Company Name
*
Name
*
First Name
Last Name
Type of Entity
Sole Prop
Partnership
S-Corp
Corporation
LLC
LLP
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Federal Tax ID#
State of Incorporation
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone Number
*
(###)
###
####
Email
*
Website
Date Business was Established
MM
DD
YYYY
Industry
--
Accounting, Auditing & Bookkeeping Svc
Administrative & General Management Consulting Svc
Advertising Agencies
Advertising Material Distribution Svc
All Other Ambulatory Health Care Svc
All Other Amusement & Recreation Industries
All Other Automotive Repair & Maint.
All Other Business Support Svc
All Other Chemical Product & Preparation Mfg.
All Other Consumer Goods Rental
All Other Crop Farming
All Other General Merchandise Stores
All Other Grain Farming
All Other Home Furnishings Stores
All Other Leather Good Mfg.
All Other Legal Svc
All Other Miscellaneous Food Mfg.
All Other Miscellaneous Health Practitioners Offices
All Other Miscellaneous Machinery Mfg.
All Other Miscellaneous Mfg.
All Other Miscellaneous Other Lighting Equipment Mfg.
All Other Miscellaneous Schools & Instruction
All Other Miscellaneous Store Retailers
All Other Miscellaneous Textile Product Mills
All Other Miscellaneous Wood Product Mfg.
All Other Nondepository Credit Intermediation
All Other Outpatient Care Centers
All Other Personal Svc
All Other Plastics Product Mfg.
All Other Publishers
All Other Specialty Food Stores
All Other Specialty Trade Contractors
All Other Support Activities for Transportation
All Other Support Svc
All Other Telecommunications
All Other Transit & Ground Passenger Transportation
All Other Transportation Equipment Mfg.
All Other Travel Arrangement & Reservation Svc
Amusement & Theme Parks
Animal Slaughtering
Appliance Repair & Maint.
Architectural Svc
Armored Car Svc
Art Dealers
Artificial,Synthetic Fibers & Filaments Mfg.
Arts, Entertainment & Recreation
Asphalt Shingle & Coating Materials Mfg.
Audio & Video Equipment Mfg.
Automobile & Other Motor Vehicle Merchant Wholesalers
Automotive Body, Paint & Interior Repair & Maint.
Automotive Exhaust System Repair
Automotive Oil Change & Lubrication Shops
Automotive Parts & Accessories Stores
Automotive Transmission Repair
Baked Goods Stores
Banking
Beauty Salons
Bed-&-Breakfast Inns
Beer, Wine, & Liquor Stores
Blood & Organ Banks
Boat Dealers
Book Stores
Bowling Centers
Brick, Stone & Related Const. Material Merchant Wholesalers
Building Inspection Svc
Business Associations
Business to Business Electronic Markets
Carpet & Upholstery Cleaning Svc
Casinos
Caterers
Cattle Feedlots
Certified Public Accountants Offices
Chicken Egg Production
Child Day Care Svc
Claims Adjusting
Clothing Accessories Stores
Coal Mining Support Activities
Coffee & Tea Mfg.
Collection Agencies
Commercial & Institutional Building Const.
Commercial Electrical Lighting Fixture Mfg.
Commercial Photography
Commercial Printing
Commercial Screen Printing
Commercial Transportation Equipment Rental & Leasing
Computer & Office Machine Repair & Maint.
Computer Equipment & Software Merchant Wholesalers
Computer Facilities Management Svc
Computer Systems Design Svc
Computer Terminal & Peripheral Equipment Mfg.
Confectionery Merchant Wholesalers
Const., Mining & Forestry Machinery,Equipment Rental & Leasing
Const.,Mining Machinery & Equipment Merchant Wholesalers
Consumer Electronics Repair & Maint.
Continuing Care Retirement Communities
Convenience Stores
Convention & Trade Show Organizers
Conveyor & Conveying Equipment Mfg.
Cosmetics, Beauty Supplies & Perfume Stores
Couriers & Express Delivery Svc
Court Reporting & Stenotype Svc
Crop Harvesting
Crude Petroleum Extraction
Custom Computer Programming Svc
Cut Stone & Stone Product Mfg.
Dairy Product Merchant Wholesalers
Data Processing, Hosting & Related Svc
Dental & Hospital Equipment & Supplies Merchant Wholesalers
Department Stores
Direct Mail Advertising
Direct Property & Casualty Insurance Carriers
Dog & Cat Food Mfg.
Doll, Toy, & Game Mfg.
Drinking Places
Drugs & Druggists' Sundries Merchant Wholesalers
Drycleaning & Laundry Svc
Drywall & Insulation Contractors
Educational Support Svc
Elderly & Persons with Disabilities Svc
Elderly Assisted Living Facilities
Electrical Contractors & Other Wiring Installation Contractors
Electrical,Wiring Supplies & Related Equipment Merchant Wholesalers
Electronics Stores
Elementary & Secondary Schools
Employment Placement Agencies
Engineering & Life Sciences Research & Development
Engineering Svc
Environment, Conservation & Wildlife Organizations
Exterminating & Pest Control Svc
Fabricated Pipe & Pipe Fitting Mfg.
Facilities Support Svc
Family Clothing Stores
Farm Labor Contractors
Farm Machinery & Equipment Mfg.
Farm Management Svc
Farm Product Warehousing & Storage
Farm Supplies Merchant Wholesalers
Farm,Garden Machinery & Equipment Merchant Wholesalers
Fastener, Button, Needle & Pin Mfg.
Financial Transactions Processing & Clearinghouse Activities
Fine Arts Schools
Finish Carpentry Contractors
Fish & Seafood Markets
Fish & Seafood Merchant Wholesalers
Fitness & Recreational Sports Centers
Floor Covering Stores
Flooring Contractors
Floriculture Production
Florists
Food Service Contractors
Food Supplement Stores
Footwear & Leather Goods Repair
Footwear Mfg.
Framing Contractors
Freight Transportation Arrangement
Frozen Fruit & Vegetable Mfg.
Frozen Specialty Food Mfg.
Fruit & Vegetable Merchant Wholesalers
Fuel Dealers
Full-Service Restaurants
Funeral Homes & Svc
Furniture Merchant Wholesalers
Furniture Stores
Gasoline Stations with Convenience Stores
General Automotive Repair
General Freight Trucking, Local
General Freight Trucking, Long-Distance, Less Than Truckload
General Freight Trucking, Long-Distance, Truckload
General Line Grocery Merchant Wholesalers
General Medical & Surgical Hospitals
General Warehousing & Storage
Gift, Novelty & Souvenir Stores
Glass & Glazing Contractors
Golf Courses & Country Clubs
Granite Mining & Quarrying
Graphic Design Svc
Hardware Merchant Wholesalers
Hardware Mfg.
Highway & Bridge Const.
Hobby, Toy, & Game Stores
Home Centers
Home Furnishing Merchant Wholesalers
Home Health Care Svc
Hotels & Motels
Household Appliance Stores
Human Resources Consulting Svc
Independent Artists, Writers & Performers
Industrial & Commercial Equipment Mfg.
Industrial Building Const.
Industrial Machinery & Equipment Merchant Wholesalers
Industrial Machinery & Equipment Repair & Maint.
Industrial Service Paper Merchant Wholesalers
Industrial Supplies Merchant Wholesalers
Inland Water Passenger Transportation
Institutional Furniture Mfg.
Insurance Agencies & Brokerages
Interior Design Svc
Internet Publishing,Broadcasting Portals
Interurban & Rural Bus Transportation
Investigation Svc
Investment Advice
Investment Banking & Securities Dealing
Iron,Steel Mills & Ferroalloy Mfg.
Janitorial Svc
Jewelry Stores
Junior Colleges
Land Subdivision
Landscape Architectural Svc
Landscaping Svc
Lessors of Residential Buildings & Dwellings
Limited-Service Restaurants
Limousine Service
Local Messengers & Local Delivery
Locksmiths
Logging
Lumber,Millwork & Wood Panel Merchant Wholesalers
Machine Shops
Machine Tool Mfg.
Manufactured Home Dealers
Marketing Consulting Svc
Marketing Research & Public Opinion Polling
Masonry Contractors
Materials Recovery Facilities
Meat Markets
Meat Processed from Carcasses
Media Buying Agencies
Media Equipment Mfg.
Medical Laboratories
Medicinal & Botanical Mfg.
Men's Clothing & Furnishings Merchant Wholesalers
Men's Clothing Stores
Men's Cut & Sew Apparel Mfg.
Metal Household Furniture Mfg.
Metal Mining Support Activities
Metal Service Centers & Other Metal Merchant Wholesalers
Mining Machinery & Equipment Mfg.
Miscellaneous Intermediation
Mobile Food Svc
Motion Picture & Video Distribution
Motion Picture & Video Production
Motor Vehicle Parts Merchant Wholesalers
Motor Vehicle Supplies & New Parts Merchant Wholesalers
Motor Vehicle Towing
Motorcycle, ATV & Other Motor Vehicle Dealers
Mushroom Production
Nail Salons
Natural Gas Distribution
New Car Dealers
New Housing For-Sale Builders
New Multifamily Housing Const.
New Single-Family Housing Const.
Nonmetallic Minerals Mining Support Activities
Nonresidential Property Managers
Nonupholstered Wood Household Furniture Mfg.
Nursery, Garden Center & Farm Supply Stores
Nursing Care Facilities
Office Administrative Svc
Office Equipment Merchant Wholesalers
Office Furniture Mfg.
Offices of Chiropractors
Offices of Dentists
Offices of Lawyers
Offices of Mental Health Practitioners
Offices of Optometrists
Offices of Physicians
Offices of Physicians, Mental Health Specialists
Offices of Real Estate Agents & Brokers
Oil & Gas Operations Support Activities
Ornamental & Architectural Metal Work Mfg.
Other Accounting Svc
Other Activities Related to Real Estate
Other Airport Operations
Other Animal Food Mfg.
Other Apparel Knitting Mills
Other Automotive Mechanical,Electrical Repair & Maint.
Other Building Equipment Contractors
Other Building Material Dealers
Other Business Service Centers
Other Chemical Products Merchant Wholesalers
Other Civil Engineering Const.
Other Clothing Stores
Other Communications Equipment Mfg.
Other Computer Related Svc
Other Concrete Product Mfg.
Other Const. Material Merchant Wholesalers
Other Electronic & Precision Equipment Repair & Maint.
Other Electronic Parts & Equipment Merchant Wholesalers
Other Engine Equipment Mfg.
Other Fabricated Metal Product Mfg.
Other Financial Vehicles
Other Foundation, Structure,Building Exterior Contractors
Other Gasoline Stations
Other Grantmaking & Giving Svc
Other Grocery Products Merchant Wholesalers
Other Holding Companies Offices
Other Household Goods Repair & Maint.
Other Individual & Family Svc
Other Industrial Machinery & Equipment Rental & Leasing
Other Lighting Equipment Mfg.
Other Management Consulting Svc
Other Millwork
Other Miscellaneous Durable Goods Merchant Wholesalers
Other Miscellaneous Nondurable Goods Merchant Wholesalers
Other Motion Picture & Video Industries
Other Noncitrus Fruit Farming
Other Nonhazardous Waste Treatment & Disposal
Other Performing Arts Companies
Other Personal Care Svc
Other Professional Equipment & Supplies Merchant Wholesalers
Other Professional, Scientific & Technical Svc
Other Residential Care Facilities
Other Scientific & Technical Consulting Svc
Other Service Industry Machinery Mfg.
Other Social Advocacy Organizations
Other Specialized Design Svc
Other Specialty trade contractors
Other Spectator Sports
Other Svc
Other Svc Related to Advertising
Other Svc to Buildings & Dwellings
Other Technical & Trade Schools
Other Vegetable Farming
Other Waste Collection
Outpatient Mental Health & Substance Abuse Centers
Packaging & Labeling Svc
Paint & Coating Mfg.
Painting & Wall Covering Contractors
Parking Lots & Garages
Passenger Car Leasing
Payroll Svc
Periodical Publishers
Perishable Prepared Food Mfg.
Pet & Pet Supplies Stores
Pet Care Svc
Petroleum & Petroleum Products Merchant Wholesalers
Petroleum Lubricating Oil & Grease Mfg.
Pharmaceutical Preparation Mfg.
Pharmacies & Drug Stores
Photographic Equipment & Supplies
Photography Studios, Portrait
Physical, Speech Therapists & Audiologists Offices
Piece Goods, Notions & Other Dry Goods Merchant Wholesalers
Plate Work Mfg.
Plumbing,Heating Equipment & Supplies Merchant Wholesalers
Plumbing,Heating,Air-Conditioning Contractors
Portfolio Management
Poured Concrete Foundation & Structure Contractors
Power, Communication Line & Related Structures Const.
Printed Circuit Assembly Mfg.
Printing Machinery & Equipment Mfg.
Private Households
Process, Physical Distribution & Logistics Consulting Svc
Professional Employer Organizations
Professional Organizations
Psychiatric & Substance Abuse Hospitals
Public Relations Agencies
Real Estate Credit
Recreational Goods Rental
Recreational Vehicle Dealers
Recyclable Material Merchant Wholesalers
Remediation Svc
Residential Mental Health & Substance Abuse Facilities
Residential Remodelers
Retail Bakeries
Reupholstery & Furniture Repair
Rolled Steel Shape Mfg.
Roofing Contractors
Sawmills
School & Employee Bus Transportation
Security Guards & Patrol Svc
Security Systems Svc
Semiconductor & Related Device Mfg.
Septic Tank & Related Svc
Sewer Line & Related Structures Const.
Sheet Metal Work Mfg.
Shoe Stores
Siding Contractors
Sign Mfg.
Site Preparation Contractors
Snack & Nonalcoholic Beverage Bars
Software Publishers
Solar Electric Power Generation
Solid Waste Collection
Solid Waste Landfill
Specialized Freight Trucking, Local
Specialized Freight Trucking, Long-Distance
Specialty Canning
Specialty Hospitals
Spice & Extract Mfg.
Sporting Goods Stores
Sporting,Recreational Goods & Supplies Merchant Wholesalers
Sports & Recreation Instruction
Stationery & Office Supplies Merchant Wholesalers
Structural Steel & Precast Concrete Contractors
Supermarkets & Other Grocery Stores
Support Activities for Rail Transportation
Surgical & Medical Instrument Mfg.
Surgical Appliance & Supplies Mfg.
Surveying & Mapping Svc
Tax Preparation Svc
Telephone Apparatus Mfg.
Temporary Help Svc
Testing Laboratories
Third Party Administration of Insurance & Pension Funds
Tile & Terrazzo Contractors
Timber Tract Operations
Tire & Tube Merchant Wholesalers
Tire Dealers
Tire Mfg.
Tobacco Stores
Tour Operators
Translation & Interpretation Svc
Travel Agencies
Truck Trailer Mfg.
Truck, Utility Trailer, & RV Rental & Leasing
Upholstered Household Furniture Mfg.
Used Car Dealers
Used Household & Office Goods Moving
Used Merchandise Stores
Veterinary Svc
Vocational Rehabilitation Svc
Water Supply & Irrigation Systems
Welding & Soldering Equipment Mfg.
Wheat Farming
Wholesale Trade Agents & Brokers
Wine & Distilled Alcoholic Beverage Merchant Wholesalers
Wireless Telecommunications Carriers
Women's Clothing Stores
Wood Container & Pallet Mfg.
Wood Kitchen Cabinet Mfg.
Sector
--
Accommodation and Food Services
Administrative and Support and Waste Management and Remediation Services
Agriculture, Forestry, Fishing and Hunting
Arts, Entertainment, and Recreation
Construction
Educational Services
Finance and Insurance
Health Care and Social Assistance
Information
Management of Companies and Enterprises
Manufacturing
Mining
Other Services (except Public Administration)
Professional, Scientific, and Technical Services
Real Estate Rental and Leasing
Retail Trade
Transportation and Warehousing
Utilities
Wholesale Trade
Use of Funds