Exhibit F2 Assessm Assessment Instructions

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

SBIC Assesment Exhibit F2 7-10.xlsx

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

OMB: 3245-0062

Document [xlsx]
Download: xlsx | pdf

Overview

F2-A. General Information
F2-B. Investment Descriptions
F2-C. Active Involvement
F2-D. Investment Detail
F2-E. Fund Performance Summary
F2-F Investments & Multiples


Sheet 1: F2-A. General Information

Management Assessment Questionnaire - SBIC Program









Exhibit F2 - Fund Experience









Version 0510









TABLE F2-A. General Information









0









0









0









3/31/2010




















SBIC Applicant




















Name of Fund




















Fund Location










































Valuation Date or Fund Closing Date




















Vintage Year




















Principal(s) involved




















Total Committed LP Capital



















0
SBA Debenture Leverage Committed (if applicable)








0










0
Total Fund Size








0











Cash and Cash Equivalents




















Liabilities




















Management Fee %




















Carried Interest %




















Preferred Return %




















Please provide narrative on investment strategy, including lifecycle stages of investments and industry sectors






































































Please list and provide contact information for the 10 largest limited partners of this fund.






Limited Partner Contact Person Phone Email































































































































Footnotes




























































Sheet 2: F2-B. Investment Descriptions

Management Assessment Questionnaire - SBIC Program











Exhibit F2 - Fund Experience













Version 0510













TABLE F2-B. Investment Descriptions













0













0













0












3/31/2010




























Number of Companies = 0




-






Portfolio Company State of Co.'s Primary Offices Industry Description of Products / Services Stage Type of Security Month & Year of Initial Investment Total Investment Amount Status (R= Realized, U=Unrealized) Co-investors

Industry Stage Status












Communications & Media Seed R












Internet Specific Early U












Computer Hardware Expansion












Computer Software Later












Computer Other Change of Control












Semi-conductors/Other Electr. Turnaround












Biotechnology













Medical/Health













Consumer Related













Industrial/Energy













Business Services













Manufacturing













Agriculture/Forestry/Fishing













Construction













Utilities













Other















































Sheet 3: F2-C. Active Involvement

Management Assessment Questionnaire - SBIC Program


















Exhibit F2 - Fund Experience


















Version 0510


















TABLE F2-C. Active Involvement















0















0


















0
















3/31/2010







































Pre-Investment Role Post-Investment Active Involvement in Company
Portfolio Company Deal Lead Deal Co-Lead Deal Source Financial Analysis Market Research Lead Structuring Lead Due Diligence Made Recommendation to Investment Committee Investment Committee Negotiation Closing Discussion of
Pre-Investment Role
Top Ranking Officer Replaced Board of Directors Committees Exit Process Workouts, etc.. Officer of the company Discussion of
Post-Investment Role






























































































































































































































































































































































































































































































Sheet 4: F2-D. Investment Detail

Management Assessment Questionnaire - SBIC Program




















Exhibit F2 - Fund Experience




















Version 0510




















TABLE F2-D. Investment Detail




















0


















0

















0

















3/31/2010



















































































Realized Investments
Unrealized & Partially Realized Investments
Total









Subtotal



Subtotal
Total Fund Cash Flows Mgmt Fees & Org. Costs GP Carry Other Revenues/ Expenses Net Fund Cash Flows


























2001 3/31/2001 0 0 0 0
0 0 0 0
0


0 0


0
6/30/2001 0 0 0 0
0 0 0 0
0


0




9/30/2001 0 0 0 0
0 0 0 0
0


0




12/31/2001 0 0 0 0
0 0 0 0
0


0




2002 3/31/2002 0 0 0 0
0 0 0 0
0


0 0


0
6/30/2002 0 0 0 0
0 0 0 0
0


0




9/30/2002 0 0 0 0
0 0 0 0
0


0




12/31/2002 0 0 0 0
0 0 0 0
0


0




2003 3/31/2003 0 0 0 0
0 0 0 0
0


0 0


0
6/30/2003 0 0 0 0
0 0 0 0
0


0




9/30/2003 0 0 0 0
0 0 0 0
0


0




12/31/2003 0 0 0 0
0 0 0 0
0


0




2004 3/31/2004 0 0 0 0
0 0 0 0
0


0 0


0
6/30/2004 0 0 0 0
0 0 0 0
0


0




9/30/2004 0 0 0 0
0 0 0 0
0


0




12/31/2004 0 0 0 0
0 0 0 0
0


0




2005 3/31/2005 0 0 0 0
0 0 0 0
0


0 0


0
6/30/2005 0 0 0 0
0 0 0 0
0


0




9/30/2005 0 0 0 0
0 0 0 0
0


0




12/31/2005 0 0 0 0
0 0 0 0
0


0




2006 3/31/2006 0 0 0 0
0 0 0 0
0


0 0


0
6/30/2006 0 0 0 0
0 0 0 0
0


0




9/30/2006 0 0 0 0
0 0 0 0
0


0




12/31/2006 0 0 0 0
0 0 0 0
0


0




2007 3/31/2007 0 0 0 0
0 0 0 0
0


0 0


0
6/30/2007 0 0 0 0
0 0 0 0
0


0




9/30/2007 0 0 0 0
0 0 0 0
0


0




12/31/2007 0 0 0 0
0 0 0 0
0


0




2008 3/31/2008 0 0 0 0
0 0 0 0
0


0 0


0
6/30/2008 0 0 0 0
0 0 0 0
0


0




9/30/2008 0 0 0 0
0 0 0 0
0


0




12/31/2008 0 0 0 0
0 0 0 0
0


0




2009 3/31/2009 0 0 0 0
0 0 0 0
0


0 0


0
6/30/2009 0 0 0 0
0 0 0 0
0


0




9/30/2009 0 0 0 0
0 0 0 0
0


0




12/31/2009 0 0 0 0
0 0 0 0
0


0




Current Valuation



0
0 0 0 0
0


0
















0 0 0
0


























Total Financing Costs
0 0 0 0
0 0 0 0
0








Percent of Cost
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0!








Total Cash and Non-Cash Proceeds
0 0 0 0
0 0 0 0
0








Residual Value





0 0 0 0
0








Gain / (Loss)
0 0 0 0
0 0 0 0
0








Gain/Total Gain
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0!








IRR
Err:523 Err:523 Err:523 Err:523
Err:523 Err:523 Err:523 Err:523
Err:523


Err:523
















Gross IRR


Net IRR





Sheet 5: F2-E. Fund Performance Summary

Management Assessment Questionnaire - SBIC Program














Exhibit F2 - Fund Experience














Version 0510














TABLE F2-E. Fund Performance Summary














0











0











0










3/31/2010











































Cash on Cash Performance











Distributions to Paid-In Capital

#DIV/0!











Residual Value to Paid-In Capital

#DIV/0!











Total Value to Paid-In Capital

#DIV/0!



























Year Amount Invested in Companies Gross Cash Receipts Residual Value of Assets Gross Investment CF Cumulative Gross Investment CF Leverage & Borrowings Cumulative Leverage Outstanding Expenses & Mgt Fees Paid-In Capital Interest Expense Distributions Carried Interest Carried Interest on Residual Leverage Repayment Cash - Other Liabilities

0 0 0 0
0
0 0 0 0 0 0 0 0
2001


0 0
0







2002


0 0
0







2003


0 0
0







2004


0 0
0







2005


0 0
0







2006


0 0
0







2007


0 0
0







2008


0 0
0







2009


0 0
0







2010


0 0
0








Sheet 6: F2-F Investments & Multiples

Management Assessment Questionnaire - SBIC Program









Exhibit F2 - Fund Experience













Version 0510













TABLE F2-F. Investments & Multiples













0













0













0













3/31/2010











































Fund Information

Investment Statistics


Exit/Current Statistics















Company Name
Date Number of Employees Enterprise Value Revenue LTM EBITDA Investment Multiple
Date Number of Employees Enterprise Value Revenue LTM EBITDA Exit/Current Multiple





































































































































































Total Realized Investments

0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!

0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!


























































































Total Residual Values

0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!

0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!















Total Realized & Residual

0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!

0 #DIV/0! #DIV/0! #DIV/0! #DIV/0!
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