Made in Hawaii Program Survey

1. Company Name

2. Name of Company Contact

First Last

3. Title / Position

4. Website URL

5. Do you have e-commerce?*

Yes

If so, what e-commerce platform do you use?

6. Company Phone

7. Email

8. Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

9. Year company established*

10. Company Structure (select one)*

11. What was the annual revenue of your company in 2019?*

Please select from the ranges below

12. What was the annual revenue of your company in 2020?*

Please select from the ranges below

13. What is the estimated annual revenue of your company in 2021?*

Please select from the ranges below

14. Number of full-time equivalent employees in Hawaiʻi in 2019*

15. Number of full-time equivalent employees in Hawaiʻi in 2020*

16. Number of full-time equivalent employees in Hawaiʻi in 2021*

17. The U.S. Small Business Administration (SBA) would like to see if their programs are reaching underserved groups. Please check any and all categories that apply to your company.*

Socially and economically disadvantaged business (Defined by federal law as Black, Hispanic, Native American/Alaskan/Hawaiian, Asian Pacific, and Subcontinent Asian Americans)

Women-owned business

Veteran-owned business

Active Duty Military Personnel

Disabled veteran-owned business

Reserve/National Guard

Military Spouse

Rural business (Business outside of the Metropolitan Statistical Area; in Hawaiʻi typically ‘967XX’ zip code)

None of the above

Not less than 51 percent of the company must be owned by the individual that fits the category

Products Wholesale Value

Please provide the following information to the best of your ability.

There are four components of the product cost:

Direct Material Cost – raw materials distinguished by origin, either imported or from Hawaiʻi.
Direct Labor Cost – the cost of workers who add value to a product through their direct involvement in the production process; and
Manufacturing Overhead Cost – indirect manufacturing costs incurred, which includes:
- Indirect labor costs – wages of employees not directly involved in product, including:
  - Wages for employees performing equipment maintenance and repairs;
  - Wages for production supervisors; and
  - Wages for personnel supporting production such as quality control inspectors, packaging design and manufacture.
Intellectual Property, which includes product concept development, all design aspects. Calculate this value by number of hours X hourly rate

Averaging out the cost components for up to three (3) products that you consider should be designated made in Hawaiʻi, please complete the following valuation:

18. Cost Components – PRODUCT 1*

If you selected "Other", please identify it here

Hawaiʻi-based Costs

Material Cost (%)*

Labor Cost (%)*

Manufacturing Cost (%)*

Intellectual Property Cost (%)*

Non-Hawaiʻi-based Costs

Material Cost (%)*

Labor Cost (%)*

Manufacturing Cost (%)*

Intellectual Property Cost (%)*

Total (must = 100%)*

Your total must add up to 100%. Please re-adjust your values above.

Hawaiʻi Wholesale Value-Added = Hawaiʻi-based Costs (percentage of total)*

Hidden

Estimated Retail Selling Price

19. OPTIONAL: Cost Components – PRODUCT 2

If you selected "Other", please identify it here

Hawaiʻi-based Costs

Material Cost (%)

Labor Cost (%)

Manufacturing Cost (%)

Intellectual Property Cost (%)

Non-Hawaiʻi-based Costs

Material Cost (%)

Labor Cost (%)

Manufacturing Cost (%)

Intellectual Property Cost (%)

Total (must = 100%)

Your total must add up to 100%. Please re-adjust your values above.

Hawaiʻi Wholesale Value-Added = Hawaiʻi-based Costs (percentage of total)

Hidden

Estimated Retail Selling Price

20. OPTIONAL: Cost Components – PRODUCT 3

If you selected "Other", please identify it here

Hawaiʻi-based Costs

Material Cost (%)

Labor Cost (%)

Manufacturing Cost (%)

Intellectual Property Cost (%)

Non-Hawaiʻi-based Costs

Material Cost (%)

Labor Cost (%)

Manufacturing Cost (%)

Intellectual Property Cost (%)

Total (must = 100%)

Your total must add up to 100%. Please re-adjust your values above.

Hawaiʻi Wholesale Value-Added = Hawaiʻi-based Costs (percentage of total)

Hidden

Estimated Retail Selling Price

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Business Development and Support Division