal charges are brought in any jurisdiction? b. Within the last 5 years, for any felony, have you ever been convicted, plead guilty, plead nolo contendere, been placed on pretrial diversion, or been placed on any form of parole or probation (including probation before judgment)? Individual Name Name of Company Phone Number Street Address, City, State, Zip Fee Charged or Agreed Upon I give permission for SBA to discuss any portion of this application with No the representative listed above. [x] I would like to be considered for an advance of up to $10,000. Bank Name Wells Fargo Bank Account Number [redacted]7702 Routing Number [redacted]0076 On behalf of the individual owners identified in this application and for the business applying for the loan: I/We authorize my/our insurance company, bank, financial institution, or other creditors to release to SBA all records and information necessary to process this application and for the SBA to obtain credit information about the individuals completing this application. If my/our loan is approved, additional information may be required prior to loan closing. I/We will be advised in writing what information will be required to obtain my/our loan funds. I/We hereby authorize the SBA to verify my/our past and present employment information and salary history as needed to process and service a disaster loan. I/We authorize SBA, as required by the Privacy Act, to release any information collected in connection with this application to Federal, state, local, tribal or nonprofit organizations (e.g. Red Cross Salvation Army, Mennonite Disaster Services, SBA Resource Partners) for the purpose of assisting me with my/our SBA application, evaluating eligibility for additional assistance, or notifying me of the availability of such assistance. I/We will not exclude from participating in or deny the benefits of, or otherwise subject to discrimination under any program or activity for which I/we receive Federal financial assistance from SBA, any person on grounds of age, color, handicap, marital status, national origin, race, religion, or sex. I/We will report to the SBA Office of the Inspector General, Washington, DC 20416, any Federal employee who offers, in return for compensation of any kind, to help get this loan approved. I/We have not paid anyone connected with the Federal government for help in getting this loan. Case 1:21-cr-00188-RBJ Document 21-1 Filed 10/29/21 USDC Colorado Page 3 of 3 CERTIFICATION AS TO TRUTHFUL INFORMATION: By signing this application, you certify that all information in your application and submitted with your application is true and correct to the best of your knowledge, and that you will submit truthful information in the future. WARNING: Whoever wrongfully misapplies the proceeds of an SBA disaster loan shall be civilly liable to the Administrator in an amount equal to one-and-one half times the original principal amount of the loan under 15 U.S.C. 636(b). In addition, any false statement or misrepresentation to SBA may result in criminal, civil or administrative sanctions including, but not limited to: 1) fines and imprisonment, or both, under 15 U.S.C. 645, 18 U.S.C. 1001, 18 U.S.C. 1014, 18 U.S.C. 1040, 18 U.S.C. 3571, and any other applicable laws; 2) treble damages and civil penalties under the False Claims Act, 31 U.S.C. 3729; 3) double damages and civil penalties under the Program Fraud Civil Remedies Act, 31 U.S.C. 3802; and 4) suspension and/or debarment from all Federal procurement and non-procurement transactions. Statutory fines may increase if amended by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015. [x] I hereby certify UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE UNITED STATES that the above is true and correct. SBA Office of Disaster Assistance | 1-800-659-2955 | 409 3rd St, SW. Washington, DC 20416
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- gov.uscourts.cod.207501.21.1.pdf
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- 1,627,162 bytes
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- aaba1e7e832c1cea1708f54a8b62fc2468caa43883951434163c52d4d0c342d3
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- gov.uscourts.cod.207501.21.1.pdf
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