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Current number of permanent, full-time employees company -wide: <br />Current number of permanent, full-time employees in Minnesota: <br />Current number of permanent, full-time employees at proposed JCF site: <br />Will any jobs be relocated from another Minnesota site to the proposed JCF site? ❑ Yes ❑ No <br />If yes, which location(s) will the employees be relocated from? <br />*for jobs relocated from another Minnesota location, a letter in support of the move from the city where the job <br />will be moving from must be attached <br />Average wage for retained and/or new permanent, full-time employees: <br />Projected number of new full-time permanent jobs at proposed JCF project site: <br />State <br />To be created in Year 1 <br />To be created in Year 2 <br />To be created in Year 3 <br /># new FT, permanent jobs: <br />*full-time permanent jobs means positions with expected work hours of 2080 annually <br />Sources <br />*since <br />& Uses: <br />JCF funds are pay -for -performance, they should not be included as a source or use of funds <br />Are there current or unsatisfied judgments or injunctions against the business or owners? ❑ Yes ❑ No <br />If Yes, describe: <br />Is there current or pending litigation involving the business? ❑ Yes ❑ No <br />If yes, attach summary and disposition. <br />Bank(s) <br />Equity <br />State <br />Local Gov't <br />Other <br />( ) <br />Total <br />Property Acquisition <br />$o <br />Site Improvement <br />$o <br />New Construction <br />$o <br />Renovation of an <br />Existing Building <br />$o <br />Purchase of Machinery <br />& Equipment <br />$o <br />Infrastructure <br />$o <br />Other: <br />so <br />Other: <br />$o <br />Total Project Cost <br />$o <br />$o <br />$o <br />$o <br />so <br />$o <br />Does the property or the business have any outstanding local, state or federal tax liabilities? ❑ Yes ❑ No <br />If yes, describe: <br />Have state environmental review requirements been met for the project, if applicable? ❑ Yes ❑ No <br />Are there current or unsatisfied judgments or injunctions against the business or owners? ❑ Yes ❑ No <br />If Yes, describe: <br />Is there current or pending litigation involving the business? ❑ Yes ❑ No <br />If yes, attach summary and disposition. <br />Within the past five years, has there been any violation(s), citation(s), or complaint(s) of discrimination filed <br />against the company in a state or federal court or before any state, federal or local government agency? <br />❑ Yes ❑ No If Yes, attach a copy of the violation(s), citation(s), or complaint(s) and the disposition of each. <br />3 <br />102214 <br />