SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire

SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessment Questionnaire

3245-0062 F1-Template.xls

SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire

OMB: 3245-0062

Document [xlsx]
Download: xlsx | pdf

Overview

Workbook Tracking
Summary
File Name Help
Principal (1)
Principal (2)
Principal (3)
Principal (4)
Principal (5)
Principal (6)
Principal (7)
Principal (8)
Principal (9)
Principal (10)


Sheet 1: Workbook Tracking

Exhibit F Workbooks and Associated Principals for



Return to Summary






























Count of Workbook


























Sheet 2: Summary

EXHIBIT F1
















INVESTMENT EXPERIENCE OF PRINCIPALS
















V1.1.b - May 24, 2006
















SBIC Applicant Name

Date





























For each principal, enter the individual’s name and official title in the fund. If an official title is not available, please provide a 2 to 3 word phrase describing the individual’s role on the team. (You will have an opportunity to expand on each principal’s role in Table F1 – “Principal Key Data”.) Principals/Management Team

































Individual Full Name
Role on Team
Worksheet

Related Fund Workbook Files
1
Please include the official title of the Principal. If an official title is not applicable, please provide a 2 to 3 word phrase describing the individual’s role on the team.

Principal (1)
- - - - - - - - - -
2
Please include the official title of the Principal. If an official title is not applicable, please provide a 2 to 3 word phrase describing the individual’s role on the team.

Principal (2)
- - - - - - - - - -
3
Please include the official title of the Principal. If an official title is not applicable, please provide a 2 to 3 word phrase describing the individual’s role on the team.

Principal (3)
- - - - - - - - - -
4
Please include the official title of the Principal. If an official title is not applicable, please provide a 2 to 3 word phrase describing the individual’s role on the team.

Principal (4)
- - - - - - - - - -
5
Please include the official title of the Principal. If an official title is not applicable, please provide a 2 to 3 word phrase describing the individual’s role on the team.

Principal (5)
- - - - - - - - - -
6
Please include the official title of the Principal. If an official title is not applicable, please provide a 2 to 3 word phrase describing the individual’s role on the team.

Principal (6)
- - - - - - - - - -
7
Please include the official title of the Principal. If an official title is not applicable, please provide a 2 to 3 word phrase describing the individual’s role on the team.

Principal (7)
- - - - - - - - - -
8
Please include the official title of the Principal. If an official title is not applicable, please provide a 2 to 3 word phrase describing the individual’s role on the team.

Principal (8)
- - - - - - - - - -
9
Please include the official title of the Principal. If an official title is not applicable, please provide a 2 to 3 word phrase describing the individual’s role on the team.

Principal (9)
- - - - - - - - - -
10
Please include the official title of the Principal. If an official title is not applicable, please provide a 2 to 3 word phrase describing the individual’s role on the team.

Principal (10)
- - - - - - - - - -























































List of Workbook Files



























































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Complete
















Partial
















Synthesized
















Other

















Sheet 3: File Name Help


File Name Help



Return to Summary



















Select type of Exhibit 3


F2 Complete Complete Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.








F3 Partial Partial Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.

10 character name acronym identifying your applicant name

New Ven II


F4 Synthesized Syn Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.








F5 Other Other Exhibit F5 - Other.xls All other investments.

First Year of Investment for this Fund or Group

1994





















First and last name initials for each principal for which the workbook applies (separated by commas)












DJ




















Date when this report was prepared
9/30/2003






















Resulting File Name: F4-New Ven II; Syn1994; DJ; 20030930.xls











F4-New Ven II; Syn1994; DJ; 20030930.xls
























Sheet 4: Principal (1)

EXHIBIT F1


Return to Summary
INVESTMENT EXPERIENCE OF PRINCIPALS (continued)








SBIC Name - Date 12/30/99





Table F1. Principal Key Data
Full name -
Years with this group
No. years of private equity investing experience as principal
Number of private equity investments (companies) as principal





Describe other relevant business activities and number of years in each activity



Briefly summarize direct private equity experience that is not included as part of a track record for the principal, either because of time period or type of investment, and/or business activities directly related to the principal’s intended role in the proposed SBIC. Include the number of years in each activity.





Brief description of key role & functions in the SBIC:




In five lines or fewer, state what you consider to be your primary and/or special contribution to the management team, relative to other members of the team.






Supporting Data








Enter the names of the funds that you have been involved with and the associated workbooks that contain the fund information.














Type Fund Name Fund Workbook*
1 1


2



3



4 1


5



6



7



8



9



10














*Notes on Fund Workbook File Names:








To create supporting workbooks, use the template workbooks as follows:








Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.


Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.


Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.

Exhibit F5 - Other.xls All other investments.







You will have one Excel workbook (file) for each fund group you are presenting.








Exhibit number, followed by a hypen (e.g., "F2-")

+acronym that identifies your applicant name (maximum of 10 characters)

+ "Complete" if a Complete full fund OR "Partial" if a Partial fund OR "Syn" if a Synthesized fund OR "Other" if group of investments fall under Other

+ the year of the first investment for the presented fund or group in YYYY format

+ ";"

+ the first and last name initials for each principal for which this workbook pertains separated by commas

+";"

+date when this report was prepared in YYYYMMDD format.








Example:



Applicant Name: Southern Ventures Fund



Principal Name(s): John Browning, Mary Jones



Year of First Investment into Fund or Group: 1995



Fund Type: Complete Fund



Date Report Prepared: September 30, 2003



File Name for Workbook: F2-SouthernVF; Complete1995; JB,MJ; 20030930.xls








If you would like some help in creating a name, click here->
Help on Creating File Name

Sheet 5: Principal (2)

EXHIBIT F1


Return to Summary
INVESTMENT EXPERIENCE OF PRINCIPALS (continued)








SBIC Name - Date 12/30/99





Table F1. Principal Key Data
Full name -
Years with this group
No. years of private equity investing experience as principal
Number of private equity investments (companies) as principal or on behalf of principal





Describe other business related activities and number of years in each activity



Briefly summarize direct private equity experience that is not included as part of a track record for the principal, either because of time period or type of investment, and/or business activities directly related to the principal’s intended role in the proposed SBIC. Include the number of years in each activity.





Brief description of key role & functions in the SBIC:




In five lines or fewer, state what you consider to be your primary and/or special contribution to the management team, relative to other members of the team.






Supporting Data








Enter the names of the funds that you have been involved with and the associated workbooks that contain the fund information.














Type Fund Name Fund Workbook*
1



2



3



4



5



6



7



8



9



10














*Notes on Fund Workbook File Names:








To create supporting workbooks, use the template workbooks as follows:








Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.


Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.


Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.

Exhibit F5 - Other.xls All other investments.







You will have one Excel workbook (file) for each fund group you are presenting.








Exhibit number

+ ": " + 10 character (or less) acronym that identifies your applicant name

+ "Complete" if a Complete full fund OR "Partial" if a Partial fund OR "Syn" if a Synthesized fund OR "Other" if group of investments fall under Other

+ the year of the first investment for the presented fund or group in YYYY format

+ "; " + the first and last name initials for each principal for which this workbook pertains separated by commas

+"; "+date when this report was prepared in YYYYMMDD format.








Example:



Applicant Name: Southern Ventures Fund



Principal Name(s): John Browning, Mary Jones



Year of First Investment into Fund or Group: 1995



Fund Type: Complete Fund



Date Report Prepared: September 30, 2003



File Name for Workbook: F2: SouthernVF; Complete1995; JB,MJ; 20030930.xls








If you would like some help in creating a name, click here->
Help on Creating File Name

Sheet 6: Principal (3)

EXHIBIT F1


Return to Summary
INVESTMENT EXPERIENCE OF PRINCIPALS (continued)








SBIC Name - Date 12/30/99





Table F1. Principal Key Data
Full name -
Years with this group
No. years of private equity investing experience as principal or on behalf of principal
Number of private equity investments (companies) as principal or on behalf of principal





Describe other business related activities and number of years in each activity



Briefly summarize direct private equity experience that is not included as part of a track record for the principal, either because of time period or type of investment, and/or business activities directly related to the principal’s intended role in the proposed SBIC. Include the number of years in each activity.





Brief description of key role & functions in the SBIC:




In five lines or fewer, state what you consider to be your primary and/or special contribution to the management team, relative to other members of the team.






Supporting Data








Enter the names of the funds that you have been involved with and the associated workbooks that contain the fund information.














Type Fund Name Fund Workbook*
1



2



3



4



5



6



7



8



9



10 1













*Notes on Fund Workbook File Names:








To create supporting workbooks, use the template workbooks as follows:








Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.


Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.


Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.

Exhibit F5 - Other.xls All other investments.







You will have one Excel workbook (file) for each fund group you are presenting.








Exhibit number

+ ": " + 10 character (or less) acronym that identifies your applicant name

+ "Complete" if a Complete full fund OR "Partial" if a Partial fund OR "Syn" if a Synthesized fund OR "Other" if group of investments fall under Other

+ the year of the first investment for the presented fund or group in YYYY format

+ "; " + the first and last name initials for each principal for which this workbook pertains separated by commas

+"; "+date when this report was prepared in YYYYMMDD format.








Example:



Applicant Name: Southern Ventures Fund



Principal Name(s): John Browning, Mary Jones



Year of First Investment into Fund or Group: 1995



Fund Type: Complete Fund



Date Report Prepared: September 30, 2003



File Name for Workbook: F2: SouthernVF; Complete1995; JB,MJ; 20030930.xls








If you would like some help in creating a name, click here->
Help on Creating File Name

Sheet 7: Principal (4)

EXHIBIT F1


Return to Summary
INVESTMENT EXPERIENCE OF PRINCIPALS (continued)








SBIC Name - Date 12/30/99





Table F1. Principal Key Data
Full name -
Years with this group
No. years of private equity investing experience as principal or on behalf of principal
Number of private equity investments (companies) as principal or on behalf of principal





Describe other business related activities and number of years in each activity



Briefly summarize direct private equity experience that is not included as part of a track record for the principal, either because of time period or type of investment, and/or business activities directly related to the principal’s intended role in the proposed SBIC. Include the number of years in each activity.





Brief description of key role & functions in the SBIC:




In five lines or fewer, state what you consider to be your primary and/or special contribution to the management team, relative to other members of the team.






Supporting Data








Enter the names of the funds that you have been involved with and the associated workbooks that contain the fund information.














Type Fund Name Fund Workbook*
1



2



3



4



5



6



7



8



9



10














*Notes on Fund Workbook File Names:








To create supporting workbooks, use the template workbooks as follows:








Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.


Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.


Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.

Exhibit F5 - Other.xls All other investments.







You will have one Excel workbook (file) for each fund group you are presenting.








Exhibit number

+ ": " + 10 character (or less) acronym that identifies your applicant name

+ "Complete" if a Complete full fund OR "Partial" if a Partial fund OR "Syn" if a Synthesized fund OR "Other" if group of investments fall under Other

+ the year of the first investment for the presented fund or group in YYYY format

+ "; " + the first and last name initials for each principal for which this workbook pertains separated by commas

+"; "+date when this report was prepared in YYYYMMDD format.








Example:



Applicant Name: Southern Ventures Fund



Principal Name(s): John Browning, Mary Jones



Year of First Investment into Fund or Group: 1995



Fund Type: Complete Fund



Date Report Prepared: September 30, 2003



File Name for Workbook: F2: SouthernVF; Complete1995; JB,MJ; 20030930.xls








If you would like some help in creating a name, click here->
Help on Creating File Name

Sheet 8: Principal (5)

EXHIBIT F1


Return to Summary
INVESTMENT EXPERIENCE OF PRINCIPALS (continued)








SBIC Name - Date 12/30/99





Table F1. Principal Key Data
Full name -
Years with this group
No. years of private equity investing experience as principal or on behalf of principal
Number of private equity investments (companies) as principal or on behalf of principal





Describe other business related activities and number of years in each activity



Briefly summarize direct private equity experience that is not included as part of a track record for the principal, either because of time period or type of investment, and/or business activities directly related to the principal’s intended role in the proposed SBIC. Include the number of years in each activity.





Brief description of key role & functions in the SBIC:




In five lines or fewer, state what you consider to be your primary and/or special contribution to the management team, relative to other members of the team.






Supporting Data








Enter the names of the funds that you have been involved with and the associated workbooks that contain the fund information.














Type Fund Name Fund Workbook*
1



2



3



4



5



6



7



8



9



10














*Notes on Fund Workbook File Names:








To create supporting workbooks, use the template workbooks as follows:








Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.


Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.


Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.

Exhibit F5 - Other.xls All other investments.







You will have one Excel workbook (file) for each fund group you are presenting.








Exhibit number

+ ": " + 10 character (or less) acronym that identifies your applicant name

+ "Complete" if a Complete full fund OR "Partial" if a Partial fund OR "Syn" if a Synthesized fund OR "Other" if group of investments fall under Other

+ the year of the first investment for the presented fund or group in YYYY format

+ "; " + the first and last name initials for each principal for which this workbook pertains separated by commas

+"; "+date when this report was prepared in YYYYMMDD format.








Example:



Applicant Name: Southern Ventures Fund



Principal Name(s): John Browning, Mary Jones



Year of First Investment into Fund or Group: 1995



Fund Type: Complete Fund



Date Report Prepared: September 30, 2003



File Name for Workbook: F2: SouthernVF; Complete1995; JB,MJ; 20030930.xls








If you would like some help in creating a name, click here->
Help on Creating File Name

Sheet 9: Principal (6)

EXHIBIT F1


Return to Summary
INVESTMENT EXPERIENCE OF PRINCIPALS (continued)








SBIC Name - Date 12/30/99





Table F1. Principal Key Data
Full name -
Years with this group
No. years of private equity investing experience as principal or on behalf of principal
Number of private equity investments (companies) as principal or on behalf of principal





Describe other business related activities and number of years in each activity



Briefly summarize direct private equity experience that is not included as part of a track record for the principal, either because of time period or type of investment, and/or business activities directly related to the principal’s intended role in the proposed SBIC. Include the number of years in each activity.





Brief description of key role & functions in the SBIC:




In five lines or fewer, state what you consider to be your primary and/or special contribution to the management team, relative to other members of the team.






Supporting Data








Enter the names of the funds that you have been involved with and the associated workbooks that contain the fund information.














Type Fund Name Fund Workbook*
1



2



3



4



5



6



7



8



9



10














*Notes on Fund Workbook File Names:








To create supporting workbooks, use the template workbooks as follows:








Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.


Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.


Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.

Exhibit F5 - Other.xls All other investments.







You will have one Excel workbook (file) for each fund group you are presenting.








Exhibit number

+ ": " + 10 character (or less) acronym that identifies your applicant name

+ "Complete" if a Complete full fund OR "Partial" if a Partial fund OR "Syn" if a Synthesized fund OR "Other" if group of investments fall under Other

+ the year of the first investment for the presented fund or group in YYYY format

+ "; " + the first and last name initials for each principal for which this workbook pertains separated by commas

+"; "+date when this report was prepared in YYYYMMDD format.








Example:



Applicant Name: Southern Ventures Fund



Principal Name(s): John Browning, Mary Jones



Year of First Investment into Fund or Group: 1995



Fund Type: Complete Fund



Date Report Prepared: September 30, 2003



File Name for Workbook: F2: SouthernVF; Complete1995; JB,MJ; 20030930.xls








If you would like some help in creating a name, click here->
Help on Creating File Name

Sheet 10: Principal (7)

EXHIBIT F1


Return to Summary
INVESTMENT EXPERIENCE OF PRINCIPALS (continued)








SBIC Name - Date 12/30/99





Table F1. Principal Key Data
Full name -
Years with this group
No. years of private equity investing experience as principal or on behalf of principal
Number of private equity investments (companies) as principal or on behalf of principal





Describe other business related activities and number of years in each activity



Briefly summarize direct private equity experience that is not included as part of a track record for the principal, either because of time period or type of investment, and/or business activities directly related to the principal’s intended role in the proposed SBIC. Include the number of years in each activity.





Brief description of key role & functions in the SBIC:




In five lines or fewer, state what you consider to be your primary and/or special contribution to the management team, relative to other members of the team.






Supporting Data








Enter the names of the funds that you have been involved with and the associated workbooks that contain the fund information.














Type Fund Name Fund Workbook*
1



2



3



4



5



6



7



8



9



10














*Notes on Fund Workbook File Names:








To create supporting workbooks, use the template workbooks as follows:








Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.


Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.


Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.

Exhibit F5 - Other.xls All other investments.







You will have one Excel workbook (file) for each fund group you are presenting.








Exhibit number

+ ": " + 10 character (or less) acronym that identifies your applicant name

+ "Complete" if a Complete full fund OR "Partial" if a Partial fund OR "Syn" if a Synthesized fund OR "Other" if group of investments fall under Other

+ the year of the first investment for the presented fund or group in YYYY format

+ "; " + the first and last name initials for each principal for which this workbook pertains separated by commas

+"; "+date when this report was prepared in YYYYMMDD format.








Example:



Applicant Name: Southern Ventures Fund



Principal Name(s): John Browning, Mary Jones



Year of First Investment into Fund or Group: 1995



Fund Type: Complete Fund



Date Report Prepared: September 30, 2003



File Name for Workbook: F2: SouthernVF; Complete1995; JB,MJ; 20030930.xls








If you would like some help in creating a name, click here->
Help on Creating File Name

Sheet 11: Principal (8)

EXHIBIT F1


Return to Summary
INVESTMENT EXPERIENCE OF PRINCIPALS (continued)








SBIC Name - Date 12/30/99





Table F1. Principal Key Data
Full name -
Years with this group
No. years of private equity investing experience as principal or on behalf of principal
Number of private equity investments (companies) as principal or on behalf of principal





Describe other business related activities and number of years in each activity



Briefly summarize direct private equity experience that is not included as part of a track record for the principal, either because of time period or type of investment, and/or business activities directly related to the principal’s intended role in the proposed SBIC. Include the number of years in each activity.





Brief description of key role & functions in the SBIC:




In five lines or fewer, state what you consider to be your primary and/or special contribution to the management team, relative to other members of the team.






Supporting Data








Enter the names of the funds that you have been involved with and the associated workbooks that contain the fund information.














Type Fund Name Fund Workbook*
1



2



3



4



5



6



7



8



9



10














*Notes on Fund Workbook File Names:








To create supporting workbooks, use the template workbooks as follows:








Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.


Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.


Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.

Exhibit F5 - Other.xls All other investments.







You will have one Excel workbook (file) for each fund group you are presenting.








Exhibit number

+ ": " + 10 character (or less) acronym that identifies your applicant name

+ "Complete" if a Complete full fund OR "Partial" if a Partial fund OR "Syn" if a Synthesized fund OR "Other" if group of investments fall under Other

+ the year of the first investment for the presented fund or group in YYYY format

+ "; " + the first and last name initials for each principal for which this workbook pertains separated by commas

+"; "+date when this report was prepared in YYYYMMDD format.








Example:



Applicant Name: Southern Ventures Fund



Principal Name(s): John Browning, Mary Jones



Year of First Investment into Fund or Group: 1995



Fund Type: Complete Fund



Date Report Prepared: September 30, 2003



File Name for Workbook: F2: SouthernVF; Complete1995; JB,MJ; 20030930.xls








If you would like some help in creating a name, click here->
Help on Creating File Name

Sheet 12: Principal (9)

EXHIBIT F1


Return to Summary
INVESTMENT EXPERIENCE OF PRINCIPALS (continued)








SBIC Name - Date 12/30/99





Table F1. Principal Key Data
Full name -
Years with this group
No. years of private equity investing experience as principal or on behalf of principal
Number of private equity investments (companies) as principal or on behalf of principal





Describe other business related activities and number of years in each activity



Briefly summarize direct private equity experience that is not included as part of a track record for the principal, either because of time period or type of investment, and/or business activities directly related to the principal’s intended role in the proposed SBIC. Include the number of years in each activity.





Brief description of key role & functions in the SBIC:




In five lines or fewer, state what you consider to be your primary and/or special contribution to the management team, relative to other members of the team.






Supporting Data








Enter the names of the funds that you have been involved with and the associated workbooks that contain the fund information.














Type Fund Name Fund Workbook*
1



2



3



4



5



6



7



8



9



10














*Notes on Fund Workbook File Names:








To create supporting workbooks, use the template workbooks as follows:








Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.


Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.


Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.

Exhibit F5 - Other.xls All other investments.







You will have one Excel workbook (file) for each fund group you are presenting.








Exhibit number

+ ": " + 10 character (or less) acronym that identifies your applicant name

+ "Complete" if a Complete full fund OR "Partial" if a Partial fund OR "Syn" if a Synthesized fund OR "Other" if group of investments fall under Other

+ the year of the first investment for the presented fund or group in YYYY format

+ "; " + the first and last name initials for each principal for which this workbook pertains separated by commas

+"; "+date when this report was prepared in YYYYMMDD format.








Example:



Applicant Name: Southern Ventures Fund



Principal Name(s): John Browning, Mary Jones



Year of First Investment into Fund or Group: 1995



Fund Type: Complete Fund



Date Report Prepared: September 30, 2003



File Name for Workbook: F2: SouthernVF; Complete1995; JB,MJ; 20030930.xls








If you would like some help in creating a name, click here->
Help on Creating File Name

Sheet 13: Principal (10)

EXHIBIT F1


Return to Summary
INVESTMENT EXPERIENCE OF PRINCIPALS (continued)








SBIC Name - Date 12/30/99





Table F1. Principal Key Data
Full name -
Years with this group
No. years of private equity investing experience as principal or on behalf of principal
Number of private equity investments (companies) as principal or on behalf of principal





Describe other business related activities and number of years in each activity



Briefly summarize direct private equity experience that is not included as part of a track record for the principal, either because of time period or type of investment, and/or business activities directly related to the principal’s intended role in the proposed SBIC. Include the number of years in each activity.





Brief description of key role & functions in the SBIC:




In five lines or fewer, state what you consider to be your primary and/or special contribution to the management team, relative to other members of the team.






Supporting Data








Enter the names of the funds that you have been involved with and the associated workbooks that contain the fund information.














Type Fund Name Fund Workbook*
1



2



3



4



5



6



7



8



9



10














*Notes on Fund Workbook File Names:








To create supporting workbooks, use the template workbooks as follows:








Exhibit F2 - Complete.xls If you were with a venture fund for the entire fund's life or if fund is still ongoing.


Exhibit F3 - Partial.xls If you were with a venture fund for only part of the fund's timeframe.


Exhibit F4 - Synthesized.xls Groups of separate investments not done within a single venture fund. Investments must be at least $250,000 by total company financing OR a minimum of $100,000 with a board seat.

Exhibit F5 - Other.xls All other investments.







You will have one Excel workbook (file) for each fund group you are presenting.








Exhibit number

+ ": " + 10 character (or less) acronym that identifies your applicant name

+ "Complete" if a Complete full fund OR "Partial" if a Partial fund OR "Syn" if a Synthesized fund OR "Other" if group of investments fall under Other

+ the year of the first investment for the presented fund or group in YYYY format

+ "; " + the first and last name initials for each principal for which this workbook pertains separated by commas

+"; "+date when this report was prepared in YYYYMMDD format.








Example:



Applicant Name: Southern Ventures Fund



Principal Name(s): John Browning, Mary Jones



Year of First Investment into Fund or Group: 1995



Fund Type: Complete Fund



Date Report Prepared: September 30, 2003



File Name for Workbook: F2: SouthernVF; Complete1995; JB,MJ; 20030930.xls








If you would like some help in creating a name, click here->
Help on Creating File Name
File Typeapplication/vnd.ms-excel
AuthorTMJamers
Last Modified ByCBRich
File Modified2007-04-04
File Created2003-10-23

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