6.2 EDSR 12-16-2013 - Laserfiche WebLink

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17.Industry of recipient's facility(Mark one.): a ❑Manufacturing ❑Services ®Finance,Insurance,Real Estate ❑Retail Trade ❑Wholesale Trade ❑Construction ❑Other(please specify): 18.Did the recipient relocate as a result of signing this agreement? (Mark one.) ❑Yes(Indicate city and state of previous address and reason recipient did not complete this project at that address.) • City/State of previous address: • Reason project not completed at previous address: • Indicate total number of employees who ceased to be employed by recipient when the recipient relocated to become eligible for the business subsidy. # ®No(Go to Question 19.) 19.What would recipient have done without business subsidy or financial assistance? (Mark one): ❑Remain at previous location,but not expand ❑Remain at previous location but expand at the location ®Relocate to different Minnesota location ❑Relocated outside Minnesota ❑Other: 19A.Was the project a result of eminent domain? ❑Yes ®No Section 3: Agreement Information 20.Total dollar value of business subsidy or financial assistance 21.Date agreement signed(In addition to the agreement date, (Please separate value by type in Questions 24 and 25.): indicate any dates the agreement was amended.):April 17,2006 300.000 22.Benefit date(Indicate the date the recipient receives the business subsidy. If the subsidy involves physical equipment,then the benefit date is the date the equipment is placed into service. If the business subsidy involves property improvements,the benefit date is when the improvements are finished or when the business occupies the property):September 13,2007 23.Does the agreement provide a business subsidy or one of the four types of financial assistance(see Question 25)required to be reported? (Mark one.) ®business subsidy ❑financial assistance 24.If the agreement provided a business subsidy,please indicate the 25.If the assistance was one of the four types of financial assistance, type(s)and total dollar value for each type. please indicate the type(s). ❑not applicable,agreement provided financial assistance ®not applicable,agreement provided a business subsidy ❑loan(only principal) $ ❑assistance for property ❑grant(i.e.,forgivable loan) $ by contaminants $ // tax abatement $300,000 ❑assistance for renovating building ❑TIF or other tax reduction or deferral* $ stock or bringing it up to code,and ❑guarantee or payment $ assistance provided for designated ❑contribution of property or infrastructure $ historic preservation districts,when ❑preferential use of governmental facilities $ 50 percent or less of total cost $ ❑land contribution $ ❑assistance for pollution control or ❑other(Specify subsidy type.): $ abatement $ ❑assistance for a TIF soils condition district $ 26.If the assistance included tax increment financing,please indicate 27.Are any other grantors providing a business subsidy or financial the type of TIF district. (Mark one.) assistance to the same project? (Mark one.) ®not applicable,assistance was not in the form of TIF ®Yes(Specify each grantor and the value of their assistance below; ❑redevelopment attach an additional sheet if necessary. ❑renewal and renovation ❑soils condition Grantor:Sherburne County Value($):300,000 ❑economic development ❑mined underground space Grantor: Value($): ❑hazardous substance subdistrict 26 A.If assistance included JOBZ benefits,please indicate type of assistance. (Mark all that apply and please also submit the JOBZ ❑No • MBAFform.) ❑JOBZ ❑JOBZ AgZone ❑Biozone *For questions about TIF reporting requirements contact Arlin Waelti(651)296-7676 at the Minnesota Office of the State Auditor. Minnesota Business Assistance Form(12/10/12) Page 2 of 5 Dept.of Employment and Economic Development