Exhibit F1 Assessm Assessment Instructions

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Overview

Summary
Principal (1)
Principal (2)
Principal (3)
Principal (4)
Principal (5)
Principal (6)
Principal (7)
Principal (8)
Principal (9)
Principal (10)

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Sheet 1: Summary

Management Assessment Questionnaire - SBIC Program
Exhibit F1 - Investment Experience of Principals
SBIC Applicant Name					Date
Principals/Management Team
	Principal		Role on Team		Worksheet
1					Principal (1)
2					Principal (2)
3					Principal (3)
4					Principal (4)
5					Principal (5)
6					Principal (6)
7					Principal (7)
8					Principal (8)
9					Principal (9)
10					Principal (10)

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Sheet 2: Principal (1)

Management Assessment Questionnaire - SBIC Program				Return to Summary
Exhibit F1 - 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 qualified investing experience as principal
Number of 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.

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Sheet 3: Principal (2)

Management Assessment Questionnaire - SBIC Program				Return to Summary
Exhibit F1 - 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 qualified investing experience as principal
Number of 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.

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Sheet 4: Principal (3)

Management Assessment Questionnaire - SBIC Program				Return to Summary
Exhibit F1 - 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 qualified investing experience as principal
Number of 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.

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Sheet 5: Principal (4)

Management Assessment Questionnaire - SBIC Program				Return to Summary
Exhibit F1 - 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 qualified investing experience as principal
Number of 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.

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Sheet 6: Principal (5)

Management Assessment Questionnaire - SBIC Program				Return to Summary
Exhibit F1 - 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 qualified investing experience as principal
Number of 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.

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Sheet 7: Principal (6)

Management Assessment Questionnaire - SBIC Program				Return to Summary
Exhibit F1 - 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 qualified investing experience as principal
Number of 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.

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Sheet 8: Principal (7)

Management Assessment Questionnaire - SBIC Program				Return to Summary
Exhibit F1 - 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 qualified investing experience as principal
Number of 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.

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Sheet 9: Principal (8)

Management Assessment Questionnaire - SBIC Program				Return to Summary
Exhibit F1 - 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 qualified investing experience as principal
Number of 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.

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Sheet 10: Principal (9)

Management Assessment Questionnaire - SBIC Program				Return to Summary
Exhibit F1 - 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 qualified investing experience as principal
Number of 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.

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Sheet 11: Principal (10)

Management Assessment Questionnaire - SBIC Program				Return to Summary
Exhibit F1 - 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 qualified investing experience as principal
Number of 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.