SAAM-A
              West Virginia Tax Credit For Federal Excise Tax Imposed
     Upon Small Arms And Ammunition Manufacturers Application Instructions

The West Virginia Tax Credit For Federal Excise Tax Imposed Upon Small Arms And Ammunition
Manufacturers (SAAM) is available to a manufacturer making a qualified investment (on or after July 1, 2021)
in a new or expanded small arms and ammunition manufacturing facility in this state of at least $2 million
dollars. Qualified businesses include only those engaged in the business activity of small arms and ammunition
manufacturing within West Virginia. A Small Arms and Ammunition Manufacturing Business is defined as a
business primarily engaged in small arms or ammunition manufacturing which is or may be classified under the
North American industry Classification System with a six-digit code for a product produced at a facility under
code numbers 332992 or 332994.

Business expansion is defined as capital investment in a new or expanded small arms or ammunition
manufacturing facility in this State. Expanded facility means a small arms and ammunition manufacturing
facility, other than a new or replacement facility, resulting from the acquisition, construction, reconstruction,
installation, or erection of improvements or additions to existing property if the improvements or additions are
purchased on or after July 1, 2021, but only to the extent of the taxpayers’ qualified investment in the
improvements or additions. New small arms and ammunition manufacturing facility means a business facility
which is employed by the taxpayer in the conduct of small arms and ammunition manufacturing activity and
was purchased by or leased to the taxpayer on or after July 1, 2021,

By Law, no credit may be allowed or applied for any qualified investment property placed in service until the
person asserting a claim for the credit makes a written application to the Tax Commissioner. Failure to timely
apply for the credit will result in forfeiture of 50% of the annual credit allowance otherwise available under this
requirement. Form SAAM-A is designed to be a general application form for taxpayers wishing to claim credit
based upon investments placed into use or service on or after July 1, 2021. The timely filing of this application
is a condition precedent to claiming tax credits. This application must be filed annually no later than the due
date of the taxpayer’s West Virginia income tax return including any legally granted extension of time for filing
such returns.

Note: For the application to be considered timely filed, all  information in the application must be completed fully.

                              Instructions to SAAM-A
              SECTION A: BUSINESS IDENTIFICATION

FEIN          Enter Federal Employer Identification Number
WV TAX ID     Enter eight digit West Virginia Account number for which the credit will be used
TAX PERIOD    Enter beginning and ending dates for the tax period in which the investments was
              made
BUSINESS NAME Enter the name of the business which made the investments.
TAXPAYER NAME Enter the full legal name of the individual who made the investment.

                         SECTION B: INVESTMENT INFORMATION

5. INVESTMENT        Place a check mark in the block next to the applicable purpose of your investment.
PURPOSE              (Check only one block.)
                     (a.) The Taxpayer for purposes of industrial expansion places qualified
                          investment property in service or use.
                     (b.) The Taxpayer for purposes of industrial revitalization places qualified
                          investment property in service or use.
                     (c.) The Taxpayer for purposes of both industrial expansion and revitalization
                          places qualified property in service or use.
6. BUSINESS ACTIVITY (a.) Enter the North American Industry Classification System Code that most
IN WEST VIRGINIA          closely describes your business activity in West Virginia
                     (b.) Describe the industrial expansion or industrial revitalization activity in West
                          Virginia that is associated with your new investment (e.g., construction of a
                          new reconstituted wood product manufacturing plant).

7. INVESTMENT YEAR   Enter the year investment is placed into service or use
TOTAL INVESTMENT     Enter the total dollar amount of investment placed into service or use
AMOUNT $
QUALIFIED            Enter dollar amount of qualified investment placed into service or use
INVESTMENT $
8. LOCATION(S) OF    Enter the location(s) of the qualified investment property (i.e. Main Street, Weston,
INVESTMENT IN        or 12 miles north of Pipestem at the Intersection of State Route 3 and State Route
WEST VIRGINIA        20).

9. GENERAL           Provide a general description of the qualified investment property in the space
DESCRIPTION OF       provided (i.e. $100,000 to be invested in buildings, $500,000 to be invested in
QUALIFIED            machinery and equipment, etc.)
INVESTMENT
(NARRATIVE):

                   SECTION C: ADDITIONAL REQUIRED INFORMATION

10. EMPLOYMENT       a)   Enter your total West Virginia payroll and number of jobs attributed to that
                          payroll for the prior year (i.e., twelve-month period) before the placement of
                          this year’s qualified investment subject to Manufacturing Investment Tax
                          Credit into service or use.
                     b)   Enter your total West Virginia payroll and number of jobs for the current year.
11. BENEFITS         a)   Enter the percentage of your employees covered under your sponsored
                          health insurance plan.
                     b)   Enter the average annual cost of your employer-provided health insurance
                          benefits (i.e., benefit costs divided by number of covered employees).
                     c)   Enter the percentage of your employees covered under your retirement plan.
                     d)   Enter the average annual retirement benefit contribution cost per covered
                          employee.

                SECTION D: COMPUTATION OF QUALIFIED INVESTMENT

ITEMIZED LISTING OF INVESTMENTS REQUIRED

ELIGIBLE  INVESTMENTS THIS YEAR
To determine the amount of eligible investment for the manufacturing investment tax credit, the cost of each
asset purchased is multiplied by the applicable percentage shown below according to the useful life of the
property.

INVESTMENT WITH USEFUL          In Column A enter the Net Cost.
LIFE OF AT LEAST 4 YEARS        In column C multiply Column A by the applicable percentage 33 ⅓%
BUT LESS THAN 6  YEARS
INVESTMENT WITH USEFUL          In Column A enter the Net Cost.
LIFE OF AT LEAST 6 YEARS        In column C multiply Column A by the applicable percentage 66 ⅔%
BUT LESS THAN 8 YEARS
INVESTMENT WITH USEFUL          In Column A enter the Net Cost.
LIFE OF 8 YEARS                 In column C multiply Column A by the applicable percentage 100%
TOTAL QUALIFIED                 Sum of Column C
INVESTMENT FOR
THIS TAX YEAR

                                ADDITIONAL INFORMATION

The timely filing of this application coincides with the authorization for the Applicant to begin claiming investments for
purposes of the Small Arms and Ammunition Manufacturers Tax Credit. Such filing of the application will not bar or
otherwise prevent the Tax Commissioner from auditing or examining Applicant’s books and records for compliance with
the Small Arms and Ammunition Manufacturers Tax Credit law and regulations.

This application must be signed by an officer of the company to be valid.

                                Please sign this Application and file with:
                                West Virginia Tax Department
                                P.O. Box 1202
                                Charleston, WV 25324-1202

If you have any questions about these reporting procedures, please contact the West Virginia State Tax Department, Tax
Account Administration Division, 1001 Lee Street East, Charleston WV 25301-1725, or call (304) 558-3333. You can also
visit our website: www.wvtax.gov