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, POSITIVELY <br />Department of Employment and Economic Development <br />JOB CREATION FUND PROGRAM APPLICATION <br />SECTION 1 - LOCAL GOVERNMENT AND BUSINESS APPLICANT INFORMATION <br />Local Government Project Sponsor: <br />Local Government Contact Name and Title: <br />Email: <br />Telephone: <br />Address: <br />City/State/Zip: <br />Business Legal Name: <br />Parent Company Name (if applicable): <br />Mailing Address: <br />City/State/Zip: <br />Street Address for Project Applying for JCF (JCF Project): <br />City/State/Zip for JCF Project: <br />Primary Business Contact and Title: <br />E-mail: <br />Website: <br />Telephone: <br />Minnesota Tax ID: <br />FEIN: <br />NAICS Code: <br />Primary Business Activity for Proposed Project: <br />SECTION 2 - PROJECT OVERVIEW <br />Project Type: <br />❑ New business with no parent company or current operations <br />❑ Expansion of existing facility or Minnesota company <br />❑ Expansion to Minnesota by a company with existing operations outside Minnesota <br />Project will involve: <br />❑ Leasing an existing facility where leasehold improvements will be made <br />❑ Leasing a facility to be constructed <br />❑ Ownership of an existing facility and making improvements <br />❑ Construction and ownership of a new facility <br />Are there facility or land limitations that do not allow the business to expand at an existing Minnesota facility? <br />❑ Yes ❑ No ❑ Not applicable <br />Could this project be located outside of Minnesota and serve the same customers? <br />❑ Yes ❑ No <br />Project Timeframe: <br />Task: <br />Estimated Completion Date: (mm/dd) <br />Commitment of all funds <br />Start of construction <br />Purchase equipment <br />Complete construction <br />Begin operations <br />2 <br />102214 <br />