Please answer all questions. Use "None" or "Not Applicable" where necessary.
Information in this application may be subject to public review under New York State Law.
Additional information may be requested.

II.    Organization Information

  1. Business

    Type of Business
    Corporation
    Public Corporation
    Sole Proprietorship
    Partnership
    Joint Venture
    Limited Liability Company
    Other  


    State of Organization:

    Business Description/Describe company background, products, customers, goods and services:

    Briefly explain why IDA participation is necessary for this project to proceed:

    Estimated % of sales outside Erie County:

    List all Stockholders, members, or partners with % of ownership greater than 20%

  2. Company Counsel

    Name of Attorney:

    Firm Name:

    Address:

    Telephone:

    Fax:

    E-mail:

  3. Company Lender

    Name:

    Address:

    Telephone:

    Fax:

    E-mail:

  4. Who is your Insurance Carrier/Agent

    Name:

    Address:

    City:

    State:
      Zip  

    Telephone:

    Fax:

    E-mail: