Agenda - Council - 01/13/2009 - Laserfiche WebLink

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31. For each of the following wage (Full-time an jobs are defined sin as new, permanent, non categories, rova actual jobs ded voluntary benefits for those jobs. (F created and/or retained since the benefit date and the actual hourly value of any employer P a 35 pork . subsequent d ef d the a new job n which an employee works for the recipient ata rate to work on average at less than 35 hours per least k 35 hour work week Part - time is d of the business subsidy ag ree ant. There location). be evidence that the retained jobs will be lost without bus nes assistance or where job loss is specific and agreement. There m Hourly Value of demonstrable. Hourly Wage A. (New) Full-time B. (New) Parttime Total Jobs Hourly Value of Non - Health (excluding ing benefits) Job Creation Job Creation C. Job Retention (A +B +C) Health Insurance Insurance Benefits less than $7.00 $ $ $7.00 to $8.99 $ $ $9.00 to $10.99 _--- -- $ $ $11.00 to $12.99 $ $ $13.00 to$1 $ $ $15.00 to $16.99 - $ $ $17.00 to $18.99 - $ $ $19.00 to $20.99 $ g $21.00 to $22.99 $ $ $23.00 to $24.99 $ $ $25.00 to $26.99 -- $ $ $27.00 to $28.99 -- $ $ $29.00 to $30.99 - ---=- $ $ $31.00 and higher - 32. Has the recipient achieved all goals (see Question 29, 30 and 31) and fulfilled all obl`gations stipulated in the agreement (Mark one. Cl Yes Cl No that it is participating in the E- Verify program 32 A. (Do not answer this question in 2008, it will be required in 2009.) Did recipient r fy that are is p ermned to be the E- for located at i�RVw •uscis.Qov and that all new employees hired on or after gJanuary 29, determined T recipient shall report to the City or government agency for eligible employment the United tg cy com p l a throughout the ter m of the busin es subsidy dy (M one.) ❑ Yes (certification has occurred - not required until 2009) ❑ No (certification has not occurred - not required until 2009) Section 5: Recipients Failing to Fulfill Obligations (Do not complete this section (questions 33 39) if you completed it on another MBAF submitted to DEED. Please below note which MBAF includes the in ormation December 31, 2007, did your organization have any recipients who failed to report as require d 33. During the period January 1, 2007 through by Minn. Stat. §116J.993 and §116J.994? (Mark one.) ❑ Yes (Indicate the name of each recipient failing to report and the value of subsidy or financial assistance awarded to that recipient. Attach additional pages if necessary.) e of reci ient Type of subsidy or assistance (See Questions 24 & 25.) Value of subsidy or assistance Nam P -212- 0 No goals or fulfill any other obligations under an agreement signed on 34. Did your organization have any recipients who failed to achieve any g August 1, 1999 through December 31, 2007, that was required to be fulfilled by the time of this report? (Mark one.) ❑ No (Sto � h and submit form to DEED.) ❑ Yes (Com • lete the remainder o this section. Page 4 of 5 here Dept and Employment and Economic Development Minnesota Business Assistance Form (3/25/08)