Exhibit F (SBA Form 2483) — DV Diamond Club (E.D. Mich.)

Summary

Exhibit F to the verified complaint in DV Diamond Club of Flint, LLC v. U.S. Small Business Administration, Case 4:20-cv-10899-MFL-DRG (E.D. Mich.), filed April 8, 2020 as ECF No. 1-7. It is a blank copy of the Paycheck Protection Program Borrower Application Form, SBA Form 2483 (04/20), OMB Control No.: 3245-0407, four pages long. The form asks for business details, average monthly payroll multiplied by 2.5 to set the loan request, owners of 20% or more of the equity, and yes-or-no eligibility questions on debarment, prior federal loan losses and criminal charges. Its certifications include that the applicant was in operation on February 15, 2020 and that not more than 25% of the forgiven amount may be for non-payroll costs. The instructions and statements required by law follow.

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