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LA OPTIMIZED 2.0

Thank you for your interest in applying to LA Optimized 2.0.

To apply, please complete all information below. Non-profit organizations are not eligible. Please refer to the list of ineligible businesses on the Program website to confirm you can proceed with the application.

Applicant Information

First name*

Last name*

Email*

Verify Email*

Phone*

Business Location

Legal Business Name*

Business Address*

Address Line 2

City

Zip Code*

City Council District Number*

To look up CD#, go to https://neighborhoodinfo.lacity.org/

Registration Information

Enter your 15-digit LA City Business Registration Tax Certificate Number (BTRC).

You can find your BTRC here; enter the location account # that corresponds to your business.

Were you referred by a BusinessSource Center? *

Yes

No

If Yes, which location?

Is your business in a Jobs & Economic Development Incentive (JEDI) Zone?*

Yes

No

Unknown

Search by business here; click on the Economic Development Areas tab under JEDI to confirm your business is located in a JEDI zone.

Is this a “brick and mortar” business?*

Yes

No

Does your business operate in a physical location, store, or office?

Enter the date business started*

Is your business currently open?*

Yes

No

Is your business a For Profit or Non Profit business?*

For Profit

Non Profit

How many full time employees does your business have, including yourself?*

What industry is your business in?*

What is your business type?*

Sole proprietorship

Partnership

Corporation

S/C Corp

Limited Liability Partnership/Corporation (LLP/C)

Tax-exempt

If the COVID-19 pandemic impacted your business, please indicate how: (Check all that apply) *

Temporary Business Closure

Decline in sales / revenue

Unable to meet payroll

Problems with supply chain

Past due bills

High cost of adaptive business practices to meet public safety requirements

My Business was NOT impacted by the Covid-19 pandemic whatsoever

Other

If Other, please describe the impact

What was your 2021 Annual Revenue?*

General Information

Business Owner Name (First & Last Name)*

Phone Number

DBA - Doing Business As (if applicable)

Federal Tax ID number*

Preferred Language*

Demographics

You may select "Prefer not to answer" for any question.

What is your age?

Do you have a disability as defined under the Disability Discrimination Act?*

Yes

No

Prefer not to answer

The Americans with Disabilities Act defines an individual with a disability as a person who:

● Has a physical or mental impairment that substantially limits one or more major life

activities.

● Has a record of such an impairment.

● Is regarded as having such an impairment.

Which of the following categories best describes your military status?*

What is your gender?*

Please indicate your race. Select all that apply.*

American Indian or Alaskan Native

Asian or Asian American

Black or African American

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

White

Some other race, ethnicity, or origin

Prefer not to answer

Do you identify as a member of the LGBTQ+ community?*

Yes

No

Prefer not to answer

Yes, subscribe me to email communications.

I certify that, by submitting this application for review and consideration for LA Optimized 2.0, for or on behalf of my business entity, I have not intentionally provided any material misrepresentation and/or falsification of my eligibility to secure services under this Program. I certify under penalty of perjury that the submitted information is complete and accurate to the best of my knowledge. I also understand and certify that to participate in the LA Optimized 2.0 program, my business grossed less than $7.5 million in 2021.

Click 'Submit' to complete your application submission.

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