Renewal Application For Registration As A Qualified Business

HIGH GROWTH SMALL BUSINESS JOB CREATION ACT RENEWAL APPLICATION FOR REGISTRATION AS QUALIFIED BUSINESS. This form is used by South Carolina businesses seeking to renew their designation under the High Growth Small Business Job Creation Act of 2013, as outlined in Section 11-44-60 of the South Carolina Code of Laws. The form must be submitted to the Secretary of State and is required for businesses that want to continue participating in the state’s tax credit program designed to incentivize investment in high-growth companies. Through this application, a business must provide detailed information including its name, structure (e.g., corporation or LLC), formation date, headquarters address, business activities, and a description of the industry it operates in—such as software development, manufacturing, health care, or research and development. The applicant must also disclose whether the business is involved in disqualifying activities like gambling, real estate, or entertainment, and whether it has ever exceeded a $2 million gross income threshold prior to registration. The business is also required to report total capital raised to date, with a breakdown of qualified investments received in prior years, and to provide employment data including the number of current employees, types of jobs created, and average wages. The form includes a sworn statement affirming the accuracy of the information and authority of the person signing on behalf of the business. Once reviewed and approved, the Secretary of State will issue a certification valid for 12 months. If any false information is found, the certification may be revoked. www.FormsWorkflow.com