LED Lighting Grant Application Form
Contact information
Contact name / Contact positionContact phone / Contact email
Preferred method of contact / Phone☐ e-mail☐
Company Information
Company trading nameRegistered company name
Site address
Registered address (if different)
Organisational Status
What is your company’s legal status? / Relevant evidence of economic activity☐ A sole trader / Unique Taxpayers Reference No.:
☐ Unincorporated Association / Unique Taxpayers Reference No.:
☐ Partnership / Unique Taxpayers Reference No.:
☐ Limited partnership / Company No.:
☐ Trust / Company No.:
☐ Limited company / Company No.:
☐ Limited Liability Partnership (LLP) / Company No.:
☐ Community Interest Company (CIC) / Company No.:
☐ Charitable Incorporated Organisation (CIO) / Charity No.:
☐ Industrial and Provident Society (I&P or IPS) / Interim Permissions References No.:
Ownership Structure
Does the organisation have a parent company or any subsidiary companies? / Yes ☐No ☐Do any of the company’s directors also hold directorships at other organisations? / Yes ☐No ☐
If yes, are these companies in the same or similar markets to the company that is requesting support through the BEE Anglia programme? / Yes ☐No☐n/a ☐
Please note any declarations made:
ANSWERS TO THE FOLLOWING QUESTIONS SHOULD INCLUDE THE EMPLOYEES, BALANCE SHEETS AND TURNOVER OF ANY PARENT OR SUBSIDARY COMPANIES, AS WELL AS THOSE THAT ARE LINKED BY DIRECTORSHIPS. A BREAKDOWN SHOULD BE PROVIDED.
Size of the Organisation
How many Full Time Equivalent (FTE) employees does the organisation have?Is the organisation’s balance sheet less than €43 million (~£38 million)? / Yes ☐ No ☐
Is the organisation’s annual turnover less than €50 million (~£44 million)? / Yes ☐ No ☐
ANSWERS TO THE FOLLOWING QUESTIONS SHOULD COUNT THE EMPLOYEES, BALANCE SHEETS AND TURNOVER OF ANY PARENT OR SUBSIDARY COMPANIES, AS WELL AS COMPANIESWITH COMMON DIRECTORS. A BREAKDOWN SHOULD BE PROVIDED.
State Aid
State Aid is publicly-funded help and support and includes the grant support that we provide to you. Under our State Aid scheme, businesses can receive an absolute maximum of around £170,000 of State Aid in any three year period. For further information, please contact your Advisor. Our own funding requires us to provide you with the following information:
Under the EC regulation 1407/2013 (de minimis aid regulation) there is a ceiling of €200,000 (approximately £170,000) for all de minimis aid provided over a period of three fiscal years (including the fiscal year in which the grant of de minimis aid is to be given). Any de minimis aid (including our support and advice) awarded to you will be relevant if you wish to apply, or have applied, for any other grant aid. It is your responsibility to report on this and any other aid received from a public source. Failure to advise of a grant or exemption from a cost otherwise due (e.g. rate relief from public authority) could lead to the claw back of the funds plus interest.
If yes, please provide more details below, if no, just leave blank / Yes ☐ No ☐
Date of payment / Name of provider / Amount £ / Brief reason for payment
Total / £
Is there any state aid anticipated in the immediate future/financial year?
If yes, please provide more details below, if no, just leave blank / Yes ☐ No ☐
Date of payment / Name of provider / Amount £ / Brief reason for payment
Total / £
Sector
Does your business activity fall under any of the following sectors?☐Fishery and aquaculture (supported through EFF)
☐Primary production, processing and marketing of agricultural products (supported through EAFRD)
☐Coal (excluded by the General Block Exemption EC 800/2008)
☐Steel (excluded by the General Block Exemption EC 800/2008)
☐Shipbuilding (excluded by the General Block Exemption EC 800/2008)
☐Synthetic fibres (excluded by the General Block Exemption EC 800/2008)
☐Statutory services (such as education and healthcare)
☐Banking
☐Insurance
☐Business operating from domestic address (excluded from grant support only)
☐Dementia, residential or nursing care (excluded from all project support)
☐No, our business activity is not under any of the above sectors
Application
Please provide a breakdown of the total expenditure required to implement the proposal, excluding VAT. All costs should be evidenced by quotes included with your application. Your total project value should be between £3,550 and £25,000.Ref / Brief description of eligible capital expenditure / Cost ex. VAT / Estimated investment date
1. / £
2. / £
3. / £
4. / £
5. / £
6. / £
7. / £
8. / £
Total eligible capital expenditure to be incurred / £
Value of Energy Efficiency Grant that you’re applying for* / £
* This value should not exceed 28% of the value stated in the row above it
Confirmation
I confirm that the investments outlined in this form have not already been commissioned or otherwise ordered, invoiced for or secured with a deposit.I confirm that the information that I’ve provided is correct to the best of my knowledge. I understand that my information is protected under the terms of the Data Protection Act 1998, that it will be retained on Suffolk County Council’s, Groundwork’s and/or Nwes’s databases in order to provide me with appropriate support and assistance. The information is used to help develop new services to meet the needs of businesses and monitor trends. In producing these statistics, individual businesses are not and cannot be identified.I agree that the data that I’ve provided may also be used by the Government to collate reports on national and regional ERDF activity for publication. In accordance with Data Protection regulations, any data on individuals will not be shared with anyone else without their expressed permission.
Signed / Print name
Position / Date / / /