Year 2010 temporary budget to make available the ... - Jersey City

Yonn AA302
Rev. 1/00
STATE OF NEW JERSEY
Division of Contract Compliance 8i Equal Employment Opportunity
EMPLOYEE INFORMATION REPORT
For Instructions on completing the form. go to;
SECTION A - COMPANY IDENTIFICATION
i. FID. NO. OR SOCAL SECUIT 2. TYPE OF ßUSIN S .
o I ~JF(; 19 2. SERVICE 0 ~ \\llOLES':i.
o .¡ REBII 0 ~ tiTHER
Ot!35':r'2' ~.(JO-bO
4'Ci:h;¡7Y /lVtYCAne ~ocl'elv
Ì3s:~ÛtV gWd. Je.~Ú+Y
COUNT
H-vllSOl1
J. TOTAL NO. EMPLOYE IN TI ENT
COMPAN IS"
STATE
M1
ZIP CODE
~7¡O)
STATE ZIP CODE
6. NAM OF PAR OR AFFILIATED COMPANY (I NONE SO II'DICATE) CIT
Noyi~ (
7. CHECK ONE: IS THE COMPANY: :ø SINt1LE.E:r .\P.L/SHllë:- EMPLOHR 0 MULTI,ESTABLISHMENT EMPLOYE
S IF ~1l.'LTI-Ei,-r_\BLJSHMEN EMPL(IYEP~ :'T.\TE mE NT.'MElF.R (oF ESTABLISmlENfS IN NT I I
9. TOTAL Nl..'MBER OF EMPLOYEE AT ESTil.ßLlSHMENT WHm HAS BEE AWARDED TH CO~CT I i 'S
10, PUBLIC AGENCY AWARING CONTRCT
('rry (.(II.lNTY &.T."'.TE ZIPCi:,DE
OfdalUseoni. DATE RECE!\'W NAUGDATE ASSIGND CF.RTIICA lION NUER
SECTION B - EMPLOYMENT DATA
i i. Rcp all peanen lemp~' and pan-tme emp1"lees ON YOUR OWN PAYROLL. Enielhe apprpñ.i.ligu on all lines and in a" columns. Wh... t1ieo are
no employees in a pacular cagocy. cote B zer. Include ALL empIO)"ees. notjusr those in minoritY/non-minorty caLeoñes. in colwnns I. i. & J. DONOrSUBM
AN EEO.i REPRt
LL EMPLOYEES PERMNET MINORrTINN-MINORI EMPLOYEE BREAKDOWN
J08 (',1L I ll;IL .1 li)L ~ .".+1'."'''. MAl"'.""'" ..1.T+~.... r.........,.... ...............*FEMAl "1 ..~ +t t I i.i of.l I I I 1 , f . ... ,
CATEGORIES TiiT.-\ ~L-\E FE~i."LE ..MER N(IN .iIER Ni)N
I ('i.'!: ~ &3'1 ElL-'':i iiSP,-\NIi: 1N1..u .";i,1.-\N MN BL.-\i:'K H1SP.-\NIC INi.-i'l .\SIAN ~nN
Ofcials Managers LJ 1 3 1 8
Profesional.
Tecnicians
salesWol1rs
Ofce & Cerial
Cnft,kes
lSkiledl
Opeiatives
tSem~skiilel
Laborrs
iUnskßi~1
ServceWo,kers
I I I
/0 S- S- 2 '2 I 1 L/
.
TOTAL 1 S- ~ &J 2- 2- 2- 1- 7
Total employmi
Frompllious
RepoitGfa"l)
i enipory & Part The dara bel,',,- sh.iU NOT ~ includ"d jn tli" tigurcs tòr tl" .ppropri.I" o:l"gori.: .ho\'".
Time Employees
i~ Hf.\\'\\AS IN(oiu~(iN AS Ti) R.\CE(oRETIi(' i:m(ll,Tp IN SECT!I)N Po (i£'TA1NED'
o 1 Yl:t'n:l. St~. - .EU1Jii:~lUC:JiI Rc:c"h.1 D~ (J~CtSl-'.:~'1 .
13. DATES OF PAYROLL PEROD USED
To:
i~ IS THIS THE FIRL.-r
EJUi-i.I!"¿.¿. l .1f"tlu;'tii".n
ll"l''' SlIl'IlI1..'
IS. If NO, DAlE LAST
REORT SUBMlTI
M(' ,DAY I YE.\R
from: 7/l31 ()¿t
7Ji.", /Oez
seaiON C -SIGNATURE AND IDENlFlCATION
i YE¿ ~N(O;-
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17. ADDRES NO. 8: ST CI COlNTY .STATE ZlCODE PHONE (AR CODE, NO.,EX1NSION)
ii' J~ C1ly srVJ. ~tN ûly J.vdS1tl NJ P730S" Ul - n(7 - i¡1L(7 ~O
.
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