MBE CERTIFICATION CHECKLIST (CORPORATION)

IF YOU ARE AN OUT OF STATE FIRM YOU MUST BE CERTIFIED IN YOUR HOME STATE IN ORDER TO APPLY IN THE STATE OF MARYLAND

IF YOUR COMPANY IS A LIMITED LIABILITY COMPANY (LLC), COMPLETE THE CHECK LIST FOR A LLC (B)

Maryland Certification Process
Maryland Department of Transportation
Documents to be Provided with the Affidavit

Please Note: If a document is missing, please provide an explanation. If all required documents are submitted, 2 to 3 months of the processing time can be eliminated.

ITEMS MARKED WITH AN ASTERISK (*) ARE ESSENTIAL AND MUST BE INCLUDED IN YOUR SUBMITTAL:

FOR A CORPORATION (A)

______ *Disclosure Affidavit (Notarized) - This document should reflect the current structure of your business.

______ *Current Financial Statement - A "certified" financial statement is not a requirement.

______ *Complete Federal Tax Returns for the Most Current Three Years (Including all Schedules)

______ *Certificate of Incorporation and registration in Maryland as a Foreign Corporation, if applicable. If not applicable, indicate as N/A.

______ *Articles of Incorporation

______ *Minutes of First and Most Recent Organizational Meeting

______ *Corporate By-Laws

______ *Copy of EACH Stock Certificate Issued and Stock Ledger

______ *Proof of Stock Ownership: IMPORTANT - This item provides the State with documentation showing the minority person(s) paid for the value of the stock, or in some way personally invested personal funds into the firm.

EXAMPLES OF PROOF OF STOCK OWNERSHIP - Cancelled checks along with applicable deposit slips, or a written *notarized statement describing how the stock was issued and for what consideration other than monetary.You must prove that ownership was acquired through real and substantial contributions of expertise, capital or other tangible personal assets. Work without pay and other unsubstantiated proofs of investment require extensive documentation such as purchases, attorney fees, equipment and supplies purchased for the business, etc. Where expertise is used as the contribution to acquire ownership interest, the expertise should be in the applicant firm's critical operations and in estimating, bidding, etc.; and, in order to be credited, it must be specifically identified and a monetary value (hourly/daily or monthly) attached, to be supported by company records (payroll records, time sheets, calendars, etc.)

A NOTARIZED STATEMENT IS NOT GENERALLY ACCEPTABLE. UNDER CERTAIN CIRCUMSTANCES, ON A CASE BY CASE BASIS FOR OLDER FIRMS, A NOTARIZED STATEMENT MAY BE ACCEPTED.

______ *Agreements, such as Rental, Lease or any other type of Formal Written Agreements which have been Entered Into Between You and Another party or Parties Which Affect the Operation of Your Business. Include agreements with any financial institutions or other businesses/individuals and proof of payment, if applicable.

______ *License to do Business, if Applicable (Professional, if Required)

______ *Proof of Minority Status, e.g., Copy of Birth Certificate, Drivers License, and, where applicable, a Tribal Registration, a Passport, Certificate of Naturalization and/or other such documents showing "ethnic" heritage.

______ Business Plan (If in Business Less than One Year)

______ *Titles, Registration and Current Insurance Carriers and Policy Numbers for ALL Vehicles Owned by the Company

______ *Copies of Each Certification or Denial of Certification by Other Agencies or Jurisdictions, if Applicable. The applicable home state on-site report MUST accompany the certification document for your home state if you are not a Maryland firm.

______ *Copy of Home State Certification for non-Maryland firms.

______ *Resumes on ALL Key Operating Personnel, including officers, directors and shareholders.

______ *Your Federal ID______________

______ *Your Social Security Number_______________

______ *Copies of the Firm's Last Four Quarterly Employment (SUTA) Reports
(State Unemployment Insurance Reports with the names of employees and their compensation)

______ *Copies of Three Job Contracts

______ *Personal Net Worth Statement (PNW) Form

______ *Statement of Disadvantage

PLEASE MARK N/A IF THE DOCUMENT IS NOT ESSENTIAL AND NOT APPLICABLE TO YOUR BUSINESS.