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Tax Business Plan Completed

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					                                  Michigan Economic Growth Authority (MEGA)
                                           Michigan Economic Development Corporation

                                              Michigan Business Tax Credits
                                                Battery Cell Manufacturing

                                                         Instructions




    APPLICATION INFORMATION
    The application for Michigan Business Tax Credits through the Michigan Economic Growth Authority (MEGA)
    consists of one part. Companies must include anode and cathode manufacturing and cell assembly to be
    eligible for this credit. All portions of the application must be completed and provided for MEGA consideration.


    APPLICATION & ADMINISTRATIVE FEES
     There is a nonrefundable application fee of $5,000. A check made payable to the ―Michigan Strategic
       Fund‖ should be attached to the application.
     A one-time administrative fee of up to ½ of 1 percent of the projected total cost of the MEGA credit will be
       payable by an applicant awarded a credit at the time its first MEGA Tax Credit Annual Certificate
       Application is due. The maximum administrative fee is $100,000.


    APPLICATION CHECKLIST
        Completed Application
        Business Plan or Proposal with the following information included:
             o Description of technology, including novel materials, manufacturing, and performance qualities
             o Overview of activities that will occur in Michigan
             o Information on the manufacturing processes that will be utilized and the scalability of such
                 process
             o Overall job creation
             o Analysis of Market to be addressed
        Application Fee payable to the Michigan Strategic Fund
        Joint Venture Agreement, where applicable
        Support Letters (optional)

    APPLICATION SUBMISSION
    The completed application and the $5,000 application fee payable to the ―Michigan Strategic Fund‖ should
    be mailed to the address below. Incomplete applications will result in delays in processing. Unauthorized
    applications will be returned.
          Michigan Economic Development Corporation
          Michigan Economic Growth Authority
          300 North Washington Square, 3rd Floor
          Lansing, Michigan 48913

    All applicants should be aware that the completed application may be subject to disclosure under the
    provisions of Public Act 442 of 1976, as amended, known as the “Freedom of Information Act” (FOIA).
    Accordingly, detailed information that applicants do not want made public should be excluded from the
    application. Applicants, however, are encouraged to provide sufficient information to enable the MEGA to
    determine the Applicant’s qualifications and to understand or identify areas where confidential information
    exists and could be provided. The FOIA also provides for the complete disclosure of any agreements
    executed with the MEGA in connection with Michigan Business Tax Credits and any attachments or exhibits
    thereto.



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                                  Michigan Economic Growth Authority (MEGA)
                                           Michigan Economic Development Corporation

                                              Michigan Business Tax Credits
                                                Battery Cell Manufacturing
                                                    Application Form
Applicant Entity Legal Name (business entity to receive tax credit)         Employer Tax Identification Number (EIN)



Address (Street/P.O. Box/City, State and Zip Code)                          Primary NAICS Code (5 digit)


                                                                            Company Website


State Where Incorporated/Organized                                          Type of Business (check one)
                                                                                 Corporation               Proprietorship
                                                                                 Partnership               LLC
    Fiscal Year                                               and
    Begins                                                    Ends
U.S. Parent Company, where applicable                          Foreign Ownership—if greater than 50%
(Company legal name, address, contact person and contact       (Company legal name, address, contact person and contact
     phone)                                                         phone)




If the proposed MEGA project is a joint venture, enter the full legal names and employer identification numbers (EINs) of all
      participants in the joint venture and attach a copy of the joint venture and operating agreements. Attach additional
      pages if necessary.
JV Participant Company Legal Name                              JV Participant Company EIN




Applicant’s Corporate or Partnership Directors, Officers, Partners and/or Members – All must be listed. Attach additional
     pages if necessary.
Name                                                           Title/Role




Project Contacts
Name & Title                     Address                                       Telephone & Fax       E Mail Address




606411d8-49c3-4c85-94ca-2ffca91784fd.doc                                                                              Page 2 of 7
                                     Michigan Economic Growth Authority (MEGA)
                                           Michigan Economic Development Corporation

                                                Michigan Business Tax Credits
                                                  Battery Cell Manufacturing
                                                      Project Description
An answer to each of the items below is required. Attach additional pages if necessary.
1. MICHIGAN SITE INFORMATION
Project Site
                                                                                             Project Site County
City    Village    Township

2. PROJECT TIMELINE
                                                    RAMP UP OF JOBS CREATED


      Year 1:                         Year 2:                              Year 3:                              Year 4:



3. OTHER PROJECT CONSIDERATIONS
Explain other factors that should be considered in evaluating this project, i.e. impact on Michigan suppliers, national/international
sales, and other prospects for future expansion.




606411d8-49c3-4c85-94ca-2ffca91784fd.doc                                                                                        Page 3 of 7
                                  Michigan Economic Growth Authority (MEGA)
                                           Michigan Economic Development Corporation

                                              Michigan Business Tax Credits
                                                Battery Cell Manufacturing
                                               Executive Summary Form
PROJECT DESCRIPTION - Provide a descriptive summary of the project, including the following information:
1. The location of the proposed project (city, village or township AND county)
2. Whether the operation will be new or an expansion of an existing operation
3. The total capital investment anticipated
4. Description of the cells to be manufactured, including anode and cathode manufacturing and final assembly.




606411d8-49c3-4c85-94ca-2ffca91784fd.doc                                                                        Page 4 of 7
                                    Michigan Economic Growth Authority (MEGA)
                                           Michigan Economic Development Corporation

                                               Michigan Business Tax Credits
                                                 Battery Cell Manufacturing
                                                    Project Investment
Enter the estimated dollar cost of items listed on the Project Investment Form below.

Round amounts to the nearest thousand dollars.

Applicant may need to obtain information regarding public infrastructure costs from the local governmental unit.

To enter the following information using Excel, double click in any cell of the table below:

:
        Cost                                  Project Item                                      Additional Information
                      Land (including Site Devel & Improvement)
                      Building (purchase of existing)
                      Building (new construction)
                      Building (renovation)
                      Building (leasehold improvements)
                      Building Lease (include at 5x annual cost)
                      Furniture & Fixtures
                      Computers & IT Equipment
                      Machinery & Equipment
                      Special Tooling (tax exempt)
                      Pollution Control Equipment (tax exempt)
                      Other Personal Property
                      Other (explain)
                       TOTAL PROJECT COSTS

    NOTES:




606411d8-49c3-4c85-94ca-2ffca91784fd.doc                                                                            Page 5 of 7
                                     Michigan Economic Growth Authority (MEGA)
                                           Michigan Economic Development Corporation

                                                Michigan Business Tax Credits
                                                  Battery Cell Manufacturing
                                   Financial Information & Other Disclosures
Contact person with whom financial information can be discussed:
Contact Name                                                                        Contact Phone




MEGA is required to report the amount of any fee, donation, or other payment to the Michigan Economic Development Corporation, or
a foundation or fund associated with the Michigan Economic Development Corporation, paid or made by the authorized business in the
preceding three calendar years.

List any qualifying payments below.
Organization Payment Submitted To                                         Date of Payment           Amount of Payment




List any lawsuits or proceedings pending against the applicant or, to the applicant’s knowledge, filed against the applicant or any of its
affiliates by the State of Michigan or a Michigan local unit of government.




606411d8-49c3-4c85-94ca-2ffca91784fd.doc                                                                                        Page 6 of 7
                                  Michigan Economic Growth Authority (MEGA)
                                           Michigan Economic Development Corporation

                                              Michigan Business Tax Credits
                                                Battery Cell Manufacturing
                                                    Certification Form

     I authorize the Michigan Economic Growth Authority to review information provided to the State of
     Michigan’s Department or Agencies for purposes of verifying information provided in support of the
     applicant’s qualification for a Michigan Business Tax (MBT) credit.
     I hereby certify that the information contained in this application submitted are true and correct to the
     best knowledge of the applicant and the undersigned, and are submitted to the Michigan Economic
     Development Corporation as a basis for determining whether the Michigan Economic Growth Authority
     should authorize tax credits.


     Signature                                                                    Date


     Typed Name                                              Title




     When preparing the application electronically, a signed hard copy of this page must be
     submitted by mail.


     Eligibility for business tax credits through MEGA is determined by the information presented in the
     completed application. Failure to notify MEGA of any changes in the status of the proposed project from
     the facts presented herein could disqualify the project.




606411d8-49c3-4c85-94ca-2ffca91784fd.doc                                                                         Page 7 of 7

				
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