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provided everywhere during the taxable year or period.
property located in this state or from installment sale
that such business or office first begins operation on a) As used in this subsection, the term " sales"
agreements originally executed by a taxpayer or the
a site clearly separate from any other commercial or means all gross receipts of the taxpayer except
taxpayer' s agent to sell real or tangible personal
industrial operation owned by the same business. interest, dividends, rents, royalties, and gross property located in this state;
b) Any business located in an enterprise receipts from the sale, exchange, maturity, redemp- 6. Rents from real or tangible personal
tion, or other disposition of securities. However: property located in this state; or
zone that first begins operation on a site clearly 1. Rental income is included in the term if a
separate from any other commercial or industrial 7. Any other gross income, including other
operation owned by the same business. significant portion of the taxpayer' s business consists of interest, resulting from the operation as a financial
c) A new business that is situated on property leasing or renting real or tangible personal property; and organization within this state.
annexed into a municipality and that, at the time of 2. Royalty income is included in the term if a In computing the amounts under this
annexation, is receiving an economic significant portion of the taxpayer' s business consists of paragraph, any amount received by a member of
development ad valorem tax exemption from the dealing in or with the production, exploration, or an affiliated group ( determined under s. 1504( a) of
county under s. 196. 1995. development of minerals.
the Internal Revenue code, but without reference
16) " Expansion of an existing business" means: b) 1. Sales of tangible personal property occur to whether any such corporation is an " includable
in this state if the property is delivered or shipped to corporation" under s. 1504( b) of the Internal
a) 1. A business establishing 10 or more jobs a purchaser within this state, regardless of the f.o. b.
to employ 10 or more full-time employees in this Revenue code) from another member of such
point, other conditions of the sale, or ultimate
state, which manufactures, processes, compounds, group shall be included only to the extent such
destination of the property, unless shipment is made amount exceeds expenses of the recipient directly
fabricates, or produces for sale items of tangible via a common or contract carrier. related thereto.
Economic Development Ad Valorem Tax Exemption Supplemental Application
NOTICE: This supplement application is to be used by the Applicant to provide additional information for review by the governing bodies in Okaloosa County
and the entities involved with the process. The Department of Revenue DR -418 form must accompany this application for formal review by the Okaloosa
County Property Appraiser's office. Access the DR -418 at http:// dor.mvflorida.com/dor/property/forms/current/dr4l8.pd
A. Legal name of the Applicant: American Elite PPE
B. Confidentiality Request in place: Yes ® No
If yes, project name? Project PPE
C. Business Address: 5680 John Givens Road
City Crestview State/ Province FL Zip Code 32539
D. Type of Business
Manufacturer of Personal Protective Equipment
PR
OVERVIEW
A.
Which of the following best describes the Applicant:
New business to Florida
Existing Florida business creating and/ or retaining jobs
B.
What is the decision making timeframe of the Project? August 2020
C.
Please provide the address of the proposed permanent location of the project: 161 Hill Avenue
City Fort Walton Beach State/ Province FL 32548
Zip Code
D. Within city or town limits? Yes ® No If yes, which city/ town? Fort Walton Beach
E. Number of existing full- time employees? Average wage of existing employees?
3. •: AND WAGE OVERVIEW
A.
How many, new to Okaloosa, Full -Time Equivalent Jobs are projected to be created as part of 50
this Project?
B.
What is the projected annualized average wage ( excluding benefits) of the new Full -Time
Equivalent jobs created as part of this Project? $ 49, 000
C.
What is the projected annualized average cost to the Applicant of benefits for each new job
created as part of this Project? $
4, 000/job
Provide the job creation schedule to which you commit. Ifyourjob creation schedule extends past 3 years, please feelfree to
add additional rows.
Phase
Number of net new full-time equivalent jobs created Date by which jobs will be created
25 12/ 31/ 2020
II 25 12/ 31/ 2021
III
12/ 31/
IV
12/ 31/
Total 50
CAPITAL INVESTMENT OV
A.
Describe the capital investment in connection with the Project in real and personal property ( Examples: construction of new
facility; remodeling of facility; upgrading, replacing, or buying new equipment.):
Construction/ Renovations: $ 50, 000 in 2020
Possible building purchase in 2021, $ 850, 000
Manufacturing Equipment, $ 1, 000, 000 in 2020 and $2, 000, 000 in 2021
Miscellaneous equipment such as computers office, and furniture, $ 100, 000 in 2020 and $200, 000 in
2021.
B. Identify whether the Project will be located in a/ an:
Leased space with renovations or build out
Newly constructed building(s) on newly acquired land
Newly constructed building(s) on previously acquired land
Newly acquired existing building(s) with renovations
Addition to previously acquired existing building(s)
Other (please describe in 4A above)
Please contact the Economic Development Council ofOkaloosa County prior to completing this application. The Economic Development Council mustformally
present these documents to the respective governing bodies with a completed/signed DR -418 and exemption schedule from the ProDerty Annraiser
Economic Development Ad Valorem Tax Exemption Supplemental Application
C. New construction value:
D.
What year will renovations or construction for this project end? 2021
E. Value of new equipment or machinery: $ 3, 000,000
F. What year will the last piece of equipment be purchased? 2021
The undersigned person hereby affirms that he or she has been duly authorized and empowered to verify, execute and deliver this
Application, that he or she has read this Application (including all attachments hereto) and he or she has knowledge of all of the facts
stated herein, and that this Application, and all information submitted in connection herewith, is complete and accurate and contains
no misstateme
misrepresentations, or omissions of material facts, to the best of his or her knowledge and belief.
Signature
Date
Robert Sires 203- 534- 7978
Name
Phone Number
CEO rsires robertsires. com
Title
E- mail Address
American Elite PPE
Company
RENEWALRENEWAL PROC
INFORMATION INFORMATION
Please
Please identify
identify the
the contact
contact information
information for
for the
the EDATE
EDATE Annual
Annual Renewal Process ( individual responsible for renewal process)
Same as above
NameName
TitleTitle
PhonePhone Number Number
EE- - MailMail AddressAddress
MailingMailing AddressAddress
Please be sure to attach the proper incentive attachment sheet( DR- 418)***
Please contact the Economic Development Council of Okaloosa County prior to completing this application. The Economic Development Council mustformally
present these documents to the respective governing bodies with a completed/signed DR -418 and exemption schedule from the Prooertv ADDraiser-
