Application for Economic Development Assistance

Thank you for considering Butler County, Ohio for a potential development. The Butler County Finance Authority (BCFA) is pleased to present this application for financial assistance.

Please complete the application fully and submit it via our online submission portal. After the application is reviewed, we may request additional information.

If you have any questions while completing this application, please email President & CEO Joshua A. Smith at Joshua@thebcfa.org or call him at (513) 889-8046.

Application for Economic Development Assistance

First Name*

Last Name*

Email*

Business Name (LLC, etc.)*

Mailing Address*

Physical Address (if different from the mailing address)

City*

State*

Zip Code*

Office Phone*

Mobile Phone*

Website*

Applicant's Representative*

Applicant's Title*

Project Information

Description of the project*

Estimated new capital investment*

Description of new jobs being created*

List of machinery and equipment*

Employment Information

List the number of W-2 Full Time Employees Company-Wide, and how many employees are currently in Butler County (if any)*

List the number of W-2 Full Time Employees in Butler County once open*

List the number of W-2 Full Time Employees estimated after 3 years open*

Economic Development Assistance

Check all that apply*

Sales tax exemption/capital lease

#IgniteButler RLF

How will this funding be used?*

<b>Please attach the following (if specifically requested by BCFA)</b>*

Business Plan, to include pro forma financial statement, cash flow forecast/supporting assumptions, and a Sources & Uses

(Do not upload files containing sensitive personal information.)

Income tax returns for prior two years

(Do not upload files containing sensitive personal information.)

Resumes of owner/top executives

(Do not upload files containing sensitive personal information.)

Applicant’s Signature, attesting all information provided is accurate*

Date materials were submitted*