This is a survey on employment for businesses that:

A) Received $50,000 or more in non-tax-based subsidies or financial assistance through City approval; or

B) Are located in a Keystone Opportunity Zone and had $2 million or more in gross annual revenues.

If your business qualifies, your completion of the survey is mandated by Philadelphia Bill #160015.

If you are unsure if your business is required to fill out this form, please see our list of Frequently Asked Questions.

Please answer these questions as thoroughly and accurately as possible. The information businesses provide will be aggregated into a report to help inform City Council and the public about how well economic development incentives tie to job creation.

This survey must be completed by June 30, 2023. Thank you for your time.

Business Information

This is a nine-digit code that you use to file your taxes.
Please provide the business address.*
Please provide the name of the person filling out this survey.*
Ex: business manager, chief financial officer, accountant
Does this business have any subsidiaries?*
Max amount of 10
Which 2-digit NAICS code (sector) best describes your business?*

Subsidy Type

Which category best describes your business? (If you don't meet either of these criteria, you're not required to fill out this survey.)*
Max number of 4. List up to 4 largest awards below.

Award 1

Please provide the name of the funding opportunity, City agency, and amount of the first award. Do not include dollar signs or commas for the reward amount. 


Example

Name: Neighborhood Economic Development Grant

Agency: Philadelphia Department of Commerce

Amount: 50000

$

Award 2

Please provide the name of the funding opportunity, City agency, and amount of the second award. Do not include dollar signs or commas for the reward amount. 


Example

Name: Neighborhood Economic Development Grant

Agency: Philadelphia Department of Commerce

Amount: 50000



$

Award 3

Please provide the name of the funding opportunity, City agency, and amount of the third award. Do not include dollar signs or commas for the reward amount. 


Example

Name: Neighborhood Economic Development Grant

Agency: Philadelphia Department of Commerce

Amount: 50000

$

Award 4

Please provide the name of the funding opportunity, City agency, and amount of the fourth award. Do not include dollar signs or commas for the reward amount.


Example

Name: Neighborhood Economic Development Grant

Agency: Philadelphia Department of Commerce

Amount: 50000

$

Full-Time Jobs

Please report the change in your company’s employment over a 1-year period. In both columns, enter how many full-time employees you had in each income bracket. Full-time employees are employees that work, on average, at least 30 hours or more per week. Please enter '0' if your business had no employees in a given income bracket.

Number of full-time employees in December 2021

Number of full-time employees in December 2022

Which of the following benefits did your business offer to full-time employees in 2022? Check all that apply.*

Part-Time Jobs

Please report the change in your company’s employment over a 1-year period. In both columns, enter how many part-time employees you had in each income bracket. Part-time employees are employees that work, on average, less than 30 hours per week. Please enter '0' if your business had no employees in a given income bracket. 

Number of part-time employees in December 2021 

Number of part-time employees in December 2022 

Which of the following benefits did your business offer to part-time employees in 2022? Check all that apply.*

Seasonal/Temporary Jobs

Please report the change in your company’s employment over a 1-year period. In both columns, enter how many seasonal and/or temporary employees you had in each income bracket.

Total number of seasonal and/or temporary employees in 2021

Total number of seasonal and/or temporary employees in 2022 

Independent Contractors

Please report the change in your company’s employment over a 1-year period. In both columns, enter the total number of independent contractors you hired, as well as how much you spent on independent contractors, in 2021 vs. 2022.  

$
$

Social Impact

Does your business offer any of the following youth programs? Check all that apply.*
What types of services would be most helpful to increase youth employment opportunities at your business?

Youth Workforce Experiences

Would you like someone from the Department of Commerce to connect your business to (paid and unpaid) youth workforce experiences? If so, please provide the contact information for the person that we should reach out to below. 

Name

Legal Violations

In 2022, did your business violate any federal, state, or local laws in any of the following areas: 1. Labor laws (i.e. wage theft, OSHA) 2. Environmental laws 3. Civil 4. Fraud (False Claims Act) and/or 5. Other?*
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