District Of Columbia
Address, City, State, Zip
Business Profile Section
Offer Employee Health Insurance?
Custom design your solution over a shelf-based solution?
Experiment/test new materials, supplies or chemicals?
Perform any design work?
Have any other locations out of City or State?
Export product to other countries?
Have a wholesale component to your business?
Perform any training for yourself or your team via the internet?
Operate as a franchise?
Have received Employee Retention Tax Credits?
Did your company receive a PPP loan?
Experience a 50% drop in revenue for any quarter in 2020 versus 2019 due to the pandemic?
Experience a 20% drop in revenue for any quarter in 2021 versus 2019 due to the pandemic?
Was your company forced to close due to any government mandates?
Did your company experience significant supply chain or operational disruption due to the pandemic?
Improved or upgraded your website?
Initiated any type of social media campaigns?
Changed, adjusted or improved your eCommerce software?
Made adjustments to (or create a new) business model, process or formula/product?
Changed your procedures/processes?
Had any risk with your business?
How much has the business paid in taxes over the past 3 years?
Are you in need of a business loan? If so, how much?
Not at this time
5 to 49k
1m to 5M
How many new employees (including replacements) do you hire per year?
Do you own any commercial property?
Was the property Purchased or Built?
Year of Acquisition
Total Construction/Purchase Cost
Total Renovation Cost Including Green upgrades to Roof / Windows / Lighting
Annual Property taxes
Medical Only: Unpaid patient insurance claims greater than 90 days
Do you take Credit Cards?
Estimated Annual Amount Processed?
Annual Payroll Management Expense?
Annual Healthcare Expense?
Annual Workers Comp premium?
Monthly Natural Gas Expense?
Monthly Electric Expense?
Monthly Shipping Expense?
Number of total employees?
How many W2 employees?
How many W9 (1099) contractors?
Number of Principals
Average Annual Income/Wage/Salary per Principal
Number of Management
Average Annual Income/Wage/Salary per Manager
Number of General Employees
Average Annual Income/Wage/Salary per General Employee
Benefit Summary Section
Natural Gas Cost Reduction
Electric Cost Reduction
Payroll Cost Reduction
Healthcare Cost Reduction
Shipping Cost Reduction
Hiring Tax Incentive
Workers Comp Premium Reduction
Credit Card Fee Reduction
Commercial Property Owners Incentive
Estimated Insurance Claim Recovery
Activity Specific Rebates and Incentives
Projected Benefit Totals
Direct to Employee Benefit
Total Organizational Benefit