El Paso Makes: Innovation Factory Application Form

In order to be eligible for incentives and to lease space at the innovation factory, a person or a corporate entity must:

Fill-out and submit a complete application as provided by COEP, provide a business plan or proforma to include current and projected revenue, provide the number of employees; and provide detailed information about any proposed tenant improvements to property, if applicable.

Applicant Information

Applicant Company

Name of Founder/ Point of Contact

Phone Number

1.) If considered a startup, select your startup stage. The definitions provided are to be used only for the purposes of this application and the El Paso Makes Innovation Factory program.

Pre-Seed Stage: This stage typically refers to the period in which a company's founders are first getting their operations off the ground, often verifying the viability of the idea and completing their business model.

Seed Stage: The idea becomes a business with customer traction. Equity is often provided in exchange for larger amounts of funding.

Early Stage: The idea is deemed scalable and is gaining more customer traction attracting larger funding.

Growth Stage: The company has reached a consistent customer base and is producing income consistently. This stage is often accompanied by an increase in employees to manage the growing workload.

Small Business: Small Businesses are generally considered as a privately owned, for-profit enterprises with 500 employees or fewer with certain exceptions depending on industry.

2.) Business Structure

Sole Proprietorship

Partnership

LLC

C Corp

S Corp

Non-Profit (501 C3)

3.) Website and Social-media

4.) Describe the products that will be manufactured, the technology that will be deployed, the service that will be offered, and/or the manufacturing method used.

5.) To be an eligible applicant, the applicant company must be focused on at least one of the following areas specified below. Please select the option(s) that apply.

Focuses on developing a product or technologies using advanced manufacturing technologies;

Focuses on maturing advanced manufacturing technologies or advanced materials;

Focuses on deploying advanced manufacturing technologies as a service;

Manufactures products that will accelerate the adoption of alternative or renewable sources of energy; or

Manufactures products for aerospace or national defense markets

6.) Please, select all that apply: The applicant company is a

UTEP Keck Center Spinoff

West Texas community startup

Startup/small business from outside the region

7.) Office space not needed to support manufacturing small businesses will be available to businesses that support manufacturing. To be eligible these spaces, an applicant must be a small business that

Provides design engineering services for manufacturers

Develops cybersecurity solutions for manufacturers

Develops software or system designs for aerospace and defense markets, or other markets requiring manufacturing technology, including but not limited to renewable and alternative energy markets

8.) Have you received incentives from any of these organizations in the past?

City of El Paso

El Paso County

State of Texas

None of the above

9.) Describe the problem you are solving

10.) Describe who you are solving the problem for

11.) How are you solving it?

12.) Number of employees working full-time

13.) Number of employees working outside El Paso

14.) Number of employees working part-time

15.) How many company employees will be working at the Innovation Factory? *Please note that office spaces have a max occupancy of two people.

1-5

6-10

11-15

16+

16.) Describe your plans for growth in El Paso

17.) Have you leased a workspace before?

Yes

17-1.) Please provide rate and zip code of your previous location

Employee Demographics

Please, fill out this section describing your team to the best of your knowledge. This is confidential information and will only be reported by aggregate.

18.) How many people on your team are self-described as female? If you prefer not to answer please put N/A. *Note: This question is meant to capture and understand trends in their presentation of females in STEM related fields.

19.) Demographics by Ethnicity

19.) Demographics by Ethnicity
	1-5	6-10	11-15	16-20	21+
White	White/1-5	White/6-10	White/11-15	White/16-20	White/21+
Black or African American	Black or African American/1-5	Black or African American/6-10	Black or African American/11-15	Black or African American/16-20	Black or African American/21+
Native Hawaiian or Other Pacific Islander	Native Hawaiian or Other Pacific Islander/1-5	Native Hawaiian or Other Pacific Islander/6-10	Native Hawaiian or Other Pacific Islander/11-15	Native Hawaiian or Other Pacific Islander/16-20	Native Hawaiian or Other Pacific Islander/21+
Hispanic or Latinx	Hispanic or Latinx/1-5	Hispanic or Latinx/6-10	Hispanic or Latinx/11-15	Hispanic or Latinx/16-20	Hispanic or Latinx/21+
Asian	Asian/1-5	Asian/6-10	Asian/11-15	Asian/16-20	Asian/21+
Prefer not to respond	Prefer not to respond/1-5	Prefer not to respond/6-10	Prefer not to respond/11-15	Prefer not to respond/16-20	Prefer not to respond/21+

20.) Please, describe how many people belong to the following educational attainment categories

20.) Please, describe how many people belong to the following educational attainment categories
	1-5	6-10	11-15	16-20	21+
Master's degree	Master's degree/1-5	Master's degree/6-10	Master's degree/11-15	Master's degree/16-20	Master's degree/21+
Bachelor's degree	Bachelor's degree/1-5	Bachelor's degree/6-10	Bachelor's degree/11-15	Bachelor's degree/16-20	Bachelor's degree/21+
Associate's degree	Associate's degree/1-5	Associate's degree/6-10	Associate's degree/11-15	Associate's degree/16-20	Associate's degree/21+
Some college, no degree	Some college, no degree/1-5	Some college, no degree/6-10	Some college, no degree/11-15	Some college, no degree/16-20	Some college, no degree/21+
High school diploma or equivalent	High school diploma or equivalent/1-5	High school diploma or equivalent/6-10	High school diploma or equivalent/11-15	High school diploma or equivalent/16-20	High school diploma or equivalent/21+
No formal educational credential	No formal educational credential/1-5	No formal educational credential/6-10	No formal educational credential/11-15	No formal educational credential/16-20	No formal educational credential/21+
Prefer not to respond	Prefer not to respond/1-5	Prefer not to respond/6-10	Prefer not to respond/11-15	Prefer not to respond/16-20	Prefer not to respond/21+

Tenant Requirements

21.) Expected move-in day

22.) Manufacturing space (SF)

23.) Office space (SF)

24.) Storage space (SF)

25.) An improvement is a physical modification to the leased area that is required for tenant to conduct their operations. Will you require any improvements to the maker-space area?

Yes

25-1.) Upload information regarding space improvements and enhancements including specifications and safety measures. Modifications will be subject to panel approval

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Please Provide the Following

*Tenants must fill out and submit a Form 1295 with the Texas Ethics Commission. For more information visit https://www.ethics.state.tx.us/filinginfo/1295/.

26.) Upload business plan or proforma

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27.) Upload pitch deck

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28.) Articles of Incorporation

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29.) Certificate of Fact or Certificate of Authority from the Texas Secretary of State

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30.) Proof of signatory authority

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Billing Contact Informatiom

32.) Phone Number

33.) Email

COVID-19 Impact

Please check the boxes that best describe the impact of COVID 19 on your company

35.) My company has been impacted by COVID 19 in the following ways

Decreased revenue or gross receipts

Financial insecurity

Increased costs

Capacity to weather financial hardship

Challenges covering payroll, rent or mortgage, and other operating costs

36.) Please upload supporting evidence of negative economic impact of COVID 19. (Can use items such as profit loss statement.)

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Sign Here

First Name

Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.