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Heartland Financial USA, Inc.Masterpiece on the Mississippi Dubuque bierd All-America City 1 2007 TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: State of Iowa Financial Assistance Application for Heartland Financial USA, Inc. DATE: May 25, 2012 Economic Development Director Dave Heiar recommends City Council approval of a resolution authorizing the submission of a Financial Assistance application to the Iowa Economic Development Authority on behalf of Heartland Financial USA, Inc. Heartland Financial USA, Inc. plans to invest over $2.3 million to construct 26,322 square feet of office space on the 3rd floor of the Roshek Building. Heartland will house 100 employees in the Roshek Building with room to grow to 150 employees. Heartland plans to have 50 new positions within three years located in this office space. The application requires a local match, which is being provided by Dubuque Initiatives in the form of rent reduction. In addition to the new jobs being created by this project, the leasing of the third floor of the Roshek Building provides an extra benefit to the City of Dubuque. The City guaranteed up to $25 million of the loan for the rehabilitation of the Roshek Building. This new lease revenue will help reduce the risk of the City ever needing to fund a shortfall for this loan. I concur with the recommendation and respectfully request Mayor and City Council approval. Michael C. Van Milligen MCVM:jh Attachment cc: Barry Lindahl, City Attorney Cindy Steinhauser, Assistant City Manager David J. Heiar, Economic Development Director 2 Masterpiece on the Mississippi Dubuque kigtd All- America City '1111' 2007 TO: Michael Van Milligen, City Manager FROM: David J. Heiar, Economic Development Director SUBJECT: State of Iowa Financial Assistance Application for Heartland Financial, USA, Inc. DATE: May 24, 2012 INTRODUCTION This memorandum presents for City Council review and approval of a resolution authorizing the submission of a Financial Assistance application to the Iowa Economic Development Authority on behalf of Heartland Financial USA, Inc. The application is attached. BACKGROUND Heartland Financial is a mulit -bank holding company originally formed in Iowa in 1981. It has nine bank subsidiaries in the States of Iowa, Illinois, Wisconsin, New Mexico, Arizona, Montana, Colorado and Minnesota, operating a total of 61 banking locations. Heartland has two non -bank subsidiaries Citizens Finance and Heartland Development Corp. The principal business of the Bank subsidiaries consists of making loans to and accepting deposits from businesses and individuals. Heartland Financial USA, Inc. plans to invest over $2.3 million to construct 26,322 sq. ft. of office space on the 3rd floor of the Roshek Building. Heartland will house 100 employees in the Roshek Building with room to grow to 150 employees. Heartland plans to have 50 new positions within three years located in this office space. DISCUSSION The application on behalf of the company will provide State financial assistance to enable the company's proposed expansion in Dubuque. The application requires local match, which is being provided by Dubuque Initiatives in the form of rent reduction. The Company will also be applying for Enterprise Zone Benefits for the project. The Company is requesting a sales tax rebate on buildout materials and equipment purchases. The Enterprise Zone Commission has already approved this portion of the application. Should the State approve the application, a contract will be forthcoming for City Council approval. In addition to the new jobs being created by this project, the leasing of the third floor of the Roshek Building provides an extra benefit to the City of Dubuque. The City guaranteed up to $25 million of the loan for the rehabilitation of the Roshek Building. This new lease revenue will help reduce the risk of the City ever needing to fund a shortfall for this loan. RECOMMENDATION I recommend that the City Council authorize the submission of a State of Iowa financial assistance package on behalf of Heartland Financial USA, Inc. for creating 50 new positions within the community. This project is consistent with the City's goals to help businesses expand in the area, increase the number of good paying jobs and further diversify the economic base of the area. ACTION STEP The action step for the City Council is to adopt the attached resolution. attachments F \USERS \Econ Dev \Heartland \IEDA\20120501 Heartland IDED applicationCouncil memo doc RESOLUTION NO. 150 -12 A RESOLUTION AUTHORIZING THE FILING OF A STATE OF IOWA FINANCIAL ASSISTANCE APPLICATION ON BEHALF OF HEARTLAND FINANCIAL USA, INC. Whereas, Heartland Financial USA, Inc. has proposed expanding their business to the Roshek Building in Dubuque, Iowa; and Whereas, the City Council of Dubuque, Iowa has considered said proposal and has determined that the proposed project will contribute to the local economy through the creation of 50 new jobs for area residents; and Whereas, the Iowa Economic Development Authority has created a financial assistance package for Heartland Financial USA, Inc. to expand their business in Dubuque; and Whereas, the City of Dubuque, Iowa is eligible to apply for this funding on behalf of the Company. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF DUBUQUE, IOWA: Section 1. That the filing of an application for State of Iowa financial assistance on behalf of Heartland Financial USA, Inc. is hereby approved. Section 2. That the local match identified in the application is provided by Dubuque Initiatives, subject to application approval by the Iowa Economic Development Authority. Section 3. That the Mayor is hereby authorized to execute and the City Manager is hereby directed to submit said application to the Iowa Economic Development Authority together with such documents as may be required. Passed, approved, and adopted this 4th day of June, 201 Attest: Kevin irnstahl, ity Roy D. ol, Mayor F: \USERS \Econ Dev \Heartland \IEDA\20120522 _Resolution approving Heartland Business application.doc economic DEVELOPMENT Business F inancialA. ssistance A ppfration Business Fazce Business D evebpm aitD izisbn Iow a D epartm ait o f E conom c D evebpm ait 200 E astG rid Avenue D es M owes, Iowa 50309-1819 www pow ali .hazgg r.m T e. phone: 515.725 3133 busnazcc@ low agov Debi V. Durham, Director Iow a D epartm ait o f E conom c D evebpm ait v.7 .112011 Application Instructions To Complete Electronic Form: C ]rk on TEXT BOX to add text.D oubh ckk on YE S/N O boxes and .t "Checked." . 1. A ]lappkantsm ustocm phte the Business F inaneia1 A sEdstaace App]ratnn and attach onlf those additional sertnns fnrthe com pone is to whth the appltantr applying. D irectF hancial A since -STATE of ID W A 130% C om ponent InfeastruCture C om ponent (m1 (m1a-1Q ® 100% C om poncnt LJ V ahe-Added A griultire C om poncnt (no analmet S phn81tal]Cl slat a rewind E ntrepreneurialC om ponent and Supphn eat) D kaster R el f C om ponent anohneilalintEraaidailswiral. Sunohnentalinbmatmi rpirel TaxC/edits- STATE ofIDW A ® Enterprise Z one P1ogran (E Z ) S phnetali>f rnatin rewiral. D irevtFhancialAnce - FED ERAL ❑ E conom r D evebpm e tSet-A Ede Progran (ED SA) ❑ Pulpit Faclb Set -A side Pmgran (PFSA ) Sunohnetalitafrnatim re airI1 S phneltali>frnatilrewired ❑ H i z Q ualityJbbs Program (i Q) (no analmet 2. Phavisdt.the ID ED Web site atwww jowalifechardncroom ormntactID ED at515 .725 3133 ID ocnt m that this is the m ostcarr itapplratbn vercn. 3 . Before Ling g out th.t qoplratbn than , phase red1 alLapplrabh sins of the 2009 Iowa C ode and Iow a Adm r at C ode . hs) . www 3eois jaus /low aLar htrn 1 4. 0 n' t or c m putl?r-crener 1 appTadons w Elbe as pte3 and rya e1.A nym ai=ialchange to the fnnn at, querns, orw ording of querns presentd. in this applrat on w illrender the appaat on invaId. and itw iJ notbe accepted.. 5. C om phte the app]rabh sections of the app ati±n fiaJ r If questions are fr unazsa ere . orrequired. at1 hm ents are notsabm itte3, an explmation m ustbe inc3lded. 6. U o c, rand mnri bnguaje A tlachm ents shouli onlybeliFed. when requestBl oras sapportng doaarn entation 7 . Any haccLaate hthrm atbn of a signif±aitnature m ay disqualify the applraifon team ocnsderation 8. The thaw izg m ustbe sabm its ID Business Finalce at ID ED in order inmate the review prod- • 0 ne original , signed applration form and allrsquired. attachm ents • 0 ne electronic copy of the appliation trm and alLrequired. att hm ents Facsimile copies will not be accepted. Buse France Tehone:515.725 3133 Iow aD epartm entof E oanom >~ D evebpm ent busnzesstinanc e@ now acrov 200 E astG rand Avenue Des M of es, IA 50309-1819 Applications are must be submitted to IDED Business Finance before 4:OOpm on the fourth Monday of the month. Applications will be reviewed by the IDED Board on the third Thursday of the following month. ID ED - BusinessFjnanci5 A zceApplimton 2 v.7112011 Public Records Policies Information Submitted to IDED. The IowaD goartm €ntofEconom i~ D evebpm art (D ED ) i sJbjectto the O pen Records 1 aC ode, Chapter22) .Tram ontof iafrnn atbn aabm ittsd. to ID ED ii thisapp]ratnn i governed by the provions of the 0 pen Records ha .A ]lpubli =ads are avarhabe thrpubib inn . Som e pulpit =ads are considered. confi entialand w illnotbe disalosed to the publb un3ses order by a court, the ha f lcusmdiaa of the record, orby anotherpemon duly authorized to re tie the infratm atibn Confidential Records. ID ED ail= ati a r treats the blow ing re<ards as cnnfileztialand they are w ithhell from pubic discbsare: • TanRea Ords • Q uartsflyloga Emp}:LerisC cntolait i and PayraReii tprepared fpr the low a W orkkrce D evebpm ent D goartm ant • PayroILRegistas • Business Financii1 Staten ents and Prothns • PemonalF ilanrial Staten ents O thernfD1m atbn a pli 1 iD ID ED aspaitof this appli-at on may be treated as �nftlrnthlunderlow aC ode sin 22.7 . Folbw hg are the clasEdfications of records wfr h are recognized. as conffrlentialunderlow a lag and whsharem ost frequently appli=abb bushesint=ati±n aibm ittB3 irD ID ED : • Trade meets 7.ow aC ode §22:7(3)] • Reports ID governor € ztalagezc, es w hrh, if relaased,wouh give dva t ge com petiors and save no pulpitpurpo. aCode §22.7 (6)] • Int= atbn on an inc in.dustcprogoectw ith whrh the ID ED is aanenttynegotiatiig. Vow aCode §22.7 (8)] • C om m uni<ati±ns notrequieed. by law , rum orreuu]atihn m ade ID ID ED bypemons outaide the governm alt ID the extaatthatID ED could reasonablybeI re thatthopelsons w ouli be diecouraged from m aking than 133 the D epartm ant if they w ere m ade avaTbh fprgeneralpublic ex m hatbn . Vow aC ode §22.7 0_8)] Information supplied to IDED as part of this application that is material to the application and /or the state program to which the applicant is applying including, but not limited to the number and type of jobs to be created or retained, wages for those jobs, employee benefit information, and project budget, are considered open records and will not be treated as confidential. Additional Information Available. Copies of Iowa's O] .RecordJaa andID ED 'sa in riles rehtiig publii =iris are avr iabb from the ID ED upon request ID ED - BusinessF anc A istanceApplicadri 3 v.7112011 Applicant Information N an e ofBusness: H esrt3=nd FinazcdlU SA Inc Address: 1398 C mtralAve C ', State & Z t Code: Dubuque Ia 52001 C ontactPemon : N eb= P K larvklaer T irp: Sai±rV i-e Prestlezt0 peratbns Phone: 563 589 2158 Fax: 563 584 2573 Em ail: nl r l@ htlf.com Federal ID N umber: 42-1405748 N A IC S C ode fprprin arybushess operatnns• 522110 US DOT Number: D oes theBusheEs fib aonsDli1ater3 tax return under adif tt ID =bar? El Yes XNo Ifyes, plate also provide that tax ID num ban Is the ontactpein lid above authorized ID ob]igatP the B urine ? XX Yes FIN o Ifno, phase prwi_le the nane aid the o fa oom paiyofEceraithaized obliate the Bush : If the qDpli atihn was pared by san acne other than the ontactperssn lit l above, phase com pate the fpTow hg: N an e ofBusness: Address: C',State& Z t Code: C ontactPen : T itl?: Phone: Fax: Em ail: Sponsor Information SponsDrO rgaia bn : C hr of D ubuque O ffbia1Contact {eg.M ayDr,Chaipemon,etc.): RoyD .Buol Titp: M ayvr Add .=: 50 W e t.13t1 Stmt C $ , State & Z Code: D ubuque, lA 52001 Phone: 563 -589 -4110 Fax: 563 -589 -4149 Em af:Rdbuo crtyofflubuquenig If ID ED nos trr contact the qoonsoromgalizatbn w querns, toull. we oontact the perm lid above? Yes ❑ N o , please contact the blowingperm: Name: D avid HPiar Add=: 50 W est13t1 Stmt C $ , State & Z Code: D ubuque, lA 52001 Phone: 563 -589 -4393 Fax: Tarp: Econom bD evebpm cntD irectrpr Em aJ1 dheai crtyofaubuqueoig If nay, ppAFP ]ice it form athn on addlit bnalponscis in an atiarhm ant ID ED - Business Finacc h1A zceApp]ica±n 4 v7 112011 Certification & Release of Information I hereby give permission to the Iowa Department of Economic Development (IDED) 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 IDED 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 IDED related to this application is subject to Iowa's Open Record Law (Iowa Code, Chapter 22). I understand this application is subject to final approval by IDED and the Project may not be initiated until final approval is secured. I understand that IDED reserves the right to negotiate the financial assistance. Furthermore, I am aware that financial assistance is not available until an agreement is executed within a reasonable time period following approval. I hereby certify that all representations, warranties, or statements made or furnished to IDED 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: Signature Nelson P Klavitter , Senior Vice President Operations Name and Title (typed or printed) Date For the S nsor(s): June 4, 2012 Signature Date Roy D. Buol, Mayor Name and Tide (typed or printed) Please use the following if more than one sponsor is required. (For example, use this f a signature from the local Enterprise Zone Commis Z required in addition the signature from the Mayor of the sponsoring city.) Signature Rick Stein, Chair, Enterprise Zone Commission Name and Title (typed or printed) Date 1DED — Business Financial Assistance Application 6 v.7.11.2011 Business Information Provide a brief description and history of the Business Include information about the Business' products or services and its markets and /or customers Heartland Financial is a multi -bank holding company originally formed in Iowa in 1981 It has nine bank subsidiaries in the States of Iowa, Illinois, Wisconsin, New Mexico, Arizona, Montana, Colorado and Minnesota, operating a total of 61 banking locations Heartland has two non bank subsidiaries, Citizans Finance and Heartland Development Corp The principal business of our Bank Subsidiaries consists of making loans to and accepting deposits from businesses and individuals Business Structure ❑ Cooperative X Corporation ❑ Limited Liability Company ❑ Not for Profit ❑ Partnership ❑ S- Corporation ❑ Sole Proprietorship State of Incorporation Delaware Identify the Business' owners and percent ownership Public Company Traded on NASDAQ "HTLF" Does a woman, minority, or person with a disability own the Business? ❑ Yes ® No If yes, is the Business certified as a Targeted Small Business? ❑ Yes ❑ No List the Business' Iowa locations and the current number of employees at each location Heartland Financial's Iowa employment is 205, all located in Dubuque County What is the Business' worldwide employment? Please include employees of parent company, subsidiaries, and other affiliated entities in this figure 12/31/2011 1195 Full time Equivalent Project Information Project Street Address 700 Locust Street, Suite 300 Project City Dubuque Type of Business Project ❑ Startup ® Expansion of Iowa Company ❑ New Location in Iowa ❑ Relocation from another State Project County Dubuque Briefly 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 ) Design space, construct offices in 26,322 sq ft of entire 3`d floor to accommodate 100 people now, with room to grow to 150 50 new positions will be employed within three years by the company and located in this space as a result of this expansion Project Timeline (add additional rows as needed) Activity Completion Date July — October Construction Phase 10/01/2012 Furniture & Equipment setup phase 11/01/2012 Employment of new positions Begin June 25m, 2012 06/01/2015 Please identify the proiect management for the proiect location and experience The building is owned and operated by Dubuque Initiatives, a private non profit organization partnering with the City of Dubuque to revitalize the downtown and Port of Dubuque Dubuque Initiatives currently leases to IBM, McKesson, and other businesses in this building The project manager for the company is Nelson Klavitter, Senior VP of Operations for Heartland Financial Nelson managed a multi -year, multi - million dollar expansion of the company retrofitting the former Walsh building on Central Avenue in Dubuque Has any part of the project started? ❑ Yes ® No If yes, please explain Identify the Business' competitors If any of these competitors have Iowa locations, please explain the nature of the competition (e c competitive business segment, estimated market share, etc) and explain what impact the proposed project may have on the Iowa competitor Other Financial Service Companies ie, Wells Fargo, US Bank, B of A, CitiBank This project will have no impact on these businesses Will any of the current Iowa employees lose their lobs if this project does not proceed in Iowa? Yes No If yes, please explain why and identify those jobs as "retained jobs" in the Project Jobs section ID E D- Business F±i ici5 A nceAppliaton 6 v.7 ,112011 Project Budget AMOUNT BUDGETED Use of Funds Cost Source A Source B Source C Source D Source E Source F Source G Land Acquisition 0 $160,000 '/z ban / % Forgi ebb ban 5 year 0% N /A Sour B 0 therState Communes CoIIsge,ID 0T, etr.) Site Preparation 0 Sours- C Loca1G ovemm ezt $ Building Acquisition 0 $2,017,991 C ad.]. & D datFinancing so-Lace E 0 therPi late Sources $184,254 Building Construction 0 1st yEarof hese paid by D ubuque Initiatives Soui ce F $ Building Remodeling 1,300,000 160,000 1,140,000 TOTAL $2,362,245 Mfg Machinery & Equip Other Machinery & Equip Racking, Shelving, etc 1 Computer Hardware 60,000 6 0, 0 0 0 Computer Software 10 , 0 0 0 10,000 Furniture & Fixtures 400,000 400,000 Workmg Capital Lease Payments Year 1 184,254 184,254 Lease Payments Year 2 197,415 197,415 Lease Payments Year 3 210,576 210,576 TOTAL $2362,246 $160,000 $ $2,017,991 $184,264 $ $ 1 Racking, d eiriag and conveyorequicra entused. in distcbutbn centPrimotcrts only D oes the Busnessp "Vas.. the facillp ® Yes? N o Ifyes, phase pmvt1e theAnnui1 aFP RentPaym ent paym entm ilusprperty taxes, insane, and operating /m aintinance expenses) a-id the bzgth of the hase mean ent6 year term; Base Rent @ $7.50 x 26,322 / year with rents increasing .50 each year, plus $4.25 per year for Common Area Maintenance, taxes, etc. See proposed lease agreement for details. The lease amount is being decreased by the tax increment financing resulting from the build out of this space. PROPOSED FINANCING Source of Funds Amount Form of Funds Rate and Term Comm fitment Status Conditions /Additional Information (L 1st tax banerils sepmeiRly bebw,notesa spume ofdirect financing) (Laan,G mint, Tn -Lind, Donatihn,etr.) Inclidewhat fundsw311be d u3 1; If ban, whether pn ffits are ahvelteml , baIbon, etc Sours A ID ED * $160,000 '/z ban / % Forgi ebb ban 5 year 0% N /A Sour B 0 therState Communes CoIIsge,ID 0T, etr.) Sours- C Loca1G ovemm ezt $ SoU D Busiiess $2,017,991 C ad.]. & D datFinancing so-Lace E 0 therPi late Sources $184,254 1st yEarof hese paid by D ubuque Initiatives Soui ce F $ Soul= 0 I $ TOTAL $2,362,245 * Identify the collateral used to secure IDED funds: Irtevocabh Let erof C /edit. ID E D- Business Fina7c i A zceApp]ica±n 7 v.7 .112011 TAX CREDITS AND INDIRECT FINANCING Source of Funds Amount Description Investn entTax C /edit Sabs, Sei it & U sa Tax Refund $39,000 6% of $650,000 Research A cdrilfies C it (30/10 ) W ithhollig Local PrapertyTax Exam ptbn Tax Incean entF±ancing 40,000 Payn ents to ]andbid fprIentieduction 260E Job Training Funds 208,300 50 pbs@ $4,166 N es Jabs TaxCBaca 75,900 In d C ont Ebution O then Dubuque Inifatives 195,000 FirstyearBaseRentno charge TOTAL $558200 W hatm easureswere ana l to determ ine the an ountand fDmi of a nteneeded? Is the Business .ly oang bcatihns outsrle of Iowa? ❑ Yes ® N o Always a consideration in m aprm etro m abets thatw e have a bcatisn (Phoenix ;D aver, M inn poll) If yes, where and whatace is being ofd? The are three gerieealbb reasons forance. Check the box next tQ the reason why sE6stricn i new tr> com pbte thispro}ect. ❑ Financing Gap -The Business can only raise aport n of the debtand equiynecaseary to mm pbte the proms t. A gap be e n sources and uses exists and state and / or federal funds are needed fiTtheg . ® Rate of Return Gap - The Business can rake aifEcientdebtaid equitylp com pbte the project, but the returns are inadequate m otivate an "econom b peeson" to pros w ith the project.Project rbks outw eigh the rew aids. ❑ Location Disadvantage (Incentive) - The Business is dig between a site in Iowa A ) and a site in another state B) fir itsproje^t. The Business argues that the projectw acnst hss at site B and w 1rsguie a sabsirly equalze costs in order to bcate ats>teA .The objective here b ig) quantify the costdiffgarentialloetgeen site A and site B . ID ED - BusitnessFilacc A zceApp]ica±n 8 v7 112011 Project Jobs 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 Is the hourly wage rate based on a 40 hour work week, 52 weeks per year? ® Yes ❑ No If no please explain Full -Time CREATED Jobs (Add additional rows as needed) Job Title Number of CREATED Jobs Starting Hourly Wage Hourly Wage at End of Year Three Virtual Call Center Mgr 1 21 85 23 87 Customer Service Rep 3 13 80 15 08 Credit Admin VP 1 15 05 16 45 Compliance Mgr 1 25 55 27 92 Credit Analysis 7 16 55 18 08 Credit Admin SVP 1 25 55 27 92 Appraisal Review 1 25 55 27 92 Accounts Payable 1 12 75 13 93 IFRS Senior Account 1 19 00 20 76 Investment Officer 1 19 00 20 76 Employee Relations Mgr 1 21 85 23 87 Employment Coordinator 1 16 55 18 08 Recruiting Asst 1 15 05 16 45 Data Analyst 1 19 00 20 76 Business Analyst 1 19 00 20 76 Associate Legal Counsel 1 21 85 23 87 Quality control Mgr 2 19 00 20 76 Quality Control Post Closer 1 16 55 18 08 Loan Doc Prep Specialist 4 15 05 16 45 Sales System Admin 1 16 55 18 08 Web Administer 2 16 55 18 08 Direct Marketing Admin 1 15 05 16 45 Administrative Support 1 13 80 15 08 Mortgage Servicing Support 5 15 05 16 45 Operations Mgr 1 21 85 23 87 Retail Loan Collector 2 16 55 18 08 Portfolio Mgr 1 19 00 20 76 Underwriter 1 16 55 18 08 Credit Analyst 1 16 55 18 08 Assistant 1 13 80 15 08 Chief Deputy Credit Officer 1 25 55 27 92 Facilities Mgr 1 16 55 18 08 Total CREATED Jobs 50 Full -Time RETAINED Jobs (Add additional rows as needed) Job Title Number of RETAINED Jobs Current Hourly Wage Total RETAINED Jobs ID E D- Business F±i ici A nceAppliaton 9 v.7 ,112011 Employee Benefits PlaaFe identify alien pbyee benefits pmvided by an pail thr (in fi '11 or in part) by the Bushes. Employee Benefits Provided by Business Total Annual Cost (show on a per employee basis) Portion of Total Annual Cost Paid by the Business Plan Provisions Em pbyee Fan By Em pbyee Fan Sy ID e IuCUDb ((Inandeconyr hoe % ,offrevisico- paym arts, anrn aal out of-pocketm axia um s, fae an aunts, etc.) M eosa1Tha me 5481.00 1400 6 A 3417.00 9356 AO bye Fan 10500 D antallnausnn 441.00 120960 25500 777 60 Em pbyee 25.00 Fan 3117 7500 V tam Inaaran� Em pbyee Fan By LifrInauma 100% V` issby an pbyee Short-team D rab Varissby an pbyee 100% Long im Varissby an pbyee 100% Drab H ealth Sayings Account DoestheBushessofferapansbn pal, 401(c)pan,and /orxetiranazt -pal? ® Yes ❑ No Ifyes,p1a3se hdrap the anountcnntrbut lonaperanpbyee basisbytheBusinesstothepanforthehctthree yams. For401 (c) ID3n.s,p1saprDvicie infoun atbn on the corn panym atch aid indrata the average annualm atch per an pbyee (dzow avaage as a percEntge of air). YsarEnding AvageActual Matchper Em pbyee (°s ) 2011 3% 2010 3% 2009 3% Three -year Average: DoestheBushessofferaprafit-tharingpal? ® Yes ❑ No Ifyes,p1a3se hdrap btalan ountparl outeach year br the past three yeas and then , darn he the average ainualbonus or tont:Luton per an pbyee for that three ya-rcpertcl. YsarEnding AvageActual Sham perEmpbyee ($) 2011 5% Saaay 2010 425% Say 2009 425% Say Three -year Average: ILEL' - Business Fineniiell, ssisr_- rii -_.;h lintsn 111 -711.''11 Business Taxes ID ED is iequied cal ulate the ietum on sates azd bcal govemm aitinvesan ents in thjspiojsct.D ata from otherparts of the applrntion w Elbe com bind w ith the estin at guested balm to (-AI- 1314-e the =piled Yetum on investor entinfoim ation.P1=AFP read the folbw ing directions caief lV: • ID ED is asking fora best estin ate on the iacza in tomes assariited with this pmjact. • E stir at tourl only inclide the c1 incza n tax lability g from thipmjact. • A t m ire t or n , ID ED n e e d s e s t i n at thr the first dame yeais of the pio t. • Show data as if no tax abatan c tc or tax cells as aided for this prolsctw ere taken. • Forpa i lei for s of owne4 {e g. bn ited partnerdlips, sfo]poiatbns, LLC , dr.), pl?a estin ate thepaitneiz' inceaa` in Iowa tax liability. due ID thispm t. • Sam and u. taxes refmr to the taxes paid on m aterials, etc. thatthe Businepuichases, nottaxes you collsctfrom salss to yourcustom erg. • App]tantc w flnotbe he to these num hers w ith fit iD any as aid from orcontractw ith ID ED . • Thispage of the appliation w Elautrom at±alybe tad as confidential . Increase in Tax Collections Associated with this Project State Business Taxes Year 1 2013 Year 3 Year 4 Year 5 LocalRealE stato Proper Tax Year 1 Year 2 Year 3 Year 4 Year 5 State C oipoiato Imam e Tax* 0 75000 75000 75000 75000 State Busness Saps azd U sa T,( 70000 3000 3000 3000 3000 * I/1==e C om panic: Pmvkle State Tn4 u nc P Pin inn Tax Local Business Taxes Year 1 Year 2 Year 3 Year 4 Year 5 LocalRealE stato Proper Tax 0 20000 20000 20000 20000 Local O ption Sales Tax 39000 0 0 0 0 CONFIDENTIAL ID E D - Business Fjnanci5dA islance App]xathn 11 v.7 11 2011 Attachments Phu attach the th bw irg docum ents: Al Business Plan A tam in in um , izc3zde: • M arkethg study • Feasibility study • Pibjected.profitand bss Staten ants for three yeas intro the fut.= • Proms tbudget • Production operations • M anagern entstructire • Peesonneln s • D options ofprodictorprocess • Stat- sofproduct/processdevebpm ent • Pat itstatus (ifpp]tabb) (ni ny inthim ati>n outlined above not iacuded ia the busazess p bn shoull be subm itted. as supphn enta1 iz btm ation va a separate attachm ent.) A2 Copies of the Bushessi Quarterly Iowa Employer@ Contribution and Payroll Report Summary Page (Page 1) thr the pastyearand a copy of the m ostr itpaymlL ortfnronepayper_±.Thecopy of the m ostreoantpaym ]1riort throne payperbdmustbe in Exoelfrhnn atand include the frhlbw lag lath= ati>n: • C om pany nan e, date o f paymIlaad source o f pay o]Unbrm atihn • Em pbyee nan e and /oren pbyee identifratnn rnun ber • Cunenthour rw age -do not include bonuses orotherbe effrtvalies • Ind Late if the an pbyee is fi ill tin e (40 hours perw eek, 52 weeksperyear 3 orpart, tin e. A San ph Excelspre sheetcan be Lund at http ;/ /www ±w alitrhamgizg sum /app]aatnns /bus dev /payroll tern plate xb A3 Affidavit that stag the Business has no w ithin the bst five years, violated slate or f .eralstatrutPs, ruhs, and reguItnns, iicfldng envieonm entaland w offer safety reguiatbns, or, if such violations have occu ed., that there w ere m itigating circun stances or such violations di-1 not seriously affectpublh health orsafetyorthe anvironm ent A sun ph aff iavitcan be found at http :/ /www sew la if l,ar rrir,gcom /qoplr-atbns /bus dev/ sun phafridavitdoc. A4 Financial Information gBusiaeso O nly) • Profitand b statern ents and balance sheets thrpastthree year -ends; • CurrentYTD profitand bss statern entand bake te?t; • Scheiub of aged counts rib; • Scheldt of aged =punts payabb; and • Schedub of otherdebts. ID ED - Busile&s F±1a7c A nceApp]ica±n 12 v.7112011 Attachment A3 Affidavit State of Iowa County of Dubuque 1, Nelson P. KIavitter, depose and say that I have examined the _following statement and have found it to the best of my knowledge to be accurate and true. Heartland Financial USA Inc. has not, within the last five years, violated state or federal statutes, rules, and regulations, including environmental and worker safety regulations, 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. I further depose that the signature below is my o n • oper signature. Dated: May 4, 2012 Signature Subscribed and sworn to before me on this - -74' day of ilA 2012 .beann,i . ,yr 4J (Notary Public) 1.(0L % _ County My commission expires on H /! 0/13 o " s DEANN M BERGFELD Commission Number 199300 yaw M 1 C ommissjon Expires r 1 !,