MBE Application
Date of Formation
Business Type
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New Business
Acquisition
Franchise
Merger or Consolidation
Other
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Legal Structure
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Limited Liability Company
Corporation
Partnership
Sole Proprietorship
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Is this a Home Based Business?
Yes
No
Minority Ownership Percentage
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0-25%
25-49%
50%
51% or above
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Distribution Area:
Local
Regional
National
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MBE Type
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Listed
Registered
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