Professional Documents
Culture Documents
(Version: 2/5/2
Project Name
Full Address of Project Site
Candidate Name
Item #(s)
Act Amount
Act
Description
State Representative (Tab 2)
Project
Description
Total Project Cost (Tab 10)
$0
$0
Project Budget (Tabs 10 & 11)
Sources of Funds
Amount
Uses of Funds
$0
Project Sched
Amount
Design
Design Com
Obtain ALL Pe
Bid
Bid Ope
Award Cont
Start Constru
Complete Constru
ME#(s) of prior RACP award(s) entered at left _
$0
Difference
$0
$0
$0
ME#(s) of prior RACP award(s) entered at left _
1. Enter the number of NEW jobs from positions being CREATED, or vacant ones being filled
relocating to PA from out of state, use 2. below.
a. Full-time jobs
b. Part-time Jobs (for scoring purposes OB will calculate the Full Time Equivalent)
2. Enter the number of "NEW" jobs to PA, TRANSFERRED FROM OUT OF STATE. "NEW" for th
entry's purpose only includes existing, filled positions that will be transferred into PA from o
of state.
a. Full-time jobs
b. Part-time Jobs (for scoring purposes OB will calculate the Full Time Equivalent)
Page 1 of 16
B. Enter the number of Permanent Direct Jobs to be RETAINED. "RETAINED" for this purpose inclu
existing jobs, currently located elsewhere in PA or existing jobs retained at a current employmen
site that will be lost without the progression of this project.
1. Full-time jobs
2. Part-time Jobs (for scoring purposes OB will calculate the Full Time Equivalent)
C. Enter the number of Permanent INDIRECT Jobs the project will create
D. Enter the number of temporary CONSTRUCTION Jobs this project will create
E. Wage Base of Jobs
1. Enter the MEDIAN ANNUAL WAGE of all new permanent direct full-time jobs being created
2. Enter the County PER CAPITA INCOME of where project is to be located per the U. S. Cens
Bureau at:
http://quickfacts.census.gov/qfd/states/42000.html
F. Increase to State Tax Base
II. Community Impact (as per Tab 4 of Business Plan)
A. Does the project involve redevelopment of Blighted, Brownfield, and/or Reclamation site?
B. Will the project increase the "Economic Health" of the county it is to be located in, per the
parameters outlined in Tab 4 for this question?
C. Will the project improve the "Quality of Life" per the parameters outlined in Tab 4 for this
question?
D. Does the project have a "Regional Impact" as per the parameters outlined in Tab 4 for this
question?
III. Strategic Clusters for Development (as per Tab 5 of Business Plan)
A. Is this project in the "Biotechnology/Pharmaceutical/Life Sciences" industry sector?
B. Is this project in the "High Tech & Advanced Manufacturing and Materials" industry sector?
C. Is this project in the "Energy Extraction & Mining" industry sector?
D. Is this project in the "Business & Financial Services" industry sector?
E. Is this project in the "Healthcare/Medical Research and/or Educational" industry sector?
F. Is this project in the "Agriculture" industry sector?
IV. Organizational, Management & Strategic Business Plan (as per Tab 6 of Business Plan
A. Key audited financial statement data - Insert data from latest audited financial statements
Name of Entity on Financial Statements:
Select
(Insert example: 12/31/2013) _
1. Cash
2. Accounts Receivable (net of Allowance for Doubtful Accounts)
a. On balance sheet at end of preceding year
3. Current Assets
4. Fixed Assets
5. Total Assets
Page 2 of 16
Year 1
(earliest)
Date Ending
6. Accounts Payable
7. Current Liabilities
8. Total Liabilities
9. Net Worth/Equity
10. Net Sales
11. Net Income after Taxes
Page 3 of 16
A. Shovel Readiness - If construction has not started and it will commence within 180 days of the
submission date of your application, select "180"; if construction has not started and it will
commence within 181-365 days of the submission date of your application, select "365"; else se
"365 Plus." If the project's construction started prior to your Business Plan submission date to
RACP, and the project's primary occupancy permit has not been received, select "180," otherwis
indicate "Completed."
VI. RDA-300 Form (Source of Funds) (as per Tab 10 of Business Plan)
A. Dollars Leveraged by Project
1. Enter amount of non-public funding to be used as match in the project, excluding real es
(land).
a. Enter the portion (dollar amount) of Line 1. above, that is "secured."
2. Enter amount of public funding (i.e., local, other state, and/or federal), excluding RACP
request, to be used as match in the project.
a. Enter the portion (dollar amount) of Line 2. above, that is "secured."
3. Enter amount of real estate (land) to be used as match in the project that was acquired
within 1 year prior to business plan submission, or is a prospective acquisition.
4. Enter amount of real estate (land) to be used as match in the project that was acquired
more than 1 year prior to business plan submission.
5. Enter amount of requested RACP award
6. Enter total of prior RACP award(s) included in this Business Plan's Project Budget
7. Total match funding
8. Total project cost
B. Project Funding
1. Percent of match "secured"
2. If your funding match includes any loans, are they all 1) "long-term" (i.e., terms of 20 yea
or greater), 2) fully-amortized, AND 3) fully "secured?"
Page 4 of 16
(Version: 2/5/2015)
Select
Amount Available Amount Requested
State Senator
District No.
$0
Project Schedule (Tab 8)
Design Start
Design Complete
Obtain ALL Permits
Bid Date
Bid Opening
Award Contracts
Start Construction
Complete Construction
Page 5 of 16
v Ratio v
new permanent direct full-time jobs being created
2000.html
Select
Select
Select
Select
v convert v
Select
Select
Select
Select
Select
Select
Year 3 (latest)
Date Ending
###
#
#
#
#
#
#
Page 6 of 16
#
#
#
#
#
#
Page 7 of 16
Select
v Ratio v
#
#
$
$
$
$
0.0%
Select
Page 8 of 16
Data:
A.
B.
C.
NEW Jobs:
1. NEW permanent direct jobs from positions being CREATED, or vacant ones being
filled.
a. Full-time jobs
b. Part-time jobs - For scoring purposes, 2.5 part-time jobs are considered a Fu
Time Equivalent (FTE). OB will calculate FTEs.
2. "NEW" permanent direct jobs TRANSFERRED TO PA FROM OUT OF STATE. "NEW
this entry's purpose only includes existing, filled positions that will be transferre
into PA from out of state.
a. Full-time jobs
b. Part-time jobs - For scoring purposes, 2.5 part-time jobs are considered an F
OB will calculate FTEs.
RETAINED permanent direct (non-construction) jobs. "RETAINED" for this purpose
includes existing jobs, currently located elsewhere in PA or existing jobs retained at a
current employment site that will be lost without the progression of this project.
1. Full-time jobs
2. Part-time jobs - For scoring purposes, 2.5 part-time jobs are considered an FTE.
will calculate FTEs.
Number of permanent INDIRECT jobs created by support/supplier industries and
secondary industries attracted by the project. Must supply multiplier basis used by
project.
D.
E.
F.
G.
I certify that the representations made in the above schedule and corresponding attachmen
information are to the best of my knowledge complete and accurate.
Signature
Title
3. ECONOMIC IMPACT
Estimated within
1-year after
project
completion
Prior to project
Title
Date
0
0
0
County:
Municipality:
Address:
0
0
District No.:
District No.:
Act(s)
Item
0.00E+00
0
0
#(s)
Act Amount
Act Description:
$0
0.00E+00
$0
$0
$0
Project Description:
0.00E+00
SELECTION CRITERIA
Job Creation/Retention (40 MAX Points)
Permanent New
Permanent
Retention
Permanent Indirect
Construction
0/14
0/9
0/5
0/3
0/9
_ Data
_ Points (scored/possible)
Economic Health of
Community
Quality
of Life
Regional Impact
No
No
No
No
0/5
0/5
0/5
0/5
_ Data
_ Points (scored/possible)
Strategic Clusters (5 MAX Points: 3 points for 1 cluster; 5 points for 2 or more clusters)
Biotech/
Pharma/
Life Sciences
No
No
Healthcare / Medical
Research and/or
Educational
Agri-Business
No
No
No
Project Viability
(Ratio)
Increase to
All Match at least 50% Secured; and Loan
Tax Base (Amount)
Match LT, Fully Amortized & Secured
Select
0.00
$0
No
0/5
0/5
0/10
0/5
0-180 days
_ Data
_ Points (scored/possible)
Shovel Readiness (10 MAX Points: 5 points for between 180 & 366 days; 10 points if < 181 days)
181-365 days
Sources of Funds
1
2
3
4
5
6
7
Prior RACP in project
Current RACP Request
Page 11 of 16
$0
$0
$0
$0
$0
$0
$0
Proje
Design Start:
Design Complete:
Obtain ALL Permits:
Bid Date:
Bid Opening:
Award Contracts:
Start Construction:
Complete Construction
TOTAL Project
Prior RACP not in project
$0
$0
$0
County:
Candidate Name:
Municipality:
Address:
0
SPECIFIC PROJECT DESCRIPTION
0.00E+00
FINANCIAL NECESSITY
BUSINESS STRATEGY/PLAN
Page 12 of 16
Page 13 of 16
OB Review Date:
PROJECT OVERVIEW
0
0
0
0
Amount
Available
$0
Amount
Requested
$0
ELECTION CRITERIA
Points Awarded/Possible:
0/40
_ Points (scored/possible)
0/20
0/5
0/25
_ Points (scored/possible)
0/10
TOTAL:
0/100
Page 14 of 16
PROJECT OVERVIEW
0
0
IC PROJECT DESCRIPTION
NANCIAL NECESSITY
INESS STRATEGY/PLAN
Page 15 of 16
Page 16 of 16