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<br />31. For each of the following wage categories, indicate the number of actual (new) jobs created and/or retained since the benefit date and <br />the actual hourly value of any employer provided voluntary benefits for those jobs. (Full-time jobs are defined as new, pennanent, non <br />seasonal positions created subsequent to the business subsidy agreement in which employees are scheduled to work on average at least a <br />35 hour work week. Part~tilUe is defined as a new job in which an employee works for the recipient at a rate less than 35 hours per week <br />within a recipient location). Job retention is defined as jobs at a specific wage level that exist prior to the signing oithe business subsidy <br />agreement There must be evidence that the retained jobs will be lost without business assistance or where job loss is specific and <br />demonstrable.' <br /> <br />Hourly Wage <br />(excluding benefits) <br /> <br />A. (New) Full-time B. (New) Part-time <br />Job Creation Job Creation <br /> <br />C. Job Retention <br /> <br />Hourly Value of <br />Total Jobs . Hourly Value of Non-Health <br />(A+B+C) Health Insurance Insurance Benefits <br /> <br />less than $7.00 $ $ <br />$7.00 to $8.99 $ $ <br />$9.00 to $10.99 $ $ <br />$11.00to $12.99 $ $ <br />$13.00 to $14.99 $ $ <br />$15.00 to $16.99 $ $ <br />$17.00 to $18.99 $ $ <br />$19.00 to $20.99 $ $ <br />$21.00 to $22.99 $ $ <br />$23.00 to $24.99 $ $ <br />$25.00 to $26.99 $ $ <br />$27.00 to $28.99 $ $ <br /> . ,_r. <br />$29.00 to $30.99 $ $ <br />$31.00 and higher $ $ <br /> <br />32.. HaS the recipient achieved all goals (see Question 29, 30 and 31) and fulfilled all obligations stipulated in the agreement (Mark one.) <br /> <br />DYes <br /> <br />ONo <br /> <br />32 A. (Do not answer this question in 2008, it will be required in 2009.) Did recipient certify that it is participating in the E-Verify program <br />10cate4 at "",ww.uscis.gov and that all new employees hired on or after January 29, 2008 are determined to be eligible for <br />employment in the United States for all business subsidy agreements signed on or after January 29, 2008. The recipient shall report to <br />the City or government agency compliance throughout the term of the business subsidy (Mark one.) <br /> <br />o Yes (certification has occurred"': not required until 2009) <br /> <br />o No (certification has not occurred - not required unti12009) <br /> <br />Section 5: Recipients Failing to Fulfill Obligations <br />(Do not complete this section (questions 33- 39) if you completed it on another MBAF submitted to DEED. Please below note which MBAF <br />includes the in ormation. <br />33. D\iringthe period January 1,2007 through December 31,2007, did your organization have any recipients who failed to report as required <br />by Minn. Stat ~116J.993 and ~116J.994? (Mark one.) <br /> <br />o Yes (Indicate the name of each recipient failing to report and the value of subsidy or financial assistance awarded to that' <br />recipient. Attach additional pages ifnecessary.) <br /> <br />Name of recipient <br /> <br />Type of subsidy or assistance (See Questions 24 &.25.) Value of subsidy or assistance <br /> <br />ONo' <br />34. Did your organization have any recipients who failed to achieve any goals or fulfill any other obligations under ail agreement signed on <br />August 1, 1999 through December 31, 2007, that was required to be fulfilled by the time of this report? (Mark one.) <br /> <br />o Yes (Complete the remainder of this section. <br />Minnesota Business Assistance Form (3/25/08) Page 4 of 5 <br /> <br />o No (Stohere and submit form to DEED.) <br />Dept. of Employment and Economic Development <br />