13501350                                     STATE OF SOUTH CAROLINA                                                                                                  PT-443
                                               DEPARTMENT OF REVENUE                                                                                                      Rev. (9/29/06)
                                                                                                                                                    PT-443
                                     FEE IN LIEU OF PROPERTY TAX                                                                                    (Rev. 3/12/08)        7071
                                               INITIAL REPORT FORM                                                                                  7071

    INITIAL REPORT (to be filed within 30 days of execution of a fee agreement or an inducement agreement)

1.  Legal Name of Investor       1)
    (Include information about   2)
    each party investing in the  3)
    Fee, if more than one                                        
    investor, and how they
    qualify under the fee
    statutes.)
2.  Federal Employer ID          1)                                                                          2)                                   3)
3.  Business                        Sole Proprietor                                              Partnership    LLC Corporation - State of incorporation:__________
    (Check all that apply if more
    than one investor and
    supply an explanation.)
4.  Principal Business Mailing   Street/POB
    Address                      City, State,
                                 9 Digit Zip Code
5.  Physical Location of Project Street Address:
                                 City/State/Zip
6.  County or Counties

7.  Minimum Investment
    agreed upon
8.  Is the project in a             Yes        No                                                If yes, please identify:                         (See SC Code § 4-1-170)
    multicounty park?                                            
9.  Contact Person for
    Investor(s)                                                  
10. Telephone                    Voice: (  )                                                                              Fax: ( )
11. Taxpayer's Legal Counsel                                                                                              Telephone: ( )
    for FILOT                                                                                                             Fax: ( )
12. Nature of Business                                                                                                    SIC Code:
13. Accounting Closing
    Date Used for
                                                                 
    Income Tax Purposes
14. Type of Operation                                            Manufacturer (include product manufactured)              Research & Development    Office Facility
                                   Distribution Facility                                         Corporate Headquarters          Other (describe):
15. Date of Fee Agreement
    (Simplified Fee) or Date of
                                                                 
    Inducement Agreement (Big
    or Little Fee):                                              
16. Type of Fee                    §4-12-30 ("Little Fee")                                       §4-29-67("Big Fee")               Chapter 44, Title 12 ("Simplified Fee")

                                 Check if applicable:                                            Super/enhanced fee              $1 million+fee
17. Property to be Included        Land        Buildings                                         Building Additions               Personal Property
    Under the Fee:               ( If available, attach survey of real property covered by the Fee)
18. Initial Negotiated                                                                                                    Fixed    Variable       Agreement page, para. §:
    Assessment Ratio
19. If variable, state the
    different rates and the years
                                                                                                 
    for which they are
    applicable.                                                                                  

    70711015

20. Initial Negotiated Millage                                         Fixed Variable                     Agreement page, para. §:
    Rate
21. Explanation, if necessary
22. Calendar Year of Anticipated
    Initial Investments         Agreement page, para. §:

23. Length of Fee
                                                                       Agreement page, para. §
    (Number of Years)
24. Payment Structure           Regular Payments          Equal Payments     5 Year Millage Adjustment
                                Agreement page, para. §:
                                Other (explain):
25. Discount Rate
    Used for net present        _______ %               Not Applicable       Agreement page, para. §:
    value purposes
26. Does Agreement Allow For    Disposal of Property?     Replacement of Property?                        Agreement page, para. §
                                Yes       No              Yes          No
27. Min. No. of Jobs Required                             Not Applicable                                  Agreement page, para. §
    (if applicable)                                                                                       
28. Any additional information, allowances, or restrictions of which one must be aware to calculate or verify the fee under this
    agreement:
    Agreement page, para. §:
    Agreement page, para. §:
    Agreement page, para. §:

I declare that this return, to the best of my knowledge and belief, is true, correct, and complete.
Prepared by (please print):                                            Title:

Signature:                                                             Date:

Telephone #:

E-mail Address:

Attachments:

    Fully executed fee agreement or inducement agreement
    Survey of real property under the fee (if available)
    Inducement Resolution or other project identification.
    Millage rate agreement (if applicable)
    Any other attachments needed to respond to the questions.

The investor will need to file a supplemental form (form to be determined by the Department of Revenue) at the time that
the investor executes the lease agreement and/or places the property in service in this State.  

    70712013