2017 ACG Central Texas Growth Awards Confidential Nomination Form Company: ____________________________ Company URL: __________________ Executive Contact: ___________________________ Address: ___________________________ ___________________________ Phone Number: ___________________________ Address: ___________________________ Nominating Person: ___________________________ Phone: ___________________________ Tell us a little your company and your growth strategies: (Feel free to attach any additional information or materials you care to.) Summary Metrics Fiscal Year Revenue Number of Employees EBITDA (US$ Million) (US$ Million) 2016 2015 2014 This information will be treated as Confidential by ACG Central Texas and will be used only for judging purposes. This information will not be further published or distributed in any way and only one secured archive copy will be retained after judging is completed. Please enter revenue and EBITDA amounts in $ million accurate to one decimal place (Example $ 10.5 million). Be sure that your 2016 revenue is above the minimum participation requirement of $10 million in 2016. Questions? Contact Melissa Morgan, V.P. of Awards @ (610) 639-9900 or Return completed form to Raul Rios, Partner at RSM US LLP 100 NE Loop 410, Suite 1100, San Antonio, TX 78216 -
2017 ACG Central Texas Growth Awards Confidential Nomination Form Company: ____________________________ Company URL: __________________ Executive Contact: ___________________________ Address: ___________________________ ___________________________ Phone Number: ___________________________ Address: ___________________________ Nominating Person: ___________________________ Phone: ___________________________ Tell us a little your company and your growth strategies: (Feel free to attach any additional information or materials you care to.) Summary Metrics Fiscal Year Revenue (US$ Million) Number of Employees EBITDA (US$ Million) 2016 2015 2014 This information will be treated as Confidential by ACG Central Texas and will be used only for judging purposes. This information will not be further published or distributed in any way and only one secured archive copy will be retained after judging is completed. Please enter revenue and EBITDA amounts in $ million accurate to one decimal place (Example $ 10.5 million). Be sure that your 2016 revenue is above the minimum participation requirement of $10 million in 2016. Questions? Contact Melissa Morgan, V.P. of Awards @ (610) 639-9900 or Return completed form to Raul Rios, Partner at RSM US LLP 100 NE Loop 410, Suite 1100, San Antonio, TX 78216 -