BBOC’s BLACK BUSINESS CENSUS
For Black-owned businesses located in, or doing business in, Mecklenburg County!
Business Owner
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First Name
Last Name
Business Name
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When did you start your business? Example: 4/10/2018
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What is your Business Structure: Sole Entrepreneur, LLC, Non-Profit, S-Corp, C-Corp, Partnership?
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Contact Number
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E-mail
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example@example.com
Website
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Please provide a Social Media url of you do not have a website. ( For Example: Https://www.Facebook.com/BBOC )
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Demographic Ownership
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Black-Owned
Woman-Owned
Veteran-Owned
Disabled-Owned
Other
Business Location:
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Physical Location: Own Property
Physical Location: Rent Property
Online Business: Home-based (Home owner)
Online Business: Home-based (Rent Home)
Online Business: Co-working Space
Other
Who is your Target Audience? (Demographically: Age, Race etc), )
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Do you sell Product(s), Service(s), or both? Please Describe in detail Below.
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Type of Business
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Please Select
General Business Categories:
Advertising & Media
(Publishers, Public Relations, Marketing)
Auto & Motorcycle
(Automobile Dealers, Auto Body & Painting, Auto Clubs, more...)
Business & Professional Services
(Business Coaching, Consulting, Business Services)
Computers & Telecommunications
(Computer/IT Services, Telecommunications)
Construction & Building Services
(General Contractors, Construction, Engineers, Architects)
Education
(Colleges & Universities, Educational Services, K-12 Schools)
Entertainment
(Arts, Entertainment, Recreation, Travel, Events, Museums)
Non-Profit Organizations
(Family, Community & Civic Organizations)
Finance & Insurance
(Banks, Financial Advisors, Insurance)
Government
(Government)
Health & Fitness
(Medical Centers & Clinics, Dentists)
Home & Garden
(Home & Garden, Remodeling - Bath & Kitchen)
Hospitality
(Hotels & Motels, Event & Meeting Facilities, Resorts)
Legal
(Legal Services, Divorce/Family Law)
Personal Services & Care
(Salons & Spas, Funeral Homes, Driver Training, more...)
Public Utilities & Environment
(Utilities, Internet, Cable)
Real Estate, Moving & Storage
(Residential, Commercial, Moving, Storage)
Restaurants
(Full Service, Casual Dining, Fast Food)
Shopping & Retail
(Appliances, Clothing Apparel, Accessories, more...)
Sports & Recreation
(Golf Courses & Country Clubs, Sports Facility, Sports Teams)
Transportation
(Automobile & Truck Rental, Airport Parking) Others, please specify below.
What is your Average Annual Revenue?
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Annual revenue is the amount of money a company makes during a given 12-month period from the sale of products and services. Annual revenue is total sales before any deductions for the cost of the inventory you sold or business expenses
What is your Average Cost of Inventory & Expenses for the year?
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Annual revenue is the amount of money a company makes during a given 12-month period from the sale of products and services. Annual revenue is total sales before any deductions for the cost of the inventory you sold or business expenses
Number of Full-Time, Part-Time, & 1099 Workers?
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Example: Full-Time: O , Part-Time: 4, 1099: 10
Are you a certified vendor with the City of Charlotte, Mecklenburg County, or the Stare of NC? If so, which demographic category are you registered? Feel free to List any other Certifications like ByBlack.us.
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What percentage of the company is owned by you? 100%, 50%, 25%, Less than 25%, etc
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List the names of owners, and their % of ownership, if applicable.
What is Your Website & Social Media Handle(s)? Sample Format: Https://www.BBOCLT.com Https://Facebook.com/YOURBUSINESS IG @OfficialBBOCLT
What are your Greatest Challenges as a Business Owner?
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In the past 6 months have you experienced a business-related emergency or hardship that has drastically impacted your business? If So, Please discuss in detail. (For Example: My business experienced a break-in (or fire etc) and our insurance did not cover 40% of damages. This has resulted in my business being open less days, a loss of $21,000 when compared to ytd profits…. An increase in customer complaints, etc)
How can BBOC, the City, County and other local orgs, better assist your business ?
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List local Organizations you rely on for Business-related services, resources, & assistance and services provided to your business. (If Applicable)
Ex: BBOC-Marketplace & Events, Women’s Center of Charlotte-Workshops, Foundation For Carolina’s-Grants
Ex: Promo Card
If You Would Like for BBOC to create you a promo card (see above), please provide us your LOGO! We will send within 48hours and ask that you share on your social media accounts and urge fellow BOB’s to register. BBOC will also share your promo card on our social media account(s) as a Thank You!
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Data Release Notice: BBOC’s Black Business Census will ensure the City, County, Local, & National Organizations have the most up-to-date data related to Black-Owned businesses located in Mecklenburg County. BBOC may publicize overall data and statistics, and may provide overall data and statistics to partners including; The City of Charlotte, Mecklenburg County and Official BBOC Partners. However, BBOC will not publicize or share your individual business information, with the city, county or partners without your direct permission. When and if permission is needed, BBOC will contact you and request your permission. Please confirm you have read and fully understand this Data Release Notice by Typing Your Full Name Below
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