Program Questions:
Excelsior Jobs Program

Q_41

Does this project predominantly involve any of the following activities at the project location, and will it meet the minimum job creation requirements OR the minimum job retention requirements in NYS? Please click on "Scoring Tips" for project activity definitions.

(1) Manufacturing: minimum job creation = 5 net new jobs, OR minimum job retention = 5.

(2) Scientific research and development: minimum job creation = 5 net new jobs, OR minimum job retention = 25.

(3) Software development: minimum job creation = 5 net new jobs, OR minimum job retention = 25.

(4) Agricultural production or support; minimum job creation = 5 net new jobs, OR minimum job retention = 25.

(5) Back office operation: minimum job creation = 25 net new jobs, OR minimum job retention = 25.

(6) Financial Services: minimum job creation = 25 net new jobs, OR minimum job retention = 25.

(7) Distribution center: minimum job creation = 50 net new jobs, OR minimum job retention = 25.

(8) Life Sciences: minimum job creation = 5 net new jobs, OR minimum job retention = 25.

(9) Music production: minimum job creation = 5 net new jobs, OR minimum job retention = 25.

(10) Entertainment company: minimum job creation = 100 net new jobs, OR minimum job retention = 25.

https://esd.ny.gov/sites/default/files/Excelsior-Regs-2818.pdf
  • Threshold
  • Yes
  • Yes/No
  • If the project activity does not meet one of the definitions as outlined, you are not eligible to participate in the Excelsior Jobs Program.

     

    Excelsior Jobs Program Project Activity Definitions   

      https://esd.ny.gov/sites/default/files/Excelsior-Regs-2818.pdf

Q_1856

Are you a not-for-profit, municipality or public benefit corporation?
  • Threshold
  • Yes
  • Yes/No
  • If you are a not-for-profit entity, municipality or public benefit corporation you are not eligible to participate in the Excelsior Jobs Program.

Q_928

Project Street Address: Please input the project street address (Street Number and Street Name only).

If the project has multiple locations, please input the primary street address of the project. If the project does not have a definite street address, please input the approximate street address of the project (Street Number and Street Name only).
  • Location
  • Yes
  • Short Answer

Q_565

Project City
  • Location
  • Yes
  • Short Answer

Q_568

Project State
  • Location
  • Yes
  • Single Choice Dropdown
  • AA,AL,AK,AZ,AR,CA,CO,CT,DE,FL,GA,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI,WY,AS,DC,FM,GU,MH,MP,PW,PR,VI
  • AA

Q_572

Project Latitude (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Decimal

Q_573

Project Longitude (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Decimal

Q_1034

Project ZIP Code. (please use ZIP+4 if known)
  • Location
  • Yes
  • Short Answer
  • To locate a Zip Code, click HERE

     

     

Q_3527

US Congressional District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Single Choice Dropdown
  • 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27
  • To determine the US Congressional District, click HERE

Q_972

Project county or counties.
  • Location
  • Yes
  • NYS County Multiple Choice

Q_184

NYS Assembly District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Integer

Q_190

NY Senate District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Integer

Q_556

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.
  • Basic
  • Yes
  • Multi Choice
  • Charity Reg #, Duns Number, Federal Tax ID Number, NYS Unemployment Insurance Tax Number, Social Security Number, NYS Vendor Identification Number (SFS)
  • Applicants will be required to provide the specified ID number upon request by the funding agencies.

Q_551

Applicant Street Address
  • Basic
  • Yes
  • Short Answer

Q_552

Applicant City
  • Basic
  • Yes
  • Short Answer

Q_553

Applicant State
  • Basic
  • Yes
  • State Dropdown

Q_554

Applicant ZIP Code. (please use ZIP+4 if known)
  • Basic
  • Yes
  • Short Answer
  • To look up a zip code, click HERE

Q_651

Applicant Telephone Number (please include area code)
  • Basic
  • Yes
  • Phone

Q_555

Applicant Email Address
  • Basic
  • Yes
  • Email

Q_547

Contact First Name
  • Basic
  • Yes
  • Short Answer

Q_1049

Contact Last Name
  • Basic
  • Yes
  • Short Answer

Q_1050

Contact Title
  • Basic
  • No
  • Short Answer

Q_562

Primary Contact Phone Number. (please include area code)
  • Basic
  • Yes
  • Phone

Q_1052

Additional Project Contact First Name
  • Basic
  • No
  • Short Answer

Q_970

Additional Project Contact Last Name
  • Basic
  • No
  • Short Answer

Q_1051

Additional Contact Title
  • Basic
  • No
  • Short Answer

Q_561

Additional Contact Email Address
  • Basic
  • No
  • Email

Q_549

Type of Applicant (select all that apply)
  • Basic
  • Yes
  • Multi Choice
  • Federal, State, County, City, Town, Village, Tribal, School District, County or Town Improvement District, District Corporation, For-Profit, Not-For-Profit, Individual, S Corporation, C Corporation, IDA, LDC,LLC,LLP, Public Authority, Public Benefit Corp, Sole-Proprietorship,BID, LP,Boards Of Cooperative Educational Services (BOCES), Fire District, Regional Planning and Development Board, Public Library, Association Library,College/University/Community College

Q_12603

Is the applicant a DBA?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_550 will be displayed

Q_550

What is the applicant's DBA name?
  • Basic
  • No
  • Short Answer

Q_546

Organization Legal Name
  • Applicant Information
  • Basic
  • Yes
  • Short Answer
  • If applying in the name of a business please type in the name as it appears on your business papers. If applying as an individual insert your name here.

Q_3688

Contact Street Address
  • Basic
  • Yes
  • Short Answer

Q_3689

Contact City
  • Basic
  • Yes
  • Short Answer

Q_3690

Contact State
  • Basic
  • Yes
  • State Dropdown

Q_3691

Contact ZIP Code (please use ZIP+4 if known)
  • Basic
  • Yes
  • Short Answer

Q_3692

Contact Email
  • Basic
  • Yes
  • Email

Q_3693

Additional Contact Street Address
  • Basic
  • No
  • Short Answer

Q_3694

Additional Contact City
  • Basic
  • No
  • Short Answer

Q_3695

Additional Contact State
  • Basic
  • No
  • State Dropdown

Q_3696

Additional Contact ZIP (please use ZIP+4 if known)
  • Basic
  • No
  • Short Answer

Q_3697

Additional Contact Telephone Number (please include area code)
  • Basic
  • No
  • Phone

Q_4199

Please select the primary sector or characterization that best defines this project.
  • Basic
  • Yes
  • Single Choice Dropdown
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Historic Preservation, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Recreation,Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_4198

Please select the secondary sector or characterization that best defines this project.
  • Basic
  • Yes
  • Single Choice Dropdown
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Historic Preservation, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_12606

Does this project require State and/or Federal Environmental Review?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_2364
      - Q_12607

Q_2364

What is the status of State and/or Federal Environmental Review?
  • Basic
  • No
  • Short Answer

Q_12625

Has the applicant or project been awarded funding in prior CFA rounds?
  • Prior CFA Funding
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_2362 will be displayed

Q_2362

What were the CFA numbers for which funding was awarded? (separate multiple CFA numbers with commas)
  • Basic
  • No
  • Short Answer

Q_930

Explain what makes your project a regional economic priority - for example creates jobs, economic investment, sustainability and community revitalization, government efficiency or consolidation etc.
  • REDC
  • Yes
  • Long Answer
  • 1 - 1200
  • The REDC and Upstate Revitalization Initiative’s (URI) are designed to support projects that will help transform the region’s economy. Applicants seeking these resources should explain why the project is a priority for the region. Providing details on the impact of the project such as the ability to create net new high paying jobs, the extent of private sector support, the impact it has on the community, and how the project will advance, in a meaningful way, the implementation of the REDC/URI plans, will help the REDCs and state during review.

Q_929

Current State of Project Development (i.e. planning, preliminary engineering, final design, etc. You may enter N/A for non-project related applications)
  • REDC
  • Yes
  • Short Answer

Q_975

Estimated Project Timeline: include project start/completion dates, estimates for design, permitting and construction or other major steps.
  • REDC
  • Yes
  • Short Answer

Q_580

Provide a list of all federal, state, and local reviews, approvals, or permits needed or completed, including the dates when they are expected to be completed or were completed. If Not Applicable, indicate "NA".
  • REDC
  • Yes
  • Short Answer

Q_575

Project Description. Concisely describe the project, indicating the location, what will be planned, designed, acquired, and/or constructed, the issues/opportunities to be addressed, and expected outcomes and deliverables. Additional details will be collected later in the application process.
  • Project Overview
  • REDC
  • Yes
  • Long Answer
  • 1 - 1200
  • Please includes details relevant to all programs on this application. Programs on this application are: {{program_list}}

Q_976

Statement of need: Provide a brief summary of the need for the project in the geographic area proposed and the project's financing needs, including funding gaps of the proposed project.
  • REDC
  • Yes
  • Long Answer
  • 1 - 850
  • Provide a brief summary of the need for the project in the geographic area proposed, the project's financing needs, including funding gaps and, where applicable, describe the additional short and long term jobs that will be created through the development of the proposed project.

Q_2366

How does your project align with the Regional Economic Development Council’s Strategic Plan/Upstate Revitalization Initiative Plan? (strategic plans are located at https://regionalcouncils.ny.gov/ )
  • REDC
  • Yes
  • Long Answer
  • 1 - 1200
  • Describe how the proposed project advances the REDC/URI plan for the region, specifically linking the project to the region’s goals, strategies, and targeted industry clusters. A response to this question should directly and specifically link the project to a section or sections of REDC/URI plan for the region.

Q_3064

Net New Job Information (Enter Cumulatively) 1. Enter the type of job by general category.
2. Enter the gross annual wages for each job type.
3. List the number of net new jobs. Please enter CUMULATIVE job totals, i.e. if there are 10 jobs being created each year for 5 years, enter as 10, 20, 30, 40, 50.

Please note that if you are completing the URI Phase 1 - Intent to Propose, you are not required to complete the table below at this time as this information will be available to enter in during phase 2 of the application.
  • Jobs
  • Yes
  • Short Answer

Q_2195

Indicate how many existing full-time equivalent jobs the applicant employs in all NYS LOCATIONS.
  • Job Creation and Retention Questions: The following questions are for committed, direct jobs only. Note that if awarded funding, Applicant must document existing and new jobs via submission of NY-45 forms. Questions about other jobs, such as Indirect Jobs and Construction Jobs, follow this section.
  • Jobs
  • Yes
  • Integer
  • A Full-time equivalent job equals any combination of two or more part-time jobs that, when combined together, constitute the equivalent of a job of at least 35 hours per week.  NOTE: Your base employment for Excelsior is calculated using the prior 4 quarters from when you are accepted into the program.

     

Q_2199

Indicate the average annual wage for existing full-time equivalent employees the applicant employs in all NYS Locations as of the date this application is finalized.
  • Jobs
  • Yes
  • Money

Q_1365

Indicate how many of the total existing full-time equivalent employees in New York State are contract employees.
  • Jobs
  • Yes
  • Integer
  • A Full-time Contract Employee is a full-time private sector employee (or self-employed person) who is not on the applicant’s payroll but who works for the applicant for a minimum of 35 hours per week providing services that would otherwise be provided by a Full-time Permanent Employee. The position held by a Full-time Contract Employee is a year round position.

Q_2196

Indicate how many existing full-time equivalent jobs the applicant employs at all PROJECT LOCATION(S).
  • All PROJECT Locations
  • Jobs
  • Yes
  • Integer
  •  NOTE: A full-time equivalent job equals any combination of two or more part-time jobs that, when combined together, constitute the equivalent of a job of at least 35 hours per week. Please note if any of these positions are contract employees and if so, how many of the total are contract employees.

     

     

Q_1186

Indicate the average annual wage for the employees at the Project Location as of the date this application is finalized.
  • Jobs
  • Yes
  • Money

Q_1366

Indicate how many of the total existing full-time equivalent employees at the Project Location are contract employees.
  • Jobs
  • Yes
  • Integer
  •  

    A Full-time Contract Employee is a full-time private sector employee (or self-employed person) who is not on the applicant’s payroll but who works for the applicant for a minimum of 35 hours per week providing services that would otherwise be provided by a Full-time Permanent Employee. The position held by a Full-time Contract Employee is a year round position.

Q_1196

How many of the full-time existing jobs at the project location(s) are at risk if the project does not go forward.
  • Jobs
  • Yes
  • Integer
  • "At Risk" shall mean a permanent Full-time employee position currently located in New York State that is found by ESD to be at risk of being lost or moved out of state based on compelling information provided by the applicant.

     

Q_1375

What percentage of the project's employees are residents of NYS?
  • Jobs
  • Yes
  • Integer

Q_4167

Definition of full-time equivalent employee: (1) a full-time, permanent, private-sector employee on the Recipient's payroll, who has worked at the Project Location for a minimum of 35 hours per week for not less than four consecutive weeks and who is entitled to receive the usual and customary fringe benefits extended by Recipient to other employees with comparable rank and duties; or (ii) two part-time, permanent, private-sector employees on Recipient's payroll, who have worked at the Project Location for a combined minimum of 35 hours per week for not less than four consecutive weeks and who are entitled to receive the usual and customary fringe benefits extended by Recipient to other employees with comparable rank and duties.

For the Excelsior Jobs Program: a full-time permanent employee must be on the payroll for at least six months of a year in order to qualify for benefits. Jobs transferred from employment with another business located in the State including from a related person in this State are not net new jobs for purposes of the employment commitment.

Indicate the year employment begins under Year 1 for your project here:

  • NET NEW JOBS (DIRECT JOBS ONLY)
  • Jobs
  • Yes
  • Integer
  • NOTE: The base employment for Excelsior is calculated using the prior 4 quarters from when you are accepted into the program.

     

Q_7506

Indicate how many new full-time equivalent employees (using the definition in the question above) the company will create over 5 years.

If awarded, your company or entity will be held to the job creation commitments as outlined in this question and table below. For grants, should you fail to meet the job creation commitments, recapture provisions may apply. For Excelsior, each years job commitment is evaluated separately to determine if tax credits can be issued.
  • Jobs
  • Yes
  • Integer

Q_3065

Net New Job Information
  • Jobs
  • Yes
  • Money

Q_3066

Net New Job Information
  • Jobs
  • Yes
  • Integer

Q_3067

Net New Job Information
  • Jobs
  • Yes
  • Integer

Q_3068

Net New Job Information
  • Jobs
  • Yes
  • Integer

Q_3069

Net New Job Information
  • Jobs
  • Yes
  • Integer

Q_3070

Net New Job Information
  • Jobs
  • Yes
  • Integer

Q_1415

Indicate what the average percentage is of the applicants' total employees' gross wages paid in benefits (exclude mandated benefits such as Federal Insurance Contributions Act (FICA), Medicare tax, unemployment insurance or workers' compensation insurance.
  • Jobs
  • No
  • Integer

Q_2372

Will the proposed project result in the creation of construction jobs? If so, estimate the number of construction jobs to be created.

Enter zero if not applicable.

  • Jobs
  • Yes
  • Integer

Q_11621

Attach 2019 financial documents

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2019. For-publicly traded companies, please provide Form 10-K for 2019.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     

    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

Q_12172

Attach 2020 financial documents.

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2020. For publicly traded companies please provide Form 10-K for 2020.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     
    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

Q_12593

Attach 2021 financial documents.

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2021. For publicly traded companies please provide Form 10-K for 2021.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     
    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

Q_12594

Attach interim financials for 2022

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide interim financials for 2022, certified by a company officer. For publicly traded companies, please provide the most recent Form 10-Q.
  • Attachment
  • Yes
  • Attachment

Q_6946

Please provide Letters of Support for your project (if applicable). All letters should be scanned into a single PDF file and their total size cannot exceed 30 Megabytes (MB).
  • Attachment
  • No
  • Attachment

Q_2331

Attach an organizational chart and/or description of ownership structure including the percentage of ownership for each individual entity.
  • Attachment
  • Yes
  • Attachment
  • For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide an organizational chart and/or description of ownership structure, including the percentage of ownership for each individual/entity. If the company is a parent, subsidiary and/or affiliate of another company, please provide a description of the relationship. Additional financial information may be requested

Q_2333

If review of the project has been completed pursuant to State Environmental Quality Review Act (SEQRA) or National Environmental Policy Act (NEPA), please submit the Negative Declaration or Findings Statement, or Finding of No Significant Impact or Record of Decision.
  • Attachment
  • No
  • Attachment

Q_2332

Attach a short or long Environmental Assessment Form

Project review pursuant to the State Environmental Quality Review Act (SEQRA) must be completed prior to the award of any state funds. For projects classified as Type I or Unlisted actions, submit a short or long Environmental Assessment Form. See "View Help" for links to forms.

Q_1339

Applicant website
  • Standard Question
  • No
  • URL

Q_740

What is the applicant's Federal Tax ID#?
  • Standard Question
  • Yes
  • Integer
  • This is a Restricted Question. The dissemination of information provided in response to a Restricted Question is intended to be limited to the Economic Development Power Allocation Board, NYPA’s Board of Trustees, and NYPA staff. If you need to disclose information you believe should be treated as confidential, please do so only in response to Restricted Questions. Also, please identify in the “Other Information” section of the CFA all responses to Restricted Questions that you believe contain confidential information.  Once in NYPA’s possession, this information will be accorded the protections to which it is entitled under New York law, including Public Officers Law Article 6 (Freedom of Information Law).

Q_595

Indicate the principal North American Industrial Classification System (NAICS) Code of the Company.

Q_1142

Indicate the Primary North American Industrial Classification System (NAICS) Code associated with the activity of the business at the project location.
  • Standard Question
  • Yes
  • Short Answer
  •  For help determining the NAICS Code, click  HERE

Q_1075

Describe the ownership of the applicant’s business including, if applicable, the names of principal owners:
  • Standard Question
  • Yes
  • Long Answer
  • any

Q_1076

Identify the applicant’s parent and subsidiary companies (if none, please respond with N/A):
  • Standard Question
  • Yes
  • Long Answer
  • any

Q_900

Electric Utility Company Name
  • Standard Question
  • Yes
  • Short Answer

Q_902

Natural Gas Utility Company Name
  • Standard Question
  • Yes
  • Short Answer

Q_2221

Is the applicant an Empire Zone certified entity? If so, please provide the Empire Zone address location.
  • Standard Question
  • No
  • Short Answer
  • Empire Zones are geographically defined areas within New York State. Qualifying businesses located within the zone are eligible for Empire Zone program tax benefits.  
     
    Note: The Empire Zones program is closed to new applicants.

Q_3134

A third party completing this application is required to disclose their name, company and contact name. Is a third party completing this application?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_3136 will be displayed

Q_3136

Provide the third party name and contact info.
  • Standard Question
  • No
  • Long Answer
  • 0 - 100

Q_1410

Briefly describe what the project involves in terms of product(s) or services(s) that will be provided at the project location.
  • Standard Question
  • Yes
  • Long Answer
  • any

Q_1224

Have any expenditures for the project been made prior to the date of this application? If yes, explain.
  • Standard Question
  • Yes
  • Short Answer

Q_11965

Does this project meet the definition of an Excelsior Jobs Program green project per the program regulations?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_11967 will be displayed

Q_11967

If this is an Excelsior green project, please describe how this project specifically meets the requirements set forth in the green project definition.
  • Standard Question
  • No
  • Long Answer
  • 0 - 750

Q_3006

Qualified Investments
  • Standard Question
  • Yes
  • Money
  • 0
  • Excelsior Jobs Program: Qualified investments are tangible personal property, including a building or structural component of a building, owned by the applicant that is depreciable per IRC Section 164, has a useful life of 4 years or more, is acquired by purchase as defined in IRC Section 179(d), is located in NYS, and is placed in service on or after the date certified eligible for the Excelsior Jobs Program.

Q_3017

Qualified Investments Building Acquisition
  • Standard Question
  • Yes
  • Money
  • 0

Q_3030

Qualified Investments Building Acquisition
  • Standard Question
  • Yes
  • Money
  • 0

Q_3042

Qualified Investments Building Acquisition
  • Standard Question
  • Yes
  • Money
  • 0

Q_3007

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3008

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3009

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3010

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3012

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0
  • * Eligible investment for ESD Grant Funds; generally not eligible investment for Excelsior Jobs Program.

Q_3014

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3015

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3018

Qualified Investments Building Renovation Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3019

Qualified Investments New Construction Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3020

Qualified Investments Production Machinery Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3022

Qualified Investments Furniture, fixtures Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3024

Qualified Investments Land Acquisition * Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3027

Qualified Investments Demolition Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3028

Qualified Investments Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3031

Qualified Investments Building Renovation Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3032

Qualified Investments New Construction Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3033

Qualified Investments Production Machinery Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3034

Qualified Investments Furniture, fixtures Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3036

Qualified Investments Land Acquisition * Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3039

Qualified Investments Demolition Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3040

Qualified Investments Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3043

Qualified Investments Building Renovation Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3044

Qualified Investments New Construction Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3045

Qualified Investments Production Machinery Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3046

Qualified Investments Furniture, fixtures Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3048

Qualified Investments Land Acquisition * Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3050

Qualified Investments Demolition Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3051

Qualified Investments Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3053

Qualified Investments Building Acquisition
  • Standard Question
  • Yes
  • Money
  • 0

Q_3054

Qualified Investments Building Renovation Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3055

Qualified Investments New Construction Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3056

Qualified Investments Production Machinery Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3057

Qualified Investments Furniture, fixtures Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3059

Qualified Investments Land Acquisition * Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3061

Qualified Investments Demolition Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3062

Qualified Investments Year 5
  • Project Costs by Year: Please enter the annual anticipated Project Costs based on the year that the investment will be made. These Project Costs should match the information in the Program Budget section.
  • Standard Question
  • Yes
  • Money
  • 0

Q_12273

Will this project include the applicant undertaking or sponsoring new child care services for its employees?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_12274
      - Q_12281
      - Q_12282
      - Q_12283
      - Q_12284
      - Q_12285

Q_12274

Please provide a summary of the project, including the location, hours of operation, and specific services to be provided. In the qualified investments below, include your anticipated child care capital expenses in the applicable categories by year.
  • Standard Question
  • Yes
  • Long Answer
  • any

Q_12281

Childcare Capital Expense- Year 1
  • Standard Question
  • Yes
  • Money
  • 0
  •  In the table below, 'Qualified Investments-Childcare Capital Expenses', separate your anticipated child care capital expenses from other project costs.

Q_12282

Childcare Capital Expense- Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_12283

Childcare Capital Expense- Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_12284

Childcare Capital Expense- Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_12285

Childcare Capital Expense- Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_12275

Will this project incur net new childcare services expenses (non-capital)?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_12276
      - Q_12277
      - Q_12278
      - Q_12279
      - Q_12280
  • If yes, please fill out the Net New Childcare Expenditures Table. 

    "Net new child care services expenditures" means the calculation of new, annual participant expenditures on child care services whether internal or provided by a third party (including coverage for full or partial discount of employee rates), minus any revenues received by the participant through a third-party operator (i.e. rent paid to the participant by the child care provider) or employees and may be further defined by the commissioner in regulations. For the purposes of this definition, expenditures for child care services that a participant has incurred prior to admission to this program shall not be eligible for the credit.

Q_12276

New New Childcare Expenditures- Year1
  • Standard Question
  • Yes
  • Money
  • 0

Q_12277

Net New Childcare Expenditures- Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_12278

Net New Childcare Expenditures- Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_12279

Net New Childcare Expenditures- Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_12280

Net New Childcare Expenditures- Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3071

Net New Job Information Job Type/Category
  • Standard Question
  • No
  • Short Answer

Q_3072

Net New Job Information 2 Avg Gross Wages/Job Type
  • Standard Question
  • No
  • Money

Q_3073

Net New Job Information 2 Year 1 -
  • Standard Question
  • No
  • Integer

Q_3074

Net New Job Information 2 Year 2 -
  • Standard Question
  • No
  • Integer

Q_3075

Net New Job Information 2 Year 3 -
  • Standard Question
  • No
  • Integer

Q_3076

Net New Job Information 2 Year 4 -
  • Standard Question
  • No
  • Integer

Q_3077

Net New Job Information 2 Year 5 -
  • Standard Question
  • No
  • Integer

Q_3078

Net New Job Information (Enter Cumulatively) Job Type/Category
  • Standard Question
  • No
  • Short Answer

Q_3079

Net New Job Information (Enter Cumulatively) 3 Avg Gross Wages/Job Type
  • Standard Question
  • No
  • Money

Q_3080

Net New Job Information (Enter Cumulatively) 3 Year 1 -
  • Standard Question
  • No
  • Integer

Q_3081

Net New Job Information (Enter Cumulatively) 3 Year 2 -
  • Standard Question
  • No
  • Integer

Q_3082

Net New Job Information (Enter Cumulatively) 3 Year 3 -
  • Standard Question
  • No
  • Integer

Q_3083

Net New Job Information (Enter Cumulatively) 3 Year 4 -
  • Standard Question
  • No
  • Integer

Q_3084

Net New Job Information (Enter Cumulatively) 3 Year 5 -
  • Standard Question
  • No
  • Integer

Q_3086

Net New Job Information (Enter Cumulatively) Job Type/Category
  • Standard Question
  • No
  • Short Answer

Q_3089

Net New Job Information (Enter Cumulatively) 4 Avg Gross Wages/Job Type
  • Standard Question
  • No
  • Money

Q_3090

Net New Job Information (Enter Cumulatively) 4 Year 1 -
  • Standard Question
  • No
  • Integer

Q_3091

Net New Job Information (Enter Cumulatively) 4 Year 2 -
  • Standard Question
  • No
  • Integer

Q_3092

Net New Job Information (Enter Cumulatively) 4 Year 3 -
  • Standard Question
  • No
  • Integer

Q_3093

Net New Job Information (Enter Cumulatively) 4 Year 4 -
  • Standard Question
  • No
  • Integer

Q_3094

Net New Job Information (Enter Cumulatively) 4 Year 5 -
  • Standard Question
  • No
  • Integer

Q_3095

Net New Job Information (Enter Cumulatively) Job Type/Category
  • Standard Question
  • No
  • Short Answer

Q_3096

Net New Job Information (Enter Cumulatively) 5 Avg Gross Wages/Job Type
  • Standard Question
  • No
  • Money

Q_3097

Net New Job Information (Enter Cumulatively) 5 Year 1 -
  • Standard Question
  • No
  • Integer

Q_3098

Net New Job Information (Enter Cumulatively) 5 Year 2 -
  • Standard Question
  • No
  • Integer

Q_3099

Net New Job Information (Enter Cumulatively) 5 Year 3 -
  • Standard Question
  • No
  • Integer

Q_3100

Net New Job Information (Enter Cumulatively) 5 Year 4 -
  • Standard Question
  • No
  • Integer

Q_3101

Net New Job Information (Enter Cumulatively) 5 Year 5 -
  • In the Table below, provide a breakdown by general category/job type to indicate how many new full-time equivalent employees the company will create cumulatively by year (using the definition in the question above). The total in the bottom right hand corner needs to equal the number in the previous question.

    1) Enter the type of job by general category.

    2) Enter the average gross annual wages for each job type.

    3) Enter CUMULATIVE job totals in the table below. Cumulative job totals mean that each subsequent year in the chart includes jobs created in all prior years. The job number in the bottom right hand corner on the chart is the full number of jobs created over all five years and needs to equal the number in the previous question.

    i.e. if there are 10 jobs being created each year for 5 years in one category, enter 10 for year 1; 20 for year 2; 30 for year 3; 40 for year 4; 50 for year 5.

    If awarded, your company or entity will be held to the job creation commitments as outlined in the table below and question above. For grants, should you fail to meet the job creation commitments, recapture provisions may apply. For Excelsior, each years job commitment is evaluated separately to determine if tax credits can be issued.
  • Standard Question
  • No
  • Integer

Q_3525

Do you conduct, or plan to conduct, research & development activities at this project location? Indicate Y/N. If "Y", please describe.

Q_3001

Research & Development
  • Standard Question
  • No
  • Money
  • R&D Projected Expenditures (expenses that qualify under the federal R&D credit per IRC Section 41 and are attributed to activities conducted in NYS)

Q_3002

Research & Development
  • Standard Question
  • No
  • Money

Q_3003

Research & Development
  • Standard Question
  • No
  • Money

Q_3004

Research & Development
  • Standard Question
  • No
  • Money

Q_3005

Research & Development
  • Standard Question
  • No
  • Money

Q_3526

Estimate the future annual real property taxes or annual PILOT payments based on the investments in the property. What are the annual savings on real property taxes resulting from a PILOT agreement based on the investments in the property?
  • REAL PROPERTY
  • Standard Question
  • No
  • Long Answer
  • any
  • PILOT:  Payment In Lieu Of Taxes

Q_1368

Please indicate the current annual real property taxes or PILOT payments.
  • Standard Question
  • No
  • Money
  • PILOT:  Payment In Lieu Of Taxes

Q_1367

Does, or will, the applicant own the property(ies) or have a lease specifying that it will pay the property taxes to the taxing jurisdiction for this project location(s)?
  • Standard Question
  • Yes
  • Single Choice Radio Button
  • Yes, No, N/A

Q_1872

Pursuant to section 354(2) of the New York State economic development law: As the preparer of this application, I attest to being an authorized representative of the applicant and, by placing my name in the box below, I hereby: 1. Agree to allow the Department of Taxation and Finance to share tax information with the Department of Economic Development. However, any information shared as a result of this agreement shall not be available for disclosure or inspection under the State Freedom of Information law; 2. Agree to allow the Department of Labor to share tax and employer information with the Department of Economic Development. However, any information shared as a result of this agreement shall not be available for disclosure or inspection under the State Freedom of Information Law; 3. Agree to disqualify for empire zone benefits at any location or locations that qualify for Excelsior Jobs Program benefits if admitted into the excelsior jobs program; 4. Allow the Department and its agents access to any and all books and records the Department of Economic Development may require to monitor compliance; 5. Provide to the Department of Economic Development, upon its request, the information outlined in Section 354 (e) of Article 17 of the Economic Development Law; 6. Provide a clear and detailed presentation of all related persons as defined in subparagraph (c) of paragraph 3 of subsection (b) of section 465 of the Internal Revenue Code to the applicant to assure the Department of Economic Development that the jobs indicated in this application are not being shifted within the State; 7.Certify, under penalty of perjury, that the applicant is in substantial compliance with all environmental, worker protection, and local, state and federal tax laws.
  • Agreements - For Applicants To the Excelsior Jobs Program
  • Standard Question
  • Yes
  • Short Answer
  • see IRC SECTION 465 (B) (3) (C) – Related Person

     https://esd.ny.gov/excelsior-jobs-program 

Q_1038

By entering your name in the box below, you certify that you are authorized on behalf of the applicant and its governing body to submit this application. You further certify that all of the information contained in this Application and in all statements, data and supporting documents which have been made or furnished for the purpose of receiving assistance for the project described in this application, are true, correct and complete to the best of your knowledge and belief. You acknowledge that offering a written instrument knowing that the written instrument contains a false statement or false information, with the intent to defraud the State or any political subdivision, public authority or public benefit corporation of the State, with the knowledge or belief that it will be filed with or recorded by the State or any political subdivision, public authority or public benefit corporation of the State, constitutes a crime under New York State Law.
  • Certification
  • Yes
  • Short Answer

Q_3713

Management
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3714

Computer and Mathematical
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3715

Production
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3716

Community and Social Services
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3717

Construction and Extraction
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3718

Life, Physical, and Social Science
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3719

Healthcare Practitioners and Technical
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3720

Installation, Maintenance, and Repair
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3721

Building and Grounds Cleaning and Maintenance
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3722

Food Preparation and Serving Related
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3723

Arts, Design, Entertainment, Sports, and Media
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3724

Protective Service
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3725

Legal
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3726

Sales and Related
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3727

Architecture and Engineering
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3728

Personal Care and Service
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3729

Healthcare Support
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3730

Transportation and Material Moving
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3731

Farming, Fishing, and Forestry
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3732

Business and Financial Operations
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3733

Education, Training, and Library
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3734

Office and Administrative Support
  • I. Assessment of Skilled Worker Shortfall
  • Workforce
  • No
  • Short Answer

Q_3735

1st Most Common Recruitment Method
  • II. Worker Recruitment
  • Workforce
  • Yes
  • Single Choice Dropdown
  • None,In-house Recruitment (employee referrals / in-house applicants),Job Posting (company website / NYS DOL / online job boards / newspaper),Social Recruiting (LinkedIn/Twitter/Facebook),Talent Communities,Career Fairs (physical and virtual),Recruiters/Headhunters,NYS Career Center Services,Other (please specify)
  • Please note that if you are completing the URI Phase 1 - Intent to Propose, you are not required to complete the table below at this time as this information will be available to enter in during phase 2 of the application.

Q_3738

1st Most Common Recruitment Method - Other
  • II. Worker Recruitment
  • Workforce
  • No
  • Short Answer

Q_3741

1st Most Common Recruitment Method - Percentage of Use
  • II. Worker Recruitment
  • Workforce
  • Yes
  • Integer

Q_3736

2nd Most Common Recruitment Method
  • II. Worker Recruitment
  • Workforce
  • Yes
  • Single Choice Dropdown
  • None,In-house Recruitment (employee referrals / in-house applicants),Job Posting (company website / NYS DOL / online job boards / newspaper),Social Recruiting (LinkedIn/Twitter/Facebook),Talent Communities,Career Fairs (physical and virtual),Recruiters/Headhunters,NYS Career Center Services,Other (please specify)

Q_3739

2nd Most Common Recruitment Method - Other
  • II. Worker Recruitment
  • Workforce
  • No
  • Short Answer

Q_3742

2nd Most Common Recruitment Method - Percentage of Use
  • II. Worker Recruitment
  • Workforce
  • Yes
  • Integer

Q_3737

3rd Most Common Recruitment Method
  • II. Worker Recruitment
  • Workforce
  • Yes
  • Single Choice Dropdown
  • None,In-house Recruitment (employee referrals / in-house applicants),Job Posting (company website / NYS DOL / online job boards / newspaper),Social Recruiting (LinkedIn/Twitter/Facebook),Talent Communities,Career Fairs (physical and virtual),Recruiters/Headhunters,NYS Career Center Services,Other (please specify)

Q_3740

3rd Most Common Recruitment Method - Other
  • II. Worker Recruitment
  • Workforce
  • No
  • Short Answer

Q_3743

3rd Most Common Recruitment Method - Percentage of Use
  • II. Worker Recruitment
  • Workforce
  • Yes
  • Integer