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PartTme <br />Subtotal <br />Will the project involve relocation of employment positions and/or assets from another location in Ohio? ❑ Yes M No <br />If yes, indicate which jobs and/or assets will be relocated and include detailed information and/or projected impact of <br />relocation, including number and type of jobs to be relocated, associated annual payroll, assets, impact on current company <br />facilities, etc. <br />S. Liabilities <br />Does the company owe any delinquent taxes to the State of Ohio or a political subdivision of the State? C1 Yes M No <br />Does the company owe any monies to the State or a state agency for the administration or enforcement or any <br />environmental laws to the State? 13 Yes a No <br />Does the company owe any other monies to the State, a state agency or political subdivision of the State that are past due, <br />whether the amounts owed are contested in a court of law or not? ❑ Yes a No <br />If yes, to any of the above, please provide details of each instance including, but not limited to, the location, amount and <br />/or case identification numbers. <br />6. Project Budget <br />Equity Private Lender Public Funds Other Total <br />Building Acquisitions <br />Additions/ New Construction <br />Improvements to Existing Building(s) <br />Infrastructure (on-site) <br />Machinery and Equipment <br />Furniture and Fixtures <br />Training <br />Other (specify) <br />Total Investments 8.000,000 <br />Reasons why financial assistance is necessary for the project to go forward in North Olmsted: <br />Investments in other major projects, including but not limited to Phoenix Theatres and Kids Empire <br />have exhausted all funding/budgets to be able execute on adding this nationally known restaurant. <br />7. Acknowledgment and Submission <br />W W W.NDRTH-OLMSTED.COM <br />