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10 <br />EXHIBIT A <br />BUSINESS ASSISTANCE APPLICATION <br />A. APPLICANT INFORMATION <br />Name of Corporation/Partnership <br />Address <br />Primary Contact <br />Address <br />Phone Fax E-mail <br />Type of business assistance requested (select one): <br />❑ Tax Abatement ❑Tax Increment Financing ❑Revolving Loan Fund ❑Other <br />Have you been, or are you currently, involved in any bankruptcy proceedings or lawsuits related to <br />other development projects with which you have been involved? If yes, please provide an <br />explanation. <br />❑ Yes ❑No <br />On a separate sheet, please provide the following: <br />• Brief description of the corporation/partnership's business, including history, principal product <br />or service, etc. Attach as Part 1. <br />• List names of officers and shareholders/partners with more than five percent (5%) interest in <br />the corporation/partnership. Attach as Part 2. <br />• Brief description of the proposed project. Attach as Part 3. <br />• A but for analysis and narrative. Attach as Part 4. <br />• Completed Revolving Loan Fund Application. Attach as Part 5 if required. <br />Attorney Name <br />Address <br />Phone Fax E-mail <br />Contractor Name <br />Address <br />Phone Fax E-mail <br />Engineer Name <br />Address <br />Phone Fax E-mail <br />Architect Name <br />Address <br />Phone Fax E-mail <br />