Minority and Women Business Enterprises
Skip to Main Content

Bypass navigation bar
Register My MWBE

User Information
          Your e-mail will be your user name.
   


General Information
09/24/2017
   


Complete if firm does business under an assumed or trade name that is different from its legal name
Business Address
   
   
   
   
Mailing Address

   
Contact Person
   
   
   

   
      

Business Qualification and Status
My company is registering for: (Refer to Chapter 308 of the Laws of Westchester County to determine the appropriate designation for your company).*
Group Status: Specify your group status and percentage of company ownership.*
(Chapter 308 of the Laws of Westchester County requires at least 51% ownership by one or more people of color or
women in order to qualify as an MBE or WBE).    
%
%
%
%
%
Type of Ownership:*
Corporation Partnership Sole Proprietorship
Use the codes below for the next two questions. Refer to Chapter 308 of the Laws of Westchester County for definitions.
 01- Black 02- Hispanic 03a- Asian/Pacific Islander
 03b- Asian-Indian 04- Native American/Alaskan Native 05- Woman

List the names of current owners, percentage of ownership and group codes. (At least one is required.) *
First Name Last Name Percentage Ownership Group Code
List the names of directors, officers and/or managers who participate in the day-to-day management of the firm, their position, duties and responsibilities.
(At least one is required. This can be the same as above, but it must be entered here too.)*
First Name Last Name Position Duties and Responsibilities Group Code

Business Information
Nature of Your Business:*
      Check all that apply.
Briefly describe your business. Please be specific in terms of the scope of business. * (Enter up to 1500 characters.):
Number of full-time employee(s):*

Number of part-time employee(s):*

If you would like to be considered as a Disadvantaged Business Enterprise , please complete this question. Did your business earn less than $1.32M in gross revenues last year ?:
Net income of firm last fiscal year:
$
Net worth of firm:
$
State any changes that have occured in ownership and management of the firm since its inception. (Enter up to 1500  characters.)
Is the firm certified with New York state as a*:

If the firm is state certified as an MBE and/or WBE, please provide the certification number.
Are you a certified DBE (Disadvantaged Business Enterprise?)
What is your NAICS Code(s)?