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[null,null,null,null,null,null,null,null,null,null,null,null,null,"Tax Credits Available in \nResource Regions \nVersion : 2016-05-01"]
["Instructions – Application for an Initial Qualification Certificate"]
[]
["This application is intended for corporations that wish to obtain an initial qualification certificate for one of the tax credits available in the resource regions, namely the Tax Credit for Aluminum Valley, the Tax Credit for Gaspésie and Certain Maritime Regions of Québec, and the Tax Credit for Gaspésie (Fields of Marine Biotechnology, Mariculture and Marine Products Processing and Recreational Tourism)."]
[]
["The Application for an Initial Qualification Certificate can be filed at the same time as the annual Application for a Business Qualification Certificate and for Employee Certificates."]
[]
["We strongly encourage you to consult the detailed fact sheet on our website concerning the tax credit you are applying for before completing this form. Be sure to use the most up-to-date version of the form. In addition, you can consult Chapters XI and XII of Schedule A of the Act respecting the sectoral parameters of certain fiscal measures, which includes all the sectoral parameters applicable to this measure. "]
[]
["Please note that only completed, signed applications will be processed. Be sure to enclose all documents mentioned in section 10 of the application form. "]
[]
["AGREEMENT TO EXCHANGE INFORMATION"]
[]
["On October 7, 2009, Investissement Québec and Revenu Québec signed an agreement entitled \"Entente portant sur l'échange de renseignements nécessaires à l'administration de mesures fiscales ou à l’application d’une loi fiscale\" [agreement on the exchange of information required for the administration of fiscal measures or the enforcement of a tax statute]. Under that agreement, the two organizations can share information required for the exercise of their respective mandates without being obliged to ask for the consent of the individual in question. We disclose information to Revenu Québec solely within the framework of this agreement. The Commission d'accès à l'information du Québec has approved this agreement, after analyzing the nature of the information provided and the reasons for which it is disclosed, and ensuring that appropriate security measures and measures to ensure confidentiality were put in place."]
[]
["REQUIRED FEES"]
[]
["Investissement Québec charges fees for the certificates it issues. For more information on this topic, consult the rates schedule available on the website."]
[]
["MAILING ADDRESSES AND HOW TO FILE THE APPLICATION FOR AN INITIAL QUALIFICATION CERTIFICATE"]
[]
["We recommend that you submit the signed application by e-mail to expedite processing. For that purpose, please attach the duly signed page of the Application for an Initial Qualification Certificate in a PDF file."]
["The application can also be sent to one of the following mailing addresses."]
["Regardless how you file your application, be sure to send the electronic file containing your application and the supporting documents."]
["Signed application regarding establishments in the administrative regions of Bas-Saint-Laurent, Côte-Nord, Gaspésie—Îles-de-la-Madeleine, Nord-du-Québec and Saguenay—Lac-Saint-Jean must be sent to the following address:"]
[null,"Investissement Québec\nDirection, Mesures fiscales (Québec)\nÉdifice Iberville 1\n1195, avenue Lavigerie, bureau 060\nQuébec (Québec)  G1V 4N3\nFax: 418 528-8480"]
[]
[" -","by email to the following address: mfquebec@invest-quebec.com"]
[]
["Signed application regarding establishments in the administrative regions of Abitibi-Témiscamingue and Mauricie, or in the regional municipal counties (RCMs) of Antoine-Labelle, Pontiac or Vallée-de-la-Gatineau, must be sent to the following address:"]
[null,"Investissement Québec\nDirection, Mesures fiscales (Montréal)\n1001, boulevard Robert-Bourassa, bureau 1000\nMontréal (Québec) H3B 4L4\nFax: 514 864-7933"]
[]
[" -","by email to the following address: mfmontreal@invest-quebec.com"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,"Tax Credits Available in \nResource Regions \nVersion : 2016-05-01"]
["Application for an Initial Qualification Certificate"]
["Before completing this form, please read the Instructions tab"]
[]
["1. REFUNDABLE TAX CREDIT(S) CONCERNED"]
[]
[null,"Gaspésie and Certain Maritime Regions of Québec"]
[]
[null,"Gaspésie and certain maritime regions of Québec (fields of marine biotechnology, mariculture and marine"]
[null,"products processing and recreational tourism)"]
[]
[null,"Aluminum Valley"]
[]
["2. IDENTIFICATION OF THE COMPANY"]
["Company name"]
[]
["NEQ (Québec enterprise number)",null,null,null,null,null,null,null,null,null,"IQ business number*",null,null,null,null,null,null,null,null,null,"IQ file number*",null,null,null,null,null,null,null,null," Date of incorporation"]
[]
["*Business or file number assigned by Investissement Québec (IQ) for the tax credit(s) available in resources regions. Not required for the initial application. In the case of a second application, you will find these numbers on the correspondence received from IQ."]
[]
["Company's website URL"]
[]
[]
["Mailing address"]
[]
[]
[]
["Authorized company representative"]
[]
["Representative's title",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Telephone",null,null,null,null,null,"Ext."]
[]
["Representative's email address",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fax"]
[]
[]
["Authorized corporation agent (if applicable)"]
[]
["Agent's title",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Telephone",null,null,null,null,null,"Ext."]
[]
["Agent's email address",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fax"]
[]
[]
["3. START OF COMPANY ACTIVITIES AND END OF FINANCIAL YEAR"]
["Date of commencement of activities of the company:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(yyyy-mm-dd)"]
[]
["Date of end of financial year of the company:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(yyyy-mm-dd)"]
[]
["4. SHAREHOLDERS OF THE COMPANY"]
["List the shareholders of the company along with the percentage of voting shares held by each:"]
["Shareholders",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Voting shares held (%)"]
[]
[]
[]
[]
[]
["5. COMPANY ESTABLISHMENTS IN QUÉBEC"]
["Indicate the address of each establishment of the company in Québec. Use an appendix if necessary."]
["Establishment 1:"]
[]
[]
[]
["Establishment 2:"]
[]
[]
[]
["Establishment 3:"]
[]
[]
[]
["Establishment 4:"]
[]
[]
[]
["Establishment 5:"]
[]
[]
[]
["6. ACTIVITY SECTOR OF THE COMPANY"]
["Check the sector of activities covered:"]
["Refundable Tax Credit for the Gaspésie and Certain Maritime Regions of Québec (GAS)"]
[" - Wind energy production and manufacturing of wind generators (Gaspésie–Îles-de-la-Madeleine and "]
["   La Matanie RCM in the Bas-Saint-Laurent region)"]
[]
[" - Manufacturing or processing of finished or semi-finished products from peat or slate (in the "]
["   Bas-Saint-Laurent, Côte-Nord regions and Gaspésie-Îles-de-la-Madeleine region). "]
[]
[" - Manufacturing activities included under codes 31, 32 and 33 of the North American Industry Classification "]
["   System (NAICS codes) (for the Gaspésie-Îles-de-la-Madeleine region). "]
[]
["Refundable tax credit for Gaspésie and certain maritime regions of Québec in fields of marine \nbiotechnology, mariculture, marine products processing and recreational tourism"]
[" - Processing of ocean products"]
[]
[" - Manufacturing and processing of finished or semi-finished products in the field of marine biotechnology"]
[]
[" - Mariculture"]
[]
[" - Recreational tourism activities (starting in calendar year 2015 for Îles-de-la-Madeleine region) "]
[]
[null,"Indicate the activities covered by your certificat.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Check"]
[]
[null,"Operation of a tourist accommodation establishment for which you hold a classification certificate valid for the year, issued by Minister of Tourism.  "]
[]
[null,"Rental of boats, watercraft, bicycles or other transportation equipment for recreational purposes, or rental outdoor recreation equipment."]
[]
[null,"Specify the activities:"]
[null,"Activities related to guided tours and boat excursions lasting under 24 hours."]
[null,"Activities related to the operation of recreational facilities that promote tourism; such as :\n    o museums, theatres and performance halls;\n    o interpretative centres and health centres ;\n    o equestrian, diving and nature interpretation activities."]
[]
[null,"Specify the activities:"]
[null,"Commercialization activities incidental to recreational tourism activities."]
[]
["Refundable Tax Credit for the Aluminum Valley (ALU)"]
[" - Manufacturing of finished or semi-finished products from aluminum which has already undergone primary"]
["   processing"]
[]
[" - Re-use or recycling of waste or residue generated directly by aluminum processing"]
[]
["7. DESCRIPTION OF THE ACTIVITIES OF THE COMPANY FOR EACH ESTABLISHMENT SITUATED IN A RESOURCE \n    REGION"]
["Please complete this section for each establishment of the company situated in a resource region (Bas-St-Laurent, Côte-Nord, Saguenay–Lac-St-Jean, Mauricie, Abitibi-Témiscamingue, Nord-du-Québec, Gaspésie–Îles-de-la-Madeleine, RCM of Antoine-Labelle, RCM of Vallée-de-la-Gatineau and RCM of Pontiac). Copy this page as needed."]
[]
["Establishment no.____"]
[]
[]
[]
["7.1.",null,"Give a detailed list of the finished or semi-finished products manufactured or processed by the company at this establishment, specifying the percentage represented by each in total sales during the most recent fiscal year. In the case of a company in the recreation and tourism sector, please detail the recreational tourism activities offered by the company."]
[]
[]
["7.2.",null,"Give a detailed list of the various raw materials or components used in the manufacturing or processing of the various products at this establishment, specifying the percentage and nature of each."]
[]
[]
["7.3.",null,"Explain in detail each of the steps of production and manufacturing carried on by the company in this establishment which fall under its sector of activities, including, for each step, the positions involved and the equipment used."]
[null,null," - Receiving procedures (receiving and storage of raw materials):"]
[]
[]
[null,null," - Product production and manufacturing process (e.g., technical design of products, production, assembly and"]
[null,null,"   handling of merchandise for processing, quality control):"]
[]
[null,null," - Shipping procedure for manufactured product (inspection, packaging and delivery):"]
[]
[]
[null,null," - Sales procedure (e.g.,: sales counter, distribution network):"]
[]
[]
["7.4.",null,"List your main suppliers at this establishment."]
[]
[]
["7.5.",null,"List your main clients at this establishment."]
[]
[]
["7.6.",null,"Briefly describe the other activities that have taken place within your company for this establishment, listing the positions involved for each. Use appendices as necessary. \n\nGeneral administration (accounting, financial, secretarial):"]
[]
[null,null,"Installation:"]
[]
[]
[null,null,"Repair work:"]
[]
[]
[null,null,"Research and development:"]
[]
[]
[null,null,"Purchase and sale of products not processed by the company:"]
[]
[]
["8. DESCRIPTION OF COMPANY ACTIVITIES FOR EACH ESTABLISHMENT LOCATED OUTSIDE RESOURCE REGIONS  "]
["Please complete this section for each of the company's establishments located outside a resource region. "]
[]
["Establishment no. ___ "]
[]
[]
[]
["Briefly list the activities conducted in the establishment."]
[]
[]
["9. HUMAN RESOURCES – CREATION OF THREE JOBS "]
["9.1.",null,"Indicate the total number of employees, the total number of hours worked, and the corporation's total payroll on December 31 of the base calendar year requested.\n\nThe corporation must show that at least three full-time jobs will be created within a reasonable time in one or more eligible regions.\n\nTo determine the number of jobs created, all full-time, part-time or seasonal jobs created by the corporation at an establishment located in an eligible region can be considered, as well as any increase in the number of hours worked by employees at such an establishment.\n\nThe expression \"full-time\" refers to an employee who works at least 26 hours a week and a minimum of 40 weeks a year (1,040 hours)."]
["Base calendar year",null,null,null,null,"Establishment location",null,null,null,null,null,null,null,null,null,null,"Number of full-time employees",null,null,null,null,null,"Number of part-time employees",null,null,null,null,"Total hours worked",null,null,null,null,"Total payroll"]
[]
[null,null,null,null,null,"In resource regions"]
[null,null,null,null,null,"Outside resource regions "]
[null,null,null,null,null,"Total",null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(Q179:V180)","v":0},null,null,null,null,null,{"$f":"SUM(W179:AA180)","v":0},null,null,null,null,{"$f":" SUM(AB179:AF180)","v":0},null,null,null,null,{"$f":"SUM(AG179:AL180)","v":0}]
[]
["9.2.",null,"Indicate the total number of employees, total hours worked and total payroll of the company for each calendar year (January 1 to December 31) following the base calendar year. If the calendar year in question is not completed, a forecast may be made. For example, if the requested base calendar year is 2012, calendar years 1, 2 and 3 would correspond to years 2013, 2014 and 2015."]
["Calendar year no. 1",null,null,null,null,"Establishment location",null,null,null,null,null,null,null,null,null,null,"Number of full-time employees",null,null,null,null,null,"Number of part-time employees",null,null,null,null,"Total hours worked",null,null,null,null,"Total payroll"]
[]
[null,null,null,null,null,"In resource regions"]
[null,null,null,null,null,"Outside resource regions "]
[null,null,null,null,null,"Total",null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(Q186:V187)","v":0},null,null,null,null,null,{"$f":"SUM(W186:AA187)","v":0},null,null,null,null,{"$f":" SUM(AB186:AF187)","v":0},null,null,null,null,{"$f":"SUM(AG186:AL187)","v":0}]
[]
["Calendar year no. 2",null,null,null,null,"Establishment location",null,null,null,null,null,null,null,null,null,null,"Number of full-time employees",null,null,null,null,null,"Number of part-time employees",null,null,null,null,"Total hours worked",null,null,null,null,"Total payroll"]
[]
[null,null,null,null,null,"In resource regions"]
[null,null,null,null,null,"Outside resource regions "]
[null,null,null,null,null,"Total",null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(Q192:V193)","v":0},null,null,null,null,null,{"$f":"SUM(W192:AA193)","v":0},null,null,null,null,{"$f":" SUM(AB192:AF193)","v":0},null,null,null,null,{"$f":"SUM(AG192:AL193)","v":0}]
[]
["Calendar year no. 3",null,null,null,null,"Establishment location",null,null,null,null,null,null,null,null,null,null,"Number of full-time employees",null,null,null,null,null,"Number of part-time employees",null,null,null,null,"Total hours worked",null,null,null,null,"Total payroll"]
[]
[null,null,null,null,null,"In resource regions"]
[null,null,null,null,null,"Outside resource regions "]
[null,null,null,null,null,"Total",null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(Q198:V199)","v":0},null,null,null,null,null,{"$f":"SUM(W198:AA199)","v":0},null,null,null,null,{"$f":" SUM(AB198:AF199)","v":0},null,null,null,null,{"$f":"SUM(AG198:AL199)","v":0}]
[]
["10. DOCUMENTS TO ATTACH TO THIS APPLICATION"]
["—  ","Copy of the corporation's non-consolidated financial statements1 for the fiscal year covered by this application"]
[null,"(mandatory);"]
[]
["—  ","Organization chart showing the hierarchy of the different types of jobs (mandatory);"]
[]
["—  ","Business plan, if available;"]
[]
["—  ","Brochures, advertising flyers, photos of manufactured or processed products and raw materials used, if available;"]
[]
["—  ","Brochures or flyers presenting the recreational tourism activities, if available;"]
[]
["—  ","A classification certificate of a tourism accommodation establishment valid and issued by the Minister of Tourism "]
[null,"(apply only if your request of an initial certificate is for activities relating to the tourism accommodation establishment);"]
[]
["—  ","Power of attorney, duly signed, designating a mandatary to represent the corporation to Investissement Québec,"]
[null,"(to be provided only if you have not already done so). You can use the model posted on the Investissement"]
[null,"Québec site: www.investquebec.com/documents/fr/formulaires/Procuration_en.doc"]
[]
["In the event that the documents are not enclosed, please explain why."]
[]
[1,"The financial statements may be in draft form, provided that you send us a final version of the statements when they are available."]
[]
["11. DECLARATION OF AUTHORIZED COMPANY REPRESENTATIVE OR AGENT"]
["I, the undersigned, duly authorized representative of the company, declare that the information provided in this application and the related documents is complete and accurate in every respect and undertake to provide to the representative of Investissement Québec any information necessary to process this application for an initial eligibility certificate."]
["Furthermore, unless otherwise expressly stated, I authorize the Tax Measures Department to share with the other departments of Investissement Québec any information obtained in the course of this application that could prove necessary for the analysis of any application for financing, investment or any other service provided by Investissement Québec."]
[null," I authorize the sharing of information"]
[]
[null," I do not authorize the sharing of information"]
["Finally, I certify that the company has not modified the contents of this application."]
[]
["Signature of the company's authorized representative or agent",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Date"]