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4 <br /> w lane H. Testa <br /> <br /> i, H~~ Director <br /> • • <br /> n.« <br /> ~+J <br /> County of Hawari <br /> DEPARTMENT OF RESEARCH AND DEVELOPMENT <br /> 25 Auquti Streer, Roan 109 • Hilo, Hawaii 96720252 <br /> (808) 961.8366 • Faz (808)935-1205 <br /> E-meii: chresdevQintorpac.nee <br /> HAWAII ENTERPRISE ZONES (EZ) PROGRAM <br /> INITIAL APPLICATION FOR BUSINESSES <br /> A business interested in participating in the Hawaii EZ Program fast must complete this initial <br /> application. Your eligibility for EZ tax and other benefits will begin when this application is approved. <br /> However, approval of this application oes not' guarantee that your business will qualify for EZ benefits <br /> each year. At the end of each tax year, a report form will be provided to you for submission of the <br /> information necessary to determine if your business has satisfied the annual gross receipts and hiring <br /> requirements. The information you provide is considered proprietary and co~dential in the same way <br /> that your tax returns are confidential. <br /> This application has three parts: <br /> I. Background Data <br /> II. Tax and Employment Information <br /> III. Declaration <br /> Section I, Background Darq will be used to verify that your business is eligible for EZ benefits <br /> and that your business is actually located in an EZ. This information will also be used to monitor the <br /> types of businesses that participate in the EZ program so the overall value of the program can be <br /> measured. <br /> Section II, Tar and Employment Information, will be used to verify the value of the state tax <br /> benefits you claim and the number of employees you report. This information will also be used to <br /> monitor the financial impact of the EZ incentives on both the tax liability of participating businesses as <br /> well as on state tax revenues (relative to the number of persons hired and the unemployment rate in each <br /> EZ) in order to determine the cost-effectiveness of the program. <br /> Section III, Declaration, must be signed by a person authorized to act on behalf of the business. <br /> An authorized person would be a sole proprietor, a partner, or an officer of the corporation. <br /> When completed, make a copy of the application for your own records and send or take the <br /> original to your County EZ coordinator. <br /> Jane Horike <br /> Depamnent of Research & Development <br /> 25 Aupuni Street, Room 109 <br /> Hilo, HI 96720 <br /> Phone: (808) 961-8496 Fax: (808) 935-1205 6 ~ 2 ~ _ <br /> E-mail: jhorike(a3co.hawaii.hi.us Comm. N0. <br /> Ref. Toe lrtrfie <br /> Rof. Date OCT 2 2E~I7 <br /> Hawaii County is an Equal Opportunity Provider and Empbyer- <br /> <br />