Economic Development Grant Application

Economic Development Grant Application

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114

***Attention: In order to be eligible for a grant the location of the property in question must be located inside of the Daytona Beach City limits and outside of the city CRA zones.***

Follow this link to view a map of the city CRA zones.

Have you already completed an Economic Development Grant Application from the State of Florida?

Glossary

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114

EXPLANATION OF TERMS

The following terms used in this application have the meanings set forth below:

AFFILIATE - An entity that is controlled, directly or indirectly, by the ultimate parent entity of such person.

APPLICANT - The entity(ies) that will satisfy all job creation and capital investment requirements under the incentive agreement with the Department and which are applying on or amending this Application.

BROWNFIELD - Site with a Brownfield Site Rehabilitation Agreement - Has the meaning ascribed to such term in Section 288.107 of the Florida Statutes.

CONTROL - The power, directly or indirectly, to direct the management or policies of a company, whether through ownership of securities, by contract, or otherwise. Any person or entity that (i) is a director, general partner or officer exercising executive responsibility (or having similar status or functions); (ii) directly or indirectly has the right to vote 50% or more of a class of a voting security or has the power to sell or direct the sale of 50% or more of a class of voting securities; or (iii) in the case of a partnership, has the right to receive upon dissolution, or has contributed, 50% or more of the capital, is presumed to control that company.

E-VERIFY SYSTEM - Has the meaning ascribed to such term in Section448.095 of the Florida Statutes.

FELONY - For jurisdictions that do not differentiate between a felony and a misdemeanor, a felony is an offense punishable by a sentence of at least one year imprisonment and/or a fine of at least $1,000. The term also includes a general court martial.

FOUND - Includes adverse final actions, including consent decrees in which the respondent has neither admitted nor denied the findings, but does not include agreements, deficiency letters, examinations reports, memoranda of understanding, letters of caution, admonishments, and similar informal resolutions of matters.

FULL-TIME EQUIVALENT JOB - One employee or two or more employees (without duplication) who perform at least 35 hours of paid work per week.

JOBS - Has the meaning ascribed to such term in Section 288.076 of the Florida Statutes.

MISDEMEANOR - For jurisdictions that do not differentiate between a felony and a misdemeanor, a misdemeanor is an offense punishable by a sentence of less than one year imprisonment and/or/ a fine of less than $1,000. The term also includes a special court martial.

NAICS - Those classifications contained in the North American Industry Classification System, as published in 2017 by the Office of Management and Budget, Executive Office of the President, and updated from time to time.

ORDER - A written directive issued pursuant to statutory authority and procedures, including orders of denial, suspension, or revocation; does not include special stipulations, undertakings or agreements relating to payments, limitations on activity or other restrictions unless they are included in an order.

PRINCIPAL EXECUTIVE OFFICER - With respect to any entity, such entity's chief executive officer, chief financial officer, chief operations officer or any person who performs similar functions regardless of title.

PROJECT - Has the meaning ascribed to such term in Section 288.076 of the Florida Statutes.

SUBSIDIARY - An entity that is directly or indirectly controlled by the Applicant or the Ultimate Parent.

ULTIMATE PARENT - An entity that directly or indirectly controls the Applicant, which is not directly or indirectly controlled by another entity.

1. Signature

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114

The undersigned person hereby affirms that he or she has been duly authorized and empowered to verify, execute and deliver this Application, that he or she will read this Application (including all attachments hereto) and he or she has knowledge of all of the facts stated herein, and that this Application, and all information submitted in connection herewith, shall be complete and accurate and shall contain no misstatements, misrepresentations, or omissions of material facts, to the best of his or her knowledge and belief.

2. Business Information

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114
B. Please provide contact information for the primary contact at the Applicant.

1* For an explanation of certain capitalized terms used in this Application, please see Appendix 1.

C. Please provide the Applicant's immediate and ultimate parent companies (if applicable), as well as all principal subsidiaries of the Applicant. Use the chart below or provide an attachment if necessary.
Would you like to add another Ultimate Parent, Immediate Parent, or Subsidiary?
Would you like to add another Ultimate Parent, Immediate Parent, or Subsidiary?
Would you like to add another Ultimate Parent, Immediate Parent, or Subsidiary?
Would you like to add another Ultimate Parent, Immediate Parent, or Subsidiary?
Would you like to add another Ultimate Parent, Immediate Parent, or Subsidiary?

D. List each Principal Executive Officer, director (or any person who performs a similar function regardless of title, e.g., a manager of a limited liability company or a general partner of a limited partnership) of the Applicant and the Ultimate Parent Company (if applicable), and any person or entity that has at least 5% ownership. Attach additionasl sheets if necessary.

Would you like to add another stakeholder?
Would you like to add another stakeholder?
Would you like to add another stakeholder?
Would you like to add another stakeholder?
Would you like to add another stakeholder?
Would you like to add another stakeholder?

2 If not Applicable, write "N/A".

3 For example, chief executive officer, director, stockholders that directly or indirectly own more than 5% of the capital stock or other equity interests of the Applicant or the Ultimate Parent Company, etc.

4 This should only be included if the individual directly or indirectly owns more than 5% of the capital stock or other equity interests of the Applicant or the Ultimate Parent Company.

J. What type of legal entity is the Applicant?
*These questions are for reporting purposes only and are not a determining factor in making an award.

3. Project Overview

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114
A. Which of the following best describes the Applicant?
E. Break down of the Project's primary business activity(ies)/job functions and the corresponding wages:
Would You Like to Add Another Business Activity? Select Yes if You Need More Data Fields
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
Would You Like to Add Another Business Activity?
F. Provide the job creation schedule to which you commit
Would You Like to Add Another Phase?
Would You Like to Add Another Phase?
Would You Like to Add Another Phase?
Would You Like to Add Another Phase?
Would You Like to Add Another Phase?
Would You Like to Add Another Phase?
G. Please provide the address of the proposed permanent location of the Project

Note: The proposed address must be within Daytona Beach city limits and outside of City CRA (Community Redevelopment Agency) zones. The dropdown box below contains all Daytona Beach addresses that are outside of the CRA if you do not see the address of your project please double check spelling.

Please begin typing the address of the proposed project in the box below then select your address from the drop-down box.
Clear
Please confirm the address of the proposed project by filling in the information below.
H. Will the Project be located in a current or proposed Brownfield Area?
If Yes, does the proposed site have a Brownfield Site Rehabilitation Agreement in place or are you pursuing one?
I. Which of the following best describes the location of the Project

4. Job and Wage Overview

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114
G. Does the Applicant contract with a Professional Employer Organization (PEO) and have a PEO relationship with that PEO?

5. Capital Investment Overview

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114
B. Identify whether the Project will be located in a/an Check All That Apply
C. List the projected capital investment to be made in Florida in connection with the Project (by type and year)
Would you Like to add another Capital Investment? Select Yes if You Need More Data Fields...
Would you Like to add another Capital Investment? Select Yes if You Need More Data Fields...
Would you Like to add another Capital Investment? Select Yes if You Need More Data Fields...
Would you Like to add another Capital Investment? Select Yes if You Need More Data Fields...
Please list the calendar year cost and type of investment (If applicable)
Would you Like to add another Capital Investment? Select Yes if You Need More Data Fields...
Would you Like to add another Capital Investment? Select Yes if You Need More Data Fields...
Would you Like to add another Capital Investment? Select Yes if You Need More Data Fields...
Would you Like to add another Capital Investment? Select Yes if You Need More Data Fields...

6. Competitive Landscape

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114

7. Disclosure

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114
A. In the past 10 years, has (1) the Applicant, the Ultimate Parent Company or any of its Subsidiaries, (2) any Principal Executive Officer of the Applicant or the Ultimate Parent Company or (3) any entity that any Principal Executive Officer of the Applicant or the Ultimate Parent Company Controls or Controlled been convicted of or pled guilty or nolo contendere ("no contest") in a domestic, foreign or military court to any Felony or Misdemeanor involving fraud, false statements or omissions, wrongful taking of property, bribery, perjury, forgery or a conspiracy to commit any of these offenses?
B. Is (1) the Applicant, the Ultimate Parent Company or any of its Subsidiaries, or (2) any Principal Executive Officer of the Applicant or the Ultimate Parent Company or (3) any entity that any Principal Executive Officer of the Applicant or the Ultimate Parent Company Controls (a) the subject of a pending criminal prosecution or governmental enforcement action in any jurisdiction; (b) to the best of the Applicant's knowledge after due inquiry, the subject of any criminal, civil, or regulatory investigation by any law enforcement authority in the State of Florida, or any regulatory body in the State of Florida; or (c) subject to any unsatisfied tax liens in Florida or judgement liens in any jurisdiction in the U.S.
C. In the past 5 years, has (1) the Applicant, the Ultimate Parent Company or any of its Subsidiaries, (2) any Principal Executive Officer of the Applicant or the Ultimate Parent Company or (3) any entity that any Principal Executive Officer of the Applicant or the Ultimate Parent Company Controls or Controlled (a) been named as a DEFENDANT in any civil litigation or arbitration in any jurisdiction, (b) had an application for license, or a license or its equivalent, to practice any profession or occupation denied, suspended or revoked in any jurisdiction, or (c) been subject to a bankruptcy or insolvency petition in any jurisdiction?

8. E-Verify Registration

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114
In accordance with Section 288.061(6) of the Florida Statutes, the Applicant must include proof that it is registered with and uses the E-Verify system. Please indicate whether the Applicant is registered with the E-Verify system AND attach proof.

9. Confidentiality

City of Daytona Beach 301 S. Ridgewood Avenue Daytona Beach, FL 32114
In accordance with Section 288.075 of the Florida Statutes, the Applicant may request that the confidentiality of all information regarding the Project (including information contained in this application) for the lesser of a 12 month period after the date of its earliest written request (which may be extended for an additional 12 months upon request), 6 months after the issuance of the final project order approving the project or until the information is otherwise disclosed.
Please indicate whether the Applicant is requesting confidential treatment of the Project in accordance with Section 288.075 of the Florida Statutes.

***PLEASE BE SURE TO ATTACH THE PROPER INCENTIVE ATTACHMENT SHEET(S).***