Project Review Form

Market

Percentage of Sales

Local (four counties)

Texas

National

International

Company Headquarters (if not Harlingen)

Company name*

Contact name*

Title*

Street address*

City*

State/Region*

Zip Code*

Phone number*

Work email*

Website URL

Annual Sales

Please provide your annual sales over the last three years OR your anticipated sales forecast for the next three years.

Year 1

Year 2

Year 3

Sales

If start-up company, proceed to the project description

Project Description

Description may be attached if needed

Expansion Project Funds

Capital Investment

Building & Land*

Equipment*

Other*

Grand Total*

🔹Please leave this section blank if it doesn't pertain to you

Project job creation in Harlingen

Two (2) part-time employees may equal one (1) full-time equivalent (FTE). In addition to completing the table above, please provide a list of job positions and salaries/wages paid or projected to be paid for those positions. failure to provide the information will automatically disqualify a company from further consideration.

Current Employment

Full-time Employees

FT Payroll

Part-time Employees

PT Payroll

Total FTE

Total Payroll

Year 1

Full-time employees

FT Payroll

Part-time employees

PT Payroll

Total FTE

Total Payroll

Year 2

Full-time employees

FT Payroll

Part-time employees

PT Payroll

Total FTE

Total Payroll

Year 3

Full-time employees

FT Payroll

Part-time employees

PT Payroll

Total FTE

Total Payroll

Year 4

Full-time employees

FT Payroll

Part-time employees

PT Payroll

Total FTE

Total Payroll

Year 5

Full-time employees

FT Payroll

Part-time employees

PT Payroll

Total FTE

Total Payroll

Amount of Sales Tax to be generated for Harlingen

Year 1

Sales

Year 2

Sales

Year 3

Sales

If no sales tax, please explain:

Please attach the most recent two years of audited financial statements.

Guarantee

The company/individual agrees that as part of the HEDC funding agreement, company and/or personal guarantees may be required.

Applicants Signature*

Date*

Month/Day/Year

Project Review Form

Company Information

Market

Company Headquarters (if not Harlingen)

Annual Sales

Project Description

Expansion Project Funds

Project job creation in Harlingen

Amount of Sales Tax to be generated for Harlingen

Guarantee

The company/individual agrees that as part of the HEDC funding agreement, company and/or personal guarantees may be required.

Project Review Form

Company Information

Market

Company Headquarters (if not Harlingen)

Annual Sales

Project Description

Expansion Project Funds

Project job creation in Harlingen

Amount of Sales Tax to be generated for Harlingen

GuaranteeThe company/individual agrees that as part of the HEDC funding agreement, company and/or personal guarantees may be required.

Guarantee

The company/individual agrees that as part of the HEDC funding agreement, company and/or personal guarantees may be required.