ࡱ> ` xbjbj Ԁ rD,6,6,66t 7Uj7;:<<<<=>L?UAUAUAUAUAUAUfWhYAUu><<>>AU<<UBBB><<?UB>?UBBP0R<7 ``vG,6q?'R$3S U0UKRlZ?PlZHRlZR4>>B>>>>>AUAUIBX>>>U>>>>$(( To: Subject:Xerox Suppliers / Carriers Vendor Survey  In accordance with U.S. Government regulations, we are required to verify the business size and classification of our suppliers on a regular basis. As stated in FAC 90-3, contractors acting in good faith may rely on written representations by their subcontractors regarding their status as either a small business concern or a small business concern owned and controlled by socially and economically disadvantaged individuals. To aid us in validating / maintaining current supplier data records, please complete all fields using the definitions described on the reverse side of this form and return within ten (10) days. Note: Federal Law provides penalties for vendor misrepresentation of size and status. If you require assistance, contact the Program Coordinator at quinae.ewing@usa.xerox.com. This form needs to be completed and failure to return this data in a timely fashion could result in the misrouting or delay of payments and other correspondence. Thank you for your cooperation. Return to: Xerox Corporation Attn: PROGRAM MANAGER, MARKET ACCESS GLOBAL PURCHASING/MARKET ACCESS ATTENTION: ACCOUNTING DEPT. 800 PHILLIPS RD. BLDG. 205- 99 P WEBSTER, NY 14580  HYPERLINK "mailto:Beverly.Wilson@Xerox.com" Beverly.Wilson@Xerox.com FAX (585) 231-5895 Please Complete the Following Information Is your name and address correct? IF NO, PLEASE CORRECT BELOW: FORMCHECKBOX  Yes  FORMCHECKBOX  NoLegal AddressCompany Name  FORMTEXT      Street Address  FORMTEXT      City  FORMTEXT       State  FORMTEXT   Zip  FORMTEXT      Telephone Number ( FORMTEXT    )  FORMTEXT      E-Mail Address  FORMTEXT      Company WEB Address  FORMTEXT      Indicate MBE, WBE, SDB, VBE, SDVE, LGBT or HUBZone Certificate Level FORMCHECKBOX  Local (City/County)  FORMCHECKBOX  State  FORMCHECKBOX  Federal (SDB/8a)  FORMCHECKBOX  Agency  FORMCHECKBOX  WBENC/NAWBO FORMCHECKBOX  National Minority Supplier Development Council  FORMCHECKBOX  Veteran Business Enterprise  FORMCHECKBOX  Service Disabled Veteran Enterprise  FORMCHECKBOX  Lesbian, Gay, Bisexual and Transgender  FORMCHECKBOX  HUBZone  FORMCHECKBOX  Other  FORMCHECKBOX  Not Applicable (If responding NO to Questions 2-5)Please attach a copy of your certification!Business Type FORMCHECKBOX  Corporation  FORMCHECKBOX  Individual / Sole Proprietor  FORMCHECKBOX  Joint Venture  FORMCHECKBOX  Partnership  FORMCHECKBOX  Other (specify):  FORMTEXT      1099 Miscellaneous Form Required:  FORMCHECKBOX  Yes  FORMCHECKBOX  NoFor Xerox Use Only (Vendor #  FORMTEXT       Please answer questions 1 through 9 (see reverse) Business Size  FORMCHECKBOX  Small  FORMCHECKBOX  Large Minority-Owned & Controlled? (Does not include women-owned / controlled business. Does include Certified SDBs.) Black American  FORMCHECKBOX  Yes  FORMCHECKBOX  No Native American  FORMCHECKBOX  Yes  FORMCHECKBOX  No Hispanic American  FORMCHECKBOX  Yes  FORMCHECKBOX  No Asian Pacific American  FORMCHECKBOX  Yes  FORMCHECKBOX  No Asian Indian American  FORMCHECKBOX  Yes  FORMCHECKBOX  No Hasidic Jewish American (Not SDB)  FORMCHECKBOX  Yes  FORMCHECKBOX  No Woman-Owned and Controlled W  FORMCHECKBOX  Yes  FORMCHECKBOX  No Protected Workshop Z  FORMCHECKBOX  Yes  FORMCHECKBOX  No Service Disabled Veteran DAV  FORMCHECKBOX  Yes  FORMCHECKBOX  No 6. Veteran V  FORMCHECKBOX  Yes  FORMCHECKBOX  No 7. HUBZone R  FORMCHECKBOX  Yes  FORMCHECKBOX  No 8. Lesbian, Gay, Bisexual and Transgender LGBT  FORMCHECKBOX  Yes  FORMCHECKBOX  No 9. Other Business Classification: Government 2  FORMCHECKBOX  Yes  FORMCHECKBOX  No Utility 3  FORMCHECKBOX  Yes  FORMCHECKBOX  No Foreign-Owned 4  FORMCHECKBOX  Yes  FORMCHECKBOX  No USA-Owned with Offshore Build 5  FORMCHECKBOX  Yes  FORMCHECKBOX  No Other (Including Non-Profit) 6  FORMCHECKBOX  Yes  FORMCHECKBOX  No Tax I.D. (9 Digit) Required to ensure prompt payment (or Social Security No.)  FORMTEXT      Dun and Bradstreet Number  FORMTEXT      Principal Product or Service/NAICS Code  FORMTEXT      Please Sign Here: Your signature acknowledges that the information you supplied above is true to the best of your knowledgeOwner s Name (please type or print)  FORMTEXT      Owner s Signature Date Telephone Number ( FORMTEXT    )  FORMTEXT       Business Size / Classification - Definitions Small Business A Small Business Concern, including its affiliates, which is independently owned and operated, is not dominant in the field of operation in which it is competing and can further qualify under the criteria concerning the number of employees, average annual receipts, or other criteria as defined by the Small Business Act 3 and relevant regulations promulgated pursuant thereto. (See Code of Federal Regulations, Title 13, Part 121, as amended, which contains detailed industry definitions. Large Business Other than small. Disadvantaged-Owned and Controlled A Disadvantaged Business Concern is a business concern: which is at least 51% owned by one or more socially and economically disadvantaged individuals; or, in the case of any publicly-owned business, at least 51% of the stock of which is owned by one or more socially and economically disadvantaged individuals; and whose management and daily business operations are controlled by one or more such individuals. Socially and economically disadvantaged United States citizens include: Black Americans Native Americans (American Indians, Eskimos, Aleuts, and Native Hawaiians) Hispanic Americans (U.S. citizens whose origins are from Mexico, Puerto Rico, Cuba, Central America, South America, the Caribbean, and the Iberian Peninsula, including Portugal) Asian-Pacific Americans (U.S. citizens whose origins are from Japan, China, the Philippines, Vietnam, Korea, Samoa, Guam, the U.S. Territories of the Pacific, Northern Mariana Islands, Laos, Cambodia, or Taiwan) Asian-Indian Americans (U.S. citizens whose origins are from India, Pakistan or Bangladesh) Hasidic Jewish Americans Other minorities or any other individuals found to be disadvantaged by the Small Business Admin to be disadvantaged by the Small Business Administration pursuant to section 8(a) of the Small Business Act. Women-Owned and Controlled A business concern that is at least 51% owned by a woman or women who are U.S. citizens and who also control and operate the business. Women as a class are not considered to be socially and economically disadvantaged. Control in this context, means exercising the power to make policy decisions. Operate in this context, means actively involved in the day-to-day management. Protected Workshop A non-profit organization employing primarily handicapped persons. Service Disabled Veteran-Owned and Controlled (DBVE) A business concern that is at least 51% owned by a Service Disabled Veteran who is a U.S. citizen and who also controls and operates the business. 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