Asp!re FCU Participating Organizations Please complete all fields on this page. Company Name: Company Address: City: State: ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip: HR Manager and/or Primary Contact: Contact Phone Number: Contact Fax Number: Contact Email Address: Nature of Business: How many years has the company been in business? Number of people employed by your company: Are there other locations other than your main office? Please list the locations What percentage of your employees fall into the following annual salary categories? % Less than $20,000 % $50,000 to $99,999 % $20,000 to $49,999 % $100,000 or more What percentage of your employees fall into the following payroll categories? % Weekly % Bi-monthly % Bi-weekly % Monthly What percentage of your employees fall into the following age groups? % Under 21 % 40 - 55 % 21 - 39 % Over 55 Please list any payroll contacts, with phone numbers and/or email addresses: Please list any individuals who could assist us in communication efforts, with phone numbers and/or email addresses: What type of communication vehicles would be accessible to us to contact your employees (please check all that apply)? HR Package New Employee Package In-house email/Intranet Brochure racks Cafeteria table top advertising Company Newsletter Other (please list)