QUESTIONNAIRE FOR

FEDERAL VEHICLE MANUFACTURING LICENSE

Fill in the answers and return to me by email at

and please attach an image file of your company logo to the email if you have a logo.

1) Name of Company — Exactly and Completely please...

COMPANY NAME:

1a)* PARENT COMPANY NAME (if any) ANSWER:

2) COMPANY OFFICE ADDRESS (Street address ONLY. . . This can be your home even. PO Box addresses are NOT accepted as office addresses:

OFFICE ADDRESS ANSWER:

3) phone number:

PHONE NUMBER ANSWER:

4) email address:

EMAIL ANSWER:

5) WEBSITE (if any): WEBSITE ANSWER

6) PLANT LOCATION(s) -- (street address, city, and state) of your manufacturing plant or plants. This is the location or locations where your vehicles are final assembled and VIN labeled. Your plant location and your office location can be the same of course. The USDOT is NOT concerned about zoning issues and they do NOT inspect your facilities.

Street, City, State, Zip code:

PLANT LOCATION(S) ANSWER:

7) Person in the top management position: President, General manager, or other title and name of person who is the top decision-maker in your business structure – NAME and TITLE (President, owner, General manager, etc.)

TOP MANAGER NAME :______

TOP MANAGER TITLE / POSITION: ______

7a) Other company contact person (if any) - if you have a person other than the top manager at the company who you would prefer be the main contact person, please list their name, phone number and email.

8) Type of vehicles to be built – Street motorcycles, LSVs, Trailers, Passenger Cars, SUVs, Buses, Trucks, MPVs, , etc - Each license covers ONLY ONE TYPE of vehicle. We can do multiple licenses at one time at a substantial discount though.

TYPE(S) OF VEHICLE(S) ANSWER: ______

9) Will you be producing fewer than 900 vehicles per year? Fewer than 900 vehicles per year is a quicker and easier process so unless you are pretty sure that you will be producing more than 900 vehicles per year at some point in the first several years in business, then it is probably a good idea to just go with fewer than 900. If you get to a point where you will be producing more than 900 of a given vehicle type though, you will need to re-do this process at that time.

WILL YOU BE PRODUCING FEWER THAN 900 UNITS PER YEAR YES/NO ANSWER:

____ Yes, I will be producing FEWER than 900 vehicles per year

____ No, I will be producing MORE than 900 vehicles per year.

10) TRADE NAME / MAKE NAME: This is the overall name for your product line... Like Chevrolet is the make name for Chevolet Motor Company. So unless otherwise specified below we will just put down your company name (or the main word of your company name) as your make name.

For instance ACME FABRICATORS trade name for their trailers will be ACME TRAILERS.

If wish to use a trade name that is not based on your company name, you may, but be aware that it may result in some confusion at DMVs.

11) LOGO:

Please attach to your email an image file of your company logo — or let me know if you do not have one.

12) SPECIFIC INFO FOR VEHICLE TYPE:

TRAILERS:

I generally set people up to build every type of trailer on the list below but if you wish you can simply delete types from the list below that you are sure you will never wish to produce:

Auto Hauler

Boat Trailer

Camper Trailer

Dump Trailer

Enclosed Trailer ( regardless of size from one small enough to be towed being a motorcycle to a semi trailer )

Flat Bed Trailer

Cooking/Concession Trailer

Livestock Trailer

Landscape Trailer ( open trailer but with sides - usually made semi-open material such as chain-link, and a loading ramp )

Open Trailer

Tanker Trailer

Utility (often an enclosed or open trailer but some people like to use this term)

Equipment Trailer (e.g. generator, pump, etc that is built as a trailer)

Additionally, I set you up to do the entire range of trailer legnths; any number of axles ; and all hitch types – pintle, ball, kingpin, gooseneck.

MOTORCYCLES

We generally set-up your codes and permits so that you can do any of the official motorcycle body types listed below but let me know if you just want to be able to do certain ones of those by deleting ones you do not want:

Street

Cruiser

Small/Minibike

Enduro

Dual Sport

Trike

Touring/Sport Touring

Sport

Bagger

Chopper

Cruising

Drag

Touring

Hot Rod

Street/ProStreet

Drop seat

Show bike

Roller kit

Bobber

Dresser

Motorcycle Engine info;

Engines you plan to use by:

A) number of Cylinders, b) Displacement AND c) Horsepower....

Typically I submit this standard list below of EPA-pre-approved motorcycle engines:

2 cyl 88ci 90 HP

2 cyl 96ci 105 HP

2 cyl 100ci 110 HP

2 cyl 103ci 113 HP

2 cyl 107ci 118 HP

2 cyl 111ci 121 HP

2 cyl 113ci 123 HP

2 cyl 117ci 126 HP

2 cyl 120ci 130 HP

2 cyl 124ci 134 HP

FOR ELECTRIC MOTORS:

Each Option for MOTOR and BATTERIES.

A) Electric Motors Info: – Motor KW rating

B) Battery Info:

• Number of Batteries per vehicle

• Battery Chemistry Type ( Lithium-ion/Li-Ion, Nickel-Metal-Hydride/NiMH, Lead Acid/Lead, etc. )

• Volts per battery or total volts of battery pack.

For example: 4 Batteries, Lead Acid , 12-volt per battery ”

**************************************************

LSVs:

LSVs Body type descriptions are pretty much: Golf, Sport, Tour, and Utility and there is really not even a strict definition on those.

FOR ELECTRIC MOTORS:

Each Option for MOTOR and BATTERIES.

A) Electric Motors Info: – Motor KW rating

B) Battery Info:

• Number of Batteries per vehicle

• Battery Chemistry Type ( Lithium-ion/Li-Ion, Nickel-Metal-Hydride/NiMH, Lead Acid/Lead, etc. )

• Volts per battery or total volts of battery pack.

For example: 4 Batteries, Lead Acid , 12-volt per battery ”

FOR COMBUSTION MOTORS we need each option by the 3 factors as follows:

a) fuel type b) number of cylinders c) engine displacement AND d) horsepower

______

For LSVs we also need info on your brakes:

We need the brake option packages - Such as :

OPTION A) front and rear hydraulic

OPTION B) hydraulic hydraulic / rear regenerative