Business Development and Support Division

Basic Company Information

Company Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Phone*

Email*

Website*

Year company established (YYYY)*

Company structure (select one)

Primary NAICS code (A 6-digital NAICS code is required)*

Product or service description*

Number of full-time employees in Hawaii*

Annual gross revenue*

This information is used for tracking purposes only and is not for any special program considerations or exemptions

Select disadvantaged business definition (if applicable)

Socially and economically disadvantaged business (Defined by federal law as Black, Hispanic, Native, Asian Pacific, and Subcontinent Asian Americans)
Women-owned business
Veteran-owned business
Active Duty
Disabled veteran-owned business
Reserve/National Guard
Military Spouse
Rural business (Business outside of the Metropolitan Statistical Area; in Hawaii typically ‘967XX’ zip code)