Supplier Diversity Initiative

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1 Page 1 f 5 SUPPORTING DOCUMENTS CHECKLIST Supplier Diversity Initiative New Businesses Seeking Certificatin Step 1: NGLCC Infrmatinal Dcuments! Prf f membership f NGLCC Affiliate Chamber (i.e. yur lcal/nearest LGBT chamber) Step 2: LGBT Status Dcuments f Business / Enterprise Owner(s) " Prf f U.S. citizenship r Permanent Resident status:! LGBT Status: Passprt (Valid) Birth certificate Green card Our supplier diversity crprate partners have made a cmmitment t buying back frm the LGBT cmmunity. We ask fr status qualifiers t establish LGBT identity in a fair and transparent way, and t demnstrate t ur stakehlders that we are wrking n behalf f actual LGBT business wners. If yu have any questins r cncerns, please d nt hesitate t cntact supplierdiversity@nglcc.rg. " Letter frm NGLCC Affiliate Chamber verifying LGBT status, signed by rganizatin leader r bard member. OR " Demnstrated histry f membership in the LGBT cmmunity r f being in a samesex relatinship, partnership r marriage (SEE APPENDIX B ON PAGE 4) Step 3: Business / Enterprise Dcuments Based n yur particular business structure, please submit all f the dcuments under the relevant structure. C-CORPORATION " CORPORATION: " Brief histry f business (startups submit brief business plan) " Resume f wner(s) " Frm 1120 Schedule G Certifying LGBT Businesses. Cnnecting Our Cmmunities TH STREET NW, 9TH FL, WASHINGTON, DC P F nglcc.rg!

2 Page 2 f 5 " Certificate f incrpratin " Articles f Incrpratin " Minutes f first bard meeting establishing current wnership (prprietary infrmatin may be redacted) " Minutes frm mst recent meeting f sharehlders (prprietary infrmatin may be redacted) " Minutes frm mst recent meeting f the Bard (prprietary infrmatin may be redacted) " Crprate bylaws " Cpies f stck certificates (bth sides) r prf f stck purchase r equity agreement by LGBT wner(s) and/r currents stck transfer ledger S-CORPORATION " Brief histry f business (startups submit brief business plan) " Resume f wner(s) " Frm 1120s Schedule K " Certificate f incrpratin " Articles f Incrpratin " Minutes f first bard meeting establishing current wnership (prprietary infrmatin may be redacted) " Minutes frm mst recent meeting f sharehlders (prprietary infrmatin may be redacted) " Minutes frm mst recent meeting f the Bard (prprietary infrmatin may be redacted) " Crprate bylaws " Cpies f stck certificates (bth sides) r prf f stck purchase r equity agreement by LGBT wner(s) and/r currents stck transfer ledger LLC " LLC: Single Member " Brief histry f business (startups submit brief business plan) " Resume f LGBT wner(s) " Articles f rganizatin " Certificate f rganizatin (fr businesses in states which issue certificates) " LLC regulatins/perating agreement " Frm 1065 Schedule C, Frm 1120 Schedule G, OR 1120s Schedule K-1 LLC Multi-Member " Brief histry f business (startups submit brief business plan) " Resume f LGBT wner(s) " Articles f rganizatin " Certificate f rganizatin (fr businesses in states which issue certificates) " LLC regulatins/perating agreement " Frm 1065 K-1s (fr each wner), Frm 1120 Schedule G, OR Frm 1065 Schedule K-1 (fr each wner) Certifying LGBT Businesses. Cnnecting Our Cmmunities TH STREET NW, 9TH FL, WASHINGTON, DC P F nglcc.rg!

3 Page 3 f 5 " PARTNERSHIP: " Brief histry f business (startups submit brief business plan) " Resume f LGBT wner(s) " Partnership agreements " Prf f capital investment by LGBT partners " Limited partnership agreements " Prfit sharing agreements " Frm 1065 K-1s (fr each wner), Frm 1120 Schedule G, OR Frm 1065 Schedule K-1 (fr each wner) SOLE " SOLE PROPRIETOR: " Brief histry f business (startups submit brief business plan) " Resume f LGBT wner " Frm 1040 Schedule C " Applicable perating business license and/r permits " Assumed name dcuments (if applicable) APPENDIX A. The fllwing are dcuments that yu may submit t enhance the applicatin in the event that ne r mre f the abve dcuments cannt be prvided. Please be advised that the Natinal Certificatin Cmmittee reserves the right t request the belw dcuments fllwing initial review if LGBT wnership is nt adequately established: Applicable perating business license and/r permits Previus year financial statement (prfit & lss statement and balance sheet; startups prvide pening balance sheet) Signed and cmplete previus year federal tax return frm where business incme is reprted List f emplyees, including name, full/part time status, and length f service Mst recent itemized payrll Cntract r wrk histry fr the past three years (include cntact name, and type f wrk perfrmed r type f cntract received) Third party agreements such as: Management agreements Certifying LGBT Businesses. Cnnecting Our Cmmunities TH STREET NW, 9TH FL, WASHINGTON, DC P F nglcc.rg!

4 Page 4 f 5 Real estate lease agreements Service agreements Affiliate/subsidiary agreements Equipment rental and purchase agreements Prf f bnding capacity Certificate frm the secretary certifying the names f all current members f the bard f directrs Vting agreements and ther equity interests including stck ptins, warrants, buy/sell agreements, and right f first refusal Prf f authrity t d business in all states where authrity has been granted Schedule f advances made t crpratin fr the preceding three years APPENDIX B. LGBT status qualifiers: I: One required Certified cpy f dmestic partnership registratin, civil unin certificatin, r marriage certificatin Prf f dmestic partnership health insurance utilizatin Prf f jint prperty wnership Evidence f cmpleted r attempted parenting and family building effrts made by LGBT applicant and same sex partner: Secnd parent adptin: Petitin fr secnd parent adptin, adptin recrds, and/r staterequired dcuments fr adptin In-vitr fertilizatin prcedure: Prf f prcedure frm medical facility, letter frm dctr that perfrmed prcedure, and/r medical recrds/insurance recrds citing the prcedure Surrgate mther arrangements: Prf f surrgacy in the frm f a surrgacy cntract, prf f payment, medical recrds, and/r letter frm surrgate mther and dctr Dcumentatin f petitin fr hspital visitatin rights II: If LGBT status remains unclear, the NGLCC may require multiple types f the dcuments listed belw t establish LGBT identity: Apartment lease, autmbile title, financing agreement, r utility bills with name f applicant and partner listed Majr lans r lines f credit with name f applicant and partner listed Recrds f philanthrpic cntributins by applicant and partner (tax dnatin with name f applicant and partner listed) Certifying LGBT Businesses. Cnnecting Our Cmmunities TH STREET NW, 9TH FL, WASHINGTON, DC P F nglcc.rg!

5 Page 5 f 5 Insurance, including renter s, hmewner s, r life, with name f applicant and partner listed Retirement plan dcumentatin listing applicant s same-sex partner as a beneficiary Dcumentatin shwing investment hldings that are jint-wned by applicant and same-sex partner Prf f jint will fr applicant and same-sex partner Reference t partner must be made in the will Letter frm recgnized LGBT rganizatin attesting t LGBT status signed by rganizatin leader r bard member Letter frm tw persnal references attesting t LGBT status f business wner(s) Natinal r lcal media articles denting the LGBT status f business wners Advertising/prmtinal materials that nte the business is LGBT wned and perated Certificates/Awards/Recgnitins f the business and/r wner(s) as a member f the LGBT cmmunity Physician r attrney letter n fficial letterhead attesting t the LGBT status f the applicant Legal petitin fr name change (fr transgender applicants) Physician carry letter r evidence f treatments related t gender reassignment (fr transgender applicants) Certifying LGBT Businesses. Cnnecting Our Cmmunities TH STREET NW, 9TH FL, WASHINGTON, DC P F nglcc.rg!

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