Sba Form 2183 Exhi Exhibt T - Sbic Directory Profile

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

SBIC Applicatiion SBA Form 2183 - Exhibit 9-24-13.xlsx

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

OMB: 3245-0062

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Overview

Cover
SBIC Online Profile


Sheet 1: Cover










OMB Approval No. 3245-0062



Expiration Date: MM/DD/YYYY






















409 3rd St., SW • Washington, DC 20416 • (202) 205-6510


















The SBIC Program


















Form 2183: Exhibit T - SBIC Directory Profile















Name of Applicant:
Name of Applicant, LP











































































































































































































































SBA Form 2183 (07-13) Previous editions obsolete









Sheet 2: SBIC Online Profile

Name of Applicant, LP












SBIC Online Directory





Upon Licensing, your fund will be added to a directory of actively licensed SBICs maintained on the SBIC Program website. This directory is available for use by other fund managers and limited partners, but also by members of congress and the general public. As a recipient of federal government benefits, SBA is required to make available the "mandatory" data that you are asked to complete below. The "supplemental data" is optional. However, small business owners find this additional information extremely useful in screening themselves in or out as potential investees of your fund.

Please note: Only the information you provide here will be included in the online database. The information you have provided elsewhere in your application will be kept confidential to the extent allowed by law.







Mandatory:





License Number:
[To be completed by SBA]
Date of Licensing
[To be completed by SBA]
Name of SBIC:
Name of Applicant, LP
City:
Washington
State (Abbrev.):
DC







Supplemental:





Contact Name:
Jane
Contact Title:
Doe
Contact Phone:
(123) 456-7890
Contact E-mail:
[email protected]
Website:
www.sbicinvestors.com







Investment Status:
Actively Investing
Anticipated Investment Period End (Year):
2019







Fund Description/Comments:
SBIC Investors makes both debt and equity investments primarily in small manufacturing firms.







Investment Strategy:









Type of Capital Invested (Enter 'X' for all that apply):


Preferred Geographic Region (Enter 'X' for all that apply):


Senior Debt


All

Suborindated Debt X

New England (ME, NH, VT, CT, RI, MA) X

Equity X

Middle Atlantic (NY, PA, NY) X

Other


South Atlantic (DE, MD, DC, WV, VA, NC, SC, GA, FL) X





East South Central (KY, TN, MS, AL)
Preferred Company Stage (Enter 'X' for all that apply):



West South Central (AR, OK, TX, LA)

All


East North Central (MI, WI, IL, IN, OH)

Seed


West North Central (MN, ND, SD, NE, KS, MO, IA)

Early


Mountain (MT, ID, NV, UT, AZ, NM, CO, WY)

Expansion X

Pacific (AK, WA, OR, CA, HI)

Later Stage X




Change of Control X
Preferred Industries (Enter 'X' for all that apply):


Turnaround


All





Communications and Media





Internet Specific





Computer Related





Semi-conductors/Other Electrical





Medical/Health/Life Sciences





Consumer Related





Industrial/Energy





Transportation





Financial & Business Services X





Manufacturing X





Other X
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