Black Owned Business Certification
Application Form
( All Data Provided by You Will Be Printed Exactly As You Typed Including Spelling & Punctuation )
COMPANY PROFILE
(Including Corp. LLC. PLLC. LP. LLP. LLLP. Ltd.)
?
(Required for Corp. LLC. PLLC. LP. LLP. LLLP. Ltd.)
FILING NUMBER MUST BE CORRECT
?
(Lookup Your NAICS Industry Code)
MANAGEMENT
(% of Ownership Combined Must Total 100%)
COMPANY CONTACT
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6am - 8am, CST
8am -11am, CST
11am - 2pm, CST
2pm - 5pm, CST
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Qualifications
Black Owned Business
Country of Origin
FBA - Foundational Black American
Angola
Antigua and Barbuda
Bahamas
Barbados
Belize
Benin
Botswana
Burkina Faso
Burundi
Cabo Verde
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Comoros
Congo
Congo, Democratic Republic of the
Côte d'Ivoire
Cuba
Curaçao
Djibouti
Dominica
Dominican Republic
Egypt
Equatorial Guinea
Eritrea
Eswatini (Swaziland)
Ethiopia
France
Gabon
Gambia
Ghana
Grenada
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Jamaica
Kenya
Lesotho
Liberia
Madagascar
Malawi
Mali
Martinique
Mauritania
Mauritius
Mayotte
Mozambique
Namibia
Niger
Nigeria
Puerto Rico
Reunion
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
South Sudan
Sudan
Suriname
Tanzania
Togo
Trinidad and Tobago
Uganda
United Kingdom
U.S. Virgin Islands
Western Sahara
Zambia
Zimbabwe
I Confirm That I Am Authorized To Submit This Business Certification Application
On Behalf Of The Company And Management Listed. I Agree With The
Terms of Service
.
We Are the Ownership Class
™
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Texas SBA
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Business Certifications
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