CALIFORNIA INFRASTRUCTURE AND ECONOMIC DEVELOPMENT BANK (IBANK) INDUSTRIAL DEVELOPMENT BONDS APPLICATION (IDBs) 1. DATE SUBMITTED 2. DATE RECEIVED BY IBANK APPLICANT INFORMATION 4. a. DATE ORGANIZED 3. LEGAL NAME OF APPLICANT b. PLACE THE APPLICANT ORGANIZED c. OWNERSHIP STRUCTURE (e.g., corporation, partnership, sole proprietorship, etc. 5. MAILING ADDRESS OF APPLICANT 6. PRIMARY CONTACT INFORMATION (include street, suite #, city, county, state, ZIP code) Street Name: Suite # Title: City Address (if different): County Phone: State E-mail: ZIP Code Website: CORPORATE OFFICERS OWNERS OF APPLICANT % OF Name Title OWNERSHIP DESCRIPTION OF THE PRODUCTS MANUFACTURED APPLICANT’S BUSINESS, INCLUDING NAMES OF MAJOR CUSTOMERS WILL THE APPLICANT BE THE PROJECT USER? Yes No If “No”, please complete the following section. Otherwise, skip to number 23. HOW DID YOU HEAR ABOUT IBANK? UNEMPLOYMENT INSURANCE NUMBER
CALIFORNIA INFRASTRUCTURE AND ECONOMIC DEVELOPMENT BANK (IBANK) INDUSTRIAL DEVELOPMENT BONDS APPLICATION (IDBs) 1. DATE SUBMITTED 2. DATE RECEIVED BY IBANK APPLICANT INFORMATION 3. LEGAL NAME OF APPLICANT 4. a. DATE ORGANIZED b. PLACE THE APPLICANT ORGANIZED c. OWNERSHIP STRUCTURE (e.g., corporation, partnership, sole proprietorship, etc. 5. MAILING ADDRESS OF APPLICANT (include street, suite #, city, county, state, ZIP code) Street Suite # City County State ZIP Code 6. PRIMARY CONTACT INFORMATION Name: Title: Address (if different): Phone: E-mail: Website: OWNERS OF APPLICANT % OF OWNERSHIP CORPORATE OFFICERS Name Title DESCRIPTION OF APPLICANT’S BUSINESS, INCLUDING THE PRODUCTS MANUFACTURED NAMES OF MAJOR CUSTOMERS WILL THE APPLICANT BE THE PROJECT USER? Yes No If “No”, please complete the following section. Otherwise, skip to number 23. HOW DID YOU HEAR ABOUT IBANK? UNEMPLOYMENT INSURANCE NUMBER
7.21.17IDBsAppFinal.docx