MEDC Incentives Application

INCENTIVES APPLICATION

The Mission EDC requires the following information in order to process an application for incentives. Customarily, this information is protected by the State of Texas through the Texas Government code § 552.131 and is not subject to public disclosure until the incentive agreement is executed. An application does not guarantee an incentive grant.
SECTION A. COMPANY CONTACT INFORMATION
1) Applicant Company*
2) Applicant Headquarters Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
3) Name of Contact Person(s)*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Phone
Email
example@example.com
4) Company Website*
Facebook/LinkedIn*
5) Ownership:*

PrivatePublic
6) Business Structure:*

ProprietorshipPartnershipCorporationLLC
7) Does the applicant have authority to do business in the State of Texas?*

Yes (Include Certificate)No
8) What type of incentive is the applicant seeking?*

Property Tax RebateOpportunity ZoneRetail Sales Tax RebateState AssistanceInfrastructure AssistanceHOT Tax RebateJob CreationOther
Section B. PROJECT DEAILS
9) Proposed Location Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
PID (Property Identification Number)
10) Building:*

New ConstructionExpansionImprovements
11) Acquisition:*

PurchasedLeased
12) Building/Land Size:*

Square FeetAcres
Size: Square Feet *
Size: Acres*
13) Project Start Date*

MonthDayYear
Date
Project Estimated End Date*

MonthDayYear
Date
14) Site Information (Attach Document)*

Site Plans/ServeyLegal DescriptionRenderings
Site Plans/Servey, Legal Description and/or Renderings

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15) Project Primary Utilities:*

ElectricityWaterGasSolar/Wind
List Demand/Volume:*
16) Company NAICS Code: *
17) Specify Industry:*

Defense & AerospaceLife SciencesTourismAdvanced ManufacturingAdvanced LogisticsBusiness Support ServicesRetail/Destination/HotelOther
18) List Other Communities/States considered for this project:*
19) Has the company previously received incentives from the following taxing entities?*

Mission EDCCity of MissionState of Texas
20) Reason for Incentive Request:*
SECTION D. INVESTMENT INFORMATION

1) Total Dollar Investment for Proposed Project*

	Real Property
Land
Existing Building Improvements
New Building Improvements
Site Infrastructure
Total

Total Dollar Investment for Proposed Project*

	Personal Property
Equipment
Technology
Furniture & Fixtures
Other
Total

2) Please Provide Yearly Investment Breakdown: Capital Investment*

	Year & Investment Amount
Year 1 (Capital Investment Description)
Year 2 (Capital Investment Description)

2) Please Provide Yearly Investment Breakdown: Training Investment*

	Year & Investment Amount
Year 1 (Training Investment Description)
Year 2 (Capital Investment Description)

SECTIONS C. JOB WAGE & BENEFITS INFORMATION

3) Provide number of FULL-TIME jobs, with hourly wage/salary, to be created or retained. (Fringe benefits are not to be included in these calculations.) Include current employment numbers if applicable. Attach sheets if necessary.*

	Title or Occupation Code	Number of Employees	Hourly Wage Per Employee	Annual Salary
FULL-TIME
FULL-TIME
FULL-TIME
FULL-TIME
FULL-TIME
FULL-TIME
FULL-TIME

4) Please include the number of PART-TIME jobs, with hourly wage/salary, to be created or retained. (Fringe benefits not included in calculations).*

	Title or Occupation Code	Number of Employees	Hourly Wage Per Employee	Annual Salary
PART-TIME
PART-TIME
PART-TIME
PART-TIME
PART-TIME
PART-TIME
PART-TIME

FULL-TIME/PART-TIME File Upload (If needed)

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5) Total company workforce (Global or National Workforce)*
6) If available, include the expected number of construction jobs
7) Total local jobs to be created (part-time/full-time/construction)*

8) Provide total annual payroll years 1-5, as required, excluding benefits*

	Year 1	Year 2	Year 3	Year 4	Year 5
Existing Jobs
New Jobs
Total Annual Payroll

9) What health benefits are offered by employer to FULL-TIME employees?*

MedicalDentalVisionVacationRetirementNone
SECTION E. ADDITIONAL COMPANY INFORMATION
30) Please include the following attachments:
- Company insurance
- Health insurance benefits
- Financial statements or tax returns last 2-years
- Retail / Destination / Hotel Industry, please provide projected annual revenue
Company Insurance

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Health Insurance Benefits

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Financial Statements/Tax Returns from last 2 years

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Retail / Destination / Hotel Industry, please provide projected annual revenue

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SECTION F. CERTIFICATION

I hereby certify that I am familiar with the provisions contained in the current incentive policy and guidelines, and that the information provided in this application may become part of an incentive agreement with the Mission EDC. I also certify that I am authorized to sign this application and that the information provided here is true and correct, and that knowingly providing false information may result in voiding this application and termination of any incentive agreement.
Type Name & Title*

Full Name Title
Signature*

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Contact Us for More Information:

MISSION ECONOMIC DEVELOPMENT CORPORATION

801 N. BRYAN ROAD

MISSION, TEXAS 78572

Phone: 956.585.0040

E-mail: TGARCIA@MISSIONEDC.COM
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INCENTIVES APPLICATION

SECTION A. COMPANY CONTACT INFORMATION

Section B. PROJECT DEAILS

SECTION D. INVESTMENT INFORMATION

SECTIONS C. JOB WAGE & BENEFITS INFORMATION

SECTION E. ADDITIONAL COMPANY INFORMATION

SECTION F. CERTIFICATION