The Vendor Application Form is specially designed and developed by industrial experts to help the new vendors in registering to your entity. The template is nothing but a detailed vendor registration form that can help you trace down each and every detail about the particular vendor. The Vendor Application & Agreement Template can of great help while planning for a food fair, exhibition, farmer's market, press conference or arts festival. You may get these templates printed and hand them over to your potential vendors for capturing correct details about their service array, past industrial experience, client base, and others.
View more professional Vendor Application Form at http://www.formsbirds.com/vendor-registration-form
All Americans with overseas bank accounts exceeding $10,000 must file an FBAR with the IRS by June 30. This presentation shows how to complete the form quickly and easily.
Gray's Summary of the Foreign Corrupt Practices Act.
Gray International (Gray) is an international network of public accounting and consulting firms based in the U.S., Hong Kong, China and Europe. Gray was started over 10 years ago in the U.S. (via its predecessor) and took the form of Gray International in 2013 as the result of the networking of multiple independent practices and professionals.
Gray provides international accounting and compliance solutions in the U.S., Americas, Asia and Europe. Gray focuses on U.S. accounting, tax, and governmental compliance for multinational companies, investors, U.S. persons living overseas and foreign investors and companies investing in or moving to the U.S.
Gray also consults on compliance with U.S. laws for businesses and financial institutions overseas such as the Foreign Corrupt Practices Act (FCPA) and the Foreign Account Tax Compliance Act (FATCA), the IRS Offshore Voluntary Disclosure Program, and the Program for Non-Prosecution Agreements or Non-Target letters for Swiss Banks.
Grays principals, partners, and employees have served clients worldwide. Gray has offices in Geneva, Hong Kong, Seattle, Shanghai and plans to open an office in Singapore in late 2013.
Grays U.S. public accounting firm (Gray CPA, PC) is registered with the U.S. Public Company Accounting Oversight Board and is a member of the American Institute of Certified Public Accountants and the Center for Audit Quality.
For more information about us, please visit us at:
www.grayintl.com
All Americans with overseas bank accounts exceeding $10,000 must file an FBAR with the IRS by June 30. This presentation shows how to complete the form quickly and easily.
Gray's Summary of the Foreign Corrupt Practices Act.
Gray International (Gray) is an international network of public accounting and consulting firms based in the U.S., Hong Kong, China and Europe. Gray was started over 10 years ago in the U.S. (via its predecessor) and took the form of Gray International in 2013 as the result of the networking of multiple independent practices and professionals.
Gray provides international accounting and compliance solutions in the U.S., Americas, Asia and Europe. Gray focuses on U.S. accounting, tax, and governmental compliance for multinational companies, investors, U.S. persons living overseas and foreign investors and companies investing in or moving to the U.S.
Gray also consults on compliance with U.S. laws for businesses and financial institutions overseas such as the Foreign Corrupt Practices Act (FCPA) and the Foreign Account Tax Compliance Act (FATCA), the IRS Offshore Voluntary Disclosure Program, and the Program for Non-Prosecution Agreements or Non-Target letters for Swiss Banks.
Grays principals, partners, and employees have served clients worldwide. Gray has offices in Geneva, Hong Kong, Seattle, Shanghai and plans to open an office in Singapore in late 2013.
Grays U.S. public accounting firm (Gray CPA, PC) is registered with the U.S. Public Company Accounting Oversight Board and is a member of the American Institute of Certified Public Accountants and the Center for Audit Quality.
For more information about us, please visit us at:
www.grayintl.com
Franchise Opportunity
MKG Enterprises Corp is offering franchises in selected states.
Be your own boss by becoming a franchisee (“Associate")
•Initial application fee $500
•Own equity in Franchisor
(Franchise Benefits)
•ExOLI (Executive-Owned Life Insurance)
Executive-owned cash values can be withdrawn and/or borrowed to produce tax free retirement cash flow;
Death benefits paid to the executive’s family are free of income tax.
Guide to US-India Tax Compliance
What is FBAR - Foreign Bank Account Reporting
Filing dates and penalties for FBAR reporting
What is the Offshore Voluntary Disclosure Program
What is the January 2016 NRI Passport Law H-R-22
2 Types of Non-Resident Indian Bank Accounts NRO and NRE
What is FATCA - Foreign Tax Account Compliance Act
Is there a Double Taxation Treaty between the US and India
Melvin feller bio and champion for minority and women owned businessesMelvin Feller
As the managing partner of Feller Business Group, Melvin Feller is both diligent in his business and committed to the business of helping both minorities and women own businesses and truly champion their various business styles. Melvin Feller also oversees his company’s ongoing expansion efforts into more businesses into rural America. He also conducts nation wide seminars, mostly free of charge, in order to back his strong belief in minority owned enterprises. He is also an online adjunct professor.
Melvin Feller Founder of Melvin Feller Business Group provides this information in order to assist minority and women owned businesses.
Labor and Employment Roundtable Privacy Rights and Other Onboarding IssuesPolsinelli PC
Hire The Best Without Making A Mess! Application forms, background checks, the interview process, immigration status, and even actions during the onboarding process are fraught with legal landmines these days. There are more privacy protections, employment laws, immigration requirements and lawsuits (including class action lawsuits) filed today than ever before based on the hiring and onboarding process. It is critical that all employers know which policies, procedures, and questions are required and safe when hiring and onboarding employees, and which are not.
This roundtable discussion is intended to be an interactive discussion focused on various "do" and "don't" tips related to privacy rights during the hiring process, criminal convictions, immigration, medical examinations, drug tests and background checks.
OUR PANEL:
• Jeffrey S. Bell, Shareholder
• Denise K. Drake, Shareholder
• Erin D. Schilling, Shareholder
• Emma R. Schuering, Associate
The Yeat Carry Shirt is a tribute to the popular rapper Yeat, who is known for his catchy songs and unique style. This shirt features his signature phrase “Yeat Carry” on the front, which means to dominate or excel at something.
Grab now : https://viralstyle.com/designerworld/yeat-carry-t-shirts
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
𝐓𝐉 𝐂𝐨𝐦𝐬 provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
⭐ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐩𝐫𝐨𝐣𝐞𝐜𝐭𝐬:
➢ 2024 BAEKHYUN [Lonsdaleite] IN HO CHI MINH
➢ SUPER JUNIOR-L.S.S. THE SHOW : Th3ee Guys in HO CHI MINH
➢FreenBecky 1st Fan Meeting in Vietnam
➢CHILDREN ART EXHIBITION 2024: BEYOND BARRIERS
➢ WOW K-Music Festival 2023
➢ Winner [CROSS] Tour in HCM
➢ Super Show 9 in HCM with Super Junior
➢ HCMC - Gyeongsangbuk-do Culture and Tourism Festival
➢ Korean Vietnam Partnership - Fair with LG
➢ Korean President visits Samsung Electronics R&D Center
➢ Vietnam Food Expo with Lotte Wellfood
"𝐄𝐯𝐞𝐫𝐲 𝐞𝐯𝐞𝐧𝐭 𝐢𝐬 𝐚 𝐬𝐭𝐨𝐫𝐲, 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐣𝐨𝐮𝐫𝐧𝐞𝐲. 𝐖𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐚𝐭 𝐬𝐡𝐨𝐫𝐭𝐥𝐲 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐨𝐮𝐫 𝐬𝐭𝐨𝐫𝐢𝐞𝐬."
Franchise Opportunity
MKG Enterprises Corp is offering franchises in selected states.
Be your own boss by becoming a franchisee (“Associate")
•Initial application fee $500
•Own equity in Franchisor
(Franchise Benefits)
•ExOLI (Executive-Owned Life Insurance)
Executive-owned cash values can be withdrawn and/or borrowed to produce tax free retirement cash flow;
Death benefits paid to the executive’s family are free of income tax.
Guide to US-India Tax Compliance
What is FBAR - Foreign Bank Account Reporting
Filing dates and penalties for FBAR reporting
What is the Offshore Voluntary Disclosure Program
What is the January 2016 NRI Passport Law H-R-22
2 Types of Non-Resident Indian Bank Accounts NRO and NRE
What is FATCA - Foreign Tax Account Compliance Act
Is there a Double Taxation Treaty between the US and India
Melvin feller bio and champion for minority and women owned businessesMelvin Feller
As the managing partner of Feller Business Group, Melvin Feller is both diligent in his business and committed to the business of helping both minorities and women own businesses and truly champion their various business styles. Melvin Feller also oversees his company’s ongoing expansion efforts into more businesses into rural America. He also conducts nation wide seminars, mostly free of charge, in order to back his strong belief in minority owned enterprises. He is also an online adjunct professor.
Melvin Feller Founder of Melvin Feller Business Group provides this information in order to assist minority and women owned businesses.
Labor and Employment Roundtable Privacy Rights and Other Onboarding IssuesPolsinelli PC
Hire The Best Without Making A Mess! Application forms, background checks, the interview process, immigration status, and even actions during the onboarding process are fraught with legal landmines these days. There are more privacy protections, employment laws, immigration requirements and lawsuits (including class action lawsuits) filed today than ever before based on the hiring and onboarding process. It is critical that all employers know which policies, procedures, and questions are required and safe when hiring and onboarding employees, and which are not.
This roundtable discussion is intended to be an interactive discussion focused on various "do" and "don't" tips related to privacy rights during the hiring process, criminal convictions, immigration, medical examinations, drug tests and background checks.
OUR PANEL:
• Jeffrey S. Bell, Shareholder
• Denise K. Drake, Shareholder
• Erin D. Schilling, Shareholder
• Emma R. Schuering, Associate
The Yeat Carry Shirt is a tribute to the popular rapper Yeat, who is known for his catchy songs and unique style. This shirt features his signature phrase “Yeat Carry” on the front, which means to dominate or excel at something.
Grab now : https://viralstyle.com/designerworld/yeat-carry-t-shirts
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
𝐓𝐉 𝐂𝐨𝐦𝐬 provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
⭐ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐩𝐫𝐨𝐣𝐞𝐜𝐭𝐬:
➢ 2024 BAEKHYUN [Lonsdaleite] IN HO CHI MINH
➢ SUPER JUNIOR-L.S.S. THE SHOW : Th3ee Guys in HO CHI MINH
➢FreenBecky 1st Fan Meeting in Vietnam
➢CHILDREN ART EXHIBITION 2024: BEYOND BARRIERS
➢ WOW K-Music Festival 2023
➢ Winner [CROSS] Tour in HCM
➢ Super Show 9 in HCM with Super Junior
➢ HCMC - Gyeongsangbuk-do Culture and Tourism Festival
➢ Korean Vietnam Partnership - Fair with LG
➢ Korean President visits Samsung Electronics R&D Center
➢ Vietnam Food Expo with Lotte Wellfood
"𝐄𝐯𝐞𝐫𝐲 𝐞𝐯𝐞𝐧𝐭 𝐢𝐬 𝐚 𝐬𝐭𝐨𝐫𝐲, 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐣𝐨𝐮𝐫𝐧𝐞𝐲. 𝐖𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐚𝐭 𝐬𝐡𝐨𝐫𝐭𝐥𝐲 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐨𝐮𝐫 𝐬𝐭𝐨𝐫𝐢𝐞𝐬."
Memorandum Of Association Constitution of Company.pptseri bangash
www.seribangash.com
A Memorandum of Association (MOA) is a legal document that outlines the fundamental principles and objectives upon which a company operates. It serves as the company's charter or constitution and defines the scope of its activities. Here's a detailed note on the MOA:
Contents of Memorandum of Association:
Name Clause: This clause states the name of the company, which should end with words like "Limited" or "Ltd." for a public limited company and "Private Limited" or "Pvt. Ltd." for a private limited company.
https://seribangash.com/article-of-association-is-legal-doc-of-company/
Registered Office Clause: It specifies the location where the company's registered office is situated. This office is where all official communications and notices are sent.
Objective Clause: This clause delineates the main objectives for which the company is formed. It's important to define these objectives clearly, as the company cannot undertake activities beyond those mentioned in this clause.
www.seribangash.com
Liability Clause: It outlines the extent of liability of the company's members. In the case of companies limited by shares, the liability of members is limited to the amount unpaid on their shares. For companies limited by guarantee, members' liability is limited to the amount they undertake to contribute if the company is wound up.
https://seribangash.com/promotors-is-person-conceived-formation-company/
Capital Clause: This clause specifies the authorized capital of the company, i.e., the maximum amount of share capital the company is authorized to issue. It also mentions the division of this capital into shares and their respective nominal value.
Association Clause: It simply states that the subscribers wish to form a company and agree to become members of it, in accordance with the terms of the MOA.
Importance of Memorandum of Association:
Legal Requirement: The MOA is a legal requirement for the formation of a company. It must be filed with the Registrar of Companies during the incorporation process.
Constitutional Document: It serves as the company's constitutional document, defining its scope, powers, and limitations.
Protection of Members: It protects the interests of the company's members by clearly defining the objectives and limiting their liability.
External Communication: It provides clarity to external parties, such as investors, creditors, and regulatory authorities, regarding the company's objectives and powers.
https://seribangash.com/difference-public-and-private-company-law/
Binding Authority: The company and its members are bound by the provisions of the MOA. Any action taken beyond its scope may be considered ultra vires (beyond the powers) of the company and therefore void.
Amendment of MOA:
While the MOA lays down the company's fundamental principles, it is not entirely immutable. It can be amended, but only under specific circumstances and in compliance with legal procedures. Amendments typically require shareholder
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
Leading companies such as Nike, Toyota, and Siemens are prioritizing sustainable innovation in their business models, setting an example for others to follow. In this Sustainability training presentation, you will learn key concepts, principles, and practices of sustainability applicable across industries. This training aims to create awareness and educate employees, senior executives, consultants, and other key stakeholders, including investors, policymakers, and supply chain partners, on the importance and implementation of sustainability.
LEARNING OBJECTIVES
1. Develop a comprehensive understanding of the fundamental principles and concepts that form the foundation of sustainability within corporate environments.
2. Explore the sustainability implementation model, focusing on effective measures and reporting strategies to track and communicate sustainability efforts.
3. Identify and define best practices and critical success factors essential for achieving sustainability goals within organizations.
CONTENTS
1. Introduction and Key Concepts of Sustainability
2. Principles and Practices of Sustainability
3. Measures and Reporting in Sustainability
4. Sustainability Implementation & Best Practices
To download the complete presentation, visit: https://www.oeconsulting.com.sg/training-presentations
The world of search engine optimization (SEO) is buzzing with discussions after Google confirmed that around 2,500 leaked internal documents related to its Search feature are indeed authentic. The revelation has sparked significant concerns within the SEO community. The leaked documents were initially reported by SEO experts Rand Fishkin and Mike King, igniting widespread analysis and discourse. For More Info:- https://news.arihantwebtech.com/search-disrupted-googles-leaked-documents-rock-the-seo-world/
Discover the innovative and creative projects that highlight my journey throu...dylandmeas
Discover the innovative and creative projects that highlight my journey through Full Sail University. Below, you’ll find a collection of my work showcasing my skills and expertise in digital marketing, event planning, and media production.
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
Digital Transformation and IT Strategy Toolkit and TemplatesAurelien Domont, MBA
This Digital Transformation and IT Strategy Toolkit was created by ex-McKinsey, Deloitte and BCG Management Consultants, after more than 5,000 hours of work. It is considered the world's best & most comprehensive Digital Transformation and IT Strategy Toolkit. It includes all the Frameworks, Best Practices & Templates required to successfully undertake the Digital Transformation of your organization and define a robust IT Strategy.
Editable Toolkit to help you reuse our content: 700 Powerpoint slides | 35 Excel sheets | 84 minutes of Video training
This PowerPoint presentation is only a small preview of our Toolkits. For more details, visit www.domontconsulting.com
What is the TDS Return Filing Due Date for FY 2024-25.pdfseoforlegalpillers
It is crucial for the taxpayers to understand about the TDS Return Filing Due Date, so that they can fulfill your TDS obligations efficiently. Taxpayers can avoid penalties by sticking to the deadlines and by accurate filing of TDS. Timely filing of TDS will make sure about the availability of tax credits. You can also seek the professional guidance of experts like Legal Pillers for timely filing of the TDS Return.
The Influence of Marketing Strategy and Market Competition on Business Perfor...
Vendor Application Form
1. WV-1 - Revised 06/16/14 Page 1
WV-1 New Update
REV. 06/16/14
STATE OF WEST VIRGINIA - PURCHASING DIVISION
VENDOR REGISTRATION AND DISCLOSURE STATEMENT
AND SMALL, WOMEN-, AND MINORITY-OWNED BUSINESS
CERTIFICATION APPLICATION
Before a vendor is eligible to sell goods and/or services to the State of West Virginia, the West Virginia Code §5A-3-12
requires all vendors to have on file with the West Virginia Purchasing Division a completed Vendor Registration and Disclosu
Statement. All vendors wishing to participate in the competitive bid process and receive purchase orders from the State of
West Virginia exceeding $1,000 are required to complete the Vendor Registration and Disclosure Statement (WV-1 form) an
pay a $125.00 annual fee. Payment of the annual fee includes email notifications on bid opportunities based on the commod
and services selected upon registering in the Vendor Self-Service (VSS) portal atwvOASIS.gov. Please complete this form in its
ENTIRETY and return it with a check or money order made payable to the STATE OF WEST VIRGINIA in the amount of
$125.00. Incomplete forms will not be processed and will be returned to the vendor. Please send completed form and
payment to:
Purchasing Division - Vendor Registration
2019 Washington Street East
Charleston, WV 25305-0130
Whenever a change occurs in the information submitted, such change shall be reported immediately in the same manner as
required in the original disclosure statement (West Virginia Code §5A-3-12). Vendors doing business with the State of West
Virginia are expected to abide by the Vendor Code of Conduct available online at
http://www.state.wv.us/admin/purchase/vrc/vendorconduct.pdf.
Privacy Notice: The Purchasing Division is required to collect certain information as stated in West Virginia Code §5A-3-12,
other applicable sections of the West Virginia Code, the Vendor Registration and Disclosure Statement forms, and other
documents to facilitate the state bidding and contract administration processes. This information is stored in a secure
environment, but unless specifically protected under state law, any information provided may be inspected by or disclosed to
the public.
Vendors are also required to be licensed and in good standing in accordance with any and all state and local laws and
requirements by any state or local agency of West Virginia, including, but not limited to, the West Virginia Secretary of State’
Office, the West Virginia Tax Department, West Virginia Insurance Commission, or other state agencies or political
subdivisions. Failure to do so may result in delay of or disqualification from a contract award pursuant to West Virginia Code
of State Rules §148-1-6.1.7. If you have any questions concerning this Vendor Registration and Disclosure Statement, plea
contact the Purchasing Division at (304) 558-2311.
PLEASE TYPE OR CLEARLY PRINT ALL INFORMATION
To Be Completed by the Vendor and Returned to the Purchasing Division
1. Legal Name of Company/Individual
DBA, if any
Bidding Address
City, State, Zip
Principle Contact Person E-mail
Telephone Number Fax Number
2. WV-1 - Revised 06/16/14 Page 2
VENDOR REGISTRATION AND DISCLOSURE STATEMENT AND SMALL, WOMEN-,
AND MINORITY-OWNED BUSINESS CERTIFICATION APPLICATION
PLEASE TYPE OR CLEARLY PRINT ALL INFORMATION
To Be Completed by the Vendor and Returned to the Purchasing Division
2. Vendor Classified As:
Individual Government
Sole Proprietor Medical Corporation
Partnership Attorney Corporation
Corporation Non-Profit Organization
Board Member Payroll
Trust Employee
Estate
3. Taxpayer Identification Number (TIN): If you have an Identification Number, enter it below. All partnerships,
corporations, or companies with employees must have an EIN.
EIN
If you do not have a EIN, please enter Social Security Number (SSN), Individual Taxpayer Identification Number (ITIN)
Adoptive Identification Number (ATIN) and check the correct below.
- (SSN G, ITIN G, ATIN G)
4. (A) Small, Women-Owned, Minority-Owned Businesses
West Virginia Code §5A-3-59 establishes a procurement certification program in West Virginia for small, women-, and
minority-owned businesses. Requirements related to the certification program are provided in the West Virginia Code
of State Rules §148-2-1 et seq. Note that this certification provides nonresident vendors preference that is equivalent to
competing resident (West Virginia) vendors that have applied for resident vendor preference, in accordance with West
Virginia Code §5A-3-37. This certification may assist resident small, women-, and minority-owned businesses w
soliciting business in other states.
Certification of Status (Check all those which apply)
Minority-owned Business [1] means a business concern that is at least fifty-one percent owned by one or more
minority individuals or in the case of a corporation, partnership, or limited liability company or other entity, at
least fifty-one percent of the equity ownership interest in the corporation, partnership, or limited liability
company or other entity is owned by one or more minority individuals and both the management and daily
business operations are controlled by one or more minority individuals.
• A “minority individual” means an individual who is a citizen of the United States or a noncitizen who is in full
compliance with United States immigration law and who satisfies one or more of the following definitions:
African American means a person having origins in any of the original peoples of Africa and who is
regarded as such by the community of which this person claims to be a part.
3. WV-1 - Revised 06/16/14 Page 3
VENDOR REGISTRATION AND DISCLOSURE STATEMENT AND SMALL, WOMEN-,
AND MINORITY-OWNED BUSINESS CERTIFICATION APPLICATION
PLEASE TYPE OR CLEARLY PRINT ALL INFORMATION
To Be Completed by the Vendor and Returned to the Purchasing Division
Asian American means a person having origins in any of the original peoples of the Far Ea
Southeast Asia, the Indian subcontinent or the Pacific Islands, including, but not limited to, Japan,
China, Vietnam, Samoa, Laos, Cambodia, Taiwan, Northern Mariana, the Philippines, a U.S. territory
of the Pacific, India, Pakistan, Bangladesh, or Sri Lanka and who is regarded as such by th
community of which this person claims to be a part.
Hispanic American means a person having origins in any of the Spanish-speaking peoples of Mexico
South or Central America, or the Caribbean Islands or other Spanish or Portuguese cultures and who
is regarded as such by the community of which this person claims to be a part.
Native American means a person having origins in any of the original peoples of North America and
who is regarded as such by the community of which this person claims to be a part or wh
recognized by a tribal organization.
Small Business [2] means a business, independently owned or operated by one or more persons who are
citizens of the United States or noncitizens who are in full compliance with United States immigration law,
which, together with affiliates, has two hundred fifty or fewer employees, or average annual gross receipts of
$10 million or less averaged over the previous three years.
Women-owned Business [3] means a business concern that is at least fifty-one percent owned by one or more
women who are citizens of the United States or noncitizens who are in full compliance with United States
immigration law, or in the case of a corporation, partnership or limited liability company or other entity, at least
fifty-one percent of the equity ownership interest is owned by one or more women who are citizens of the
United States or noncitizens who are in full compliance with United States immigration law, and both the
management and daily business operations are controlled by one or more women who are citizens of the United
States or noncitizens who are in full compliance with United States immigration law.
(B) Other Federal Designations
Additionally, by providing the following information, I represent that this enterprise is a small business as defined by the
Code of Federal Regulations, Title 13, Part 121, as appended - which contains detailed industry definitions and related
procedures - and/or the characteristics of the enterprise's control, operation and/or ownership are accurately reflected
in the information provided. Check all that apply.
Disabled Small Business Ownership [4]
Veteran Small Business Ownership [5]
5. Are you registering as a new vendor with the Purchasing Division? No Yes
6. Are you updating the information previously submitted? No Yes
4. WV-1 - Revised 06/16/14 Page 4
VENDOR REGISTRATION AND DISCLOSURE STATEMENT AND SMALL, WOMEN-,
AND MINORITY-OWNED BUSINESS CERTIFICATION APPLICATION
PLEASE TYPE OR CLEARLY PRINT ALL INFORMATION
To Be Completed by the Vendor and Returned to the Purchasing Division
7. Are you completing this form to register a branch/division/subsidiary? No Yes
8. Is the Legal Company’s address the same for ordering and payment? No Yes
If the ordering or payment addresses are different for the Parent Company or the branches, divisions or subsidiaries,
please enter this information below:
Ordering Payment
Address:
City, State, Zip:
Ordering Payment
Address:
City, State, Zip:
9. Commodity Codes: You may register for commodity codes for the products and services that you offer, which will
provide you with bid opportunity alerts and notifications should you become a paid registered vendor. To perform this
function, visit the Vendor Self-Service (VSS) Portal at wvOASIS.gov.
10. List the name, title, city and state of residence for all owners/officers. If the vendor is an individual, list his or her
name and city and state of residence, and, if he or she has associates or partners sharing in his or her business, list the
names and city and state of residence. If the vendor is a firm, list the name and city and state of residence o
member, partner or associate of the firm. If the vendor is a corporation created under the laws of this state
authorized to do business in this state, list the names and city and state of residence of the president, vice president,
secretary, treasurer and general manager, if any, of the corporation; and the names and city and state of residence of
each stockholder of the corporation owning or holding at least ten percent of the capital stock thereof. Attac
additional sheet if space is needed.
Name Position City and State of Residence
If the vendor has only one owner/officer, list the name, position, and city and state of residence above and please initia
here:
5. WV-1 - Revised 06/16/14 Page 5
VENDOR REGISTRATION AND DISCLOSURE STATEMENT AND SMALL, WOMEN-,
AND MINORITY-OWNED BUSINESS CERTIFICATION APPLICATION
PLEASE TYPE OR CLEARLY PRINT ALL INFORMATION
To Be Completed by the Vendor and Returned to the Purchasing Division
11. List the name and telephone number of one or more banking institutions to serve as reference for the vendor.
12. What is the latest Dun & Bradstreet number and rating on the vendor?
13. Is the vendor acting as an agent for some other individual, firm or corporation? If yes, attach statement of the
principal authorizing such representation. No Yes
By signing below and submitting this form, the vendor certifies and acknowledges that: 1) it has obtained all licenses,
certifications, and authorizations necessary to lawfully conduct business in the state of West Virginia; and 2) that the
assertions made by completing this form and delivering it to the Purchasing Division are accurate and true in accordanc
with the applicable law and rules. As authorized agent of the vendor named herein, I do solemnly swear that the above
information is true and complete, in accordance with West Virginia Code §5A-3-12(e).
In the event that the vendor is applying for certification as a small, women-, or minority-owned business, the vendor’s
signature below further certifies that: 1) the state in which the vendor has its headquarters or principal place of business
does not deny a like certification to a West Virginia based small, women-owned, or minority-owned business; 2)
state in which the vendor has its headquarters or principal place of business does not provide a preference to small,
women-owned, or minority-owned firms that is unavailable to West Virginia based businesses; and, 3) that it has read
and understands this form, along with the law and rules governing certification as a small, women-owned, or minority-
owned business.
Authorized Agent of Vendor (Print Name)
Authorized Agent (Signature)
Title
Date
PURCHASING DIVISION
USE ONLY
Vendor ID:
Check No. :
Memo No. :
Date:
Entered by:
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