Form Center

2. Will Cook Enterprise Zone Project Application

   To be completed for entire Project

4. Part 1 - Contact Information for this Application

   Information about the person completing this application form.

6. Name of Contact Person for this Application*
7. Contact Person's Job Title and Company*
9. Contact Email for this Application*
10. Contact Phone Number*
12. Part 2 - End User Business Information

    Information about the business user that will occupy the property at the end of the project.

14. Legal Name of Business to Occupy Completed Project*
16. FEIN*
17. Unemployment Insurance Number*
19. Type Of Business *
21. Business Mailing Address *
23. City*
24. State*
25. Zip*
27. Email for End User Business*

    This email address will be used for future reporting on job creation.

31. Part 3 - Project

    Description of project

33. Project Name*
34. Project Classification*
    -- Select One --CommercialIndustrialRetail
36. Project Description*
38. Project Address (no P.O. boxes)*
40. City*
41. State*
42. Zip*
44. Property Identification Numbers (PINs)*
46. Building Permit Issue Date*
48. Expected Start Date Of Project*
    Expected Start Date Of Project
49. Expected Completion of Project*
    Expected Completion of Project
53. Part 4 - Job Creation

    Employment estimates. "Full-time equivalent job" (FTE) means a job in which the new employee works for the recipient or for a corporation under contract to the recipient at a rate of at least 35 hours per week. A recipient who employs labor or services at a specific site or facility under contract with another may declare one full-time, permanent job for every 1,820 man hours worked per year under that contract. Vacations, paid holidays, and sick time are included in this computation. Overtime is not considered a part of regular hours. [20 ILCS 655/3(i)]

55. Number of FTE Jobs at Business BEFORE the Project*
56. Number of FTE Jobs at Business AFTER Project*
60. Part 5 - Project Costs & Enterprise Zone Administration Fee
62. Estimated Project Total LABOR Cost*
63. Estimated Project Total BUILDING MATERIALS Cost*
65. Please enter 0.5% of the Estimated Project Total Building Material Cost (above)*

    ($200.00 Minimum, $50,000.00 Maximum)

67. Mail Fee to:

    Village of Richton Park
    c/o Enterprise Zone Administrator
    4455 Sauk Trail
    Richton Park, IL 60471

71. Part 6 - Authorization
73. Name of Authorizing Agent*
75. Title & Company *
Leave This Blank:


77. 1. Receive an email copy of this form.
78. Email address

    This field is not part of the form submission.

79. Submit

* indicates a required field