DoD Modernization Grant Application Manufacturers should apply with a NYSTAR Innovation Asset. For any questions, please contact us at: [email protected] Application Information NYSTAR Innovation Asset (Applicant applying on behalf of the manufacturer identified below)* NYS Innovation Asset Contact Name* First Last NYSTAR Innovation Asset Contact Email* Manufacturer InformationManufacturing Partner Company (requesting the project)* Manufacturing Partner Contact Name* First Last Manufacturing Partner Contact Email* Manufacturer Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County Manufacturer's D&B D-U-N-S Number* For more information on D-U-N-S Numbers and NAICs codes: https://fuzehub.com/manufacturer-impact-prep/Manufacturer's NAICS Code* Does the manufacturer certify that they have less than 500 employees in New York State?* Yes, agree Does the manufacturer certify that they meet the minimum DoD business revenue requirements (60% derived from DoD-contracts, or 10% if business is located in a specified DoD critical county), OR, that they are a DoD SBIR awardee whose initial product is being designed for the defense sector market?** Yes, agree (certification letter required, please attach below) Upload certification on company letterhead*Max. file size: 100 MB.Proposed Project InformationProject Title* Briefly describe the project, its costs, and how it will help the manufacturer modernize through new applications of technology.*Optional: You may wish to use the following template to detail your budget. This is optional at this stage, but may strengthen the competitiveness of your applicationClick here to download the templateAccepted file types: xlsx, Max. file size: 5 MB.What is the NYSTAR Asset’s contribution to the project?*Provide numerical estimates of the anticipated economic impacts this project will have within one year (including new sales, retained sales, cost savings, new jobs created, jobs retained, other social benefit, etc.)*Estimated total cost of the project* Only enter numbers, no dollar signs or special characters.Grant amount requested (Not to exceed 75% of total project cost. Max award $25,000)* Only enter numbers, no dollar signs or special characters.Estimated project completion date (Must be completed by August 31, 2023)* Δ