* Local Office State: MD Questions? Call x1400. St. Mary s County Technology Handbook Survey, Page 1 of 7

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Rose Lloyd
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1 ST. MARY S COUNTY TECHNOLOGY HANDBOOK SURVEY INSTRUCTIONS Please check box if your company has previously participated in the Technology Handbook. Only companies residing in St. Mary s County will be accepted. If the company s headquarters resides outside St. Mary s County only complete the information as it pertains to the company s LOCAL office in St. Mary s County. A company s core business must be technology-related in order to be considered as a listing in the Technology Handbook. Participation in the Technology Handbook is free of charge. Companies must complete all required fields (*) to be accepted. If you wish to complete the survey online, visit. Return completed survey by mail, fax or St. Mary s County Department of Economic and Community Development (DECD) P.O. Box 653 Leonardtown, MD Fax: decd@stmarysmd.com Section 1: Your Local Office in St. Mary s County * Local Office Company Name: * Local Office Street Address 1: Local Office Street Address 2: * Local Office City: * Local Office State: MD Questions? Call x1400. St. Mary s County Technology Handbook Survey, Page 1 of 7

only complete the information as it pertains to the company s LOCAL office in St. Mary s County.

2 * Local Office Zip Code: * Local Office Main Telephone Number (ex ): * Local Office Fax Number (ex ): * Company Web Address: * Submitter Address: * Submitter First Name: * Submitter Last Name: Parent Corporation Information (fill out if applicable) Parent Corporation Name: Parent Corporation City: Parent Corporation State: * Did you start your company in St. Mary s County? Yes / No Questions? Call x1400. St. Mary s County Technology Handbook Survey, Page 2 of 7

Corporation Information (fill out if applicable) Parent Corporation Name: Parent Corporation City: Parent Corporation State: *

3 Section 2: Memberships and Certifications * List any Organizations your company is a member: (e.g., The Patuxent Partnership, local Chambers of Commerce, Navy Alliance, PMI SoMD, AFCEA) * List all quality standard Certifications your organization maintains: (e.g., ISO, CMM, Baldridge, Six Sigma) Section 3: Business Development Contact Information * Local Business Development Contact Salutation (ex. Mr. Mrs. Ms. Dr.): * Local Business Development Contact First Name: * Local Business Development Contact Last Name: * Local Business Development Contact Title: * Local Business Development Contact Telephone Number (ex ): Extension: * Local Business Development Contact Fax Number (ex ): * Local Business Development Contact Address: Questions? Call x1400. St. Mary s County Technology Handbook Survey, Page 3 of 7

, The Patuxent Partnership, local Chambers of Commerce, Navy Alliance, PMI SoMD, AFCEA) * List all quality standard Certifications your orga

4 Section 4: Human Resources Contact Information * Local HR Contact Salutation (ex. Mr. Mrs. Ms. Dr.): * Local HR Contact First Name: * Local HR Contact Last Name: * Local HR Contact Title: * Local HR Contact Telephone Number (ex ): Extension: * Local HR Contact Fax Number (ex ): * Local HR Contact Address: * Local Company Job Listing Website: Section 5: Local Executive Contact Information * Local Executive Contact Salutation (ex. Mr. Mrs. Ms. Dr.): * Local Executive Contact First Name: * Local Executive Contact Last Name: * Local Executive Contact Title: Questions? Call x1400. St. Mary s County Technology Handbook Survey, Page 4 of 7

301-475-4200): Extension: * Local HR Contact Fax Number (ex.

5 Local Executive Contact Telephone Number (ex ): Extension: Local Executive Contact Fax Number (ex ): Local Executive Contact Address: Section 6: Local Employees * 1. Number of LOCAL employees or Annual AVERAGE of local employees * 2. Number of TOTAL employees or Annual AVERAGE of total employees 3. Number of local employees with College Degrees 4. Number of local employees with Graduate Degrees 5. Number of local employees who are Professional Engineers 6. Number of local employees who are Technicians 7. Number of local employees who are Administrators/Managers Section 7: Business Profile * 1. Year business Located to St. Mary s County 2. Year business Incorporated to St. Mary s County * 3. % of local business sales to DoD 4. % of local business sales to Foreign Companies Questions? Call x1400. St. Mary s County Technology Handbook Survey, Page 5 of 7

Number of local employees with Graduate Degrees 5. Number of local employees who are Professional Engineers 6. Number of local employees who are Technicians 7.

6 5. Gross Sales (check one): Less than $200K $5M but <$10M $100M but <$250M $200K but <$500K $10M but <$20M $250M but <$500M $500K but <$1M $20M but <$50M $500M and over $1M but <$5M $50M but <$100M Section 8: Classification for Your Company s Core Business Small HubZone Other: (Please Explain) Large Woman-Owned Veteran-Owned SDVOSB SDB 8(a) Maryland Minority Business Enterprise (MBE) Foreign-Owned Section 9: NAICS Codes Primary NAICS Code: Other NAICS Codes: Questions? Call x1400. St. Mary s County Technology Handbook Survey, Page 6 of 7

(Please Explain) Large Woman-Owned Veteran-Owned SDVOSB SDB 8(a) Maryland Minority Business Enterprise (MBE) Foreign-Owned Section 9:

7 Section 10: Company Description/Core Capabilities Please describe your company s core business. Maximum 100 words. This Department retains the right to edit for content and space. Please print clearly. NOTE: INFORMATION COLLECTED FROM THIS QUESTIONNAIRE MAY BE USED IN THE STATISTICS FOR ST. MARY S COUNTY OR THE STATE OF MARYLAND. THIS LISTING IS GIVEN OUT AS REQUESTED, BUT THIS OFFICE MAINTAINS THE RIGHT TO WITHHOLD ANY REQUESTS TO ANY GROUP(S) OR INDIVIDUAL(S). THE COMPLETE TECHNOLOGY HANDBOOK IS AVAILABLE ON OUR WEBSITE. PLEASE CONTACT THE ST. MARY S COUNTY DEPARTMENT OF ECONOMIC & COMMUNITY DEVELOPMENT AT X1400 FOR FURTHER INFORMATION. Return completed survey by mail, fax or St. Mary s County Department of Economic and Community Development (DECD) P.O. Box 653 Leonardtown, MD Fax: decd@stmarysmd.com Questions? Call x1400. St. Mary s County Technology Handbook Survey, Page 7 of 7

THIS LISTING IS GIVEN OUT AS REQUESTED, BUT THIS OFFICE MAINTAINS THE RIGHT TO WITHHOLD ANY REQUESTS TO ANY GROUP(S) OR INDIVIDUAL(S). THE COMPLETE TECHNOLOGY HANDBOOK IS AVAILABLE ON OUR WEBSITE.

Disability-Owned Business as defined by the U.S. Small Business Association

Disability-Owned Business as defined by the U.S. Small Business Association 8(A) PROGRAM An SBA (Small Business Administration) business development program created to help small disadvantaged businesses compete in the American economy and access the federal procurement market.