1. | Butler/Till 260 E. Broad St. Rochester, NY 14604 www.butlertill.com
| $37.7 million
| Kimberly Jones (585) 274-5100
| 200 290
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| 1998 Amgen, Axsome, Bausch Health, Global Blood Therapeutics, Greenwich Biosciences, Hologic, Phathom, Rigel, Salix, and Takeda
| Integrated planning, media, analytics, and creative
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2. | Dixon Schwabl + Company 1595 Moseley Road Victor, NY 14564 www.dixonschwabl.com
| $29 million
| Kim Allen (585) 383-0380
| 99 115
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| 1987 Frontier Communications Corp., Community Bank NA, ESL Federal Credit Union, Master Lock
| Research/marketing strategy, branding, creative/design, media buying and planning, demand generation, studio production, data and tech consultation
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3. | Partners + Napier 1 S. Clinton Ave. Rochester, NY 14604 www.partnersandnapier.com
| $23.7 million
| Sharon Napier, Courtney Cotrupe (585) 454-1010
| 150 150
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| 2004 Constellation Brands, MDLIVE, Saputo Inc., Smashburger, Highmark
| Food and beverage (packaged foods, restaurants, beverage alcohol), health and wellness, B2B enterprise services, travel and tourism
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