Supplier Diversity Bennett International Group’s Diversity department is dedicated to partnering with suppliers and government agencies that seek women-owned businesses to gain competitive advantage in today’s global marketplace. We are here to help you find the right solution for your transportation and logistics need. Company InformationCompany name*Address*Street AddressAddress Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodeContact Name*FirstLastPhone*Email*WebsiteType of product(s) or service(s) offered:*Company type*ConsultantDistributorManufacturerServiceNonprofit 501(c)OtherYear business established*Annual Sales (past 3 years starting with most recent complete fiscal year)Year 1*Year 2*Year 3*Geographical service area (check all that apply)*West coast (CA, OR, WA, ID, NV, AZ, UT)South central (CO, TX, OK, LA, MS, MO, NM, AR)North central (IL, IN, MI, OH, WI, IA, KS, NE, WY, SD, ND, MT, MN)Southeast (AL, FL, GA, KY, MI, NC, SC, TN)Northeast (DE, MD, PA, VA, WV, NY, NJ, CT, ME, MA, NH, RI, VT, DC)InternationalStandard industrial classification system (NAICS) code (click here to search for your code):NAICS #(s)* Dun & Bradstreet (D-U-N-S) #:Federal tax ID#:*# of employees:*# of minority employees:Company classification*Are you 51% owned/operated by one of the following diverse groups: (Contact the nearest U.S. Small Business Admin. office (S.B.A.) for guidance if you have questions)*Large BusinessSmall BusinessForeign OwnedNon-Profit BusinessPlease check all that applyMinority-owned business enterprise(1)African AmericanHispanic AmericanAsian Indian AmericanNative AmericanAsian Pacific AmericanMulti-Cultural, OtherWomen-owned business enterprise(2)Small disadvantaged business (SDB)Disabled ownedHUBZone8(A) designationDisadvantaged veteran enterprise (DVE)Disabled veteran business enterprise (DVBE)Service disabled veteran (SDV)Veteran business enterprise (VBE)Vietnam veteranHistorically black colleges and universities and minority institutionsN/APrinciple Owner(s) - Please fill in at least one principal owner.*NameTitle% Ownership *Has your business been certified as minority or women owned by any government agency or private agency? *YesNoIf yes, then please select the name of the certifying organization:National Minority Supplier Development CouncilWomen's Business Enterprise National CouncilSmall Business AdministrationOffice of Small Business Certification and ResourcesAssociation for Service Disabled VeteransOtherIIf you selected "other" please fill in the name of the certifying organization:I certify to Bennett International Group that the information provided is true and correct and that I will advise Bennett if our classification should change:Name*Title*Phone*1) MINORITY BUSINESS ENTERPRISE, means a business that (1) is at least 51 percent owned by one or more minority individuals, or a publicly owned business having at least 51 percent of its stock owned by one or more minority individuals, and (2) that minority person or persons is actively involved in the day-to-day management and operation, AND is involved in policy decision-making.2) WOMEN-OWNED BUSINESS ENTERPRISE, means a business that (1) is at least 51 percent owned by a woman or women or a publicly owned business having at least 51 percent of its stock owned by one or more women, and (2) that woman or women is actively involved in the day-to-day management and operation, AND is involved in policy decision-making.