AITC: Eligible Business Corporation (EBC) Registration

Transcription

1 AITC: Eligible Business Corporation (EBC) Registration Note: These forms are samples only and intend to show the type of information applicants will be required to provide as part of their application. Please note that the application forms are subject to change. Final forms will be accessible through the online application portal starting January 16, Program Application Instructions Eligible Business Corporation (EBC) This application is completed by a small business seeking registration as an Eligible Business Corporation (EBC). Upon approval, the Minister confirms that the EBC meets the requirements under the Investing in a Diversified Alberta Economy Act at the time of application and is authorized to apply to raise equity capital from eligible investors/corporations. NOTE: Only complete application packages will be considered. Program Application 1

2 EBC Program Application ELIGIBLE BUSINESS CORPORATION INFO Legal Name of Business Corporation* Alberta Ltd. Operating Name of Business Corporation Joe Smith Productions Corporate Access Number* ######### Federal Business Number ######### Date of Incorporation* 6/1/2015 6/30/2017 Fiscal Year End / Tax Year End* NAICS Code BUSINESS ADDRESS Street 1 Street Jones Street City Edmonton Province AB Country Postal Code Canada T## ### Is this your mailing address? CONTACT INFO Business jsmith@####.ca Business Website Business Phone Business Fax

3 DIRECTOR Director Name* Joe Smith Director Address* 1234 Alberta Ave. Edmonton, AB T## ### Director Home Phone* Director Work Phone* Director Address* OFFICER Officer Name* Jane Smith Officer Position* Chief Executive Officer Officer Home Address* 1234 Jones Ave. Edmonton, AB T##### Officer Home Phone* Officer Work Phone* Officer Address* 3

4 DESCRIPTION OF BUSINESS ACTIVITY* The post production development of visual effects for motion pictures. BUSINESS FINANCIALS Most recently completed fiscal year end (if available) 06/30/2016 Most recently completed fiscal year end (if available) * Revenue earned in Alberta $ Total Revenue Earned $ Percent $75,000 $75,000 Projected for current fiscal year end* $150,000 $150,000 Projected for next fiscal year end* $500,000 $500,000 % % % List the total remuneration that was paid to employees of the corporation or corporations who regularly reported to work at operations located in Alberta during the calculation period. This produces the wages for employees in Alberta.* $35,000 List the total remuneration that was paid to employees of the corporation or corporations during the calculation period. This produces the Total Wages paid to all employees.* $35,000 Determination of wages and salaries calculation Do you export?* No Yes 4

5 ASSETS & EXPENSES Source of Information Financial Statements Qualifying Activity - Assets* Qualifying Activity - Expenses* $30, $40, Total - Assets* Total - Expenses* $30, $40, Calculation of assets used in qualifying activity* Percentage of assets located outside of Alberta* VALUE OF EQUITY SHARES ISSUED IN CONSIDERATION OF CASH How much equity capital do you currently have* $30,

6 ANNUAL EMPLOYMENT DETAILS Complete one of the following calculation modes to calculate the number of employees at the date of application: The calculation period refers to: (a) where a small business or affiliate of a small business has been in business for a period of less than one year as at the date of the calculation, that entire period, or (b) where a small business or affiliate of a small business has been in business for one year or longer, the 52 weeks just ended at the date of the calculation. Mode 1 Total number of hours worked by all employees 3,000 Number of weeks in calculation period 26 Mode 2 Total employee costs Number of weeks in calculation period Number of Employees - Calculation Does the business have affiliates?* No Yes 6

7 Attachments Only PDF, DOC and DOCS are allowed. Max 5MB per file. Financial Statements Securities Register Business Plan Certification A certification form will be accessible through the online application portal starting January 16, Once completed, applicants will be required to print, sign and upload the form as a PDF, Doc or Docx. Other 7