* 1. Nominated Business

* 2. Contact Person

* 3. Address:

* 4. Telephone

* 5. FAX:

* 6. Email:

* 7. Website:

* 8. Number of Employees in Jacksonville

* 9. Total Number of Employees (all locations):

* 10. Please state your corporate philosophy on giving back to the community:

* 11. Please list the activities, programs and policies that highlight your company's commitment to lending a helping hand:

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