89CH
F
CERTIFICATION FOR IDAHO'S
O
R
CORPORATE HEADQUARTERS
EFO00043
M
8-09-07
TAX INCENTIVES
Federal employer identification number
Business name
Business mailing address
Contact person and title
City, state and zip code
Telephone number of contact person
QUALIFYING FOR THE CORPORATE HEADQUARTERS INCENTIVES
For tax years beginning in 2005, you may claim the corporate headquarters incentives if you have certified you will meet the following
tax incentive criteria at the project site during the project period:
1.
Capital investment in new headquarters or administrative facilities of at least $50 million,
2.
Increased employment by at least 500 new employees who:
a.
each earn at least $24.04 per hour worked, or
b.
are part of a group of 500 or more employees who on average earn at least $28.85 per hour worked (not including
employees who earn more than $96.15 or employees who earn less than $15.50 per hour worked).
The following information is required to certify that the proposed project will meet the corporate headquarters tax incentive criteria
during the project period. Failure to provide the requested information may result in the Tax Commission denying any tax incentives
claimed under the Idaho Corporate Headquarters Incentive Act.
1.
Description of qualifying project
2.
Estimated/actual start date of project. The start date is the earlier of the date the first physical change to the project site is
scheduled to occur or the date new employees related to the project site will be first employed in Idaho. The start date cannot
be earlier than January 1, 2005.
3.
Estimated/actual end date of project. This cannot be later than December 31, 2009.
4.
Location of the project site(s). Identify the street address for each site. If more than one location, identify the percent of the
investment projected at each site once the project is completed.
5.
Is this the location of the company's national or regional headquarters?
Yes _______ No _______ If no, please explain.