A list of items required for HUBZone Certification

A list of Items required for HUBZone Certification

1. SAM, SBA DSBS and DUNS profiles (all registrations must match address of principal office of the firm).

2. Identification of Primary NAICS code for firm.

3. Identification of Principal Office, Other Offices, Jobsites and Business mailing address if different from principal office address. Also provide the days and hours each office is staffed.

4. Average number of employees on the payroll during the last 12 calendar months.

5. Lease/rental agreement for principal office and any other offices. The lease agreement must identify the full name of the business and the address indicated as the principal office. If the location is a residence, a copy of the deed must be provided.

6. Liability Insurance for principal office.

7. Utility bill or Telephone bill (for period covering date of electronic submittal). This bill must identify the full name of the business and the address indicated as the principal office.

8. A copy of the most recent Balance Sheet and Income Statement for firm.

9. Last three (3) years of business’ tax returns, including all schedules and attachments, or as many as the firm has, if less than 3 years for the applicant firm.

10. Last three (3) years of business’ tax returns, including all schedules and attachments, or as many as the firm has, if less than 3 years for all affiliate firms.

11. Most recent personal Federal tax return for all owners, including all schedules,  attachments and W-2’s.

12. Citizenship documentation of all business owner(s) that are U.S. citizens

13. Payroll report covering date of electronic submission.

14. Does the company have an ESOP plan? Copy of ESOP plan must be provided, if applicable.

15. Does the company have any Joint Venture agreements? Copy of Join Venture plan must be provided, if applicable. Additional information may be needed on the JV and any affiliates.

16. For anyone who is a stock holder, board member or officer – do they have ownership or hold a position in another company? If yes, they must provide the last three years of taxes for each company identified. Additional information may be needed, if the primary NAICS code is a based upon employees vs. dollars.

If the Firm is a Corporation:

1. Copy of firms Articles of Incorporation and any amendments and foreign filings

2. Copy of any DBA or Fictitious Business Name Filings

3. Copies of all issued/cancelled stock certificates (front and back), and stock ledger

4. Corporate Bylaws and any amendments

5. Current Certificate of Good Standing from each state you operate within

6. Listing of all current board members

If the firm is a Limited Liability Company (LLC)

1. Copy of the firms Articles of Organization and any amendments and foreign filings

2. Copy of any DBA or Fictitious Business Name Filings

3. Copy of the firms Operating Agreement and any amendments

4. Current Certificate of Good Standing from each state you operate within

If the firm is a Partnership

1. Copy of the firms Partnership Filing and any amendments and foreign filings

2. Copy of any DBA or Fictitious Business Name Filings

3. Partnership Agreement and any amendments

4. Current Certificate of Good Standing from each state you operate within

If the firm is a Sole Proprietor

1.Copy of any DBA or Fictitious Business Name Filings

All other information required:

1. HUBZone maps of employees’ home address

2. Most recent State Unemployment tax filing/report and Federal Form 941

3. Valid (unexpired) Drivers License, DMV ID or voter registration cards for each employee residing in a HUBZone

4. Provide a listing of any paid or unpaid owners, for salary or hourly employees or any other individuals who work for the firm. List should include full name, home address, number of hours worked per week and work location(principal office, other office, or job site).

5. Identify if there are any shared employees, shared facilities or equipment, shared licenses required to do business or bonding assistance between the applicant firm and any affiliates.

6.If you use independent contractors, you must provide:

a. The complete name(s) of all independent contractor(s); b. Signed copies of all executed contracts; c. Detailed description of work performed by all independent contractors including the number of hours work, the type of work performed, and where they perform their work. d. Copies of all invoices from the independent contractors, and proof of payment for all invoices; e. If any of the independent contractors have or have had in the past, business cards issued by your firm, please provide a copy of the business card; f. If any of the independent contractors have email accounts issued to them by your firm, please provide the individual’s email address.

7.Signed and Notarized HUBZone Program Certification Signature Sheet

For more information and assistance with your HUBZone Application, please call us at 813-333-5800 or visit http://www.cloveer.com/hubzoneapplication.html.