BEE EMPOWERMENT & LABOUR CONSULTANCY · Web viewCOMPLIANCE EVALUATION QUESTIONNAIRE FOR EXEMPTED MICRO ENTERPRISES IN TERMS OF THE BROAD-BASED BLACK ECONOMIC EMPOWERMENT ACT, ACT

PROCEDURE MANUAL Doc Ref No: BEE/CP/13/A17Title: BEE Compliance Questionnaire for an Exempted Micro Enterprise Verification

Revision No: 07

Copy No: 01 Page: 1 of 7 Compiler: L Frank Date Compiled: 13 September 2012Approver: R Ackerdien Effective date: 17 September2012

FOR THE ATTENTION OF:

COMPLIANCE EVALUATION QUESTIONNAIRE FOR EXEMPTED MICRO ENTERPRISES IN TERMS OF THE BROAD-BASED BLACK ECONOMIC

EMPOWERMENT ACT, ACT NO. 53 OF 2003 (“THE ACT”) As an Exempted Micro Enterprise you will achieve a B-BBEE Rating of 65 Points (if White Owned) and

75 Points (if > 50.1% Black Owned)

With a 65 B-BBEE Rating your company will be rated as a Level Four Contributor to B-BBEE, with a B-BBEE Procurement Recognition Level of 100%, and

With a 75 B-BBEE Rating your company will be rated as a Level Three Contributor to B-BBEE with a B-BBEE Procurement Recognition Level of 110%

________________________________________________________________________________________

AFFIDAVIT

UNDERTAKING BY THE REPRESENTATIVE OF THE COMPANY:

I, the undersigned ____________________________

1. I am an adult male/female. By submitting this form, the signatories acknowledge that he/she has the required authority to do so.

2. I authorize BEE Empowered and Labour Consultancy CC, to commence the EME Verification process.3. I hereby declare that the information furnished herein, is true and correct.

I, hereby certify that the representative has acknowledged that he/she knows and understands the contents of this affidavit

_________________________COMMISSIONER OF OATHS

Place of signing: ________________________________

Capacity of commissioner: ________________________

Date: _________________________________________

PLEASE SEE TABLE BELOW TO DETERMINE WHETHER OR NOT YOUR COMPANY QUALIFIES FOR AN EXEMPTED MICRO ENTERPRISE RATING AND THEN SIMPLY FOLLOW STEPS ONE TO


Revision No: 07

Copy No: 01 Page: 2 of 7Compiler: L Frank Date Compiled: 13 September 2012Approver: R Ackerdien Effective date: 17 September 2012

FOUR HEREUNDER TO OBTAIN A EXEMPTED MICRO ENTERPRISE RATING FOR YOUR COMPANY

STEP ONE

Kindly indicate which Code is applicable to your company:

Applicable Codes Annual Turnover Measured EntityGeneric Codes of Good Practice R0 - R5 million

Forest Sector Code R0 - R5 million Transport Sector Codes R0 - R5 millionTourism Sector Codes R0 - R2.5 million

Construction Sector Codes: Contractor

R0 - R5 million

Construction Sector Codes: BEP (Built Environment Professional

related enterprises which provide services related but not limited to

consulting engineering, architecture and quantity surveying.

R0 – R1.5 million

Property Sector Code: Service Based

R0 – R5 million

Property Sector Code: Estate Agents R0 – R2.5 millionProperty Sector Code: Asset Based R0 – R30 millionInformation and Communication

Technology Sector CodeR0 – R5 million

Chartered Accountancy Profession R0 – R5 million

STEP TWO

Kindly complete Sections A and B hereunder:


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SECTION A: COMPANY INFORMATIONCOMPANY NAMETRADING NAME COMPANY REGISTRATION NUMBERPROOF OF VAT REGISTRATION (WHERE APPLICABLE) IF YOU DO NOT HAVE A VAT NUMBER, STATE “NOT REGISTERED FOR VAT”.IF SOLE PROPRIETOR, PROVIDE THE NAME OF THE SOLE PROPRIETORNAME OF REPRESENTATIVE OF THE MEASURED ENTITY (NAME, SURNAME, DESIGNATION)

NAME SURNAME DESIGNATION

OFFICE NUMBER ( )FACSIMILE NUMBER ( )CELLULAR NUMBERE-MAIL ADDRESSDATE OF INCORPORATIONANNUAL TURNOVERAPPLICABLE SECTOR CODEREGISTERED PHYSICAL ADDRESS

CODEPOSTAL ADDRESS

CODE

ONLY COMPLETE THIS SECTION IF THERE IS ANY BLACK OWNERSHIP IN THE BUSINESS (REMEMBER “BLACK” INCLUDES AFRICAN, INDIAN, COLOURED AND CHINESE)

SECTION B: EQUITY OWNERSHIP (DIRECT EMPOWERMENT)

DECLARATION OF BLACK OWNERSHIP


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I, the undersigned, hereby declare that the percentage black ownership in our business is as reflected below:

1. % Shareholding by Black People in the Business

%

2. % Shareholding by Black Women in the Business

%

Has all debt, if any, associated with the purchase of the above

Black Shareholding been repaid?

Tick applicable box

YES NO

Are you entitled to receive dividends in the company?

Tick applicable box

YES NO

Do you have voting rights in the company

Tick applicable box

YES NO


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STEP THREE

Kindly furnish us with copies of the following supporting documentation

IF THE MEASURED ENTITY IS A (PTY) LIMITED Memorandum (CM1)Articles of Association (CM2 and Table A (Public Co) or B (Private Co) of Schedule 1)

Certificate of Incorporation (CM1 / CM3)Certificate to Commence Business (CM46)Share Certificates – ONLY for companies that have any % Black OwnershipTAX Clearance Certificate or similar proof of VAT registration. (If applicable)Certified copies of ID documents of the shareholders of the Company Diagram setting out ownership of the Measured EntityWhere the business is more than 50% black owned, signed affidavit confirming that there are no third party rights attached to the black shareholders’ shares.Signed certificate by the business’ Auditor or Accounting Officer confirming Annual Turnover is less than R5 million. Note: If your company falls under the Tourism Sector Code or if you are an Estate Agent, the letter must confirm that your company’s turnover is less than R2.5 million per annum, if you are a BEP, the letter must confirm that your company’s annual turnover is less than R1.5 million

IF THE MEASURED ENTITY IS A CLOSE CORPORATIONFounding Statement (CK1)Certificate of Amended Founding Statement (CK2) (If applicable)Certified copies of ID documents of Black MembersTAX Clearance Certificate or similar proof of VAT registration. (If applicable)Letter from accountant confirming that your company’s turnover is less than R5 million. Note: If your company falls under the Tourism Sector Code or if you are an Estate Agent, the letter must confirm that your company’s annual turnover is less than R2.5 million per annum and if your company is a BEP, the letter must confirm that your company’s annual turnover is less than R1.5 million

IF THE MEASURED ENTITY IS TRUSTCopy of the Trust DeedProof of Registration of TrustCopies of ID documents of Black BeneficiariesTAX Clearance Certificate or similar proof of VAT registration. (If applicable)Letter from accountant confirming that the trust’s turnover is less than R5 million. Note: If the trust falls under the Tourism Sector Code or if you are an Estate Agent, the letter must confirm that the trust’s annual turnover is less than R2.5 million per annum and if the trust is a BEP, the letter must confirm that the trust’s annual turnover is less than R1.5 million

IF THE MEASURED ENTITY IS A SOLE PROPRIETORCopy of ID document of sole proprietor


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TAX Clearance Certificate or similarproof of VAT registration. (If applicable)Letter from accountant confirming that the trust’s turnover is less than R5 million. Note: If the trust falls under the Tourism Sector Code or if you are an Estate Agent, the letter must confirm that the trust’s annual turnover is less than R2.5 million per annum and if the trust is a BEP, the letter must confirm that the trust’s annual turnover is less than R1.5 million

IF THE MEASURED ENTITY IS A START-UP ENTERPRISE (* a Start-up Enterprise must be measured as an EME for the first year following their formation or incorporation. This provision applies regardless of the expected total revenue of the start-up enterprise)Independent confirmation of status (CK documents, Certificate of Incorporation, etc)Certified copies of ID documents of Black MembersLast twelve months’ bank statements of the business (only where the certificate from the auditor or accounting officer or the financial statements of the business is not available or if you are a sole proprietor).of bank statements from date of incorporation to date of application for an Exempted Micro Enterprise Rating.Affidavit confirming that the business is a start-up company with no trading history and that it is not merely a continuation of a pre-existing business (Only applicable for businesses that have a trading history of less than 12 months)


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STEP FOURKindly deposit the verification fee in the amount of R1 083.00 (VAT inclusive) directly into our bank account and fax/email us proof of payment, together with your company details.

Our bank details are as follows:

BEE Empowered & Labour Consultancy CCFirst National Bank, Account no. 62091730400, Branch Code: 201109

PLEASE USE YOUR COMPANY NAME AS THE REFERENCE WHEN MAKING A DEPOSIT

Upon receipt of proof of payment, we will email, post or fax or deliver to you your BEECompliance Questionnaire for you to complete

Once you have completed your BEE Compliance Questionnaire, you must deliver same to ouroffices together with the supporting documentation. We shall process and verify the information

received from you

On finalisation of your assessment, you will be issued with a BEE EMPOWERED B-BBEEVERIFICATION CERTIFICATE. This will be emailed or posted to you and a copy thereof would be made

available on our website: www.bempowered.net

BEE EMPOWERED CONTACT DETAILST: 021 – 511 0802 - F: 021 – 511 0210 – E: [email protected]

Block 1, Unit A21, Northgate Island, Paarden Eiland, 7405

mailto:[email protected]

http://www.bempowered.net/

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BEE EMPOWERMENT & LABOUR CONSULTANCY · Web viewCOMPLIANCE EVALUATION QUESTIONNAIRE FOR EXEMPTED MICRO ENTERPRISES IN TERMS OF THE BROAD-BASED BLACK ECONOMIC EMPOWERMENT ACT, ACT