Section Res 2604.01 - Form SJG-1, State Jobs Grant Application(a) A business applying for a grant shall supply on Form SJG-1 the following information:(1) Name, address and telephone number of the business applying;(2) Name and title of the contact person;(4) Description of the business ownership, and the business organization, both internally and as part of a larger corporate structure, if applicable;(5) Description of the existing positions and the positions to be created by title, compensation, and benefits to be provided;(6) Description of the hiring requirements for those positions; and(7) An indication of how many of the new jobs created will be filled by people from low and moderate income families.(b) All information shall be typewritten.(c) The business shall include a copy of the following:(1) Certificate of existence from the Secretary of States office;(2) Corporate resolution giving authority to the contact person to sign documents on behalf of the business;(3) A business plan for at least the next 5 years, or other evidence of the ability to employ people for the required 5 year period;(4) Audited, consolidated, or descriptive financial statements for at least the last 3 years.(d) The business shall agree to report any portion of the grant that will not be used as required by Res 2607.03.(e) The contact person representing the business shall:(1) Sign and date the application; and(2) Certify by his or her signature to guarantee the jobs created pursuant to Res 2603.02.(f) The applicant shall mail or hand-deliver the original and 2 copies of the application and all attachments to: Department of Resources and Economic Development
Division of Economic Development
Grant Administrator
172 Pembroke Road
PO Box 1856
Concord, NH 03302-1856
N.H. Admin. Code § Res 2604.01