Exhibit E (EIDL application 2020.04.03) — USA v. Merritts (Dkt. 35-4, D.D.C.)

Record facts

U.S. District Court for the District of Columbia · No. 1:25-cr-00076-JMC · Doc. 35-4 · 2025-12-02 · Docket on CourtListener

Full text

Application Number 3302121950
Name Vetted Couriers and Logistics
Business Name
IP Address 2600:6c40:7400:21b9:1cb0:4439:60dc:102c, 2600:6c40:7400:21b9:1cb0:4439:60dc:102c
FIELD # FORM NAME
TYPE
REQUIRED
VALUE
TIMESTAMP
1
Eligibility Requirements Applicant Type
Radio
Yes
Applicant is an individual who operates under a sole 
proprietorship, with or without employees, or as an 
independent contractor.
4/3/2020 6:00 PM
2
Applicant is not engaged in any illegal activity (as defined by Federal guidelines).
Checkbox*
Yes
1
4/3/2020 6:00 PM
3
No principal of the Applicant with a 50 percent or greater ownership interest is more than sixty (60) days 
delinquent on child support obligations.
Checkbox*
Yes
1
4/3/2020 6:00 PM
4
Applicant is not an agricultural enterprise (e.g., farm), other than an aquaculture enterprise, agricultural 
cooperative, or nursery.
Checkbox*
Yes
1
4/3/2020 6:00 PM
5
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.
Checkbox*
Yes
1
4/3/2020 6:00 PM
6
Applicant does not derive more than one-third of gross annual revenue from legal gambling activities.
Checkbox*
Yes
1
4/3/2020 6:00 PM
7
Applicant is not in the business of lobbying.
Checkbox*
Yes
1
4/3/2020 6:00 PM
8
Applicant cannot be a state, local, or municipal government entity and cannot be a member of Congress.
Checkbox*
Yes
1
4/3/2020 6:00 PM
9
Business Legal Name *
Text
Yes
Vetted Couriers and Logistics
4/3/2020 6:00 PM
10
Trade Name *
Text
Yes
Vetted Movers
4/3/2020 6:00 PM
11
EIN/SSN for Sole Proprietorship *
Text
Yes
4/3/2020 6:00 PM
12
Organization Type *
Picklist
Yes
Sole-Proprietorship
4/3/2020 6:00 PM
13
Is the Applicant a Non-Profit Organization? *
Radio
Yes
No
4/3/2020 6:00 PM
14
Is the Applicant a Franchise? *
Radio
Yes
No
4/3/2020 6:00 PM
15
Gross Revenues for the Twelve(12) Month Prior to the Date of the Disaster (January 31, 2020) *
Text
Yes
$32,000.00
4/3/2020 6:00 PM
16
Cost of Goods Sold for the Twelve(12) Month Prior to the Date of the Disaster (January 31, 2020) *
Text
Yes
$3,000.00
4/3/2020 6:00 PM
17
Rental Properties (Rental and Commercial) Only - Lost Rents Due to the Disaster
Text
No
NULL
4/3/2020 6:00 PM
18
Non-Profit or Agricultural Enterprise Cost of Operation for the Twelve(12) Month Prior to the Date of the Disaster 
(January 31, 2020)
Text
No
NULL
4/3/2020 6:00 PM
19
Compensation From Other Sources Received as Result of the Disaster
Text
No
NULL
4/3/2020 6:00 PM
20
Provide Brief Description of Other Compensation Sources
Text
No
NULL
4/3/2020 6:00 PM
21
Primary Business Address (Cannot be P.O. Box) *
Text
Yes
4/3/2020 6:00 PM
22
City *
Text
Yes
St Louis
4/3/2020 6:00 PM
23
State *
Picklist
Yes
MO
4/3/2020 6:00 PM
24
County
Text
No
NULL
4/3/2020 6:00 PM
25
ZIP *
Text
Yes
63101
4/3/2020 6:00 PM
26
Business Phone *
Text
Yes
395
4/3/2020 6:00 PM
27
Alternative Business Phone
Text
No
(
7395
4/3/2020 6:00 PM
28
Business Fax
Text
No
NULL
4/3/2020 6:00 PM
29
Business Email
Text
No
@gmail.com
4/3/2020 6:00 PM
30
Date Business Established *
Date
Yes
8/7/2017
4/3/2020 6:00 PM
31
Current Ownership Since *
Text
Yes
8/7/2017
4/3/2020 6:00 PM
32
Business Activity *
Picklist
Yes
Transportation
4/3/2020 6:00 PM
33
Detailed Business Activity *
Picklist
Yes
NULL
4/3/2020 6:00 PM
34
Number of Employees (As of January 31, 2020) *
Text
Yes
6
4/3/2020 6:00 PM
35
Is Your Business Owned by a Business Entity? *
Radio
Yes
No
4/3/2020 6:00 PM
36
Legal Name *
Text
Yes
NULL
4/3/2020 6:00 PM
37
Street Address *
Text
Yes
NULL
4/3/2020 6:00 PM
38
City *
Text
Yes
NULL
4/3/2020 6:00 PM
39
State *
Picklist
Yes
NULL
4/3/2020 6:00 PM
40
EIN *
Text
Yes
NULL
4/3/2020 6:00 PM
41
ZIP *
Text
Yes
NULL
4/3/2020 6:00 PM
42
Business Phone *
Text
Yes
NULL
4/3/2020 6:00 PM
43
Business Email *
Text
Yes
NULL
4/3/2020 6:00 PM
44
Business Type *
Picklist
Yes
NULL
4/3/2020 6:00 PM
45
Ownership Percent *
Text
Yes
NULL
4/3/2020 6:00 PM
HEADER: Business Owners Information
HEADER: Business Applicant Parent Entity
HEADER: Individual Owners
HEADER: Owner 1
PAGE 1
HEADER: Review and Check all of the Following: Applicant must review and check all of the following (If Applicant is unable to check all of the following, Applicant is not an Eligible Entity)
PAGE 2
HEADER: Business Information
PAGE 3
Rapid Intake Form Data Lookup
USAO-009635
Case 1:25-cr-00076-JMC     Document 35-4     Filed 12/02/25     Page 1 of 4

46-a
First Name *
Text
Yes
Cortney
4/3/2020 6:00 PM
47-a
Last Name *
Text
Yes
Merritts
4/3/2020 6:00 PM
48-a
Mobile Phone *
Text
Yes
-7395
4/3/2020 6:00 PM
49-a
Title / Office *
Picklist
Yes
Owner
4/3/2020 6:00 PM
50-a
Ownership Percent *
Text
Yes
100
4/3/2020 6:00 PM
51-a
Email *
Text
Yes
c
@gmail.com
4/3/2020 6:00 PM
52-a
SSN *
Text
Yes
-1471
4/3/2020 6:00 PM
53-a
Birth Date *
Date
Yes
1977
4/3/2020 6:00 PM
54-a
Place of Birth *
Text
Yes
Il
4/3/2020 6:00 PM
55-a
US Citizen *
Radio
Yes
Yes
4/3/2020 6:00 PM
56-a
Residential Street Address *
Text
Yes
4/3/2020 6:00 PM
57-a
City *
Text
Yes
4/3/2020 6:00 PM
58-a
State *
Picklist
Yes
IL
4/3/2020 6:00 PM
59-a
ZIP *
Text
Yes
62234
4/3/2020 6:00 PM
46-b
First Name *
Text
Yes
NULL
4/3/2020 6:00 PM
47-b
Last Name *
Text
Yes
NULL
4/3/2020 6:00 PM
48-b
Mobile Phone *
Text
Yes
NULL
4/3/2020 6:00 PM
49-b
Title / Office *
Picklist
Yes
NULL
4/3/2020 6:00 PM
50-b
Ownership Percent *
Text
Yes
NULL
4/3/2020 6:00 PM
51-b
Email *
Text
Yes
NULL
4/3/2020 6:00 PM
52-b
SSN *
Text
Yes
NULL
4/3/2020 6:00 PM
53-b
Birth Date *
Date
Yes
NULL
4/3/2020 6:00 PM
54-b
Place of Birth *
Text
Yes
NULL
4/3/2020 6:00 PM
55-b
US Citizen *
Radio
Yes
NULL
4/3/2020 6:00 PM
56-b
Residential Street Address *
Text
Yes
NULL
4/3/2020 6:00 PM
57-b
City *
Text
Yes
NULL
4/3/2020 6:00 PM
58-b
State *
Picklist
Yes
NULL
4/3/2020 6:00 PM
59-b
ZIP *
Text
Yes
NULL
4/3/2020 6:00 PM
46-c
First Name *
Text
Yes
NULL
4/3/2020 6:00 PM
47-c
Last Name *
Text
Yes
NULL
4/3/2020 6:00 PM
48-c
Mobile Phone *
Text
Yes
NULL
4/3/2020 6:00 PM
49-c
Title / Office *
Picklist
Yes
NULL
4/3/2020 6:00 PM
50-c
Ownership Percent *
Text
Yes
NULL
4/3/2020 6:00 PM
51-c
Email *
Text
Yes
NULL
4/3/2020 6:00 PM
52-c
SSN *
Text
Yes
NULL
4/3/2020 6:00 PM
53-c
Birth Date *
Date
Yes
NULL
4/3/2020 6:00 PM
54-c
Place of Birth *
Text
Yes
NULL
4/3/2020 6:00 PM
55-c
US Citizen *
Radio
Yes
NULL
4/3/2020 6:00 PM
56-c
Residential Street Address *
Text
Yes
NULL
4/3/2020 6:00 PM
57-c
City *
Text
Yes
NULL
4/3/2020 6:00 PM
58-c
State *
Picklist
Yes
NULL
4/3/2020 6:00 PM
59-c
ZIP *
Text
Yes
NULL
4/3/2020 6:00 PM
46-d
First Name *
Text
Yes
NULL
4/3/2020 6:00 PM
47-d
Last Name *
Text
Yes
NULL
4/3/2020 6:00 PM
48-d
Mobile Phone *
Text
Yes
NULL
4/3/2020 6:00 PM
49-d
Title / Office *
Picklist
Yes
NULL
4/3/2020 6:00 PM
50-d
Ownership Percent *
Text
Yes
NULL
4/3/2020 6:00 PM
51-d
Email *
Text
Yes
NULL
4/3/2020 6:00 PM
52-d
SSN *
Text
Yes
NULL
4/3/2020 6:00 PM
53-d
Birth Date *
Date
Yes
NULL
4/3/2020 6:00 PM
54-d
Place of Birth *
Text
Yes
NULL
4/3/2020 6:00 PM
55-d
US Citizen *
Radio
Yes
NULL
4/3/2020 6:00 PM
56-d
Residential Street Address *
Text
Yes
NULL
4/3/2020 6:00 PM
57-d
City *
Text
Yes
NULL
4/3/2020 6:00 PM
58-d
State *
Picklist
Yes
NULL
4/3/2020 6:00 PM
59-d
ZIP *
Text
Yes
NULL
4/3/2020 6:00 PM
46-e
First Name *
Text
Yes
NULL
4/3/2020 6:00 PM
47-e
Last Name *
Text
Yes
NULL
4/3/2020 6:00 PM
48-e
Mobile Phone *
Text
Yes
NULL
4/3/2020 6:00 PM
49-e
Title / Office *
Picklist
Yes
NULL
4/3/2020 6:00 PM
50-e
Ownership Percent *
Text
Yes
NULL
4/3/2020 6:00 PM
51-e
Email *
Text
Yes
NULL
4/3/2020 6:00 PM
52-e
SSN *
Text
Yes
NULL
4/3/2020 6:00 PM
HEADER: Owner 3
HEADER: Owner 4
HEADER: Owner 5
HEADER: Owner 2
USAO-009636
Case 1:25-cr-00076-JMC     Document 35-4     Filed 12/02/25     Page 2 of 4

53-e
Birth Date *
Date
Yes
NULL
4/3/2020 6:00 PM
54-e
Place of Birth *
Text
Yes
NULL
4/3/2020 6:00 PM
55-e
US Citizen *
Radio
Yes
NULL
4/3/2020 6:00 PM
56-e
Residential Street Address *
Text
Yes
NULL
4/3/2020 6:00 PM
57-e
City *
Text
Yes
NULL
4/3/2020 6:00 PM
58-e
State *
Picklist
Yes
NULL
4/3/2020 6:00 PM
59-e
ZIP *
Text
Yes
NULL
4/3/2020 6:00 PM
60
In the past year, has the business or a listed owner been convicted of a 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? *
Radio
Yes
No
4/3/2020 6:00 PM
61
Is the applicant or any listed owner currently suspended or debarred from contracting with the Federal 
government or receiving Federal grants or loans? *
Radio
Yes
No
4/3/2020 6:00 PM
62
a. Are you presently subject to an indictment, criminal information, arraignment, or other means by which formal 
criminal charges are brought in any jurisdiction?
b. Have you been arrested in the past six months for any criminal offense?
c. For any criminal offense - other than a minor vehicle violation - 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)? *
Radio
Yes
No
4/3/2020 6:00 PM
63
Individual Name
Text
No
NULL
4/3/2020 6:00 PM
64
Name of Company
Text
No
NULL
4/3/2020 6:00 PM
65
Phone Number
Text
No
NULL
4/3/2020 6:00 PM
66
Street Address, City, State, ZIP
Text
No
NULL
4/3/2020 6:00 PM
67
Fee Charged or Agreed Upon
Text
No
NULL
4/3/2020 6:00 PM
68
I give permission for SBA to discuss any portion of this application with the representative listed above. *
Radio
Yes
No
4/3/2020 6:00 PM
69
I would like to be considered for an advance of up to $10,000.
Checkbox*
No
1
4/3/2020 6:00 PM
70
Bank Name *
Text
Yes
Navy Federal
4/3/2020 6:00 PM
71
Account Number *
Text
Yes
2454
4/3/2020 6:00 PM
72
Routing Number *
Text
Yes
4/3/2020 6:00 PM
73
I hereby certify UNDER PENTALTY OF PERJURY UNDER THE LAWS OF THE UNITED STATES that the above is true and 
correct. **
Checkbox*
Yes
1
4/3/2020 6:00 PM
74
I'm not a robot *
Checkbox*
Yes
1
4/3/2020 6:00 PM
75
Submit *
Button
Yes
1
4/3/2020 6:00 PM
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.
* Checkbox: 0 = unchecked, 1 = checked
** The checkbox field "I hereby certify UNDER PENTALTY OF PERJURY UNDER THE LAWS OF THE UNITED STATES that the above is true and correct." is preceded by the following statement:
HEADER: If anyone assisted you in completing this application, whether you pay a fee for this service or not, that person must enter their information below.
HEADER: Where to Send Funds
PAGE 5
HEADER: Summary
PAGE 4
HEADER: Additional Information
USAO-009637
Case 1:25-cr-00076-JMC     Document 35-4     Filed 12/02/25     Page 3 of 4

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.
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.
USAO-009638
Case 1:25-cr-00076-JMC     Document 35-4     Filed 12/02/25     Page 4 of 4

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