The City of New York Mayor's Office of Contract Services To be completed by the City Agency prior to distribution Doing Business Accountability Project Agency: Transaction ID: Transaction Type (check one): Check One: Doing Business Economic Data Form Agreement Proposal Pension Contract Investment Contract Award Grant Any entity receiving, applying for or proposing on an award or agreement must complete a Doing Business Data Form (see Q&A sheet for more information). Please either type responses directly into this fillable form or print answers by hand in black ink, and be sure to fill out the certification box on the last page. Submission of a complete and accurate form is required for a proposal to be considered responsive or for any entity to receive an award or enter into an agreement. This Data Form requires information to be provided on principal officers, owners and senior managers. The name, employer and title of each person identified on the Data Form will be included in a public database of people who do business with the City of New York; no other information reported on this form will be disclosed to the public. This Data Form is not related to the City's VENDEX requirements. Please return the completed Data Form to the City Agency that supplied it. Please contact the Doing Business Accountability Project at or 212-788-8104 with any questions regarding this Data Form. Thank you for your cooperation. Section 1: Entity Information Entity Name: Entity EIN/TIN: Entity Filing Status (select one): Entity has never completed a Doing Business Data Form. Fill out the entire form. Change from previous Data Form dated . Fill out only those sections that have changed, and indicate the name of the persons who no longer hold positions with the entity. No Change from previous Data Form dated . Skip to the bottom of the last page. Entity is a Non-Profit: Yes No Entity Type: Corporation (any type) Joint Venture Sole Proprietor Other (specify): LLC Partnership (any type) Address: City: State: Zip: Phone: Fax:
The City of New York Mayor's Office of Contract Services Doing Business Accountability Project To be completed by the City Agency prior to distribution Agency: Transaction ID: Check One: Transaction Type (check one): Doing Business Data Form Proposal Award Contract Grant Economic Agreement Pension Investment Contract Any entity receiving, applying for or proposing on an award or agreement must complete a Doing Business Data Form (see Q&A sheet for more information). Please either type responses directly into this fillable form or print answers by hand in black ink, and be sure to fill out the certification box on the last page. Submission of a complete and accurate form is required for a proposal to be considered responsive or for any entity to receive an award or enter into an agreement. This Data Form requires information to be provided on principal officers, owners and senior managers. The name, employer and title of each person identified on the Data Form will be included in a public database of people who do business with the City of New York; no other information reported on this form will be disclosed to the public. This Data Form is not related to the City's VENDEX requirements. Please return the completed Data Form to the City Agency that supplied it. Please contact the Doing Business Accountability Project at or 212-788-8104 with any questions regarding this Data Form. Thank you for your cooperation. Section 1: Entity Information Entity Name: Entity EIN/TIN: Entity Filing Status (select one): Entity has never completed a Doing Business Data Form. Fill out the entire form. Change from previous Data Form dated . Fill out only those sections that have changed, and indicate the name of the persons who no longer hold positions with the entity. No Change from previous Data Form dated . Skip to the bottom of the last page. Entity is a Non-Profit: Yes No Entity Type: Corporation (any type) Sole Proprietor Joint Venture Other (specify): LLC Partnership (any type) Address: City: State: Zip: Phone: Fax:
FY16_Over_100K_Single_Final_9-18-15.docx