Program Questions:
NYS GREEN CHIPS

Q_18095

Does this project meet the qualifications for the Green CHIPS program detailed below?

(1) is within the semiconductor manufacturing and related equipment and material supplier sector;
(2) includes sustainability measures to mitigate the project's greenhouse gas emissions over its lifetime under a Green CHIPS sustainability plan;
(3) provides for the payment of not less than federal prevailing wage rates for its project construction;
(4) makes specific and actionable commitments to worker and community investment under a Green CHIPS community plan;
(5) will create at least five hundred net new jobs and make at least three billion dollars in qualified investment prior to the conclusion of its preliminary schedule of benefits; and
(6) will maintain a Green CHIPS benefit-cost ratio of at least fifteen to one as calculated for the overall project term.

Please see question requirements for further information and a link to the regulations.
  • Threshold
  • Yes
  • Yes/No
  • Microsoft Word - ExcelsiorRegs -2023-GC-updated-final.5.1.23.docx

    Such projects are eligible to enter into a phase one of a Green CHIPS project ten-year benefit term. Such projects, provided they are in good standing with all requirements of this Part, are also eligible to enter into a phase two of a Green CHIPS project, and therefore to initiate a new and separate ten-year schedule related to phase two, provided that phase two will create at least five hundred net new jobs beyond those created in phase one, and that phase two will make at least three billion dollars in qualified investment beyond the investment total associated with phase one. For Green CHIPS projects, phase one and phase two terms may overlap, depending on the time of initiation for both projects. Green CHIPS projects may be allowed to claim credits for taxable years up to January first, two thousand fifty.

Q_3527

US Congressional District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Single Choice Dropdown
  • 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27
  • To determine the US Congressional District, click HERE

Q_928

Project Street Address: Please input the project street address (Street Number and Street Name only).

If the project has multiple locations, please input the primary street address of the project. If the project does not have a definite street address, please input the approximate street address of the project (Street Number and Street Name only).
  • Location
  • Yes
  • Short Answer

Q_565

Project City
  • Location
  • Yes
  • Short Answer

Q_972

Project county or counties.
  • Location
  • Yes
  • NYS County Multiple Choice

Q_568

Project State
  • Location
  • Yes
  • Single Choice Dropdown
  • AA,AL,AK,AZ,AR,CA,CO,CT,DE,FL,GA,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI,WY,AS,DC,FM,GU,MH,MP,PW,PR,VI
  • AA

Q_572

Project Latitude (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Decimal

Q_573

Project Longitude (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Decimal

Q_184

NYS Assembly District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Integer

Q_190

NY Senate District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Integer

Q_1034

Project ZIP Code. (please use ZIP+4 if known)
  • Location
  • Yes
  • Zip Code
  • To locate a Zip Code, click HERE

     

     

Q_2655

Based on your selection from the previous question, enter the associated ID number.
  • Basic
  • Yes
  • Short Answer

Q_5416

Applicant First Name
  • Basic
  • Yes
  • Short Answer

Q_5417

Applicant Last Name
  • Basic
  • Yes
  • Short Answer

Q_5257

Contact Salutation
  • Basic
  • No
  • Single Choice Dropdown
  • Mr., Mrs., Ms., Dr.

Q_5490

Primary Organization
  • Basic
  • No
  • Short Answer

Q_5493

Additional Salutation
  • Basic
  • No
  • Single Choice Dropdown
  • Mr., Mrs., Ms., Dr.

Q_5492

Additional Organization
  • Basic
  • No
  • Short Answer

Q_12607

Please indicate the lead agency (if applicable).
  • Basic
  • Yes
  • Short Answer

Q_12604

Has a National Environmental Policy Act (NEPA) Record of Decision been issued?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_1054 will be displayed

Q_1054

Please explain decision and include date of Record of Decision.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 0 - 850

Q_549

Type of Applicant (select one)
Applicants will first select a single applicant type from the categories below and then a subtype based on their initial selection. Applicants should review the selections below which provides a list of subtypes by main applicant type.

1. For Profit entity options:
Limited Liability Corporation (LLC)
Limited Liability Partnership (LLP)
Sole Proprietorship
S Corporation
C Corporation
Limited Partnership (LP)
Other- applicant will be required to list their other for-profit designation.

2. Not-for profit entity options:
501(c)(1) Any corporation that is organized under an act of Congress that is exempt from federal income tax;
501(c)(2) Corporations that hold a title of property for exempt organizations;
501(c)(3) Corporations/funds/foundations that operate for religious/ charitable/ scientific/ literary/ educational purposes;
501(c)(4) Nonprofit organizations that promote social welfare;
501(c)(5) Labor, agricultural, or horticultural associations;
501(c)(6) Business leagues/chambers of commerce/etc. that are not organized for profit;
501(c)(7) Recreational organizations; and
Other- applicant will be required to list their other not-for-profit designation.

3. Government entity options:
Federal
State
County
City
Town
Village
Tribal
School District
County or Town Improvement District
District Corporation
Public Authority
Business Improvement District
Fire District
Board of Cooperative Education Services (BOCES)
Public Library
Association Library
Other- applicant will be required to list their other government designation.
  • Basic
  • Yes
  • Single Choice Dropdown
  • For-Profit, Not-for-Profit, Government
    1. If For-Profit is selected then Q_15475 will be displayed
    2. If Government is selected then Q_15478 will be displayed
    3. If Not-for-Profit is selected then Q_15477 will be displayed

Q_15475

Select the for-profit entity of the applicant applying for funding:
  • Basic
  • Yes
  • Single Choice Radio Button
  • Limited Liability Corporation (LLC), Limited Liability Partnership (LLP), Sole Proprietorship, S Corporation, C Corporation, Limited Partnership (LP), Other
    1. If Other is selected then Q_15483 will be displayed

Q_15483

Enter the applicant's 'Other' for-profit entity designation.
  • Basic
  • Yes
  • Short Answer

Q_15477

Select the not-for-profit entity of the applicant applying for funding:
  • Basic
  • Yes
  • Single Choice Radio Button
  • 501(c)(1) Any corporation that is organized under an act of Congress that is exempt from federal income tax, 501(c)(2) Corporations that hold a title of property for exempt organizations, 501(c)(3) Corporations/funds/foundations that operate for religious/charitable/scientific/literary/educational purposes, 501(c)(4) Nonprofit organizations that promote social welfare, 501(c)(5) Labor/agricultural/horticultural associations, 501(c)(6) Business leagues/chambers of commerce/etc. that are not organized for profit, 501(c)(7) Recreational organizations, Other
    1. If Other is selected then Q_15484 will be displayed

Q_15484

Enter the applicant's 'Other' not-for-profit entity designation.
  • Basic
  • Yes
  • Short Answer

Q_15478

Select the government entity of the applicant applying for funding:
  • Basic
  • Yes
  • Single Choice Radio Button
  • Federal, State, County, City, Town, Village, Tribal, School District, County or Town Improvement District, District Corporation, Public Authority, Business Improvement District, Fire District, Board of Cooperative Education Services (BOCES), Public Library, Association Library, Other
    1. If Other is selected then Q_15485 will be displayed

Q_15485

Enter the applicant's 'Other' government entity designation.
  • Basic
  • Yes
  • Short Answer

Q_12603

Is the applicant a DBA?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_550 will be displayed

Q_550

What is the applicant's DBA name?
  • Basic
  • Yes
  • Short Answer

Q_556

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.
  • Basic
  • Yes
  • Single Choice Radio Button
  • Charity Reg #, Duns Number, Federal Tax ID Number, NYS Unemployment Insurance Tax Number,NYS Vendor Identification Number (SFS),Employee Identification Number (EIN),Unique Entity Identifier (UEI)
  • Applicants will be required to provide the specified ID number upon request by the funding agencies.

Q_546

Organization Legal Name
  • Applicant Information
  • Basic
  • Yes
  • Short Answer
  • If applying in the name of a business please type in the name as it appears on your business papers. If applying as an individual insert your name here.

Q_551

Applicant Street Address
  • Basic
  • Yes
  • Short Answer

Q_552

Applicant City
  • Basic
  • Yes
  • Short Answer

Q_553

Applicant State
  • Basic
  • Yes
  • State Dropdown

Q_554

Applicant ZIP Code. (please use ZIP+4 if known)
  • Basic
  • Yes
  • Zip Code
  • To look up a zip code, click HERE

Q_651

Applicant Telephone Number (please include area code)
  • Basic
  • Yes
  • Phone

Q_555

Applicant Email Address
  • Basic
  • Yes
  • Email

Q_547

Contact First Name
  • Basic
  • Yes
  • Short Answer

Q_1049

Contact Last Name
  • Basic
  • Yes
  • Short Answer

Q_1050

Contact Title
  • Basic
  • No
  • Short Answer

Q_3688

Contact Street Address
  • Basic
  • Yes
  • Short Answer

Q_3689

Contact City
  • Basic
  • Yes
  • Short Answer

Q_3690

Contact State
  • Basic
  • Yes
  • State Dropdown

Q_3691

Contact ZIP Code (please use ZIP+4 if known)
  • Basic
  • Yes
  • Zip Code

Q_562

Primary Contact Phone Number. (please include area code)
  • Basic
  • Yes
  • Phone

Q_3692

Contact Email
  • Basic
  • Yes
  • Email

Q_1052

Additional Project Contact First Name
  • Basic
  • No
  • Short Answer

Q_970

Additional Project Contact Last Name
  • Basic
  • No
  • Short Answer

Q_1051

Additional Contact Title
  • Basic
  • No
  • Short Answer

Q_3693

Additional Contact Street Address
  • Basic
  • No
  • Short Answer

Q_3694

Additional Contact City
  • Basic
  • No
  • Short Answer

Q_3695

Additional Contact State
  • Basic
  • No
  • State Dropdown

Q_3696

Additional Contact ZIP (please use ZIP+4 if known)
  • Basic
  • No
  • Zip Code

Q_3697

Additional Contact Telephone Number (please include area code)
  • Basic
  • No
  • Phone

Q_561

Additional Contact Email Address
  • Basic
  • No
  • Email

Q_4199

Please select the primary sector or characterization that best defines this project.
  • Basic
  • Yes
  • Single Choice Dropdown
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Historic Preservation, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Recreation,Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization, Semiconductors/Semiconductor Supply Chain

Q_4198

Please select the secondary sector or characterization that best defines this project.
  • Basic
  • Yes
  • Single Choice Dropdown
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Historic Preservation, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization, Semiconductors/Semiconductor Supply Chain

Q_575

Project Description. Concisely describe the project, indicating the location, what will be planned, designed, acquired, and/or constructed, the issues/opportunities to be addressed, and expected outcomes and deliverables. Additional details will be collected later in the application process.
  • Project Description
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 1200
  • Please include details relevant to all programs on this application. Programs on this application are: {{program_list}}

Q_976

Statement of need: Provide a brief summary of the need for the project in the geographic area proposed and the project's financing needs, including funding gaps of the proposed project.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 850
  • Provide a brief summary of the need for the project in the geographic area proposed, the project's financing needs, including funding gaps and, where applicable, describe the additional short and long term jobs that will be created through the development of the proposed project.

Q_929

Current State of Project Development (i.e. planning, preliminary engineering, final design, etc. You may enter N/A for non-project related applications)
  • Basic
  • Yes
  • Short Answer

Q_975

Estimated Project Timeline: include project start/completion dates, estimates for design, permitting and construction or other major steps.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 850

Q_580

Provide a list of all federal, state, and local reviews, approvals, or permits needed or completed, including the dates when they are expected to be completed or were completed. If Not Applicable, indicate "NA".
  • Basic
  • Yes
  • Long Answer
  • 1 - 400

Q_12606

Does this project require State and/or Federal Environmental Review?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_2364
      - Q_12607

Q_2364

What is the status of State and/or Federal Environmental Review?
  • Basic
  • Yes
  • Short Answer

Q_17170

List all entities and their EIN that the employment is being reported to DOL under.
ALL NYS Locations
  • Jobs
  • Yes
  • Long Rich Text (HTML)
  • any

Q_17171

List all entities and their EIN that the employment is being reported to DOL under.
Project location only
  • Jobs
  • Yes
  • Long Rich Text (HTML)
  • any

Q_17162

A. Total Employees / Jobs
(this should add up to the sum of Total Full Time Employees + Total Part Time Employees + Total Contract Employees)
  • Jobs
  • Yes
  • Integer

Q_17163

A. Total Employees / Jobs (Project Location Only)
(this should add up to the sum of Total Full Time Employees + Total Part Time Employees + Total Contract Employees)
  • Jobs
  • Yes
  • Integer

Q_17164

B. Total Full Time Employees / Jobs Only
All NYS Locations
  • Jobs
  • Yes
  • Integer

Q_17165

B. Total Full Time Employees / Jobs Only
Project Location Only
  • Jobs
  • Yes
  • Integer

Q_14039

C. Total Part-time Employees/Jobs Only
  • Jobs
  • Yes
  • Integer

Q_14040

C. Total Part-time Employees/Jobs Only Project Location Only
  • Jobs
  • Yes
  • Integer

Q_1365

D. Total Contract Employees/Jobs Only ALL NYS Locations
  • Jobs
  • Yes
  • Integer
  • A Full-time Contract Employee a full-time private sector employee (or self-employed person) who is not on the Recipient’s payroll but who works exclusively for the Recipient at the project location for a minimum of 35 hours per week for not less than four consecutive weeks, providing services that would otherwise be provided by a Full-time Permanent Employee. The position held by a Full-time Contract Employee must be a year-round position.

Q_1366

D. Total Contract Employees/Jobs Only Project Location Only
  • Jobs
  • Yes
  • Integer
  • A Full-time Contract Employee is a full-time private sector employee (or self-employed person) who is not on the Recipient’s payroll but who works exclusively for the Recipient at the project location for a minimum of 35 hours per week for not less than four consecutive weeks, providing services that would otherwise be provided by a Full-time Permanent Employee. The position held by a Full-time Contract Employee must be a year-round position.

Q_17166

E. Total Full Time Equivalents (FTEs)
(this should be calculated from part-time employees only (C) using the FTE definition from the top of the page)
ALL NYS Locations
  • Jobs
  • Yes
  • Integer

Q_17167

E. Total Full Time Equivalents (FTEs)
(this should be calculated from part-time employees only (C) using the FTE definition from the top of the page)
Project location only
  • Jobs
  • Yes
  • Integer

Q_2195

F. Total Full Time Employees + Total FTEs (B+E) All NYS LOCATIONS.
  • Jobs
  • Yes
  • Integer
  • A Full-time equivalent job equals any combination of two or more part-time jobs that, when combined together, constitute the equivalent of a job of at least 35 hours per week.  NOTE: Your base employment for Excelsior is calculated using the prior 4 quarters from when you are accepted into the program.

     

Q_2196

F. Total Full Time Employees + Total FTEs (B+E) PROJECT LOCATION Only
  • Jobs
  • Yes
  • Integer
  •  NOTE: A full-time equivalent job equals any combination of two or more part-time jobs that, when combined together, constitute the equivalent of a job of at least 35 hours per week. Please note if any of these positions are contract employees and if so, how many of the total are contract employees.

     

     

Q_2199

G. Average Annual Wage (Full Time Employees and FTEs) All NYS Locations as of the date this application is finalized
  • Jobs
  • Yes
  • Money

Q_1186

G. Average Annual Wage (Full Time Employees and FTEs) Project Location Only as of the date this application is finalized.
  • Jobs
  • Yes
  • Money

Q_1196

H. At Risk Positions (From Existing Full Time Employees and FTEs)
How many of the existing jobs at the project location(s) are at risk if the project does not go forward.
  • Jobs
  • Yes
  • Integer
  •  

    "At Risk" shall mean a permanent Full-time employee position currently located in New York State that is found by ESD to be at risk of being lost or moved out of state based on compelling information provided by the applicant.

     

Q_17168

I. Average Annual Wage of at Risk Employees/Jobs (Full Time Employees and FTEs)
project location only
  • Jobs
  • Yes
  • Money

Q_17169

J. Percentage of Employees that are residents of New York State
ALL NYS locations
  • Jobs
  • Yes
  • Integer

Q_2175

J. Percentage of Employees that are residents of New York State Project Location Only
  • Jobs
  • Yes
  • Integer

Q_2372

K. Construction Jobs: Estimate the number of construction jobs to be created by the proposed project.
  • Jobs
  • Yes
  • Integer
  • K. Construction Jobs: Estimate the number of construction jobs to be created by the proposed project.

Q_1415

Indicate what the average percentage is of the applicants' total employees' gross wages paid in benefits (exclude mandated benefits such as Federal Insurance Contributions Act (FICA), Medicare tax, unemployment insurance or workers' compensation insurance.
  • Jobs
  • Yes
  • Integer

Q_14397

What percentage of the project’s net-new employees will work remotely (in part or fully)?
If none, then enter 0(zero).
  • Jobs
  • Yes
  • Integer

Q_18120

Capital Investment, R&D, and Net New Jobs Commitments:
Using the template provided below please upload the following information:
1. Investment Commitments Tab
a. Capital Investment Commitment: For each category, complete the projected investment schedule by year for each 10-year phase of the project for the investment categories listed. There is a minimum of $3 billion in investments per phase.
b. R&D Investment Commitment: Complete the projected R&D investment schedule by year for each 10-year phase of the project. This should be an estimate of the portion of any Federal research and development tax credits, attributable to research and development activities conducted in New York State, that the applicant anticipates claiming the Excelsior Research and Development Credit. https://www.irs.gov/pub/irs-pdf/i6765.pdf

2. Jobs Commitment Tab
a. Jobs Commitment: Complete the projected net new jobs schedule by year for each 10-year phase of the project by job category. Please include details on job titles and expected gross annual wages for each job type. There is a minimum of 500 jobs per phase.
  • Attachment
  • Yes
  • Attachment

Q_18160

Upload a detailed narrative corresponding to each section of the prior upload for Capital Investment, R&D, and Jobs Commitments. The document should include 3 sections as described below:

1- A narrative describing the projected investments for each phase of the project in the schedule/budget uploaded.
2- A narrative summarizing the planned Federal research and development investments in the schedule/budget uploaded.
3- A narrative describing the overall plan for meeting the job requirements in the schedule uploaded.
  • Attachment
  • Yes
  • Attachment

Q_18118

Please attach an approved Sustainability Plan in accordance with the Green CHIPS Sustainability Plan Template below, along with a letter of approval from ESD.
  • Attachment
  • Yes
  • Attachment

Q_18119

Please attach an approved Community Plan in accordance with the Green CHIPS Community Plan Template below, along with a letter of approval from ESD.
  • Attachment
  • Yes
  • Attachment

Q_18126

Childcare: Will this project include the applicant undertaking or sponsoring new childcare services for its employees?
  • Attachment
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_18125
      - Q_18127

Q_18125

Please complete the excel template provided for anticipated childcare capital expenses in the applicable categories by year, as well as anticipated net new childcare services expenses (non-capital) in applicable categories by year. Additionally, please provide a narrative of the childcare capital and non-capital expenses, including the location, hours of operation, and specific services to be provided. Before uploading, zip the word document and excel file together in a single file.

Please note: "Net new child care services expenditures" means the calculation of new, annual participant expenditures on childcare services whether internal or provided by a third party (including coverage for full or partial discount of employee rates), minus any revenues received by the participant through a third-party operator (i.e. rent paid to the participant by the child care provider) or employees and may be further defined by the commissioner in regulations. For the purposes of this definition, expenditures for childcare services that a participant has incurred prior to admission to this program shall not be eligible for the credit.
  • Attachment
  • Yes
  • Attachment

Q_2331

Attach an organizational chart along with a brief description of the ownership structure. Please specify the ownership of the applicant’s business including the names of principal owners, include the percentage of ownership for each individual entity (if applicable), and if the company is a parent, subsidiary and/or affiliate of another company, please provide a description of the relationship. Additional financial information may be requested.
  • Attachment
  • Yes
  • Attachment

Q_17161

Attach interim financial documents for 2025

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2025. For-publicly traded companies, please provide Form 10-K for 2025.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     

    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

Q_17160

Attach 2024 financial documents

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2024. For-publicly traded companies, please provide Form 10-K for 2024.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     

    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

    If you are applying to the ONRAMP program, contact workforce@esd.ny.gov 

Q_15218

Attach 2023 financial documents

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2023. For-publicly traded companies, please provide Form 10-K for 2023.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     

    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

    If you are applying to the ONRAMP program, contact workforce@esd.ny.gov 

Q_13592

Attach 2022 financial documents

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2022. For-publicly traded companies, please provide Form 10-K for 2022.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     

    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

    If you are applying to the ONRAMP program, contact workforce@esd.ny.gov 

Q_6946

Please provide Letters of Support for your project (if applicable). All letters should be scanned into a single PDF file and their total size cannot exceed 30 Megabytes (MB).
  • Attachment
  • No
  • Attachment

Q_2333

If review of the project has been completed pursuant to State Environmental Quality Review Act (SEQRA) or National Environmental Policy Act (NEPA), please submit the Negative Declaration or Findings Statement, or Finding of No Significant Impact or Record of Decision.
  • Attachment
  • No
  • Attachment

Q_2332

Attach a short or long Environmental Assessment Form

Project review pursuant to the State Environmental Quality Review Act (SEQRA) must be completed prior to the award of any state funds. For projects classified as Type I or Unlisted actions, submit a short or long Environmental Assessment Form. See "View Help" for links to forms.

Q_18161

Does this project meet the qualifications for the Green CHIPS program detailed below?

(1) is within the semiconductor manufacturing and related equipment and material supplier sector;
(2) includes sustainability measures to mitigate the project's greenhouse gas emissions over its lifetime under a Green CHIPS sustainability plan;
(3) provides for the payment of not less than federal prevailing wage rates for its project construction;
(4) makes specific and actionable commitments to worker and community investment under a Green CHIPS community plan;
(5) will create at least 500 (five hundred) net new jobs and make at least $3,000,000,000 (three billion dollars) in qualified investments prior to the conclusion of its preliminary schedule of benefits; and
(6) will maintain a Green CHIPS benefit-cost ratio of at least fifteen to one as calculated for the overall project term.

Please see question requirements for further information and a link to the regulations.
  • Standard Question
  • Yes
  • Yes/No
  • Such projects are eligible to enter into a phase one of a Green CHIPS project ten-year benefit term. Such projects, provided they are in good standing with all requirements of this Part, are also eligible to enter into a phase two of a Green CHIPS project, and therefore to initiate a new and separate ten-year schedule related to phase two, provided that phase two will create at least five hundred net new jobs beyond those created in phase one, and that phase two will make at least three billion dollars in qualified investment beyond the investment total associated with phase one. For Green CHIPS projects, phase one and phase two terms may overlap, depending on the time of initiation for both projects. Green CHIPS projects may be allowed to claim credits for taxable years up to January first, two thousand fifty. 

Q_1339

Applicant website
  • Standard Question
  • No
  • URL

Q_740

What is the applicant's Federal Tax ID#?
  • Company/Applicant Questions
  • Standard Question
  • Yes
  • Integer
  • This is a Restricted Question. The dissemination of information provided in response to a Restricted Question is intended to be limited to the Economic Development Power Allocation Board, NYPA’s Board of Trustees, and NYPA staff. If you need to disclose information you believe should be treated as confidential, please do so only in response to Restricted Questions. Also, please identify in the “Other Information” section of the CFA all responses to Restricted Questions that you believe contain confidential information.  Once in NYPA’s possession, this information will be accorded the protections to which it is entitled under New York law, including Public Officers Law Article 6 (Freedom of Information Law).

Q_595

Indicate the principal North American Industrial Classification System (NAICS) Code of the Company.
  • Standard Question
  • Yes
  • Integer
  • Please reference the most recent NAICS code file:   NAICS 

     

Q_1142

Indicate the Primary North American Industrial Classification System (NAICS) Code associated with the activity of the business at the project location.
  • Standard Question
  • Yes
  • Integer
  • For help determining the NAICS Code, click HERE.

Q_1075

Describe the ownership of the applicant’s business including, if applicable, the names of principal owners:
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 800

Q_1076

Identify the applicant’s parent and subsidiary companies (if none, please respond with N/A):
  • Company/Applicant Questions
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 500

Q_900

Electric Utility Company Name
  • Company/Applicant Questions
  • Standard Question
  • Yes
  • Short Answer

Q_902

Natural Gas Utility Company Name
  • Company/Applicant Questions
  • Standard Question
  • Yes
  • Short Answer

Q_2221

Is the applicant an Empire Zone certified entity? If so, please provide the Empire Zone address location.
  • Company/Applicant Questions
  • Standard Question
  • No
  • Short Answer
  • Empire Zones are geographically defined areas within New York State. Qualifying businesses located within the zone are eligible for Empire Zone program tax benefits.  
     
    Note: The Empire Zones program is closed to new applicants.

Q_3134

A third party completing this application is required to disclose their name, company and contact name. Is a third party completing this application?
  • Company/Applicant Questions
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_3136 will be displayed

Q_3136

Provide the third party name and contact info.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 100

Q_1410

Briefly describe what the project involves in terms of product(s) or services(s) that will be provided at the project location.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 2000

Q_1224

Have any expenditures for the project been made prior to the date of this application? If yes, explain.
  • General Project Questions
  • Standard Question
  • Yes
  • Short Answer

Q_12654

Has the applicant applied for and/or been awarded funding from other New York State or local entities for this project?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_12655
      - Q_13264

Q_12655

Please detail the funding applied to for this project and the entity administering the funding. Do not include funding that has been awarded.
  • Standard Question
  • Yes
  • Long Answer
  • 1 - 850

Q_13264

Please detail the funding awarded to this project and the entity administering the funding.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 850

Q_13265

Has the applicant applied to and/or been awarded funding from a local IDA?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_13266
      - Q_13267

Q_13266

Please detail the funding applied for this project and the entity administering the funding. Do not include funding that has been awarded.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 850

Q_13267

Please detail the funding awarded to this project and the entity administering the funding.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 850

Q_14323

Does your company take advantage of or is considering taking advantage of employer provided childcare federal and state credits?
  • Responses to the following two questions will not affect potential ESD incentives, but rather are intended to inform New York State strategy as we try to improve access to affordable childcare for your workers and all others in New York.
  • Standard Question
  • Yes
  • Yes/No

Q_14324

Does your company offer or is your company considering offering dependent care flexible spending accounts?
  • Responses to the following two questions will not affect potential ESD incentives, but rather are intended to inform New York State strategy as we try to improve access to affordable childcare for your workers and all others in New York.
  • Standard Question
  • Yes
  • Yes/No

Q_14398

Do you wish to learn more about incentives for establishing or expanding childcare services on site or nearby?
  • Standard Question
  • Yes
  • Yes/No

Q_3526

Estimate the future annual real property taxes or annual PILOT payments based on the investments in the property. What are the annual savings on real property taxes resulting from a PILOT agreement based on the investments in the property?
  • REAL PROPERTY
  • Standard Question
  • No
  • Long Answer
  • any
  • PILOT:  Payment In Lieu Of Taxes

Q_1368

Please indicate the current annual real property taxes or PILOT payments.
  • REAL PROPERTY
  • Standard Question
  • No
  • Money
  • PILOT:  Payment In Lieu Of Taxes

Q_1367

Does, or will, the applicant own the property(ies) or have a lease specifying that it will pay the property taxes to the taxing jurisdiction for this project location(s)?
  • Standard Question
  • Yes
  • Single Choice Radio Button
  • Yes, No, N/A

Q_18117


1. Agree to not pay less than the applicable federal prevailing wage and any required fringe benefits for construction performed as if the project were subject to 42 USC 3212.
  • Agreements - For Applicants to the Green CHIPS Program

    As the preparer of this application, I attest to being an authorized representative of the applicant and, by placing my name in the boxes below and pursuant to section 354(2) of the New York State economic development law, I hereby:

  • Certification
  • Yes
  • Short Answer
  • see IRC SECTION 465 (B) (3) (C) – Related Person

     https://esd.ny.gov/excelsior-jobs-program 

Q_18112

2. Agree to allow the Department of Taxation and Finance to share tax information with the Department of Economic Development. However, any information shared as a result of this agreement shall not be available for disclosure or inspection under the State Freedom of Information law.
  • Certification
  • Yes
  • Short Answer

Q_18113

3. Agree to allow the Department of Labor to share tax and employer information with the Department of Economic Development. However, any information shared as a result of this agreement shall not be available for disclosure or inspection under the State Freedom of Information Law.
  • Certification
  • Yes
  • Short Answer

Q_18114

4. Agree to disqualify for empire zone benefits at any location or locations that qualify for Excelsior Jobs Program benefits if admitted into the excelsior jobs program.
  • Certification
  • Yes
  • Short Answer

Q_18115

5. Allow the Department of Economic Development and its agents access to any and all books and records the Department of Economic Development may require to monitor compliance.
  • Certification
  • Yes
  • Short Answer

Q_18116

6. Provide to the Department of Economic Development, upon its request, the information outlined in Section 354 (e) of Article 17 of the Economic Development Law.
  • Certification
  • Yes
  • Short Answer

Q_18121

7. Provide a clear and detailed presentation of all related persons as defined in subparagraph (c) of paragraph 3 of subsection (b) of section 465 of the Internal Revenue Code to the applicant to assure the Department of Economic Development that the jobs indicated in this application are not being shifted within the State.
  • Certification
  • Yes
  • Short Answer

Q_18122

8.Certify, under penalty of perjury, that the applicant is in substantial compliance with all environmental, worker protection, and local, state and federal tax laws.
  • Certification
  • Yes
  • Short Answer

Q_18123

9. Certify that I am authorized on behalf of the applicant and its governing body to submit this application. You further certify that all of the information contained in this Application and in all statements, data and supporting documents which have been made or furnished for the purpose of receiving assistance for the project described in this application, are true, correct and complete to the best of your knowledge and belief. You acknowledge that offering a written instrument knowing that the written instrument contains a false statement or false information, with the intent to defraud the State or any political subdivision, public authority or public benefit corporation of the State, with the knowledge or belief that it will be filed with or recorded by the State or any political subdivision, public authority or public benefit corporation of the State, constitutes a crime under New York State Law.
  • Certification
  • Yes
  • Short Answer