Fillable MANUFACTURING REWARDS PROGRAM APPLICATION I. COMPANY DATA (monroe county)

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MANUFACTURING REWARDS PROGRAM APPLICATION I. COMPANY DATA (monroe county)

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I. COMPANY DATA
Company Name:
Company Contact: Title:
Company Address (nonresidence):
City: State: Zip:
Phone: Website:
E Mail Address:
Tax ID #:
Type of Business:
Sole Proprietorship Partnership Corporation LLC Othe
r
Number of full-time employees within Monroe County:______________ AS of date:___________
_
Ownership
Name: Percentage:
Name: Percentage:
II. EQUIPMENT DATA
*Qualified Manufacturing Equipment to be Purchased:____________________________________
Equipment Make: Serial Number:
Model: Cost:
Expected Date of Delivery:
*Qualified Manufacturing Equipment is generally defined as machinery and equipment used directly and predominantly
in production and not subject to sales tax under Article 28 of the NYS Tax Law.
MANUFACTURING REWARDS PROGRAM APPLICATION
Monroe County Economic Development
50 West Main Street, Suite 8100
Rochester, New York 14614-1218
(585) 753-2000 Fax (585) 753-2002
monroecounty.gov
The Manufacturing Rewards Program is only available to manufacturers
purchasing between $25,000 and $49,999 of qualified equipment. Payment of a
$2,000 reward will be made upon providing a paid invoice and evidence of payment.
Revised 4/2014
III. COMPANY CERTIFICATION
The undersigned officer of the Company hereby certifies, on behalf of the Company, as follows:
A. The information contained in this application is true and correct. The Company is aware that
any material misrepresentation made in this application constitutes an act of fraud, resulting in
termination of participation in the Rewards program and any other Monroe County Industrial
Development Corporation (MCIDC) sponsored program and repayment by the Company of their
reward.
B. The Company is classified as a manufacturer by the North American Industry Classification
System (NAICS) and meets the Small Business Administration's (SBA) definition of a small
business.
C. The Company agrees to retain the number of full-time employees from the date of application.
The Company agrees to complete a job survey at the end of the first year. If an overall reduction
in the number of jobs in Monroe County is reported on the job survey at the end of the first year,
the Reward must be paid back in full.
D. The Company will maintain its headquarters at a nonresidential address in Monroe County. If
the Company relocates outside Monroe County within two years of receiving the reward, the
Reward must be paid back in full.
E. Qualified Equipment is generally defined as machinery and equipment used directly and
predominately in production and not subject to sales tax under Article 28 or the NYS Tax Law.
All equipment must be housed at the Company's Monroe County location.
F. The undersigned on behalf of the Company certifies that the Company and its officers
(owning more than 20% of the Company) are current on all real property, federal, state,
sales, income and withholding taxes.
G. Company understands qualification for participation in the program is to be determined by
MCIDC in its sole discretion.
IN WITNESS WHEREOF, the undersigned has executed this company’s certificate as of this date:
Date:
Company’s Name:
Print Name & Title:
Signature:
MANUFACTURING REWARDS PROGRAM APPLICATION
Monroe County Economic Development
50 West Main Street, Suite 8100
Rochester, New York 14614-1218
(585) 753-2000 Fax (585) 753-2002
monroecounty.gov
Revised 4/2014
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MANUFACTURING REWARDS PROGRAM APPLICATION I. COMPANY DATA (monroe county)

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Completed 22 January 2021

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