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IEDA_Medline Industries, Inc. Financial Assistance Application Copyrighted March 19, 2018 City of Dubuque Action Items # 4. ITEM TITLE: lowa Economic Development Authority- Medline Application SUMMARY: City Manager recommending approval of a resolution authorizing the submission of an lowa Economic DevelopmentAssistance Application by Medline Industries, Inc. to the lowa Economic DevelopmentAuthority. RESOLUTION Approving an Application for State Business Financial Assistance on Behalf of Medline Industries, Inc. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Adopt Resolution(s) ATTACHMENTS: Description Type Medline State of lowa Business Financial Assistance City Manager Memo Application-NNM Memo Staff Memo Staff Memo IEDAApplication Supporting Documentation Resolution of Approval Resolutions THE CITY OF Dubuque � AIFA�erlwGh UB E '�� III► Masterpiece on the Mississippi Z°°'�w'2 7A13 2017 TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: State of lowa Business Financial Assistance Application — Medline Industries, Inc. DATE: March 14, 2018 Economic Development Director Maurice Jones recommends City Council approval of a resolution authorizing the submission of an lowa Economic Development Assistance Application by Medline Industries, Inc. to the lowa Economic Development Authority. Medline is planning to expand its operations in Dubuque from the current 481 employees with an addition of at least 105 new full-time employees. In order to complete the project, the company is requesting both local and state incentives. The company is applying to the lowa Economic Development Authority for direct financial assistance in the amount of$1 ,559,840. On a separate agenda item, the City Council will be setting a public hearing on a proposed Development Agreement that provides for City incentives, including Urban Renewal Tax Increment Revenue Grant Obligations for 10 years of Tax Increment Finance (TIF) rebates of property tax increases, to encourage the development of the property on the 20.47 acres of land for an $18.4 Million capital investment in a new 120,000 square foot facility. The estimated value of the TIF rebates is between $3,600,000 and $3,900,000. Additional terms and conditions of the disposition of the property are included in the proposed Development Agreement. The Development Agreement between the City and Medline is contingent upon the company also receiving State of lowa incentives. The Development Agreement allows Medline to not close on the Development Agreement if State incentives are not received. I concur with the recommendation and respectfully request Mayor and City Council approval. �� �� ��� Mic ael C. Van Milligen �� � MCVM:jh Attachment cc: Crenna Brumwell, City Attorney Teri Goodmann, Assistant City Manager Cori Burbach, Assistant City Manager Maurice Jones, Economic Development Director 2 Dubuque Economic Development Department THE CITY OF 50 West 13t"Street All-AmericaCity Dubuque,lowa 52001-4864 1 ' Office(563)589-4393 TTY(563)690-6678 � http://www.cityofdubuque.org Masterpiece on the Mississippi 200�.2012•2013 TO: Michael Van Milligen, City Manager FROM: Maurice Jones, Economic Development Director SUBJECT: State of lowa Business Financial Assistance Application — Medline I ndustries, I nc. DATE: March 12, 2018 INTRODUCTION This memorandum presents for City Council review and approval a resolution authorizing the submission of an lowa Economic Development Assistance Application by Medline Industries, Inc. to the lowa Economic Development Authority (IEDA). BAC KG RO U N D Medline is the largest privately held manufacturer and distributor of inedical products in the world. Medline is a family owned business that has just recently celebrated its 50th anniversary. The company sells medical products across the continuum of care (i.e., from retail stores to doctor's offices, hospitals, nursing homes, surgical centers, etc.). Product ranges from latex gloves to gauze to walkers and wheel chairs to sterile and convenience kits and packs. DISCUSSION Medline is planning to expand its operations in Dubuque from the current 481 employees with an addition of at least 105 new full-time employees. In order to complete the project, the company is requesting both local and state incentives. The company is applying to the I EDA for direct financial assistance in the amount of $1,559,840. The proposed Development Agreement provides for City incentives, including Urban Renewal Tax Increment Revenue Grant Obligations for 10 years of Tax Increment Finance (TI F) rebates of property tax increases, to encourage the development of the property on the 20.47 acres of land for an $18.4 Million capital investment in a new 120,000 square foot facility. Additional terms and conditions of the disposition of the property are included in the proposed Development Agreement. The Development Agreement between the City and Medline is contingent upon the company also receiving State of lowa incentives. The Development Agreement allows Medline to not close on the Development Agreement if State incentives are not received. RECOMMENDATION I recommend that the City Council approve the Economic Development Assistance Application on behalf of Medline Industries, Inc. for the proposed investment of approximately $18.4 million for the expansion of its operations in Dubuque. The proposed project would add 105 jobs and promote the City's goal of retaining and expanding business to add to the economic base. ACTION STEP The action step for the City Council is to adopt the attached resolution. Prepared by: Jill Connors, Economic Development, 50 W. 13th Street, Dubuque IA 52001, 563 589-4393 Return to: Jill Connors, Economic Development, 50 W. 13th Street, Dubuque IA 52001, 563 589-4393 RESOLUTION NO. 74-18 APPROVING AN APPLICATION FOR STATE BUSINESS FINANCIAL ASSISTANCE ON BEHALF OF MEDLINE INDUSTRIES, INC. Whereas, Medline Industries, Inc. has proposed making an Eighteen Million Four Hundred Thousand Dollar ($18,400,000) investment in the City of Dubuque for development of a One Hundred Twenty Thousand square foot (120,000 sq. ft.) office facility and the creation of One Hundred Five (105) new full-time jobs in the City; and • Whereas, the City of Dubuque (City) and Medline Industries, Inc. (Medline) have tentatively entered into a Development Agreement for the sale of. City -owned real estate to Medline for such development; and Whereas, the City Council of the City of Dubuque, Iowa has considered the proposal and has determined that the proposed project will contribute to the local economy through the creation of One Hundred Five (105) new full-time jobs in the City, all of which qualify for the Iowa Economic Development Authority Business Financial Assistance Program; and Whereas, financial assistance from the Iowa Economic Development Authority is designed to assist in the economic development efforts of local jurisdictions; and Whereas, the Iowa Economic Development Authority has requested City approval of an Application for Economic Development Assistance Contract in order to finalize incentives and document associated terms for the development of Medline's proposed project in the City of Dubuque, Iowa; and Whereas, the City Council finds that it is in the best interests of the City of Dubuque to approve the Application. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF DUBUQUE, IOWA: Section 1. That the filing of an Application for participation in the Iowa Economic Development Authority's Financial Assistance Program on behalf of Medline Industries, Inc., a copy of which is attached hereto, is hereby approved. Section 2. That the Mayor is hereby authorized to execute and the City Manager is hereby directed to submit the Application to the Iowa Economic Development Authority together with such other documents as may be required. Passed, approved, and adopted this 19th day of March, 2018. Attest: Kevi S. Firnstahl,' ity ` erk 2 19t Roy D uol, Mayor � � �� � � �� DebiV. Durham, Director lowa Economic Devebpment Aufhority Business Financial Assistance Application Business Finance - Business Development Division lowa Economic Development Authority 200 East Grand Avenue Des Moines, lowa 50309-1819 iowaeconomicdeveloomentcom Telephone�. 515348.6153 Email�. businessfinancel�iowaedacom Application Instructions To Complete Electronic Form: Clickon TEXT BOX to etltl taxt Double click on YES/NO boxes entl select"Checketl". 1. FUI applicants must complete the Business Financial Assistance Application and attach onlv those additional sections Por the components to which the applicant is applying. STATE of IOWA— Financial Assistance Proaram High Quality Jobs Program (HQJ) � Tax Credits ❑ DirectFinancialAssistance 2. Before filling out this application form, please read all applicable sections of the lowa Code and lowa Administrative Code (rules). https:/iWww.leqis.iowa.qw4aw/administrativeRules 3. Only tvoed or comouter-aenerated 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 ofthe application fully. If questions are leR unanswered or required attachments are not submitted, an explanation must be induded. 5. Use clear and concise language. Attachments should only be used when requested or as supporting documentation. 6. My inaccurate information of a signifcant nature may disqualify the application from consideration. 7. The following must be submitted to Business Finance at IEDA to initiate the review process: • One original, signed application Porm and all required attachments • One elec[ronic copy of the application form and all required attachments Facsimile cooies will no[ be acceo[etl. Applications must be submittetl to IEDA Business Finance before 4:00 p.m. on the fourth Montlay of the month. Applications will be reviewetl bythe IEDA Boartl on the thirtl Fntlay 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 lowa's Open Records Law(lowa 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 lowa Employer's Contribution and Payroll Report prepared for the lowa 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. This form is available by request. 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— lowa Code Sec. 15.118 • Trade secrets —See lowa Code section 22.7(3), see also lowa Code Ch. 550 • Information on an industrial prospect with which the IEDA is currently negotiating —See lowa 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 — lowa 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 lowa'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: 1. Name of Business: Medline Industries, Inc. 2. Entity Name(s) for contracting (please include all that are involved in proposed project): Medline Industries, Inc. 3. Address: Three Lakes Drive 4. City, State &Zip Code: Northfield, IL 60093 5. Contact Person: Eric Gerstein Title: Vice President, Tax 6. Phone: 847-643-4603 Fax: 847-643-3744 Email: egerstein@medline.com 7. FEIN: 36-2596612 8. Please indicate your tax period end date: 12/31 9. NAICS Code for primary business operations: 424990 10. US DOT Number: 11. 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: 12. 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: $pO11SOC �IIfOCCT12t1011 (A sponsor organization is a city or county) 13. Sponsor Organization: City of Dubuque 14. Official Contact (e.g. Mayor, Chairperson, etc.): Roy Buol Title: Mayor Address: 50 W. 13th Street City, State &Zip Code: Dubuque, IA 52001 15. Phone: 563 589-4110 Fax: Email: 16. 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: Maurice Jones Title: Economic Development Director Address: 50 W. 13th Street City, State & Zip Code: Dubuque, IA 52001 Phone: (563) 589-4393 Fax: Email: mjones@cityofdubuque.org If necessary, please list information on additional sponsors in an attachment. 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. Medline is the largest privately held manufacturer and distributor of inedical products. Medline is a family owned business that has just recently celebrated its 50'" anniversary. Medline sells medical products across the continuum of care (i.e., from retail stores to doctor's offices, hospitals, nursing homes, surgical centers, etc.). Product ranges from latex gloves to gauze to walkers and wheel chairs to sterile and convenience kits and packs. 2. Business Structure: ❑ Cooperative ❑ Corporation ❑ Limited Liability Company ❑ Partnership � S-Corporation ❑ Sole Proprietorship 3. State of Incorporation: Illinois 4. Identify the Business' owners and percent ownership: The following individuals directly or indirectly own greater than 10%: • Charles Mills 36% • Andrew Mills 17% • Wendy Abrams 17% • Samuel Barnett 12% • Margaret Dora Baker 11% 5. Does a woman, minority, or person with a disability own the Business? � Yes ❑ No Medline is partially owned by women. 6. List the Business' lowa locations and the most current number of employees at each location. a. Dubuque, 481 employees 7. What is the Business' worldwide employment? (Please include employees of parent company, subsidiaries, and other affiliated entities in this figure.) 15,000 Project Information 8. Project Street Address: Innovation Drive Project City&Zip Code: Dubuque Project County: Dubuque 9. Type of Business Project: ❑ Startup ❑ Expansion of lowa Company � New Location in lowa 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.) Construction of a new customer service center in Dubuque, lowa. This project is intended to be a replacement, upgrade, and expansion of the existing call center. Our existing facility is 65,000 sqft. The new facility will be 130,000 sqft. including additional amenities such as a workout center, cafeteria, etc. Construction is targeted to starf in Q2 2018 and opening no later than Q4 2019. 12. Pro'ect Timeline (add additional rows as needed) Beginning Activity Date Activity Completion Date Close on Land Ma 2018 Construction June 2018 October 2019 Be in O erations November 2019 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 lowa 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 lowa competitor. Owens & Minor, McKesson, Cardinal, etc. This expansion is for a an new customer service center that will double the size of our existing facility. It should not directly impact our competitors as we are not utilizing the facility purely for sales in lowa. Instead this facility will support our sales nationwide. 15. Will any of the current lowa employees lose theirjobs 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 Medline is evaluating the replacement of its existing facility in Dubuque with a new facility in Dubuque. If Medline is unable to find a suitable project in Dubuque, the customer service center could be located to Medline's vacant 220,000 square foot former headquarters in Mundelein, IL at which Medline already has an incentive in place from the state of IL. With that said, it is Medline's preference to retain the outstanding team that has been assembled in Dubuque and help grow through this project. 16. Is the Business actively considering locations outside of lowa? � Yes ❑ No If yes, where and what assistance is being offered? Mundelein, IL- IL EDGE agreement is already in place. 17. Please identify the company project management for the project location and experience. Dmitry Dukhan (Real Estate); Renee Poppe (VP Customer Service) SECTION C Applicant's Project Budget 1. Does the Business plan to lease the facility? ❑ Yes � 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. 2. Please complete the budget below. Include onlv costs the companv plans to incur directiv: Use of Funds Cost Source A Source B Source C Source D Source E Source F Base Rent 3 ears Tenant Im rovements Land Acquisition $1,212,000 $1212.000 Site Pre aration $3,000,000 3,000,000 Buildin Ac uisition Buildin Construction $11,400,000 11,400,000 Buildin Remodelin Mf . Machiner & E ui . Other Machiner & E ui . Rackin Shelvin etc.' Com uterHardware $500,000 500,000 Com uter Software Furniture & Fixtures $3,500,000 3,500,000 Workin Ca ital Research & Develo ment Other TOTAL $19,612,000 $ $19,612,000 $ $ $ ' 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 financin under#5 below : PROPOSED FINANCING Source of Funds Form of Funds Conditions/Additional Information AmOuM (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 $19,612,000 Self-Funded Source D: Other Source $ Source E: Other Source $ Source F: Other Source $ TOTAL $19,612,000 4. Direct financial assistance(loansfforgivable 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.* Explain: No collateral, fundin disbursed at the end of the 5- ear contract ❑ Irrevocable letter of credit ❑ Dedicated certificate of de osit CD ❑ *The IEDA Board has the final discretion on what collateral will be accepted. 5. Please com lete the chart below with tax credits and other indirect financin ex ected for the roject: TAX CREDITS AND INDIRECT FINANCING Source of Funds Amount Description InvestmentTaxCredit $1,127,840 7% ITC based on $16,112,000 of capital expenditures Sales, Service& Use Tax Refund $432,000 Sales tax rebate on construdion Research Activities Credit 3%/10% n/a Local Pro ert Tax Exem tion Tax Increment Financin $3,600,000 260EJobTrainin Funds $680,150 JobTrainin Reimbursement In-kind Contribution Other $1,212,000 50% Discount on Land to be purchased from City of Dubuque. Subject to approval by city council TOTAL $ 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 projecYs risks outweigh its rewards, making the provision of tax incentives or assistance necessary to reduce the projecYs risks. � Location Disadvantage(Incentive)—The business is deciding between a site in lowa ("lowa 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. Medline already has an incentive available and 220,000 sqft of unused office space available in IL. As described above, Medline's preference is to expand in Dubuque and grow its outstanding customer service team in IA rather than start over in IL. However, the vacant space and the IL Incentive that is worth approx. $18M make the economics of expanding in Dubuque challenging. Assistance is needed to close this financial gap due to the locational disadvantage. 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 ou would like to utilize O tion 3, lease also com lete uestions 4-6. Option 1 Option 2 Option 3 80% single Coverage 50% Family coverage Moneta E uivalent 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 US single coverage. family coverage. 1 or Option 2 in supplemental 250+ $1250maximum deductible $2500 maximum deductible employee benefits. 50-249 $2250 maximum deductible $4500 maximum deductible Benefits Counted Toward 0-50 $2000 maximum deductible $4000 Maximum deductible MonetarvEpuivalent:Medical coverage, Dental coverage, Vision insurance, Life insurance, Pension, 401(k) (company's Average contribution, Short-�ong-term disability insurance, Child care services, Other nonwage com ensation 1. How many full-time, permanent employees does your company currently employ within the U.S.? 11,276 2. What is the total premium cost for a standard medical plan for single employee coverage? $553.51 a. What portion of this cost is paid by the business? 65.3% b. What is the deductible associated with this plan? $750 3. What is the total premium cost for a standard medical plan for family coverage? $1,861.62 a. What portion of this cost is paid by the business? 54.3% b. What is the deductible associated with this plan? $2,250 No additional information reauired, in this section, if vour companv meets the reauirement for Option 1 or Option 2 4. Does your company provide additional benefits to full time employees? �Yes ❑No If es, lease rovide the annual amount offered b the business, er em lo ee in the chart below: Benefit Annual amount paid bythe business er em lo ee : Dentallnsurance—Sin le lan $0 Dental Insurance—Famil lan $0 Pension Use 3-year average calculated below) $0 Retirement Plan - i.e. 401 k Use 3- earavera e calculated below $ P�ofit Sha�in Plan (Use 3-year average calculated below) $n/a Childcare Services $0 Life Insurance covera e $1.5 times a Disabilit Insurancecovera e 60% of a Health Savin s Account HSA contribution $750sin le/$1,500 famil TOTAL $ 5. Does the Business offer a pension plan, 401(k) plan, and/or retirement-plan? � Yes ❑ No IEDA—Business Financial Assistance Application 7 v.9.25.17 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 Em lo ee $ 2017 $2,409 2016 $2 444 2015 $2,574 Three- ear Avera e: $2,465 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 er em lo ee for that three ear eriod. Year Ending Average Actual Share per Em lo ee $ $ $ $ Three- ear Avera e: $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. IEDA—Business Financial Assistance Application 8 v.9.25.17 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 lowa.) For jobs to be created, include the startinq 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 Hourl Wa e followin the award Leads 6 20.15 22.40 Re resentative 29 16.29 17.50 Mana ers 51 18.75 22.40 Supervisor/Director/VP/Sales 4 25.80 27.42 Su ort Associate/Clerk/Coordinator/Anal st 15 19.77 22.40 Total Full-Time CREATED Jobs 105 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: Business Financial Assistance Application — Medline Industries, Inc. Page 10 — original redacted from City Council copy, as it contains confidential information SECTION G Attach ments Please attach the following documents: A1 Project Plan 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 lowa Economic Development Authority to evaluate the feasibility of this project. A2 Payroll Information (Confidential) • Copies of the Business' Quarterly lowa 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 provided by IEDA staff 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 provided by IEDA staff. A4 Financial Information (Confidential, unless already publicly available) (Existing Businesses Only) • 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 thana 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 El 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 ►1 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 11 No 6. If yes to any of the above, `please provide additional explanation; Ihereby give permission to the lows 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. t 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 understand that upon execution of the contract and prior to the issuance of a tax credit number or the disbursement of Award Funds, a recipient shall pay IEDA a one-time compliance cost fee in the amount of $500. In addition, if tax benefits are greater than $100,000, the Recipient shall remit to IEDA a compliance cost fee 0.5% of the value of the Tax Incentives claimed pursuant to the contract. The fee will be due and payable upon filing the Recipient's annual tax return for each tax year in which tax credits are claimed under the contract. QI hereby certify that all representations, warranties, or statements made or furnished to IEDA in connection with this application are 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 Sponsoiris): 3/19/2018 Signature ate Signature Date 66, VPir, Roy D. Buol, Mayor 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. IEDA — Business Financial Assistance Application 12 v 9.25.17 Medline Industries. Inc. lowa Business Financial Assistance Application Attachment A-1 About Medline Medline is the largest privately held manufacturer and distributor of inedical supplies uniquely positioned to provide products,education and support across the continuum of care. Our ability to bring best practices from one care setting to another —from large healthcare systems and independent physician practices to home health patients and their families, is what sets us apart. Our team is made up of clinicians, researchers,engineers, financial experts and 1,200 direct sales representatives with outstanding expertise. They know the healthcare business from the bottom up and top down. Our roots date back to 1910 when A.L. Mills founded a Chicago garment factory that made aprons for the stockyards. Nuns working as tailors at a nearby hospital approached A.L. about making the hospital's garments, such as surgeon's gowns and nursing uniforms,so they could spend their time caring for patients. When A.L.'s son, Irving,took over the garment business in 1930,World War II created an unprecedented demand for medical supplies. He started distributing general medical supplies in addition to the garments, and the Mills Hospital Supply company was born. Fast forward to today. Medline Industries, Inc. stands as a fourth generation,family-owned company offering over 350,000 medical products and clinical solutions to healthcare facilities in over 90 different countries around the world. With 15,000 plus employees and more than $10 billion in sales,we are the fastest growing and hardest working medical supply company today. Medline is the market leader in a variety of products, including exam gloves, durable medical equipment(e.g.,wheel chairs,walkers,crutches, etc.), incontinence products,surgical procedure trays, and drapes and gowns. We have successfully responded to the changing needs of this highly complex industry. And, we have remained dedicated to delivering the best quality products,services and clinical programs at a value, helping to make healthcare affordable for all. The Proiect Medline's consistent and continued growth has created a need for significantly more customer service and sales assistance. Medline has outgrown its existing 65,000 sqft. Dubuque customer service center and is looking to replace it with a new larger facility. This will allow Medline to improve its service to its customers,dramatically increase its employment, and provide additional and better amenities to its employees. The new facility will be 130,000 sqft. and is planned to include a workout center,cafeteria, etc. Construction is targeted to start in Q2 2018 and opening no later than Q4 2019. IEDA—Business Financial Assistance Application 13 v.9.25.17