Confidential 2010 BDR Membership Survey

(2009 Data)

Billion Dollar Roundtable members are

U.S. Corporations with annual supplier diversity

spend of $1 billion or more on a first tier basis.

BILLION DOLLAR ROUNDTABLE

Confidential Membership Survey

Name: Phone:

Address: Fax: 586-492-6461

Contact Name: E-mail:

2009 Annual Revenue:

Year 2009 Supplier Diversity Purchase History

(*Dollar amount expended with 1st tier minority and women-owned suppliers during most recently reported 12-month period)

□ $4 Billion + Actual $ Amount ______

□ $2.0 Billion to $3.999 Actual $ Amount______

□ $1 Billion to $1.999 Actual $ Amount______

□ $750 Million to $999 Actual $ Amount______

Supplier Diversity Spend Analysis:

The actual Supplier Diversity spend totals ____% of annual procurement spend (U.S. Spend).

MBE Spend: Total Spend ______Represents ___% of total supplier diversity spend.

WBE Spend: Total Spend ______Represents ____ of total supplier diversity spend.

Other Diversity Spend $______Represents ______% of total supplier diversity spend.

Total 2nd Tier Spend $______Total 1st and 2nd Tier Spend $______

-How many M/WBE firms are active in your supply chain? ______

Supplier Diversity Affiliations:

q  National Minority Supplier Development Council (NMSDC)

q  Women's Business Enterprise National Council (WBENC)

q  Regional NMSDC Affiliates

q  Regional WBENC Affiliates

q  United States Hispanic Chamber of Commerce

q  National Center for American Indian Enterprise

q  Native American Business Alliance

q  US Pan Asian American Chamber

Other

List Two or More Initiatives That Led To The Success Of Your Supplier Diversity Program:

List Two or More Challenges Facing Your Program:

Date: Print Name:

Title: Signature:

*Notes:

·  Procurement Spend – dollar amount expended with all suppliers during the most recently reported 12- month period

·  Supplier Diversity Spend Data – First tier spend by 51%+ owned, controlled, and operated by: African Americans, Hispanic-Americans, Asian-Pacific-Americans, Subcontinent Asian-Americans, Hasidic-Jewish Americans and Women. Service-Disabled Veterans or other Diversity Suppliers should be listed in the other diversity spend category. List all groups, amount expended, and the percentage of the total diversity spend on an Addendum Page.

Submit completed survey by May 15 to BDR c/o Sharon Patterson

7131 Applewater Ct, Spanish Fort, AL 36527 (Fax: 251-626-1041) or

or

Receipt of the BDR Membership Survey will be confirmed.

If assistance is needed contact Sharon Patterson at 847-337-9102

Or www.bdrusa.org

Thank you for completing the 2010 Membership Application

BILLION DOLLAR ROUNDTABLE

ADDENDUM PAGE

Company Name:______Phone:______

Address:______Fax:______

______

Contact Name:______E-mail______

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