Company Profile Form provided by Ellington Management Services, Inc.

Support for small business enterprises in obtaining project awards and contracts

Establishes Joint Ventures, Partnerships, Mergers and LLC relationships for contract acquisition

Monitors the success of economic and diversity inclusion with a project

Maximizes notification of opportunities and participation for the small business enterpreneur

Company Name *

Address *

City *

State *

Zip Code *

County *

Business Phone Number *

Cell Phone Number *

Fax Number *

Secondary Fax Number *

Email Address *

Your Name *

First

Last

Title *

Principal/Owner's Name *

First

Last

Gender *

Company Tax ID *

Minority Classification *

Other Minority Classification (if not listed above) *

Years In Business *

Type of Business *

SIC Code(s) (hit enter after each code) *

Services (provide a general description of services/expertise) *

Company *

Your Role *

Location of the Project *

Remaining time on Project *

Details of the Project *

Company *

Your Role *

Location of the Project *

Remaining time on Project *

Details of the Project *

Company *

Your Role *

Location of the Project *

Remaining time on Project *

Details of the Project *

Company *

Your Role *

Location of the Project *

Remaining time on Project *

Details of the Project *

What is your target volume for a single project, measured in dollars? *

Does your company have a business plan? *

Yes No

Would you like to explore partnerships/JVs/LLCs/strategic alliances? *

Yes No

What minority business supplier(s) are you currently doing business with? (For example, accounting, construction, delivery services, printing, etc.) *

Regional Database Company Profile System

Company Profile Form