CPA to CPA BUSINESS CLIENT QUESTIONNAIRE Step 1 of 10 0% Our goal is to make the CPA Look Analysis process as streamlined as possible. We look forward to working with you. If you have more than one company, please focus on the primary business in this questionnaire and we will discuss other companies at a later time. The following questions will help direct us on which industry categories to begin tax and cost savings, how we can better secure your assets, and identify risk exposure. FIRST, LETS GATHER SOME BASIC INFORMATION Your Log In Account IDThis number was provided to you in the email that directed you to this form.YOUR CPA's FIRM NAMEYOUR CPA First Last YOUR COMPANY NAMEWEBSITE ADDRESS Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CONTACT INFORMATION Please provide us with the following contact information for us to gather additional information from the appropriate people. PRIMARY POINT OF CONTACT First Last POSITIONPHONEMOBILEE-MAIL SECONDARY POINT OF CONTACT First Last POSITIONPHONEMOBILEE-MAIL BUSINESS STRUCTURE INFORMATION Your are nearly 1/4 done with the questionnaire! The following questions provide us with information on the structuring of your business entity. Entity structure has tax implications. We want to help you identify these. Lets get started. ENTITY TYPESole ProprietorCorporationS-CorpLLCOtherIf other, please define.YEARS IN BUSINESSDATE BUSINESS STARTED MM DD YYYY STATE INCORPORATED INACCOUNTING BASISCashAccrualNot sureDO YOU OWN MULTIPLE COMPANIESYesNoIf yes, How many?DO YOU HAVE MULTIPLE BUSINESS PARTNERSYesNoIf yes, How many? BUSINESS DESCRIPTION To have a better understanding of your business and some of the unique features and your concerns, please include as much information below as possible. Nature of BusinessDescription of Primary Operations:What are your main business concerns? Reduce Taxes Company Growth Insurance Costs Succession Planning Business Financing Risk Management Employee Retention Employee Benefits Business Expense Reduction Other What areas regarding liability or risk exposure could be of concern? General Liability Property and Business Interruption Terrorism or Cyber Threat Employee Practices Workers Comp & Employee Liability Product/Service Warranties Errors and Ommissions Product Recall Loss of Key Personnel Construction Exposures Equipment Maintenance Food Contamination Reputational Patent or Intellectual Property Punitive Damages What insurance policies do you currently have? General Liability Property Insurance Errors and Omissions Business Owner's Policy Workers Compensation Risk Management Business Interruption Commercial Auto Insurance Directors and Officers Insurance Data Breach Employee Health Insurance Long Term Disability Short Term Disability Any Other Concerns: SUCCESSION PLANNING Business owners have a variety of reasons for exiting their business. Whether you're ready to exit today or preparing for the future, there are decisions and strategies that can help you better transition your business to new owners when and how you see fit. Please share with us your future succession considerations for your company. What are the companies considerations for succession planning? My heirs will take over all operations one day My business partners will take over I would like to sell my shares Employee Stock Ownership Program I would like to sell my company Close the Company What areas regarding business succession are you concerned with? When I retire, I want my family to receive the full market value for my business. Loss of key employee or partner could affect my retirement If I died tonight, I want to prevent my executor from having to sell my business interest to raise money for estate settlement costs. I want to make formal written arrangements for critical business interests should I become ill, disabled, or pass away. I will have enough business equity to enable my retirement When do you plan to retire? Now 3-5 Years 6-10 Years 10+ Years Do you have buy sell agreements? Yes No Not applicable Any other concerns or information you could like to share: EMPLOYEE AND CONTRACTOR CONCERNS You are half way through! One of a companies most significant business costs is in Payroll, Contractors, and Payroll Taxes. The following information will help us identify tax hiring incentives, workers compensation over-payments, or new savings. We may follow up with additional questions at a later phase. TOTAL NUMBER OF EMPLOYEESDoes your company utilize work opportunity tax credits for the following? Veteran employees Employees receiving social security Employees receiving clothing or food support (SNAP or TANIFF) Other What is your annual payroll? $0 - $250,000 $250,001 - $500,000 $500,001 - $750,000 $750,001 - $1,000,000 $1,000,001 + $132,000 POTENTIAL SAVINGS IN HIRING INCENTIVES COULD BE AVAILABLE TO YOUR COMPANY Our team will work with your HR department to assess areas where tax incentives may be utilized for current employees and tax hiring incentives when hiring new employees. Please provide us with the personal responsible for Payroll and Hiring PAYROLL2017PAYROLL2016PAYROLL2015ANNUAL WORKERS COMPENSATION PREMIUMSCONTACT INFORMATION: HR or Payroll Manager First Last E-MAIL PHONEARE SUB-CONTRACTORS USED?YesNoWhat is your annual subcontractor expenses? $0 - $250,000 $250,001 - $500,000 $500,001 - $750,000 $750,001 - $1,000,000 $1,000,001 + SUB-CONTRACTING2017SUB-CONTRACTING2016SUB-CONTRACTING2015 FINANCIAL INFORMATION The following questions are general questions that may provide us with insight into additional savings, potential risks, the need for asset protection, while also helping us understand the size and volume of your company. What was the gross company revenue last year? $0-$250,000 $250,001 - $1,000,000 $1,000,001 - $5,000,000 $5,000,001 - $10,000,000 $10,000,001 + What was the net profit last year? $0-$100,000 $100,001 - $500,000 $500,001 - $1,000,000 $1,000,001 - $5,000,000 $5,000,001 + GROSS REVENUE2017GROSS REVENUE2016GROSS REVENUE2015What was the tax liability for the company last year? $0-$50,000 $50,001 - $100,000 $100,001 - $250,000 $250,001 - $500,000 $500,001 + Our Specialists Have Uncovered THOUSANDS in Annual Tax Credits by Keeping Current with Federal Laws and State Incentives Given for Business Growth in Various Industries Our team will evaluate your business activities and identify if you qualify for special tax incentives either federal or in your state. Does your company perform in any of the following? Manufacture products Improve or build new manufacturing facilites Develop or improve more reliable products, processes, and or formulas Develop prototypes, models, molds,and/or dies Design products to customer specifications Develop or apply for patents Conduct new concept and technology or testing Attempt to use new materials or add new equipment Develop or improve production & manufacturing processes Develop software or hardware Automate and streamline internal processes ANNUAL TAX DEDUCTIONS CAN OFTEN BE ACCELERATED ON YOUR EQUIPMENT, PERSONAL AND LEASED PROPERTY. Our team will evaluate your assets and depreciation schedule and determine if accelerating the depreciation is applicable. Has your company had: Construction of new buildings Renovation or remodel of existing structures Purchases of existing properties Leasehold improvements Any post-1986 real estate acuisition If you have a mortgage on your business property, what was the original purchase price?Date of purchaseWhat is the remaining balance of the mortgage now?How many years are remaining on the note?What is your current interest rate on the note? Cost of doing business is continuously increasing. Our team specializes in industry changes and providers and can help identify significant savings. What is your largest expense concerns? Cost of Material and or Production Mortgage Electricity, Water, and Waste Property Taxes Telecom Web and related online services Credit card and bank fees Other If other, please define.What is your annual Telecom expense $0 - $10,000 $10,001 - $30,000 $30,001 - $50,000 $50,001 + What is your combined annual Water, Waste, and Electricity expense $0 - $10,000 $10,001 - $30,000 $30,001 - $50,000 $50,001 + $1,500 TO $5,000 IN POTENTIAL SAVINGS COULD BE RECOVERED Our team will do an analysis of your Telecom bills to determine that your current contracts are the most optimal for your Telecom usage and identify cost savings $3,000 TO $10,000 IN POTENTIAL SAVINGS COULD BE RECOVERED Our team will do an analysis of your utility bills to determine that your current contracts are the most optimal for your utility usage and identify cost savings