Business Information Form (BIF)

Office of the fb88 State Treasurer

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In order for the fb88 Department of Economic and Community Development (DECD) to better assist your company in selecting a site in fb88, it is important for us to gather your company’s project information. Therefore, we ask that you complete the following questionnaire with as much detail as possible.

Should you have any questions about this questionnaire, please contact our office at 1-800-872-3838 in fb88 or 1-800-541-5872 from outside of fb88.

This form is intended to support established businesses that are specifically looking for space to expand or relocate within fb88. If you are a new business, consider using our Startup Information Form.

General Information

What can we help you with?

Date:

Company Name:

Primary Contact & Title at Company:

Company Address:

City:

State:

ZIP Code:

Phone:

Fax:

Email:

Website:

The company has been in business since:

Major markets & customers:

Business product(s) and/or services:

Are your products/services sold wholesale?

YES

Are your products/services sold retail?

YES

Is this a manufacturing operation?

YES

Does the company participate in international trade?

YES

If so, how?

Facility Information

What size facility is your company interested in?

Does your company need high clear-span ceilings?

YES

Does your company need high door heights?

YES

Does your company need loading docks?

YES

Does your company have high water/sewer needs?

YES

If so please describe.

Does your company have any special electrical needs such as three phase?

YES

If so please describe.

Does your company have any special broadband needs?

YES

If so please describe.

Does your company have future expansion plans?

YES

If so, please describe your space needs and timeframe of expansion(s)

Please describe any other special facility needs your company may have?

Financial Information

What is the anticipated dollar investment and timeframe related to the company’s immediate plans?

Building:

Estimated move-in date:

M&E:

Estimated date to be placed in service:

Does the company need or want financial assistance?

YES

If yes, how much financing is desired and what will the funds be used for? Please provide as much detail as possible.

Do you have clearly delineated product research and development activities?

YES

Employment Information

Does your company have any specific employment training needs?

YES

If so, please leave a description of the types of training you anticipate needing for both new and existing employees, including the anticipated cost for the training, if possible. If a proposed training plan has been developed, please attach a copy.

Does the company offer health insurance to employees?

YES

If so, does the company pay 50% or more of the premium cost for this insurance?

YES

Does the company provide an ERISA-qualified retirement plan to employees?

YES

What is your current number full-time of employees?

What is your current number of part-time employees?

Will your company be adding new positions over the next two (2) years? If so, please indicate the number of positions to be created for each of the next two years. Also, please provide anticipated job titles and wages for all net new, full-time jobs.

YES

Year 1

Full-time:

Part-time:

Full-time job title(s), with anticipated wages:

Year 2

Full-time:

Part-time:

Full-time job title(s), with anticipated wages:

Environmental Information

To help determine if the Department of Environmental Protection needs to assist your company, please review the following:

Will any hazardous wastes be generated, stored or treated at this location?

YES

Does your process involve the use of coatings or solvents (e.g. printing, painting, refinishing, cleaning)?

YES

Does your company’s activities produce excess industrial wastewater?

YES

If yes, what are your projected volumes (U.S. gallons)?

Are you interested in receiving occasional emails from DECD regarding new programs and business assistance programs?

YES