Here are the best of the best, the dozen first-place winners of the 2003 Neighborhood Business Awards across 11 categories.
| Award | Business | Owner | District |
| Grand Prize | EQ3 | Mark Huizen | Heartside |
| Best Façade | MercuryHead Gallery | Ben Perrin | East Fulton |
| Best Window Display | East Fulton Art & Antiques | Kathy Nagy | East Fulton |
| Best Interior Renovation | Sentimental Stitches | Gay Bomers | Cheshire Village |
| Best Exterior Renovation | O’Tooles Public House | Paul & David Reinert | Stockbridge |
| Best New Construction | Cook-DeVos Center for Health Sciences | Grand Valley State University | Michigan Street |
| Best Exterior Maintenance | 800 Monroe Ave. NW | Ed De Vries Properties | Monroe North |
| Best Use of a Sign Or Awning | Pickwick Tavern | John Rusilowski | Cherry-Lake-Diamond |
| Best Reuse of a Building (tie) | Hook Fish & Chicken/Huntington Bank | Sam/ Huntington Bank | Franklin/Eastern Wealthy Street |
| Best PromotionalEvent | E Bag | Eastown Business Association | Eastown |
| Best Response to A Need or Issue | The Source | Andrew Brower | Madison Square |
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