GOVERNOR’S OFFICE OF BUSINESS
AND ECONOMIC DEVELOPMENT
California Competes Tax Credit
Annual Milestone Maintenance Worksheet for the 2021 Tax Year
1. How many hourly full-time employees did the business employ in California for 1,750 hours or
more during its 2021 tax year?
2. How many salaried full-time employees did the business employ in California for 50 weeks or
more during its 2021 tax year?
3. How many hourly full-time employees did the business employ in California that worked less
than 1,750 hours during its 2021 tax year?
4. What is the total number of hours worked by the full-time employees in question 3?
5. Divide the answer to question 4 by 1,750 =
6. How many salaried full-time employees did the business employ in California that worked less
than 50 weeks during its 2021 tax year?
7. What is the total number of weeks worked by the full-time employees in question 6?
8. Divide the answer to question 7 by 50 =
9.
10.
I,
_____________________ the authorized r
epresentative for _______________________________
c
e
rt
i
fy
to the Governor’s Office of Business and Economic Development and declare to the
Cal
ifornia
S
t
at
e
Fran
c
h
i
s
e
Ta
x
Bo
ard
,
under penalty of perjury, un
d
e
r the laws
of the State of California, th
a
t
th
e
i
n
fo
rm
ation reported
in
t
his do
cument is complete and accurate.
Signature:__________________________________________ Date:_______________________
Page 1 of 2
Business Name:
California Competes Tax Credit Agreement Number:
California Secretary of State Number:
Tax Year of Milestone Certification: 2021
Please answer the following questions. The answers to questions 5, 8, and 9 are auto-populated based on your answers to
the other questions in this worksheet. Please fill out this worksheet electronically to ensure accuracy of the built-in formulas.
Add the answer to lines 1,2, 5 and 8 =
Total number of full-time employees, determined on an annual full-time equivalent
basis, the business employed during its 2021 tax year =
If the business did not maintain its previously achieved Milestones in the 2021 tax year, please
provide a written statement describing any issues or challenges the business had in maintaining
its contractual Milestones. If more space is needed, please continue on the next page.
