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2. Advisory
   In an effort to objectively evaluate the economic and fiscal impact that your firm may have on the City of Freeport, the Freeport Economic Development Corporation and City will review and evaluate certain project specific information. Your assistance and cooperation in providing the referenced information is respectfully requested. Please complete the form and submit for review.
4. Basic Information About the Firm
6. Date*
   Date
8. Name of the Firm or Project*
10. Address*
12. City*
13. State*
14. Zip Code*
16. Phone*
17. Fax
19. Person to contact concerning information entered on this questionnaire:*
21. Ownership*
23. Form of Business*
    -- Select One --Privately HeldPublicly Traded Stock
24. Ownership*
    -- Select One --CorporationJoint VenturePartnershipSole Proprietorship
26. How long has this firm been in operation?*

    1. 0 to 2 Years
    2. 3 to 4 Years
    3. 5 Years or Longer
27. Is this a new start-up?*

    1. Yes
    2. No
29. Firm's Principal Business (Describe)*
31. Economic Development Project Data Profile Land Purchase Cost*
33. Cost of Construction / Improvements*
35. FF&E Expenditures (Subject to City’s Sales Taxes)*
37. FF&E Expenditures (Not Subject to City’s Sales Taxes)*
39. Value of End of Year Inventory*
41. Number of Full Time Equivalent Employees*
43. Average Salary*
45. Amount of Annual Sales Taxable Purchases*
47. Percent of Annual Taxable Purchases (L) Subject to City Sales Taxes*
49. Amount of Annual Retail Sales in City*
51. Total Annual Operating Budget (Excludes Payroll)*
53. Annual Gross Motel Receipts in City Due to this Project*
55. Other Economic Impact Considerations or Comments
    Please include or describe any other information relative to the Firm's future economic and fiscal impact on the City of Freeport.
57. The Freeport Economic Development Corporation sincerely appreciates your cooperation and assistance in providing the above information. This information will be helpful in determining your Firm's economic and fiscal impact on the City.
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59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

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