Vendor Ownership

35 ILCS 200/18-50.2 requires that the Decatur Park District gather and electronically publish information regarding the ownership of vendors with which it does business. Please help assist us in complying with this requirement by completing the brief questionnaire below. We appreciate your cooperation and assistance.

Vendor Ownership

The Decatur Park District is very appreciative of all the vendors that we do business with. As part of routine maintenance on our vendor accounts, as well as a State of Illinois reporting requirement for taxing bodies, we need to gather some information regarding business ownership (minority-owned, women-owned or veteran-owned).

Vendor Name

Contact Name

First Last

Contact Title

Address

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

This Business is a (Select One):

Minority-Owned Business (A business that is at least 51 percent owned by one or more minorities. A minority is defined as a person who is a U.S. citizen or lawful permanent resident of the United States and is African American, Hispanic American, Asian American, or Native American, as well as other groups found to be disadvantaged pursuant to Section 8 (a) of the Small Business Act federal statute.)

Women-Owned Business (A business that is at least 51 percent owned by a women or women who are U.S. Citizens or lawful permanent residents of the United States.)

Veteran-Owned Business (A business that is at least 51 percent owned by one or more veterans who are United States Citizens or lawful permanent residents of the United States)

None of the Above

If Business is Minority/Women/Veteran Owned is your business:

Certified by an external agency

Self-Certified