Supplier Profile

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Supplier Profile

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Legal Company Name

Address

City

State

Zip

Description of Business

Company Type

Corporation

Limited Partnership

Sole Proprietorship

Joint Venture

General Partnership

Limited Liability Company

Other

Business Type

Manufacturer	Distributor
Service Provider

Affiliation (Please Specify)

Division, Subsidiary, Affiliate of: Joint Venture between:

Parent Company Info
	Company Name
	Address
	City
	State
	Zip

Certifications and Status

Women Business Enterprise (WBE): A business certified by an ATC- recognized agency that is at least 51% owned, operated and controlled by a woman or women of U.S. citizenship.

Minority Business Enterprise (MBE): A business certified by an ATC- recognized agency that is at least 51% owned, operated and controlled by a minority individual or a minority group. Minorities include but are not limited to:

African American: A U.S. citizen whose origin is from any Black racial group.

Hispanic American: A U.S. citizen of true-born Hispanic heritage (true-born meaning "authentically" or "genuinely" as per Webster) from any of the Spanish speaking areas of Latin America of the following regions: Mexico, Central America, South America and the Caribbean basin. Hispanics may not have European ancestors.

Native American: A person who is an American Indian, Eskimo, Aleut, or Native Hawaiian and regarded as such by the community of which the person claims to be a part. Native Americans must be documented members of a North American tribe, band or otherwise organized group of native people who are indigenous to the continental U.S. and proof can be provided through a Native American Blood Degree Certificate (for example, a tribal registry letter, tribal roll register number.)

Asian Pacific American: A U.S. citizen whose country or origin is Japan, China, Taiwan, Korea, Vietnam, Laos, Cambodia, the Philippines, Samoa, Guam, the U.S. Trust Territories of the Pacific of the Northern Marianas, Indonesia, Micronesia or Polynesia.

Asian-Indian American: A U.S. citizen whose country of origin is India, Pakistan or Bangladesh.

Other:

Disabled Veteran Business Enterprise (DVBE): A business that has been certified by an ATC-recognized agency that is at least 51% owned, operated and controlled by one or more disabled veterans.

Federal Tax ID Number

D&B® D-U-N-S® Number

Annual Sales For Past Year

Number of Employees

Contact Name

Contact Phone

Contact Email

References

Website

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