Capital Intermediary Services
ERC Discovery Interview Questionnaire


INSTRUCTIONS:

1) Make sure the customer is at their office and has access to key personnel such as assistants and Accountants who may know this information.

2) Make sure you are conducting this as an interview.

You will be filling out this form.

3) If they don't know the answers to any of these questions, move on, but let them know they will need to provide this information later on and you will follow up on any missing information.

4) Be aware, this form does not save automatically and no answers you put in will be saved if you close this form. You MUST click the "Submit Questionnaire Now" button at the bottom to save this form.

NEXT STEPS:
They will be sent an Attestation letter confirming the accuracy of this information.

Section 1: Client Information
Other companies you have a 51% or greater ownership in and work with on a day-to-day basis.
Main Company Information
Briefly describe your company operations:
In which state(s) does your business have operations or employees?
In Which state(s) does your business have customers or Key suppliers?
Was your business deemed an essential business for the purposes of COVID-related orders?
Section 2: Travel Impact
What was your estimated spend on travel in each year listed below?
During calendar year 2019 and prior, were there any trade shows, industry events, corporate conferences or group meetings that your sales or operations staff attended? If yes, what?
Did any trade shows or group meetings go virtual in 2020/2021 as a result of COVID?
Is there any travel that your business ordinarily would have done (eg., visited customer) that was changed to virtual or did not occur? Please describe.
Section 3: Operational Impact
Did your company close any office/retail/warehouse locations to comply with governmental orders related to COVID? For example, a "Stay Home, Stay Safe, Stay Healthy" order? Please describe.
Did your company reduce capacity at any office/retail/warehouse location? Please describe.
Please describe any changes your business made to its operations (eg., additional sanitation, purchase of laptops, remote work, etc.) as a result of COVID, or other ways you have altered your business operations as a result of COVID orders (eg., reconfigured workspaces, reduced capacity, outdoor seating, etc.)
Did your business incur any additional costs as a result of COVID, for example, to purchase laptops for remote workers? Did you have any technology-related challenges or inefficiencies?
Section 4: Customer Impact
Were any key customers impacted as a result of COVID? If yes, please describe.
Please describe how customer interactions changed as a result of COVID. For example, if you are a restaurant and shut-down part of your facility and moved mostly to take-out. Or a real estate firm that went to virtual tours of properties.
Are there any meetings that would traditionally happen in-person that became virtual? Were any projects or timelines impacted?
Section 5: Supplier Impact
Did any key suppliers have difficulty getting raw materials or goods to you as a result of COVID?
Please describe any interruptions or challenges with supply chain as a result of COVID
Did your company experience any difficulty obtaining raw materials as a result of travel restrictions, for example, not being able to obtain goods from China? Or for example, not being able to meet with suppliers in China?
Section 6: Additional Questions
What were your quarterly gross revenues for 2020 & 2021?
Select the PPP Loans the Company Received
If any PPP Loans were received, answer the following questions:
Is this Client a Recovery Startup Business?
In order to meet the definition of a “Recovery Startup Businesses'' in the context of employee retention tax credits, as authorized by the US Congress, a company must have 1) been founded after Feb 15, 2020; and 2) also have less than $1 million in revenue. Consult with your CPA for more details.
Have You Received Additional Federal Tax Credits?
From the applicable time period of 1.1.2020 through 12.31.2021. Did the company receive Federal funding for R&D Credits or WOTC Credits?
If any Additional Credits were received, answer the following questions:
Company Owners or Family Members
Please list the full names and titles as they appear on payroll for all company owners and any family members, for example John Doe, CEO
Ownership Breakdown
Please list all owners and %age. For example, John Doe - 100%
Which Payroll Provider does the company use? (for example, ADP, PayChex)
Any Final Thoughts Comments or Information?