Laserfiche WebLink
<br />For questions 35-39: Provide the following information for each recipientJaiJing to. fulfill goals or any other terms of an agreement that were <br />to be attained b the time Dfre orting. (Attach additional a es ifnecessary. . <br />35. Information on recipient and agreement: <br /> <br />Name ofrecipiept in default <br /> <br />Type of subsidy or assistance <br /> <br />Initial value of subsidy or assistance <br /> <br />Street address of recipient <br /> <br />City/Zip code of recipient <br /> <br />Outstanding value of subsidy <br />or assistance <br /> <br />36. ReasOli(s) for default (Mark all that apply.): <br /> <br />o recipient ceased operation <br /> <br />o recipient relocated to a different community <br /> <br />o recipient was unable to fill vacant positions <br /> <br />o oth.er (Specify reason.) <br /> <br />37. To' date, has the recipient fulfilled its repayment obligation? (Mark one.) <br /> <br />o Yes <br /> <br />o No, recipient has begun to repay the assistance. . <br /> <br />o No, recipienthas not betrnn to repay the assistance. <br /> <br />38. Has the agreement been amended to extend the recipient's deadline for fulfilling its 'obligations? (MQrk one.) <br /> <br />o Yes' <br /> <br />ONo <br /> <br />39. Describe the steps being taken to bririg recipient into compliance or recoup the subsidy: <br /> <br />-_._---~ <br />-- -. .. . -- - - ---- -"', ..-- <br /> <br />Return your completed MBAF(s) by Mav 1, 2008 <br /> <br />EITHER <br /> <br />Mail To: <br /> <br />Minnesota ]?usiness Assistance Report <br />Minnesota Department of Employment and Economic Development - Analysis and Evaiuation <br />1 st National B'ank Building <br />332 Minnesota Street, Suite.E200 <br />St. Paul, Minnesota 55101-1351 <br /> <br />OR <br /> <br />Fax To: <br /> <br />J <br /> <br />(651) 215-:3841 <br /> <br />(Next year, please use the online version of this form. It can be found at <br />wWw.deed.state.mn.us/Community/subsidies!MBAFForm.htm~) <br /> <br />Minnesota Business Assistance Form (3/25/08) <br /> <br />Page 5 of's <br /> <br />Dept. ofEI:Jlployment and Economic Development <br /> <br />51 <br />