ECONOMIC DEVELOPMENT COMMISION ANNUAL REPORT Fiscal/Calendar Year Ending __________________ Note: See Instructions regarding supporting appendixes, or documents to be submitted with EDC Annual Report Company Name: __________________________________________________________________________________ Gross Sales (Ineligible Sales) & Eligible for Tax Benefits…………… ($____________________) $________________________ Other Income (Ineligible) & Eligible for Tax Benefits………..………... ($____________________) $________________________ Gross Wages Paid in the V.I. (Include vacation & sick pay, bonuses, overtime, etc.)……. $______________________________ Average No. of Employees; Full Time & (Part Time/Other)…………. ______________ (______________) Average No. of Residents; Full Time & (Part Time/Other)……..... ______________ (______________) Average No. of Non-Residents; Full Time & (Part Time/Other)…. ______________ (______________) Other Employee Costs (Unemployment & health insurance, pension, allowance, etc.)…...$______________________________ Employee Income Taxes Paid and Withheld…………………………………………………… $______________________________ TAXES AND DUTIES (Provide dollar amount paid, and value of exemption/refund for each tax) Gross Receipts: Amount Paid $_________________________________ Dollar Value of Exemption $_________________________________ Real Property Tax: Amount Paid $_________________________________ Dollar Value of Exemption $_________________________________ Excise Taxes: Total Paid $_________________________________ Dollar Value of Exemption/Refund $_________________________________ Income Taxes: Total Paid $_________________________________ Dollar Value of Exemption/Refund $_________________________________ Customs Duties: Total Paid $_________________________________ Dollar Value of Exemption/Refund $_________________________________ Other: Hotel room taxes paid $_________________________________ Other Taxes, Fee Paid to V.I. Government $_________________________________ TOTAL TAXES PAID: $_________________________________ TOTAL VALUE OF EXEMPTIONS AND OR REFUNDS: $_________________________________ EXPENDITURES FOR GOODS, SERVICES, PLANT & EQUIPMENT Eligible Suppliers V.I. Suppliers Non-Local Totals Goods and Services: Raw materials, components ___________________ ___________________ ___________________ ___________________ Food, beverage ___________________ ___________________ ___________________ ___________________ Freight Charges ___________________ ___________________ ___________________ ___________________ Insurance ___________________ ___________________ ___________________ ___________________ Legal / Accounting ___________________ ___________________ ___________________ ___________________ Advertising / Promotion ___________________ ___________________ ___________________ ___________________ Utilities (tel., water, elect. etc.) ___________________ ___________________ ___________________ ___________________ Interest & Other Bank Chg. ___________________ ___________________ ___________________ ___________________ Supplies ___________________ ___________________ ___________________ ___________________ Repairs/Maintenance ___________________ ___________________ ___________________ ___________________ Other (List Separately) ___________________ ___________________ ___________________ ___________________ Subtotal, Goods and Svcs: ___________________ ___________________ ___________________ ___________________ Capital Expenditures: Building & Improvements ___________________ ___________________ ___________________ ___________________ Leasehold Improvements ___________________ ___________________ ___________________ ___________________ Machinery / Equipment ___________________ ___________________ ___________________ ___________________ Furniture / Fixtures ___________________ ___________________ ___________________ ___________________ Vehicles ___________________ ___________________ ___________________ ___________________ Other (List Separately) ___________________ ___________________ ___________________ ___________________ Subtotal, Capital Expend: ___________________ ___________________ ___________________ ___________________ GRAND TOTALS ___________________ ___________________ ___________________ ___________________ CUMULATIVE CAPITAL EXPENDITURE UNDER EDC CERTIFICATE ______________________________ Name/Signature of Preparer: ______________________________________ Date: _______________________________ (Signature) ______________________________________ Telephone Number: ( ) _____________ (Print Name) SIGN