Project Information Questionnaire

Thank you for bringing your project to the attention of the St. Lawrence County Office of Economic Development. Your responses to the following questions will enable us to begin an evaluation of possible financial assistance.

Please complete the questionnaire, responding to all questions. Indicate "not applicable" or "N/A" where appropriate.

GENERAL INFORMATION

Your Name: Your Company Name:

Street: Apt/Unit: City / Town: Province / State: Country: Postal / Zip Code:

Phone number: Fax number: Your Email Address:

Type of Business (corporation, partnership, sole proprietorship, etc.): Type of Ownership (public, privately held, etc.): Year Established:

Current Number of Employees:

Full-Time: Part-Time: Total:

Brief description of company's products/services (attach brochure or document below if available): Brochure/Document Attachment: Company's approximate annual sales or, if applicable, wholesale value of shipments: $

PROJECT INFORMATION

Estimated Start Date Estimated Completion Date Project Purpose Project Description

Estimated Costs

Land Acquisition/Preparation $ Building(s) & Utilities $ Machinery & Installation $ Contracted Services $ Contingencies $ Working Capital $ Other (please specify) $ Total $

Financing Plan:

Bank Loan #1 $ Bank Loan #2 $ Bank Loan #3 $ Owner Equity $ Gap $ Total $

Effect on Employment

Existing jobs retained as a result of the project Full-time, permanent jobs created within three (3) years of project completion Description of new jobs (job titles, annual wages/salary each):

News

Meeting Notice

The St. Lawrence County Industrial Development Agency, the IDA Local Development Corporation, the IDA Civic Development Corporation and the St. Lawrence County Local Development Corporation will meet on Thursday, May 30, 2013 at 8:30 AM at the IDA office (main conference room), 19 Commerce Lane, Canton.

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