OFFERING EMPLOYEE BENEFITS INTAKE FORM: EMPLOYEE STOCK OPTION PLANS
|
|
- Katrina Brown
- 5 years ago
- Views:
Transcription
1 - DISCLAIMER - The following form is provided by FindLaw, a Thomson Business, for informational purposes only and is intended to be used as a guide prior to consultation with an attorney familiar with your specific legal situation. FindLaw is not engaged in rendering legal or other professional advice, and this form is not a substitute for the advice of an attorney. If you require legal advice, you should seek the services of an attorney by linking to FindLaw.com FindLaw.com. All rights reserved. OFFERING EMPLOYEE BENEFITS INTAKE FORM: EMPLOYEE STOCK OPTION PLANS This document is designed to help you collect a variety of information about your company to help your attorney assess your company s situation and advise you about creating an ESOP. You should also collect the following documents (if they exist) to include in the file you will take to your attorney: Annual report (if there is one) Recent prospectus or private placement memorandum Recent financial statement Summary plan descriptions of current employee benefit plans Today s Date: GENERAL INFORMATION Name of Company: Company Address: City State Zip Contact Person: Telephone Number: Address: Name of Accountant: Telephone Number: Area Code Extension Area Code Extension BUSINESS INFORMATION What business is the company in? Business form: Corporation Partnership Sole-proprietorship
2 If your company is a corporation, in what state is the company incorporated? what kind of tax treatment does it have? C corporation S corporation Affiliated companies, parent or subsidiaries: Name of Company Relationship to Your Company STOCK INFORMATION Is your company s stock publicly traded? If yes, which stock exchange? How many shareholders are there? (Provide an estimate if your company is publicly traded.) How many stockholders hold 5% or more of the company s stock? What percentages of stock do your major shareholders own? (List from most to least (5%).) % % % % % Are major shareholders active in the business? Yes No Are family members of major shareholders active in the business If you answered Yes, what are the relationships? Stockholder Family Member Relationship _ Page 2 of 8
3 What classes of stock are outstanding? Common shares Preferred shares Other Please provide more detail about the classes of stock if appropriate. Is any sale of stock pending? Are any options or warrants outstanding? TAX INFORMATION What tax bracket is the company in this year? Federal State What bracket do you expect the company to be in next year? Federal State How is your company taxed? C corporation S corporation Other: Past taxable income and federal taxes: Net taxable income Federal taxes paid 1997 $ $ 1998 $ $ 1999 $ $ 2000 $ $ 2001 $ $ Page 3 of 8
4 Projected taxable income and federal taxes: Net taxable income Federal taxes paid 2000 $ $ 2001 $ $ 2002 $ $ 2003 $ $ EMPLOYEE INFORMATION How many employees does your company have? How may of your employees are unionized? What is the total payroll? What portion of the payroll is for unionized employees? $ $ Do you plan to include unionized employees? As a percentage, how long have your employees been with the company? 0-6 months % 6 mos. to 1 year % 1-3 years % 4-5 years % > 5 years % CURRENT KEY EMPLOYEES AND OFFICERS Name: Position: Age: Compensation:_ Stock ownership: % Name: Position: Age: Compensation: Stock ownership: % Page 4 of 8
5 Name: Position: Age: Compensation: Stock ownership: % Name: Position: Age: Compensation: Stock ownership: % POSSIBLE FUTURE KEY EMPLOYEES Name: Current Position: Potential Position: Compensation: Name: Current Position: Potential Position: Compensation: Name: Current Position: Potential Position: Compensation: EMPLOYEE BENEFITS Does your company currently have any qualified benefit plans? Page 5 of 8
6 Please provide the following information about your company s employee benefit plans. Retirement Plans 1. Kind of plan: Current assets: Current contribution: Current contribution expressed as a percentage of pay: % Type of Investments: 2. Kind of plan: Current assets: Current contribution: Current contribution expressed as a percentage of pay: % Type of Investments: 3. Kind of plan: Current assets: Current contribution: Current contribution expressed as a percentage of pay: % Type of Investments: Welfare Plans 1. Kind of plan: Benefits offered: 2. Kind of plan: Benefits offered: 3. Kind of plan: Benefits offered: Page 6 of 8
7 Does your company have any unqualified plans? If yes, what kind of plans are they and how many employees participate? 1. Kind of plan: _ Number of participants: 2. Kind of plan: _ Number of participants: 3. Kind of plan: _ Number of participants: Are any of the company s qualified plans top heavy? FINANCIAL INFORMATION Current valuation, as of : $_ Who provided the valuation of your company? Retained earnings, as of : $ WHY DO YOU WANT TO CREATE AN ESOP? To motivate employees To convert current profit-sharing plan, accounted for as an expense To obtain working capital To refinance existing debt To increase cash flow by creating tax deductions To pass control of the business To aid in estate planning To guard against corporate takeovers Other Please describe: Page 7 of 8
8 Page 8 of 8
PURCHASING, LEASING OR SELLING A HOME HOMEBUYER S FINANCIAL WORKSHEET
- DISCLAIMER - The following form is provided by FindLaw, a Thomson Business, for informational purposes only and is intended to be used as a guide prior to consultation with an attorney familiar with
More informationStarting a Business Checklist
AKD Consultants Adam Dworkin CPA 188 Whiting Street Suite 10 Hingham, MA 02043 781-556-5554 Adam@AKDConsultants.com Starting a Business Checklist Page 1 of 6, see disclaimer on final page Starting a Business
More informationCommunity Bank Package Policy Application for Management, Fiduciary, Trust and Bankers Professional Liability
Community Bank Package Policy Application for Management, Fiduciary, Trust and Bankers Professional Liability THIS IS AN APPLICATION FOR A CLAIMS MADE POLICY IMPORTANT NOTE: THE POLICY FOR WHICH APPLICATION
More informationStarting a Business Checklist
Coastal Wealth Management Available through CFS* 1000 St Albans Dr Raleigh, NC 27609 919-882-6655 wealthmanagement@coastalfcu.org www.coastalwealthmanagement24.com Starting a Business Checklist Page 1
More informationTax Cuts and Jobs Act
Tax Cuts and Jobs Act Deduction for Qualified Business Income of Pass-Through Entities (Amount of deduction equals the sum of Slide 1 or Slide 2, as applicable, plus Slide 3) Is the taxpayer engaged in
More informationIntroducing The OAPT Deferred Compensation Plan. Featuring Traditional and Roth 457(b) Options
Introducing The OAPT Deferred Compensation Plan Deferred Compensation Plan Featuring Traditional and Roth 457(b) Options Advisory services and securities offered through Lincoln Investment, Registered
More informationCOMBINED APPLICATION FOR DIRECTORS & OFFICERS LIABILITY BANKERS PROFESSIONAL LIABILITY -- EMPLOYMENT PRACTICES LIABILITY -- FIDUCIARY LIABILITY
COMBINED APPLICATION FOR DIRECTORS & OFFICERS LIABILITY BANKERS PROFESSIONAL LIABILITY -- EMPLOYMENT PRACTICES LIABILITY -- FIDUCIARY LIABILITY NOTICE: THE POLICY WHICH YOU ARE APPLYING IS A CLAIMS-MADE
More informationExecutive Benefit Arrangements
Bonus Rec d Executive Benefit Arrangements When working with business owners, it is important to consider the business structure in which the business operates in order to assess the suitable options available
More informationEVEREST NATIONAL INSURANCE COMPANY FINANCIAL INSTITUTION APPLICATION
EVEREST NATIONAL INSURANCE COMPANY DIRECTORS & OFFICERS / COMPANY LIABILITY FINANCIAL INSTITUTION BOND/CSD FINANCIAL INSTITUTION APPLICATION FDIC No. EMPLOYMENT PRACTICES LIABILITY THE LIABILITY POLICIES
More informationLife Portraits SS Financial Analysis FactFinder Business Needs Analysis Data
Group Data Life Portraits SS Financial Analysis FactFinder Business Needs Analysis Data Name Address Address Category Client Prospect Lead Business Type Business n-profit Organization Education Religious
More informationARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY
ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY PROCEDURAL PAMPHLET EFFECTIVE AS OF NOVEMBER 1, 2017 SECTION I. INTRODUCTION... 1 SECTION II. POLICY STATEMENT... 1 SECTION III. DEFINITIONS... 1 SECTION IV. APPLICATION
More informationYourself Spouse Yourself Spouse Yourself Spouse Yourself Spouse. in Last Name
Form MO-1040A Department of Revenue 2017 Individual Income Tax Return Single/Married (One Income) Print in BLACK ink only and DO NOT STAPLE For Privacy Notice, see Instructions Vendor Code 0 0 0 Department
More informationFORM 9. NOTICE OF PROPOSED ISSUANCE OF LISTED SECURITIES (or securities convertible or exchangeable into listed securities 1 )
FORM 9 NOTICE OF PROPOSED ISSUANCE OF (or securities convertible or exchangeable into listed securities 1 ) Please complete the following: Name of Listed Issuer: BLOK Technologies Inc (the Issuer ) Trading
More informationEmployee Stock Ownership Plans ESOPs 101
Employee Stock Ownership Plans ESOPs 101 Presented by: Daniel M. Zugell, CLU, ChFC, LUTCF Senior Vice President 2 0 1 5 B T A I N C. VALUE PROPOSITION What if your clients were able to Sell all or a portion
More informationIn addition to the attached application, please submit the following items: Signed current aging of accounts receivable and accounts payable
Application Dear Applicant: The following checklist includes additional information First Central Savings Bank requires in order to evaluate your application for a commercial loan. The completion of this
More informationPERSONAL FINANCIAL STATEMENT
OMB Approval No. 3245-0188 PERSONAL FINANCIAL STATEMENT U.S. SMALL BUSINESS ADMINISTRATION As of, 20 Complete this form for: (1) each proprietor, or (2) each limited partner who owns 20% or more interest
More informationAPPLICATION for: Management Liability
APPLICATION for: Management Liability Employment Practices Liability, Directors and Officers Liability and Fiduciary Liability (Claims-Made and Reported Coverage) NOTICE: The policy for which you are applying
More informationRANGER COLLEGE REQUEST FOR DEPENDENCY CHANGE
RANGER COLLEGE REQUEST FOR DEPENDENCY CHANGE 2015-2016 Instructions This application is available to you if: 1. You do not meet the definition of an independent student for financial aid purposes as defined
More informationFORM 9. NOTICE OF PROPOSED ISSUANCE OF LISTED SECURITIES (or securities convertible or exchangeable into listed securities 1 )
FORM 9 NOTICE OF PROPOSED ISSUANCE OF (or securities convertible or exchangeable into listed securities 1 ) Please complete the following: Name of Listed Issuer: Speakeasy Cannabis Club Ltd (the Issuer
More informationStandardized Adoption Agreement Instructions
Individual 401(k) Profit Sharing Plan Standardized Adoption Agreement Instructions The Individual 401(k) plan is appropriate for a one-person business owner and his or her working spouse. This plan is
More informationFiduciary & Employee Benefits Liability Application
FDIC #: DATE: *To be able to save this form after the fields are filled in, you will need to have Adobe Reader 9 or later. If you do not have version 9 or later, please download the free tool at: http://get.adobe.com/reader/.
More informationFREQUENTLY ASKED QUESTIONS ABOUT PIPES
FREQUENTLY ASKED QUESTIONS ABOUT PIPES Understanding PIPEs What are PIPEs? A PIPE (Private Investment in Public Equity) refers to any private placement of securities of an already public company that is
More informationFACT FINDER: OWNER PERSONAL INFO
FACT FINDER: OWNER PERSONAL INFO Owner Information Owner Type*: Individual Individual + Spouse Entity, ESOP or Trust Name of Entity, ESOP or Trust: First Name Middle Name Last Name Age: Gender: Male Female
More informationYourself Spouse Yourself Spouse Yourself Spouse Yourself Spouse. in Last Name
Form MO-00P Missouri Department of Revenue 07 Individual Income Tax Return and Property Tax Credit Claim/Pension Exemption - Short Form Print in BLACK ink only and DO NOT STAPLE For Privacy Notice, see
More informationCHANGE OF OWNERSHIP. Kansas City, MO Kansas City, MO Name of Owner/Entity: Tax ID/SS #: Date of Birth:
CHANGE OF OWNERSHIP This form must be used by any current owner (the Current Owner ) in (the Program ) to transfer ownership of shares of common stock (the Shares ) to a new owner (the New Owner ). For
More informationESOP Pros & Cons Whitepaper
Whitepaper JenningsValuation.com Introduction An Employee Stock Ownership Plan, or ESOP, is a retirement plan that provides transition opportunities for a company s owners. An ESOP is not appropriate for
More informationPROSPECTUS 626,600,000 SHARES COMMON STOCK 2003 KEY ASSOCIATE STOCK PLAN, AS AMENDED AND RESTATED EFFECTIVE APRIL 28, 2010
PROSPECTUS 626,600,000 SHARES BANK OF AMERICA CORPORATION COMMON STOCK 2003 KEY ASSOCIATE STOCK PLAN, AS AMENDED AND RESTATED EFFECTIVE APRIL 28, 2010 This Prospectus relates to the offer and sale of up
More informationSuperior Services Investment Group, LLC. Design Credit: Virtual Assistance Genie
Superior Services Investment Group, LLC Design Credit: Virtual Assistance Genie Wholesaling Advertising/ Marketing Tenant Placement Locating Discounted Properties Lease Purchase Contact Information Phone
More informationG. J. Sullivan Co. Insurance Services Sullivan Brokers Wholesale Insurance Solutions PRODUCER AGREEMENT
G. J. Sullivan Co. Insurance Services Sullivan Brokers Wholesale Insurance Solutions PRODUCER AGREEMENT Please provide the following required documents: Copy of Producer s License Signed Producer Agreement
More informationHardship Withdrawal Application
Lake County, Illinois Plasterers & Cement Masons Retirement Savings Plan 915 National Parkway, Suite F, Schaumburg, IL 60173 Telephone (800) 323-1683, Fax (847) 519-1979 Dear Participant: Hardship Withdrawal
More informationFact finder Business needs analysis. Discover what your business needs most
Fact finder Business needs analysis Discover what your business needs most Business profile The first few questions help us better understand your business by providing a brief overview. Business profile
More informationEssential Training & Education for the Trucking Industry. ESOPs in Trucking: A Strategy for Succession Planning and Successful Ownership Transi<on
Essential Training & Education for the Trucking Industry ESOPs in Trucking: A Strategy for Succession Planning and Successful Ownership Transi
More informationTHIS IS AN APPLICATION FOR A CLAIMS MADE POLICY
THIS IS AN APPLICATION FOR A CLAIMS MADE POLICY Travelers SelectOne SM for Investment Advisers and Funds Application IMPORTANT NOTE: THE POLICY FOR WHICH APPLICATION IS MADE, IF ISSUED, WILL BE ON A CLAIMS
More informationAdditional Included Benefits
Additional Included Benefits In addition to the benefits described in your policy every Named Insured automatically qualifies for additional included benefits designed to minimize your professional liability
More informationINDUSTRIAL ASSETS CAPITAL APPLICATION. BUSINESS INFORMATION Brief description of business: - Legal Business Name: Federal ID #:
INDUSTRIAL ASSETS CAPITAL APPLICATION Industrial Assets Capital 11426 Ventura Blvd. Floor 2 Studio City, CA 91604 BUSINESS INFORMATION Brief description of business: - Legal Business Name: Federal ID #:
More informationInformation for Completing Your 2017 Tax Return
Information for Completing Your 2017 Tax Return Form 1099-INT What should I do with this form and what is reported on it? Form 1099-INT is utilized to report dividend income distributions from tax-exempt
More informationNATIONAL SOCIETY OF ACCOUNTANTS PROFESSIONAL LIABILITY APPLICATION
NATIONAL SOCIETY OF ACCOUNTANTS PROFESSIONAL LIABILITY APPLICATION web New Business Renewal of Policy Number AGENT INFORMATION Agent Name Forrest T. Jones & Company, Inc. 240675-1 Soliciting Agency/Licensee/Producer
More informationOwnership Structures and Incentive Programs for Design Professional Firms
Ownership Structures and Incentive Programs for Design Professional Firms May 10, 2018 Authors: Michael Strogoff, FAIA, Strogoff Consulting, Inc. Karen Kauh, Strogoff Consulting, Inc. With contributions
More informationUNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC FORM 10-K
UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-K [X] Annual Report Under Section 13 or 15 (d) of the Securities Exchange Act of 1934 For the fiscal year ended September 30,
More informationAdministrative Service Agency P.O. Box Columbus, OH Dear Plan Participant,
Administrative Service Agency P.O. Box 182797 Columbus, OH 43218-2797 Dear Plan Participant, Enclosed is the enrollment package that you requested for the Self Directed Investment Account administered
More informationPRIVATE PLACEMENT MEMORANDUM NOVEMBER 8, 2017 INVITATION TO SUBSCRIBE
NOVEMBER 8, 2017 PRIVATE PLACEMENT MEMORANDUM INVITATION TO SUBSCRIBE DESTINATA CAPITAL LIMITED Unit B1, Block 7, Fairways Office Par, Niblick Way, Somerset West, 7130 1 EXECUTIVE SUMMARY Destinata Capital
More informationTexas Enterprise Project Assignment Application
Texas Enterprise Project Assignment Application Texas Economic Development Bank For Office Use Only: Date Received: Application Fee Submitted Project: Community: Received By: GREG ABBOTT GOVERNOR Texas
More informationDisclaimer. Securities are offered through Signator Investors, Inc., Member FINRA, SIPC, 380 Stuart Street, Boston, MA 02116
Disclaimer This is an educational and financial analysis tool to assist you by providing concise financial information. This report is a needs analysis of your current situation. It is comprised of separate
More informationRoth IRA Conversions: A Fresh Perspective
Roth IRA Conversions: A Fresh Perspective Roth individual retirement accounts (IRAs) have provided investors with a tax-efficient way to save for retirement as well as lessen their income tax burden and
More informationSmall Business Loan Application
Please fill electronically or print in ink. BUSINESS PROFILE Business Legal Name Business Tax ID Number Physical Location Address ( PO Boxes) City State Zip Business Telephone Number LOAN REQUEST I/We,
More informationLLC, LLP, PC, LP Business Formation Rules
Vertex Wealth Management LLC Michael Aluotto President Private Wealth Manager 1325 Franklin Ave., Ste. 335 Garden City, NY 11530 516-294-8200 mjaluotto@1stallied.com LLC, LLP, PC, LP Business Formation
More informationFORM 9. NOTICE OF PROPOSED ISSUANCE OF LISTED SECURITIES (or securities convertible or exchangeable into listed securities)
FORM 9 NOTICE OF PROPOSED ISSUANCE OF (or securities convertible or exchangeable into listed securities) Please complete the following: Name of Listed Issuer: Metalo Manufacturing Inc (the Issuer ) Trading
More informationeskbook Emerging Life Sciences Companies second edition Chapter 1 Choosing the Ideal Structure for Your Business Entity
eskbook Emerging Life Sciences Companies second edition Chapter 1 Choosing the Ideal Structure for Your Business Entity Chapter 1 choosing the ideal structure for your business entity Starting a company
More informationTO THE DEPARTMENT OF BANKING AND CONSUMER FINANCE
APPLICATION TO THE DEPARTMENT OF BANKING AND CONSUMER FINANCE STATE OF MISSISSIPPI FOR AUTHORITY TO ORGANIZE A BANK PURSUANT TO SECTIONS 81-3-5, 81-3-7, 81-3-9, 81-3-11, AND 81-3-13, MISSISSIPPI CODE OF
More informationINSTRUCTIONS FOR SECURING A TAX CLEARANCE CERTIFICATE TO FILE WITH THE PA DEPARTMENT OF STATE
Bureau of Compliance PO BOX 2947 Harrisburg, PA 72-947 INSTRUCTIONS FOR SECURING A TAX CLEARANCE CERTIFICATE TO FILE WITH THE PA DEPARTMENT OF STATE REV--I (-) (I) The first step to cease doing business
More informationFORM 9. NOTICE OF PROPOSED ISSUANCE OF LISTED SECURITIES (or securities convertible or exchangeable into listed securities 1 )
FORM 9 NOTICE OF PROPOSED ISSUANCE OF (or securities convertible or exchangeable into listed securities 1 ) Please complete the following: Name of Listed Issuer: Golden Leaf Holdings Ltd (the Issuer )
More informationFORM 4B NOTICE OF PRIVATE PLACEMENT
FORM 4B NOTICE OF PRIVATE PLACEMENT Refer to Policy 4.1 Private Placements for the specific procedures and requirements applicable to obtaining Exchange acceptance of a Private Placement. Capitalized terms
More information(1) Name of veteran: First Middle Last. (5) Address: Number Street Apt. No. City State Zip Code (6) Mailing address: Number Street Apt. No.
Intake Form If you are a veterans or a veteran s family member, you may be entitled to veterans benefits. In particular, if the veteran is disabled and in need of financial help, he or she may be eligible
More informationCHAPTER 12 CIRCULARS AND ANNUAL REPORTS
CHAPTER 12 CIRCULARS AND ANNUAL REPORTS PART I SCOPE OF CHAPTER 1201 This Chapter sets out the requirements that apply to circulars and annual reports issued to the holders of listed securities. PART II
More informationCUSTOMER INFORMATION. Please print clearly and complete this form in its entirety. Customer Name: Customer Address: Lintech Customer Service Rep:
CREDIT APPLICATION CUSTOMER INFORMATION Please print clearly and complete this form in its entirety. Customer Name: Customer Address: Lintech Customer Service Rep: Lintech needs the information requested
More informationInitial Public Offerings vs Reverse Takeovers
Initial Public Offerings vs Reverse Takeovers August 2018 TABLE OF CONTENTS INTRODUCTION... 1 INITIAL PUBLIC OFFERING... 2 Advantages... 2 Dilution 2 Stronger Retail Distribution 2 Limits Liability 2 Timeliness
More informationThe Federal Income Tax System for Individuals
W E B E X T E N S I O N7A The Federal Income Tax System for Individuals H&R Block provides information for the current and next year at http://www.hrblock.com/ taxes/tax_calculators. A Web site explaining
More informationAppendix 3B. Introduced 01/07/96 Origin: Appendix 5 Amended 01/07/98, 01/09/99, 01/07/00, 30/09/01, 11/03/02, 01/01/03, 24/10/05, 01/08/12, 04/03/13
Appendix 3B Rule 2.7, 3.10.3, 3.10.4, 3.10.5, application for quotation of additional securities and agreement Information or documents not available now must be given to ASX as soon as available. Information
More informationADVISING STARTUPS AND ENTREPRENEURS
ADVISING STARTUPS AND ENTREPRENEURS T. Joshua Wu www.jwlawdc.com Sponsored by ADVISING STARTUPS AND ENTREPRENEURS 2 T. Joshua Wu www.jwlawdc.com OVERVIEW Starting a new business venture Choosing the business
More informationFORM 9. NOTICE OF PROPOSED ISSUANCE OF LISTED SECURITIES (or securities convertible or exchangeable into listed securities 1 )
FORM 9 NOTICE OF PROPOSED ISSUANCE OF LISTED SECURITIES (or securities convertible or exchangeable into listed securities 1 ) Please complete the following: Name of Listed Issuer: BRISIO INNOVATIONS INC
More informationEQUITY AWARDS PROGRAM RESTRICTED STOCK UNITS (RSUs)
EQUITY AWARDS PROGRAM RESTRICTED STOCK UNITS (RSUs) 2 The following questions and answers provide general information about CVS Caremark Corporation s Equity Program and answer frequently asked questions
More informationFinancial Statements and Supplemental Information (Together with Independent Auditors Report)
Financial Statements and Supplemental Information (Together with Independent Auditors Report) Years Ended June 30, 2015 and 2014 Table of Contents June 30, 2015 and 2014 Page Independent Auditors Report
More informationFORM C NOTICE OF PROPOSED SHARE ISSUANCE/FINANCING
FORM C NOTICE OF PROPOSED SHARE ISSUANCE/FINANCING I. GENERAL 1. Name of Company: (the Company ). Trading Symbol:. 2. Date of News Release/ Price Reservation Form announcing proposed share issuance/financing:
More informationFLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS
FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Attached are the forms to convert an Other Organization into a Florida Limited Partnership or Limited Liability Limited Partnership pursuant to section
More informationState of North Carolina Prequalification for Single Prime Contractors
Failure to answer all of the following questions may result in disqualification. If general contractor has any questions, contact the person listed below under Submitted to. Completing this questionnaire
More informationConservation Loan Program Fact Sheet Commercial & Multi-family Rental
Conservation Loan Program Fact Sheet Commercial & Multi-family Rental The offers low-interest loans to businesses with terms up to 10 years for qualifying sewer or storm water conservation projects. ELIGIBILITY
More informationMANAGEMENT LIABILITY INSURANCE RENEWAL PROPOSAL FORM
MANAGEMENT LIABILITY INSURANCE RENEWAL PROPOSAL FORM CLAIMS MADE AND REPORTED WARNING FOR APPLICATION: This Proposal Form is for a Claims Made and Reported Policy, relating to claims made and reported
More informationID K-1 EFO
F ID K-1 EFO00201 PARTNER S, SHAREHOLDER S, OR BENEFICIARY S SHARE OF IDAHO ADJUSTMENTS, CREDITS, ETC. O R M 2017 For tax year beginning Mo Day Year Mo Day Year 17 ending Part I - Pass-through entity (PTE)
More informationGenerating Current Income
Oppenheimer & Co. Inc. Craig Chapman, CFP Director-Investments, Financial Advisor 14636 N. Scottsdale Road Suite 175 Scottsdale, AZ 85254 480-596-1512 craig.chapman@opco.com http://fa.opco.com/craig.chapman/
More informationMicroloan Checklist Supporting documents to provide with loan application
Microloan Checklist Supporting documents to provide with loan application For existing businesses 1. Personal Tax Returns for the last three years on all borrowers who own 20% or more of the business 2.
More informationSM SERVICE AGREEMENT. . The Plan Year in which Client engages MVP to begin providing services
SERVICE AGREEMENT This Service Agreement ( Agreement ) is entered into on the Effective Date set forth below between MVP Plan Administrators, Inc. ( MVP ), and the Plan Sponsor or Client. Except where
More informationU.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 10-QSB
U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-QSB [X] (Mark One) QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the period ended March 31,
More informationSTATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE APPLICATION PACKET FOR TEMPORARY BEER, WINE, MINIBOTTLE, AND/OR ALCOHOLIC LIQUOR
STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE APPLICATION PACKET FOR TEMPORARY BEER, WINE, MINIBOTTLE, AND/OR ALCOHOLIC LIQUOR Mail to: SC Department of Revenue, Alcoholic Beverage Licensing, Columbia,
More informationFITCH UPGRADES NEW ORLEANS, LA'S WATER & SEWERAGE REVS TO 'A-'; OUTLOOK STABLE
FITCH UPGRADES NEW ORLEANS, LA'S WATER & SEWERAGE REVS TO 'A-'; OUTLOOK STABLE Fitch Ratings-Austin-04 November 2016: Fitch Ratings has upgraded the following ratings on bonds issued by the City of New
More information199A - PASSTHROUGHS TAX DEDUCTION
199A - PASSTHROUGHS TAX DEDUCTION Huselton, Morgan & Maultsby, PC February 15, 2018 1 DISCLAIMER This presentation is delivered solely for the purpose of providing information about tax matters. It does
More informationTRISTAR PENSION CONSULTING
TRISTAR PENSION CONSULTING 6/1/2010 Roth 401(k) FAQs Designated Roth contributions (a/k/a Roth 401(k) or Roth deferrals) have been available since 2006, but a change in the tax laws governing Roth IRAs
More informationTDA HARDSHIP WITHDRAWAL APPLICATION
TDA HARDSHIP WITHDRAWAL APPLICATION INSTRUCTIONS PLEASE READ CAREFULLY Under the Internal Revenue Code (IRC), Tax-Deferred Annuity (TDA) Program participants who are under age 59½ may withdraw their post-1988
More informationPOLICY STATEMENT ON TRADING IN SECURITIES OF DOMTAR CORPORATION. [Amended and Restated as of August 2, 2016]
POLICY STATEMENT ON TRADING IN SECURITIES OF DOMTAR CORPORATION [Amended and Restated as of August 2, 2016] This memorandum sets forth the policy of Domtar Corporation and its subsidiaries (the Company
More informationCLIENT SERVICE AGREEMENT
CLIENT SERVICE AGREEMENT 1) ( NEON dba TaxBreak) and ( NEON dba TaxBreak Client ). NEON dba TaxBreak and the NEON dba TaxBreak Client shall occasionally be referred to jointly herein as the Parties 2)
More informationPlease complete the contact information before starting the questionnaire. Print copy of the questionnaire. Please print a copy for your own records.
Please complete the contact information before starting the questionnaire. Prepared by: Position: Firm name: Contact name: Position: Phone No.: Email: Instructions: Please respond to ALL 43 questions in
More informationSIMPLIFIED. Employee Pension Plan. John Hancock Investments. Your SEP/SARSEP retirement plan guide for small businesses and self-employed individuals
John Hancock Investments SIMPLIFIED Employee Pension Plan Your SEP/SARSEP retirement plan guide for small businesses and self-employed individuals EMPLOYER DOCUMENTS Employer information This kit contains
More informationFORM 9. NOTICE OF PROPOSED ISSUANCE OF LISTED SECURITIES (or securities convertible or exchangeable into listed securities 1 )
FORM 9 NOTICE OF PROPOSED ISSUANCE OF (or securities convertible or exchangeable into listed securities 1 ) Please complete the following: Name of CNQ Issuer: Excalibur Resources Ltd (the Issuer ) Trading
More informationCity County State Zip Code
FranchisePerils FranchisorSuite 800 Wilshire Blvd, Suite 1525, Los Angeles, CA 90017 Coverage Your Way RENEWAL APPLICATION CLAIMS MADE WARNING FOR APPLICATION THIS PROPOSAL FORM IS FOR A CLAIMS MADE AND
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 07, covering calendar year ending December, 06. Use FORM PFS--INSTRUCTION GUIDE when completing
More informationBOROUGH OF ELMWOOD PARK REQUEST FOR QUALIFICATIONS AND PROPOSAL FOR MUNICIPAL BOND COUNSEL
BOROUGH OF ELMWOOD PARK REQUEST FOR QUALIFICATIONS AND PROPOSAL FOR MUNICIPAL BOND COUNSEL Date Issued: November 14, 2016 Return Date & Time: Return To: December 6, 2016, 11:00 AM Keith Kazmark, RMC/CMC/MMC
More informationSamson Information Technologies (Pvt) Ltd
Samson Information Technologies (Pvt) Ltd # 8, De Fonseka Place, Colombo 04,Sri Lanka. Tel : +94 112 553 150 Fax : +94 112 553 530 RESELLER APPLICATION FORM Introducing Sales Person: Branch Distributor
More informationSECTION 4 EMPLOYER PICKUP
SECTION 4 EMPLOYER PICKUP Contents EMPLOYER PICKUP...1 Salary Reduction Pickup...1 Fringe Benefit Pickup...2 Notification to STRS Ohio...4 Reporting Tax-deferred Contributions to STRS Ohio...4 Sample Forms
More informationBackground p. 1 Introduction p. 3 Definitions p. 7 Valuing a Transaction p. 7 Types of Mergers p. 7 Reasons for Mergers and Acquisitions p.
Preface p. xi Background p. 1 Introduction p. 3 Definitions p. 7 Valuing a Transaction p. 7 Types of Mergers p. 7 Reasons for Mergers and Acquisitions p. 8 Merger Financing p. 8 Merger Professionals p.
More informationIRS 403(b) PLAN AUDITS
IRS 403(b) PLAN AUDITS INTRODUCTION The final 403(b) regulations have essentially eliminated the ability for a plan sponsor to limit involvement in matters of plan administration. This manual contains
More informationDividend/Rider withdrawal and dividend option change request
U.S. Retail Life Operations Dividend/Rider withdrawal and dividend option change request Use this form to request a dividend withdrawal or a withdrawal from a rider on your policy (not for use with Universal
More informationOWNERSHIP/CONTROL DISCLOSURE FORM Privately Held Corporation
Privately Held Corporation Name of Parent Corporation Address of Parent Corporation Telephone Number of Parent Corporation Facsimile Number of Parent Corporation Contact Name for Parent Corporation E-mail
More informationDEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE Washington, DC June 7, 2013 MEMORANDUM FOR DISTRIBUTION FOR WHISTLEBLOWER OFFICE EMPLOYEES
DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE Washington, DC 20224 Whistleblower Office June 7, 2013 Control Number: WO -25-0613-03 Expires Date: June 7, 2014 Impacted IRM: 25.2.2 MEMORANDUM FOR
More informationLoan Application for Business Energy Efficiency Projects Up to $25,000
Loan Application for Business Energy Efficiency Projects Up to $25,000 0% Loan Service BUSINESS LOANS UP TO $25,000 FACT SHEET Energy Efficiency Project Financing T acoma Power offers zero-interest loans
More informationSupplemental Information Second-Quarter 2017 July 26, 2017
Supplemental Information Second-Quarter 2017 July 26, 2017 CONSOLIDATED FINANCIAL STATEMENTS RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES (Millions of dollars except per share data) (Unaudited)
More informationIPO Database Sample: Selling Stockholder Questionnaire
IPO Database Sample: Selling Stockholder Questionnaire Name [Company] Questionnaire for Selling Stockholders in Connection with Public Offering As you know, [Company] (the Company ) is planning to make
More informationCLASSIFIED ;
CLASSIFIED 4146.1; 4246.1 TAX SHELTERED ACCOUNTS This plan is hereby adopted by the San Dieguito Union High School District (hereinafter called the district ). As permitted by law, the Board shall allow
More informationCORPORATE BUSINESS REGISTRATION FORM
CORPORATE BUSINESS REGISTRATION FORM Bahrain Financing Company E. corporatefx@bfc.com.bh T. 1722 8888 Name of Company 1.0 COMPANY INFORMATION 1.1 LEGAL FORM Type of entity e.g. Limited Liability, Partnership,
More informationFORM 9. NOTICE OF PROPOSED ISSUANCE OF LISTED SECURITIES (or securities convertible or exchangeable into listed securities 1 )
FORM 9 NOTICE OF PROPOSED ISSUANCE OF (or securities convertible or exchangeable into listed securities 1 ) Please complete the following: Name of CNQ Issuer: VisionSky Corp (the Issuer ) Trading Symbol:
More information2. Represent the Board in federal and state courts and administrative forums; 3. Review, analyze and advise the Board on any application before it;
City of Union City Requests Proposals From Law Firms Interested in Serving as General Counsel to the City of Union City Rent Stabilization Board For the period July 1, 2017 through June 30, 2018 Introduction
More informationIowa Small Business Loan Support Program Application
ISBLSP Eligibility Requirements: The Borrower represents that: (a) The Borrower is an entity with 500 or less employees; the loan proceeds must be used for a business purpose. A business purpose includes,
More information