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Section 5 Recipients Failing to Fulfill Obligations <br />~Do not coml~lete this section if you comt~leted it on another 2001 MBAF submitted to DTED.) <br /> 33. During the period January 1, 2000 through December 31, 2000, did your organization have any recipients who failed to <br /> report as required by Minn. Stat. § 116J.993 and § 116J.9947 (Mark one.) <br /> <br /> ~ Yes (Indicate the name of each recipient failing to report and the value of subsidy orfinancial assistance awarded to that <br /> recipient. Attach additional pages if necessary.) <br /> <br />Name of recipient <br /> <br />Type of subsidy or assistance (See Questions 24 and 25.) Value of subsidy or assistance <br /> <br />34. Did your organization have any recipients who failed to achieve any goals or fulfill any other obligations under an <br /> agreement signed on or after January l, 2000, that were required to be fulfilled by the time of this report'? (Mark one.) <br /> El Yes (Complete the remainder of this section.) ~No (Stop here and submit form to DTED .) <br /> <br />35. - 39. Provide the following information for each recipient failing to fulfill goals or any other terms of an agreement that <br /> were to be attained by the time of reporting. (Attach additionalpages if necessary.) <br /> <br />35. Information on recipient and agreement: <br /> <br />Name of recipient in default <br /> <br />Type of subsidy or assistance <br /> <br />Initial value of <br />subsidy or assistance <br /> <br />Street address of recipient <br /> <br />City/ZIP code of recipient <br /> <br />Outstanding value of <br />subsidy or assistance <br /> <br />36. Reason(s) for default (Markall that apply.): <br /> <br />[] recipient ceased operation <br />El recipient was unable to fill vacant positions <br /> <br />[] recipient relocated to a different community <br />[3 other (Specify reason.) <br /> <br />37. To date, has the recipient fulfilled its repayment obligation? (Mark one.) <br /> <br />[3 Yes El No, recipient has begun to repay the assistance. El No, recipient has not begun to repay the assistance. <br /> <br />38. Has the agreement been amended to extend the recipient's deadline for fulfilling its obligations? (Mark one.) <br /> [] Yes []No <br /> <br />39. Describe the steps being taken to bring recipient into compliance or recoup the subsidy: <br /> <br /> Return your completed MBAF(s) by April I, 2001, to: <br /> 2001 Minnesota Business Assistance Form <br />Minnesota Department of Trade and Economic Development - AEO <br />500 Metro Square, 121 East 7th Place <br /> St. Paul, MN 55101-2146 <br /> <br />Or fax to: (651) 215-3841 <br /> <br />2001 Minnesota Business Assistance Form Page 4 of 4 Department of Trade and Economic Development <br /> <br /> <br />