ECIDA Annual Survey
ECIDA Annual Survey
Company Name:
Project ID:
Section
#1: Employment Information
A. Employment at time of
ECIDA Application
List the number of full and
part-time employees by job category and provide the average hourly or
annual wages and the value of the fringe benefits (health insurance,
vacation, sick, personal, 401K, etc.).
B. Jobs created during
2019
If your company hired any new full
and/or part-time employees during 2019, list the number by job
category and provide the average hourly or annual wages and the value
of the fringe benefits (health insurance, vacation, sick, personal,
401K, etc.).
C. Total FTE Employees as
of December 31, 2019
List the total number of full and
part-time employees by job category and provide the average hourly or
annual wages and the value of the fringe benefits (health insurance,
vacation, sick, personal, 401K, etc.).
***Attach a
copy of your NYS 45 form. If the NYS 45 form is
not available for the specific project location or the form does not
accurately reflect the full-time jobs that you listed in this section,
please submit an
internal report verifying the total jobs by employment category as
outlined above.
NYS 45 Form:
D. For multi-tenant clients only
Please provide a copy of your tenant
listing and complete the following chart:
E. Construction Jobs
If your project was in the construction
phase in 2019, list the number of full-time construction employees
who worked on your project in 2019. Complete this section if you
submitted local labor reports in 2019.
Number of construction employees who worked on the project in 2019:
F. Independent Contractors
If any full or part-time independent
contractors or employees of independent contractors worked at your
facility in 2019, list the number by job category and provide
their wage information (if known).
Section
#2: Bond Information
If you have a bond through the ECIDA or the ILDC, please complete the
following:
Date of bond issue:
Bond amount at date of issue:
Principal amount paid in 2019:
Principal balance as of 12/31/19:
Final maturity date:
Bank trustee (trustee name, bank name, address, cite, state &
zip):
Section
#3: Sales Tax Savings (if you purchased goods with an ECIDA issued
sales tax letter in 2019)
Provide the total sales tax exemptions that you received from 1/1/19
through 12/31/19
(actual sales tax savings, NOT total purchases):
***Attach
your New York State ST-340 form for the sales tax exemptions referenced
above
NYS ST-340:
Section #4: Mortgage Record Tax Savings
Mortgage tax exemption amount (0.75% of the mortgage amount):
Section
#5: Unpaid Real Property Tax Re-Certification
By checking this box, individuals who
hold at least a 25% ownership interest in the applicant (the entity
that is receiving ECIDA benefits) certify that they do not have any
unpaid taxes on any property located within Erie County.
If any individuals who hold at least a 25% ownership in the applicant
owes taxes on any property located within Erie County, please explain:
Section
#6: Certification
I certify that to the best of my knowledge, the
information on this form is correct. I also understand that failure to
report completely and accurately may result in enforcement of the
provisions of my agreement, including but not limited to voidance of
the agreement and potential recapture of benefits.
Name:
Title:
Date:
Phone:
E-mail:
If any contact information is incorrect, please provide the updated
information below:
Additional comments:
Please submit your completed survey and the requested documents on or
before Friday, February 14, 2020.
