HomeMy WebLinkAboutA006 - Financial Assistance Application to Iowa Economic Development Authority dated December 23, 2014 WA
Debi V. Durham, Director
Iowa Economic Development Authority
tsusiness Financial Assistance Application
t lcine,s Flntan�'E ( .,!�inc c (lryn!,-)ardent Division
Application Instructions
To Complete Electronic Form: Click on TEXT BOX to add text. Double click on YES/NO boxes and select"Checked".
1. All applicants must complete the Business Financial Assistance Application and attach g_aly those
additional sections for the components to which the applicant is applying.
STATE of IOWA— Financial Assistance Program
High Quality Jobs Program (HQJP)
® Tax Credits
❑Direct Financial Assistance
2. Before filling out this application form, please read all applicable sections of the Iowa Code and Iowa
Administrative Code (rules). www.legis.state.ia.us/lowal-aw.html
3. Only typed or computer-generated applications will be accepted and reviewed. Any material change to
the format, questions, or wording of questions presented in this application will render the application
invalid and it will not be accepted.
4. Complete the applicable sections of the application fully. If questions are left unanswered or required
attachments are not submitted, an explanation must be included.
5. Use clear and concise language. Attachments should only be used when requested or as supporting
documentation.
6. Any inaccurate information of a significant nature may disqualify the application from consideration.
7. The following must be submitted to Business Finance at IEDA in order to initiate the review process:
• One original, signed application form and all required attachments
• One electronic copy of the application form and all required attachments
Facsimile copies will not be accepted.
Applications must be submitted to IEDA Business Finance before 4:00pm on the fourth Monday of the month.
Applications will be reviewed by the IEDA Board on the third Friday of the following month.
Public Records Policies
During the application process, the information submitted by you to IEDA is exempt from disclosure under
the "industrial prospects" exemption found in Section 22.7(8). However, once you receive an award, the
industrial prospects exemption no longer applies and all documents submitted and generated during the
application and negotiation process become public records under Iowa's Open Records Law (Iowa Code,
Chapter 22), unless
1) The information belongs to one of the classes of records automatically treated as confidential; or
2) You have applied for and received written notice that your information will be treated as confidential.
Automatically Confidential Records
IEDA automatically treats the following records as confidential and will withhold them from public inspection
even without a request for confidential treatment:
• Tax Records and Tax Liability Information
• Quarterly Iowa Employer's Contribution and Payroll Report prepared for the Iowa Workforce
Development Department
• Payroll Registers
• Business Financial Statements and Projections (unless those statements are already publicly
available elsewhere, e.g., 10-K filings)
• Personal Financial Statements
Exemptions to the Open Records Law
If you wish to have additional information treated as confidential, you must fill out the confidential treatment
request form. Under the Open Records Law, IEDA may lawfully treat certain information as confidential if
that information falls within an exemption to the Open Records Law. The following exemptions represent
records which may lawfully be treated as confidential under the Open Records law and which are most often
applicable to the information submitted to IEDA:
• Release of information would give an unfair advantage to competitors— Iowa Code Sec. 15.118
• Trade secrets — See Iowa Code section 22.7(3), see also Iowa Code Ch. 550
• Information on an industrial prospect with which the IEDA is currently negotiating — See Iowa Code
section 22.7(8)
• Communications not required by law, rule or regulation made to IEDA by persons outside the
government to the extent that IEDA could reasonably believe that those persons would be
discouraged from making them to IEDA if they were made available for general public
examination — Iowa Code section 22.7(18)
Non-Confidential Information
Information that is submitted to IEDA as part of the application process or that is contained in a contract for
program benefits is generally considered material to the eligibility requirements of the program or to the
amount of incentives or assistance to be provided. Such information is generally not given confidential
treatment. Such information includes but is not limited to, the number and type of jobs incented, the wage
levels for the incented jobs, your company's employee benefit information, and your project budget.
Additional Information Available. Copies of Iowa's Open Record law and IEDA's administrative rules
relating to public records are available from the IEDA upon request.
SECTION A
Applicant Information Date Application Submitted: 12-23-14
1. Name of Business: Barilla America, Inc.
2. Entity Name (for contracting purposes): Barilla America, Inc.
3. Address: 3311 East Lincoln Way
4. City, State & Zip Code: 50010
5. Contact Person: Larry L. Covington Title: Plant Director- Ames
6. Phone: 515-988-9020 Fax: 515-956-4465 Email:larry.covington@barilla.com
7. FEIN: 06-1400247
8. NAICS Code for primary business operations: 311824
9. US DOT Number: N/A
10. Does the Business file a consolidated tax return under a different tax ID number?
❑ Yes (If yes, please also provide that tax ID number) ® No
a. Is the contact person listed above authorized to obligate the Business?
Yes ® No If no, please provide the name and title of a company officer authorized to
obligate the Business: Fabio Pettenati
Vice President Supply Chain
Barilla America, Inc.
11. If the application was prepared by someone other than the contact person listed above, please
complete the following:
Name of Business:
Address:
City, State & Zip Code:
Contact Person: Title:
Phone: Fax: Email:
Sponsor Information (A sponsor organization is a city or county)
12. Sponsor Organization: City of Ames
13. Official Contact (e.g. Mayor, Chairperson, etc.): Ann Campbell Title: Mayor
14. Address: 515 Clark Avenue
15. City, State & Zip Code: Ames, IA 50010
16. Phone: 515.239.5105 Fax: 515.239.5320 Email: bobanncamp@aol.com
17. If IEDA needs to contact the sponsor organization with questions, should we contact the person
listed above?
❑ Yes ® No, please contact the following person:
Name: Ron Hallenbeck Title: Executive Vice President, Existing Business & Industry
Address: 304 Main Street
City, State & Zip Code: Ames, IA 50010
Phone: 515-232-2310 Fax: 515-233-3203 Email: ron@ameschamber.com
If necessary, please list information on additional sponsors in an attachment. See Attachment A7
SECTION B
Business Information
1. Provide a brief description and history of the Business. Include information about the Business'
products or services and its markets and/or customers.
Barilla, originally established in 1877 as a bread and pasta shop in Parma, Italy, ranks as one of today's top Italian food groups.
Barilla leads in the global pasta business, the pasta sauces business in continental Europe, the bakery products business in Italy
and the crispbread business in Scandinavia.
Barilla owns 30 production sites(14 in Italy and 16 outside Italy), of which 9 are directly managed mills that provide most of
the raw materials for the production of its pasta and bakery products.
Barilla's Ames facility produces dry pasta and includes an integrated Mill that provides 100% of the semolina requirements for
Ames demand and over 60% of the requirement for our Avon, N.Y. production facility.
Barilla exports to more than 100 countries. Every year about 1,700,000 tons of food products, with the brands Barilla, Mulino
Bianco, Voiello, Pavesi, Academia Barilla, Wasa, Harry's (France and Russia), Misko (Greece), Filiz (Turkey), Yemina and Vesta
(Mexico), are featured on dining tables the world over.
Barilla has become one of the world's most esteemed food companies and is recognized worldwide as a symbol of Italian know-
how by respecting its longstanding traditional principles and values, considering employees a fundamental asset and developing
leading-edge production systems.
2. Business Structure:
❑ Cooperative ® Corporation ❑ Limited Liability Company
❑ Partnership ❑ S-Corporation ❑ Sole Proprietorship
3. State of Incorporation: ILL
4. Identify the Business' owners and percent ownership: Barilla G & R Fratelli ( 100%)
5. Does a woman, minority, or person with a disability own the Business? ❑ Yes ® No
6. List the Business' Iowa locations and the most current number of employees at each location. Ames - 162
7. What is the Business' worldwide employment? (Please include employees of parent company, subsidiaries, and
other affiliated entities in this figure.) 8,000
Project Information
8. Project Street Address: 3311 East Lincoln Way
Project City & Zip Code: 50010 Project County: Story
9. Type of Business Project:
❑ Startup ® Expansion of Iowa Company ❑ New Location in Iowa
10. Does the project site qualify as a "Brownfield" or "Grayfield" site? ❑ Yes ® No
If yes, please explain and document as Attachment A6.
11. Describe the proposed project for which assistance is being sought. (Include project timeline with dates,
facility size, infrastructure improvements, proposed products/services, any new markets, etc.)
The company plans to install two production lines, raw material storage and the associated packaging/palletizing equipment to
produce Gluten Free Pasta in the Ames, Iowa facility(Story County). Corporate approval granted on 10/30/2014 and planning work
started. The plan is to have all building upgrades and equipment installations completed by 11/1/2015 with a phased start-up of the
production in November and December of 2015. Full production is scheduled for January 1, 2016. The project spend is—$26.5
million dollars and will add -23 new employees in various roles to the Ames Plant. This is a key initiative for the company to add
capacity locally to meet the demands for a growing Gluten free market in the U.S., Canada, South America and Australia
12.
Project Timeline (add additional rows as needed) Beginning Activity Date Activity Completion Date
Corporate Capital Expenditure Approval 10/30/2014 10/30/14
Ames- Planning for purchase and installation of 11/10/14 11/15/2015
Gluten Free production capacity
Start-up curve for Production lines 11/15/15 1/1/2016
Full Production 1/1/2016 Ongoing
13. Has any part of the project started*? Yes ® No
If yes, please explain.
*For IEDA's purposes, starting the project includes:the start of construction or rehabilitation, the purchase of a building, the execution of a lease, or
the installation of equipment to be used in the project.
14. Identify the Business' competitors. If any of these competitors have Iowa locations, please explain the nature of
the competition (e.g. competitive business segment, estimated market share, etc.) and explain what impact the
proposed project may have on the Iowa competitor. N/A. There are no key competitor's for this category based in
Iowa.
15. Will any of the current Iowa employees lose their jobs if this project does not proceed?
❑ Yes ® No
If yes, please explain why and identify those jobs as "retained jobs" in the Project Jobs Section E. N/A
16. Is the Business actively considering locations outside of Iowa? ® Yes ❑ No
If yes, where and what assistance is being offered?
For this project, Ames has been selected as the location after a vigorous "Make vs. Buy" analysis was completed.
This analysis included Barilla locations in Parma, Italy; co-manufacturing in Italy and Barilla's Avon, New York
location.
Future expansion of the semolina side of the business (est$50M)will be awarded here in Avon New York or a greenfield
site outside of Iowa. That decision is yet to be reached but it estimated to be decided within the next three years pending market
growth and innovation. How the State of Iowa responds to this expansion will play a large role in how we are viewed for future
expansions.
17. Please identify the company project management for the project location and experience. Barilla
Engineering Team
SECTION C
Applicant's Project Budget
1. Does the Business plan to lease the facility? ❑ Yes x No
If yes, please provide the Annual Base Rent Payment(lease payment minus property taxes, insurance, and
operating/maintenance expenses) for three years in the budget below, and only major renovation costs your
company expects to incur. Administrative rules require that the lease be in place for a minimum of five years.
Use of Funds Cost Source A Source B Source Source D Source E Source F
C
Base Rent 3 ears N / A
Tenant Improvements N / A
Land Acquisition N / A
Site Preparation N / A
Building Acquisition N / A
Building Construction N / A
Building Remodeling $6,672,000 $6,672,000
Mfg. Machinery& Equip. $19,352,000 $19,352,000
Other Machinery& Equip. $391 ,000 $391,000
Racking, Shelving, etc. $ 0 $ 0
Computer Hardware $8 5,0 0 0 $85,000
Computer Software $ 0 $ 0
Furniture& Fixtures N / A N / A
Working Capital
Research & Development $330,000 `Startup $330,000
Other—Building utilities $ 0 $ 0
TOTAL $26,830,000 $ $ $26,830,000 $ I $ $
2. Please complete the budget below. Include only costs the company plans to incur directly:
Racking,shelving and conveyor equipment used in distribution center projects only
3. Please complete the chart below with proposed financing for the project(tax benefits should be reflected as indirect
financing under#5 below):
PROPOSED FINANCING
Source of Funds Form of Funds Conditions/Additional
Information
Amount (Loan,Grant, In- Rate and Commitment Include when funds will be
Add additional lines as needed Kind,Donation,etc.) Term Status disbursed;If loan,whether
payments are a level term,
balloon,etc
Source A: IEDA see#4 below) $
Source B: Local Government $
Source C: Business $26,830,000 Self-Funded Approved Dollars committed by
Corporate
Source D: Other Source $
Source E: Other Source $
Source F: Other Source $
TOTAL $
4. Direct financial assistance (loans/forgivable loans) must be secured with acceptable collateral. Please
select the type of collateral your company will pledge to secure the IEDA financing, and document its value
in Attachment A5. . N/A
Explain:
No collateral,funding disbursed at the end of the 5-year contract ❑
Irrevocable letter of credit ❑
Dedicated certificate of deposit CD ❑
Surety bond ❑
Mortgage on real estate ❑
Corporate guaranty ❑
Personal guarantee ❑
* The IEDA Board has the final discretion on what collateral will be accepted.
5. Please complete the chart below with tax credits and other indirect financing expected for the project:
TAX CREDITS AND INDIRECT FINANCING
Source of Funds Amount Description
Investment Tax Credit 522,180 2% ITC —Construction/Building Improvements
& Industrial Machinery
Sales, Service&Use Tax Refund 200,160 Construction Materials
Research Activities Credit 3%/10% 42,750 3 YR Qualifying 9.5%Credit
Local Property Tax Exemption Any increases in property tax as a result of this
expansion would be expected to be exempt
over a period of ten years.
Tax Increment Financing
260E Job Training Funds 67,000 Start-up training costs
In-kind Contribution
Local Property Tax Abatement 217,895 Estimated 427B
Other 37,674 New Jobs Tax Credit
TOTAL $1,087,659
6. There are three justifiable reasons for providing assistance. Check the box next to the reason why
assistance is needed to complete this project.
❑ Financing Gap -A gap exists between the financing required and the financing on-hand and the provision of
tax incentives or assistance is necessary to fill the gap.
❑ Rate of Return Gap—The likely returns of the project are inadequate to motivate a company decision maker to
proceed with the project even if sufficient debt or equity can be raised to finance the project, and the project's risks
outweigh its rewards, making the provision of tax incentives or assistance necessary to reduce the project's risks.
® Location Disadvantage (Incentive)—The business is deciding between a site in Iowa ("Iowa site") and a site
in another state ("out-of-state site")for its project and the cost of completing the project at the out-of-state site is
demonstrably lower, making tax incentives or assistance necessary to equalize the cost differential between the
two sites. Note: The authority will attempt to quantify the cost differential between the sites.
7. Please provide a brief explanation of the need for assistance.
Barilla has become one of the world's most esteemed food companies and is recognized worldwide as a symbol of
Italian know-how by respecting its longstanding traditional principles and values, considering employees a
fundamental asset and developing leading-edge production systems.
The company plans to install two production lines, raw material storage and the associated packaging/palletizing
equipment to produce Gluten Free Pasta in the Ames, Iowa facility (Story County). Corporate approval granted on
10/30/2014 and planning work started. The plan is to have all building upgrades and equipment installations
completed by 11/1/2015 with a phased start-up of the production in November and December of 2015. Full
production is scheduled for January 1, 2016. The project spend is $26.5 million dollars and will add — 23 new
employees in various roles to the Ames Plant. This is a key initiative for the company to add capacity locally to
meet the demands for a growing Gluten free market in the U.S., Canada, South America and Australia.
Barilla has chosen to make this investment in Ames vs. another location partially on the premise of communications
with the State of Iowa representatives on a visit to Parma, Italy in the past 18 months. Like any other company
making such a large investment, any financial aid in the form of tax incentives, rebates, energy rate reduction,
training assistance for new employees, etc. is needed to augment the payback of this project.
SECTION D
Employee Benefits
There are three options to meeting the sufficient benefit requirement. These options are detailed in the chart
below. Please complete questions 1-3. If your company meets Option 1 or 2, no additional information is
required. If you would like to utilize Option 3, please also complete questions 4-6.
Option 1 Option 2 Option 3
80% single Coverage 50% Family coverage Monetary Equivalent
Total Number of Pay 80%of premium costs Pay 50%of premium costs for Provide medical and pay the
Employees in for a standard medical plan, a standard medical plan, monetary equivalent of Option
Iowa single coverage. family coverage. 1 or Option 2 in supplemental
250+ $750 maximum deductible $1,500 maximum deductible employee benefits.
50-249 $1250 maximum deductible $2500 maximum deductible Benefits Counted Toward
0-50 $1750 maximum deductible $3500 Maximum deductible Monetary Equivalent:Medical
coverage, Dental coverage,
Vision insurance, Life
insurance, Pension, 401(k)
(company's Average
contribution, Short-/long-term
disability insurance, Child care
services, Other nonwage
com ensation
1. How many full-time, permanent employees does your company currently employ within the State of Iowa? 162
2. What is the total premium cost for a standard medical plan for single employee coverage? $6,338
a. What portion of this cost is paid by the business? 87%
b. What is the deductible associated with this plan? $ 500
3. What is the total premium cost for a standard medical plan for family coverage? $ 18,728
a. What portion of this cost is paid by the business? 84%
b. What is the deductible associated with this plan? $ 1500
No additional information required, in this section if your company meets the requirement for Option 1 or Option 2
4. Does your company provide additional benefits to full time employees? ®Yes ❑No
If yes, please provide the annual amount offered by the business, per employee in the chart below:
Benefit Annual amount paid by the
business (per employee):
Dental Insurance—Single plan $206
Dental Insurance— Family plan $716
Pension (Use 3-year average calculated below) N/A
Retirement Plan - i.e. 401(k) (Use 3-year average calculated below) $11,687
Profit Sharing Plan (Use 3-year average calculated below) N/A
Childcare Services N/A
Life Insurance coverage $649
—Disability Insurance coverage $489
Health Savings Account(HSA) contribution N/A
TOTAL $13,747
5. Does the Business offer a pension plan, 401(k) plan, and/or retirement-plan? ® Yes ❑ No
We match employee contributions dollar for dollar up to 6%.
If yes, please indicate the amount contributed on a per employee basis by the Business to the plan for the last three
years. For 401(k) plans, please provide information on the company match and indicate the average annual match per
employee.
Year Ending Average Actual Match per
Employee $
Three-year Average: Number is reflected in the
table above: $11,687
6. Does the Business offer a profit-sharing plan? ❑ Yes ❑ No
If yes, please indicate total amount paid out each year for the past three years and then, determine the average annual
bonus or contribution per emplo ee for that three year period.
Year Ending Average Actual Share per
Employee $
$
Three-year Average: N/A$
Notes:
1. A qualified plan must be offered to all full-time permanent employees.
2. If you have multiple health insurance plans,please provide information on each plan.
SECTION E
Project Jobs
1. List the jobs that will be created and/or retained as the result of this project. (A retained job is an existing job that
would be eliminated or moved to another state if the project does not proceed in Iowa.) For jobs to be created,
include the starting and final hourly wage rate. For retained jobs, include the current hourly wage rate.
Full-Time CREATED Jobs Add additional rows as needed
Job Title Number of Starting Wage at 36 months
CREATED Jobs Hourly Wage following the award
Maintenance Technician 1* $22.00 $28.61
Process Operator 6 $16.50 $22.29
Raw Material Supply/QA 3 $16.50 $22.29
Packaging Operator 12 $15.30 $20.06
Production Professional 1* $65,000/ r $71,500/ r
• Please note the
Maintenance tech and
Production Prof. role will
start at one and we will
add one in more each
based on volumes in
—2018. Those are not
included in the total
Total Full-Time CREATED Jobs 23
Full-Time RETAINED Jobs Add additional rows as needed
Number of Current Hourly
Job Title (AT-RISK jobs only) RETAINED Wage
Jobs
Total Full-Time RETAINED Jobs
2. Is the hourly wage rate based on a 40 hour work week, 52 weeks per year? ® Yes No
If no please explain:
For this project, we will be operating on a 5 day a week/40 hours/week schedule but our normal operating
schedule is a 12 hr schedule with built in overtime. Normally, our operators will work one 48 hr week and one
36 hr week. At the later stages of this project(2018-2020) or as volumes dictate, we will move to this 24/7
operating schedule.
SECTION F
Business Taxes
IEDA is required to calculate the return on state and local government investments in this project. Data from other parts
of the application will be combined with the estimates requested below to calculate the required return on investment
information. Please read the following directions carefully:
• IEDA is asking for a best estimate on the increase in taxes associated with this project.
• Estimates should only include the expected increase in tax liability resulting from this project.
• At minimum, IEDA needs estimates for the first three years of the project.
• Show data as if no tax abatements or tax credits awarded for this project were taken.
• For partnership forms of ownership (e.g. limited partnerships, s-corporations, LLC, etc.), please
estimate the partners' increase in Iowa tax liability due to this project.
• Sales and use taxes refer to the taxes paid on materials, etc. that the Business purchases, not taxes
you collect from sales to your customers.
• Applicants will not be held to these numbers with respect to any award from or contract with IEDA.
• This page of the application will automatically be treated as confidential.
Increase in Tax Collections Associated with this Project
State Business Taxes Year 1 Year 2 Year 3 Year 4 Year 5
State Corporate Income Tax* 0 5000 5000 5000 5000
State Business Sales and Use Tax 504,000 336,000 0 0 0
* Insurance Companies: Provide State Insurance Premium Tax
• Assumptions of— $12,000,000 @ 7% sales tax with 60% in 2015 and 40 % in 2016.
Local Business Taxes Year 1 Year 2 Year 3 Year 4 Year 5
Local Real Estate Property Tax TBD TBD TBD TBD TBD
Local Option Sales Tax N/A N/A N/A N/A N/A
• There is an assumption at this time that Barilla will NOT see an increase in property taxes as a result of
this project. Thus, the Local Real Estate Tax columns have been left blank. Ames City Assessor has
been contacted and project described as mainly a building within a building. Assessor will work with
Barilla to determine actual property taxes upon project completion.
• We are not subject to local option sales Tax.
• Regarding the States Business taxes, we assume a small increase in income tax of $5000/yr. The
first year of the project is 2015 and no income will be generated in 2015 due to installation and start-up
in the last half of Q4 ( December, 2015)
SECTION G
Attachments
Please attach the following documents:
Al Project Plan (Attached)
Please provide an executive summary for your project. This information should include, at a minimum,
expanded information about the company's products and services and any other project related information
that has not already been described in the application for financial assistance.
Please note, a traditional business plan, including an executive summary, market analysis, organization and
management structure, marketing and sales management, service and product line narrative, financial
projections, feasibility study and patent status, as well as any other relevant information, may be requested by
the Iowa Economic Development Authority to evaluate the feasibility of this project.
A2 Payroll Information (Confidential) (Attached)
• Copies of the Business' Quarterly Iowa Employer's Contribution and Payroll Report for the past
year. This report should include the monthly employment totals.
• A copy of the most recent payroll report for one pay period. The copy of the most recent payroll
report for one pay period must be in Excel format and include the following information:
o Company name, date of payroll and source of payroll information
o Employee name and/or employee identification number
o Current hourly wage - do not include bonuses or other benefit values
o Indicate if the employee is full time (40 hours per week, 52 weeks per year)or part time.
o A sample Excel spreadsheet can be found at
http://iowaeconomicdevelopment.com/BusinessDev/application
A3 Affidavit that states the Business has not, within the last five years, violated state or federal statutes, rules,
and regulations, including environmental, worker safety regulations and antitrust laws, or, if such violations
have occurred, that there were mitigating circumstances or such violations did not seriously affect public health
or safety or the environment. A sample affidavit can be found at
http://iowaeconomicdevelopment.com/BusinessDev/application (Attached)
A4 Financial Information (Confidential, unless already publicly available) (Existing Businesses Only)
(Attached)
• Profit and loss statements and balance sheets for past three year-ends;
• Current YTD profit and loss statement and balance sheet;
• Schedule of aged accounts receivable;
• Schedule of aged accounts payable; and
• Schedule of other debts.
A5 Collateral documentation (If requesting direct financial assistance only) N/A
A6 Brownfield or Grayfield site documentation (if applicable) N/A
SECTION H
Certification & Release of Information
1. Are there any judgments or court actions completed or pending against the applicant entity, or any current or
prospective officer, principal, director, or owner? ❑ Yes ® No
2. Has any current or prospective officer, principal, director, or owner been accused or convicted of any wrongdoing or
crime, other than a simple misdemeanor? ❑ Yes ❑ No
3. Have there been any current or past bankruptcies on the part of the applicant entity (or predecessor entities), or on
the part of any current (or prospective) officer, principal, owner or in any business dealings of current(or
prospective)officers, principals, or owners of the applicant entity? ❑ Yes ® No
4. In the last five years have there been, or are there currently any investigations of potential violations of public
health, safety (including workplace safety)or environmental laws by the applicant entity, or any current or
prospective officer, principal, director, or owner? ❑ Yes ® No
5. In the last five years have there been, or are there currently any violations of antitrust laws by the applicant entity,
or any current or prospective officer, principal, director, or owner? ❑ Yes ® No
6. If yes to any of the above, please provide additional explanation:
I hereby give permission to the Iowa Economic Development Authority(IEDA)to research the Business' history, make credit checks,
contact the Business'financial institutions, insurance carriers, and perform other related activities necessary for reasonable
evaluation of this application. I also hereby authorize the Iowa Department of Revenue to provide to IEDA state tax information
pertinent to the Business' state income tax, sales and use tax, and state tax credits claimed.
I understand that all information submitted to IEDA related to this application is subject to Iowa's Open Record Law(Iowa Code,
Chapter 22), unless specifically marked as confidential section.
I understand that IEDA reserves the right to negotiate the financial assistance.
I understand this application is subject to final approval by IEDA and the Project may not be initiated until final approval is secured.
Furthermore, I am aware that funds will not be disbursed until a contract has been executed and the appropriate terms have been
met.
I hereby certify that all representations,warranties, or statements made or furnished to IEDA in connection with this application are
true and correct in all material respect. I understand that it is a criminal violation under Iowa law to engage in deception and
knowingly make, or cause to be made, directly or indirectly, a false statement in writing for the purpose of procuring economic
development assistance from a state agency or subdivision.
For the Business: For the Sponsor(s):
See Attached Signature Page
Signature Date Signature Date
Fabio Pettenati—Vice President, Supply Chain
Name and Title (typed or printed) Name and Title (typed or printed)
IEDA will not provide assistance in situations where it is determined that any representation,warranty, or statement made
in connection with this application is incorrect,false, misleading or erroneous in any material respect. If assistance has
already been provided prior to discovery of the incorrect,false, or misleading representation, IEDA may initiate legal action
to recover incentives and assistance awarded to the Business.
Attachment: A7
Barilla Gluten-Free IEDA Financial Application
Additional Sponsor organization contact:
Name: Duane Pitcher
Title: Director of Finance, City of Ames
Address: 515 Clark Avenue
City, State & Zip Code: Ames, IA 50010
Phone: 515-239-5113
Fax: 515-239-5320
Email: dpitcher@city.ames.ia.us
SECTION H
Certification & Release of Information
1. Are there any judgments or court actions completed or pending against the applicant entity, or any current or
prospective officer, principal, director, or owner? ❑ Yes x No
2. Has any current or prospective officer, principal,'director, or owner been accused or convicted of any wrongdoing or
crime, other than a simple misdemeanor? ❑ Yes x No
1 Have there been any current or past bankruptcies on the part of the applicant entity(or predecessor entities), or on
the part of any current(or prospective)officer, principal, owner or in any business dealings of current(or
prospective)officers, principals, or owners of the applicant entity? ❑ Yes x No
4. In the last five years have there been, or are there currently any investigations of potential violations of public
health, safety(including workplace safety)or environmental laws by the applicant entity, or any current or
prospective officer, principal, director, or owner? ❑ Yes x No
5. In the last five years have there been, or are there currently any violations of antitrust laws by the applicant entity,
or any current or prospective officer, principal, director, or owner? ❑ Yes x No
6. if yes to any of the above, please provide additional explanation:
I hereby give permission to the Iowa Economic Development Authority(IEDA)to research the Business'history,make credit checks,
contact the Business'financial Institutions,insurance carriers,and perform other related activities necessary for reasonable
evaluation of this application. I also hereby authorize the Iowa Department of Revenue to provide to IEDA state tax information
pertinent to the Business'state income tax,sales and use tax,and state tax credits claimed.
I understand that all information submitted to IEDA related to this application is subject to Iowa's Open Record Law(Iowa Code,
Chapter 22),unless specifically marked as confidential section.
I understand that IEDA reserves the right to negotiate the financial assistance.
I understand this application is subject to final approval by IEDA and the Project may not be initiated until final approval is secured.
Furthermore,I am aware that funds will not be disbursed until a contract has been executed and the appropriate terms have been
met.
I hereby certify that all representations,warranties or statements made or furnished to IEDA in connection with this application are
true and correct in all material respect. I understand that it is a criminal violation under Iowa law to engage in deception and
knowingly make,or cause to be made,directly or indirectly,a false statement in writing for the purpose of procuring economic
development assistance from a state agency or subdivision.
For the Business: For the Sponsor(s):
Signature Dateignature Cate
Fabio Pettenati--Vice President, Supply Chain
Name and Title(typed or printed) Name and Title(type or prin d)
IEDA will not provide assistance in situations where It is determined that any representation,warranty,or statement made
In connection with this application is Incorrect,false,misleading or erroneous In any material respect.If assistance has
already been provided prior to discovery of the Incorrect, false,or misleading representation,IEDA may initiate legal action
to recover incentives and assistance awarded to the Business.
Page 2 of 3
From: Duane R Pitcher [mailto:DPitcher@city.ames.ia.us]
Sent: Tuesday, January 13, 2015 3:01 PM
To: Ron Hallenbeck
Subject: Rel Barilla Resolution/Mayor's Signature
Ron,
We need to get the finalized IIEDA application before with proceed with signatures. Please confirm
that the version we have is t��e-fin-JT—v-ersian-g-6ing to the board.
We'll scan and e-mail a copy of the signature page when signed by the mayor. Please send me
the IEDA contact.
Duane
Duane Pitcher, CPA, CPFO
Director of Finance
City of Ames
515 Clark Avenue
P.O. Box 811
Ames, Iowa 50010
Phone (515) 239-5114
-Ron Hallenbeck --ron@ameschamber.com= w --To: "Duane Pitcher (dpitcher(&city.ames.ia.us)" <dpitcher@city.ames.ia.us>
From: Ron Hallenbeck <ron@ameschamber.com>
Date: 01/13/2015 02:37PM
Subject: Barilla Resolution/Mayor's Signature
file://C:ADocuments and Settings\diane.voss\Local Settings\Temp\notesEIEF34\—web3705... 1/14/2015
i