Form SBA Form 468 short SBA Form 468 short UNAUDITED SBIC CUMULATIVE INVESTMENT

SBIC Financial Reports

3245-0063 Form 468 Short 7-19-2023.xlsm

SBIC Financial Reports

OMB: 3245-0063

Document [xlsx]
Download: xlsx | pdf

Overview

TOC
1-Cover
2&3-Bal
4-NI
5&6-CF
7-PCap
8-READ_Cap
S1Inv
S1AB
S1C
S2RG
S3NC
S4Del
S5Commit
S6Guar
S7Cash
S8Dist
Certifications
S11cumperf
ExecSum
WDSup
WDSupA
WDSupB
KeyLeverageMetrics
NAICS Search


Sheet 1: TOC

Table of Contents





"Ctrl-t" will take you back to this table of contents.



Form Section Form / Page Order Leveraged Licensees Only Tab Name

Cover 1 1

1-Cover

Balance Sheet 2 14

2&3-Bal

Statement of Operations / Income Statement 3 15

4-NI

Cash Flow Statement 4 16

5&6-CF

Statement of Partners' Capital 5 12

7-Pcap

READ & Regulatory & Leverageable Capital 6 13
X 8-READ_Cap

Schedule 1: Schedule of Loans and Investments 7 3

S1Inv

Schedule 1 A & B: Summary of Loans and Investments and Smaller Enterprise Financings 8 5

S1AB

Schedule 1 C: Schedule of Additions and Deductions to Loan and Investment Cost 9 4

S1C

Schedule 2: Schedule of Realized Gains and Losses on Loans and Investments 10 6

S2RG

Schedule 3: Schedule of Non-cash Gains/Income 11 7

S3NC

Schedule 4: Schedule of Delinquent Loans and Investments 12 8

S4Del

Schedule 5: Schedule of Commitments 13 9

S5Commit

Schedule 6: Schedule of Guarantees 14 10

S6Guar

Schedule 7: Schedule of Cash and Invested Idle Funds 15 11
X S7Cash

Schedule 8: Accrual and Reinvestor SBIC Distribution Schedule (Note 1) 16 17 X
S8Dist

Schedule 9: Schedule of Activity 17 18

S9Activity

Certifications 18 22

Certifications

Schedule 10: SBIC Licensee Customer Relationship Management Information 19 19

S10crm

Schedule 11: SBIC Cumulative Performance 20 2

S11cumperf

Schedule 12: Portfolio Company Updates 21 21

S12pc

Executive Summary 22 20

ExecSum

Wind-Down Plan Supplement (Note 2) 23 23

WDSup

Wind-Down Plan Supplement Schedule A (Note 2) 24 24

WDSupA

Wind-Down Plan Supplement Schedule B (Note 2) 25 25

WDSupB

Private Capital Supplement (Separate file) 26 26

*Separate file

Key SBA Leverage Metrics n/a n/a
X KeyMetrics

NAICS Search Tool n/a n/a

NAICS Search








Notes





1. Schedule 8 is only required for Accrual and Reinvestor SBICs. It should be completed as distributions are made and checked against statement of partners' capital.



2. Wind-Down Plans are only required for SBICs that are in Wind-Down, per 13 CFR 107.590.



Sheet 2: 1-Cover




Quarterly Report

OMB Approval No. 3245-0063


SBA FORM 468 (SHORT)

Expiration Date MM/DD/YYYY


Partnership SBICs















Name of Licensee:










License Number:












Street Address:














City:



State:
Err:504


Zip Code:





County:











Licensee Employer ID Number:












For the Reporting Period Ended:












Number of Months:












Ownership: Other









Approved Valuation Guidance SBA Valuation Guidelines









Vintage Year:












Fund Style












Investment Strategy



Other Style or Strategy Description








Has SBA Approved Wind-Down Plan? N










Please Note: The estimated burden for completing this form is 35 hours per response if a wind-up plan is required and 25 hours per response if a wind-up plan is not required. You will not be required to respond to this information collection if a valid OMB approval number is not displayed. If you have questions or comments concerning this estimate or other aspects of this information collection, please contact the U.S. Small Business Administration, Chief Administrative Information Branch, Washington, D.C. 20416 and/or SBA Desk Officer, Office of Management and Budget, New Executive Office Building, Room 10202, Washington, D.C. 20503. PLEASE DO NOT SEND FORMS TO OMB















Select "X" if you have selected Corporate SBIC and would like differences from partnership highlighted in blue font.





Sheet 3: 2&3-Bal



STATEMENT OF FINANCIAL POSITION



OMB Approval No. 3245-0063


FOR MONTH PERIOD ENDED: 01/00/1900



Expiration Date MM/DD/YYYY


(Amounts rounded to the nearest dollar)





Name of License: 0




License no.: 00/00-0000














SBA Valuation Guidelines
ASSETS



Current Period End
Prior Year End Audited
LOANS AND INVESTMENTS (Current Period from Schedule 1)



12/30/1899


Portfolio Securities







1 Loans Cost


* $-
$-
2 Debt Securities Cost


* $-
$-
3 Equity Securities Cost


* $-
$-
4a Portfolio Securities at Cost


* $-
$-
4b Appreciation on Portfolio Securities


* $-
$-
4c Depreciation on Portfolio Securities


* $-


4d Total Portfolio Securities at Value



$-
$-









Assets Acquired in Liquidation of Portfolio Securities:







5 Receivables from Sale of Assets Acquired Cost


* $-
$-
6 Assets Acquired Cost


* $-
$-
7 Operating Concerns Acquired Cost


* $-
$-
8 Notes and Other Securities Received Cost


* $-
$-
9a Total Assets Acquired and Notes Received Cost (Lines 5-8)


* $-
$-
9b Appreciation on Assets Acquired and Notes Received


* $-
$-
9c Depreciation on Assets Acquired and Notes Received


* $-
$-
9d Assets acquired and Notes Received Reported Value



$-
$-









10 Equity Investments in Relender/Reinvestors Exception







a. Total Cost of Relender/Reinvestor Investments


* $-
$-
b. Appreciation on Relender/Reinvestor Investments


* $-
$-
c. Depreciation on Relender/Reinvestor Equity Investments


* $-
$-
d. Total Relender/Reinvestor Investments Value



$-
$-









11a TOTAL LOANS AND INVESTMENTS COST (Line 4a + Line 9a + Line 10a)



$-
$-
11b TOTAL LOANS AND INVESTMENTS VALUE (Line 4d + Line 9d + Line 10d)



$-
$-
12 Less Current Maturities



$-
$-
13 Loans and Investments Net of Current Maturities



$-
$-









CURRENT ASSETS







14 Cash and Cash Equivalents


* $-
$-
15 Invested Idle Funds


* $-
$-
16 Interest and Dividends Receivable



$-
$-
17 Notes and Accounts Receivable



$-
$-
18 Receivables from Parent or Other Associates



$-
$-
19 Less: Allowance for Losses (lines 16, 17, and 18)



$-
$-
20 Current Maturities of Portfolio Securities



$-
$-
21 Current Maturities of Assets Acquired



$-
$-
22 Current Maturities of Operating Concerns Acquired



$-
$-
23 Current Maturities of Other Securities



$-
$-
24a Other (specify)

$-
$-
24b Other (specify)

$-
$-
25 Total Current Assets



$-
$-









OTHER ASSET







26 Net Furniture and Equipment



$-
$-
27 Net Leverage Fees



$-
$-
28a Other (specify)

$-
$-
28b Other (specify)

$-
$-
29 Total Other Assets (Sum of lines 26 through 28b)



$-
$-









30 TOTAL ASSETS



$-
$-


















LIABILITIES AND CAPITAL



SBA Valuation Guidelines





Current Period End
Prior Year End Audited
LIABILITIES



12/30/1899


Long-Term Debt







31 Notes and Debentures payable to or guaranteed by SBA.



$-
$-
32 Notes and Debentures Payable to Others



$-
$-
33 Total Long Term Liabilities (Line 31 + Line 32)



$-
$-









Current Liabilities







34 Accounts Payable



$-
$-
35 Due to Parent or Other Associates







a. Management Expenses Due to Associates



$-
$-
b. Other Due to Associates



$-
$-
36 Accrued Interest Payable



$-
$-
37 Accrued Taxes Payable



$-
$-
38 Distributions Payable



$-
$-
39 Short-term notes Payable/Lines of Credit



$-
$-
40a Other (specify)

$-
$-
40b Other (specify)

$-
$-
41 Total Current Liabilities (Sum of Lines 35 through 40)



$-
$-









Other Liabilities







42 Deferred Credits



$-
$-
43 Deferred Fee Income



$-
$-
44 Other (specify)

$-
$-
45 Total Other Liabilities



$-
$-









46 TOTAL LIABILITIES (Lines 33, 41, and 45)



$-
$-









PARTNERS' CAPITAL







47 Private Partners' Contributed Capital







a. General Partners'


* $-
$-
b. Limited Partners'


* $-
$-
Err:502







c. Total Private Partners' Contributed Capital



$-
$-
48 Other (specify)

$-
$-
49 Unrealized Gains (Loss) on Securities Held (Sum of Lines 4b, 4c, 9b, 9c, 10b, 10c)



$-
$-
50 Non-Cash Gains/Income (Schedule 3, Column G and D)


* $-
$-
51 Undistributed Net Realized Earnings


* $-
$-
Err:502







Err:502







Err:502







52 Undistributed Realized Earnings (line 50 plus line 51)



$-
$-
Err:502







Err:502







53 TOTAL PARTNERS' CAPITAL (Sum of Lines 47c, 48, 49, and 52)



$-
$-









54 TOTAL LIABILITIES AND PARTNERS' CAPITAL (Line 46 plus Line 53)



$-
$-


















30 TOTAL ASSETS



$-
$-
Difference



$-
$-
Error Check (Assets equal Liabilities)






Sheet 4: 4-NI



STATEMENT OF OPERATIONS REALIZED

OMB Approval No. 3245-0063




FOR MONTH PERIOD ENDED: 01/00/1900


Expiration Date MM/DD/YYYY




(Amounts rounded to the nearest dollar)





Name of License: 0






License no.: 00/00-0000

Notes





Current Quarter
Year-to-Date through
Since Inception to

Since Inception to









INVESTMENT INCOME



12/30/1899
12/30/1899
12/30/1899

12/31/2021
1 Interest Income



$-
$-
$-

$-
2 Dividend Income



$-
$-
$-

$-
3 Income (Loss) from Investments in Partnerships / Flow-through Entities



$-
$-
$-

$-
4 Fees for Management Services



$-
$-
$-

$-
5 Application, Closing and Other Fees



$-
$-
$-

$-
6 Interest on Cash Equivalents and Invested Idle Funds



$-
$-
$-

$-
7 Income from Assets Acquired in Liquidation of Loans



$-
$-
$-

$-
and Investments (net of Expenses)











8 Other Income



$-
$-
$-

$-













9 GROSS INVESTMENT INCOME



$-
$-
$-

$-













EXPENSES











10 Interest Expense











a. Interest Expense -- SBA Debentures



$-
$-
$-

$-
b. Other Interest Expense



$-
$-
$-

$-
c. Total Interest Expense



$-
$-
$-

$-
11 Commitment Fees & Other Financial Costs



$-
$-
$-

$-
12 Compensation and Benefits (Officer and Employee)



$-
$-
$-

$-
13 Investment Advisory and Management Services



$-
$-
$-

$-
14 Partners' Meetings



$-
$-
$-

$-
15 Appraisal and Investigation



$-
$-
$-

$-
16 Advertising, Communication and Travel



$-


$-

$-
17 Cost of Space Occupied



$-
$-
$-

$-
18 Depreciation and Amortization











a. Amortization of Leverage Fees



$-
$-
$-

$-
b. Other Depreciation and Amortization



$-
$-
$-

$-
c. Total Depreciation and Amortization



$-
$-
$-

$-
19 Insurance



$-
$-
$-

$-
20 Payroll and Other Taxes



$-
$-
$-

$-
21 Provision for Losses on Receivables (excluding loans receivable)



$-
$-
$-

$-
22 Legal Fees



$-
$-
$-

$-
23 Audit and Examination Fees



$-
$-
$-

$-
24 Miscellaneous Expenses











a. Misc. #1

$-
$-
$-

$-
b. Misc. #2

$-
$-
$-

$-
c. Misc. #3

$-
$-
$-

$-
d. Misc. #4

$-
$-
$-

$-
e. Misc. #5 Deal Expense
$-
$-
$-

$-
f. Misc. #6

$-
$-
$-

$-
24g Total Miscellaneous Expenses



$-
$-
$-

$-
25 TOTAL EXPENSES



$-
$-
$-

$-
26 NET INVESTMENT INCOME (LOSS)



$-
$-
$-

$-
27 NET REALIZED GAIN (LOSS) ON INVESTMENTS (1)


* $-
$-
$-

$-
Err:502








Err:502











28 NET INCOME (LOSS) BEFORE NONRECURRING ITEMS



$-
$-
$-

$-
29 Extraordinary Item

$-
$-
$-

$-
30 Cumulative Effect of Change in Accounting



$-
$-
$-

$-













31 NET INCOME (LOSS)



$-
$-
$-

$-













(1) Provide supporting detail for all realized gains and losses on Schedule 2, column 8.












Sheet 5: 5&6-CF




STATEMENT OF CASH FLOWS

OMB Approval No. 3245-0063







FOR MONTH PERIOD ENDED: 01/00/1900

Expiration Date MM/DD/YYYY







(Amounts rounded to the nearest dollar)







Name of License:
0






License no.: 00/00-0000

Notes

Cash Flow Page 1 of 2




















Current Quarterly Period Ended
Year-to-Date Thru Period Ended
Since Inception to Period Ended

Since Inception to Period Ended

OPERATING ACTIVITIES




12/30/1899
12/30/1899
12/30/1899

12/31/2021

Cash Inflows














1 Interest Received from Portfolio Concerns








$-




2 Dividend Received from Portfolio Concerns








$-




3 Other Income Received from Portfolio Concerns








$-




4 Management Services and Other Fees Received








$-




5 Interest on Cash Equivalents and Invested Idle Funds








$-




6 Cash Received from Assets Acquired in Liquidation








$-




7 Other Operating Cash Receipts








$-




Cash Outflows














8 Interest Paid








$-




9 Commitment Fees and Other Financial Costs








$-




10 Investment Advisory and Management Fees








$-




11 Partners' and Employees' Compensation and Benefits








$-




12 Operating Expenditures (Excluding Compensation and Benefits)








$-




13 Other Operating Cash Disbursements








$-



Err:502





























14 NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES




$-
$-
$-




















INVESTING ACTIVITIES














Cash Inflows














15 Loan Principal Payments Received from Portfolio Concerns




$-
$-
$-




16 Returns of Capital Received from Portfolio Concerns




$-
$-
$-




17 Net Proceeds from Disposition of Portfolio Securities




$-
$-
$-




18 Liquidation of Idle Funds Investments




$-
$-
$-




19 Other (Specify)


$-
$-
$-




Cash Outflows














20 Purchase of Portfolio Securities




$-
$-
$-




21 Loans to Portfolio concerns




$-
$-
$-




22 Idle Funds Investment




$-
$-
$-




23 Other (Specify)


$-
$-
$-




















24 NET CASH PROVIDED BY (USED IN) INVESTING ACTIVITIES




$-
$-
$-




















FINANCING ACTIVITIES














Cash Inflows














25 Proceeds from Issuance of SBA-Guaranteed Debentures




$-
$-
$-




26 Proceeds from Non-SBA Borrowing




$-
$-
$-




27 Proceeds from Sale of Stock or Other Capital Contribution



0 $-
$-
$-




28 Other (Specify)


$-
$-
$-




















Cash Outflows














29 SBA Leverage Fees




$-
$-
$-




30 Principal Payments on SBA-Guaranteed Debentures




$-
$-
$-




31 Principal Payments on Non-SBA Borrowing




$-
$-
$-




32 Redemption of Private Partnership Interests




$-
$-
$-




33 Other Distributions Paid




$-
$-
$-




34 Other (Specify)


$-
$-
$-




















35 NET CASH PROVIDED BY (USED IN) FINANCING ACTIVITIES




$-
$-
$-




















































Cash Flow Page 2 of 2




















Current Quarterly Period Ended
Year-to-Date Thru Period Ended
Since Inception to Period Ended

Since Inception to Period Ended







12/30/1899
12/30/1899
12/30/1899

12/31/2021

Lines 36 through 38 include Cash and Cash Equivalents and Idle Funds














36 INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS




$-
$-
$-




















37 CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD




$-
$-
$-




















38 CASH AND CASH EQUIVALENTS AT END OF PERIOD




$-
$-
$-








From Lines 14 and 15 on Balance Sheet, page 2
$-
$-
$-




















RECONCILIATION OF NET INCOME (LOSS) TO NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES














39 Net Income (Loss) (Line 31, page 4P)




$-
$-
$-




















Adjustments to Reconcile Net Income (Loss) to Net Cash Provided by (used in) Operating Activities:














40 Depreciation and Amortization (line 18, page 4P)




$-
$-
$-




41 Provision for Losses on Accounts Receivable (line 21, page 4P)




$-
$-
$-




42 Realized (Gains) Losses on Investments (line 27, page 4P)




$-
$-
$-




43 Other (Specify)














a.


$-
$-
$-




b.


$-
$-
$-




c.


$-
$-
$-




















Changes in Operating Assets and Liabilities Net of Noncash Items













Formulas for Column I
44 (Increase) Decrease in Interest and Dividends Receivable




$-
$-
$-



$-
45 (Increase) Decrease in Other Current Assets




$-
$-
$-



$-
46 Increase (Decrease) in Accounts Payable




$-
$-
$-



$-
47 Increase (Decrease) in Accrued Interest Payable




$-
$-
$-



$-
48 Increase (Decrease) in Accrued Taxes Payable




$-
$-
$-



$-
49 Increase (Decrease) in Distributions Payable




$-
$-
$-



$-
50 Increase (Decrease) in Other Current Liabilities




$-
$-
$-



$-
51 Other (Specify)


$-
$-
$-




52 Other (Specify)


$-
$-
$-




































53 NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES




$-
$-
$-




(Total must agree with line 14 above)






























Error Check (Line 53 must equal Line 14)












































































































































































































Supplemental disclosure of non-cash financing and investing activities may be required.














See ASC 230, "Statement of Cash Flows".















Sheet 6: 7-PCap






STATEMENT OF PARTNERS' CAPITAL




OMB Approval No. 3245-0063





FOR MONTH PERIOD ENDED: 01/00/1900




Expiration Date MM/DD/YYYY





(Amounts rounded to the nearest dollar)






Name of License: 0








License no.: 00/00-0000













PART I. PRIVATE PARTNERS' CONTRIBUTED CAPITAL





General Partner(s)
(page 3, line 47a)

Limited Partner(s)
(page 3, line 47b)

Total













1 BALANCE AT BEGINNING OF PERIOD





$-
$-
$-













2 ADDITIONS:











a. Partnership interests issued for cash





$-
$-
$-
b. Partnership interests issued for services rendered





$-
$-
$-
c. Partnership interests issued for contributed non-cash assets





$-
$-
$-
d. Capitalization of Retained Earnings Available for Distribution





$-
$-
$-
e. Other credits (specify)


$-
$-
$-
Err:502









Err:502
3 Total additions (sum of 2a through 2e)





$-
$-
$-













4 Subtotal (line 1 plus line 3)





$-
$-
$-













5 DEDUCTIONS:











a. Liquidation of Partnership interests





$-


$-
Err:502











Err:502











b.Other debits (specify)


$-
$-
$-
6 Total deductions (sum of 5a through 5b)





$-
$-
$-













7 BALANCE AT END OF PERIOD (line 4 minus line 6) --





$-
$-
$-


























PART II. UNDISTRIBUTED REALIZED EARNINGS





Noncash Gain/Income (1)
Undistributed Net Realized Earnings(2)
Undistributed Realized Earnings (1+2)













1 BALANCE AT BEGINNING OF PERIOD




* $- * $-
$-













2 ADDITIONS:











a. Net investment income





$-
$-
$-
b. Realized gain (loss) on investments





$-
$-
$-
c. Gain on appreciation of securities distributed in kind





$-
$-
$-
d. Other (specify)

$-
$-
$-
3 Total additions (sum of 2a through 2d)





$-
$-
$-













4 Subtotal (line 1 plus line 3)





$-
$-
$-













5 DEDUCTIONS:











a. Cash Distributions









$-
b. Distributions allocated but not paid









$-
c. In-Kind Distributions (at fair value)









$-
d. Capitalization of Retained Earnings available for Distribution









$-
e. Other (specify)





$-
6 Total deductions (sum of 5a through 5e)





$-
$-
$-













7 Total before collection of non-cash gains/income (line 4 minus line 6)





$-
$-
$-













8 Collection of non-cash gains/income





$-
$-















9 BALANCE AT END OF PERIOD (line 7 plus line 8) -





$-
$-
$-



























Sheet 7: 8-READ_Cap





I. RETAINED EARNINGS AVAILABE FOR DISTRIBUTION




OMB Approval No. 3245-0063










II. REGULATORY AND LEVERAGEABLE CAPITAL




Expiration Date MM/DD/YYYY










FOR MONTH PERIOD ENDED: 01/00/1900
















(Amounts rounded to the nearest dollar)












Name of License: 0







License no.: 00/00-0000
























PART I. RETAINED EARNINGS AVAILABLE FOR DISTRIBUTION OR CAPITALIZATION
















1 Undistributed net Realized Earnings (line 51, page 3)








$-






2 LESS: Unrealized Depreciation (Schedule 1 - Total Unrealized Depreciation)








$-






3 RETAINED EARNINGS AVAILABLE FOR DISTRIBUTION OR CAPITALIZATION








$-
























PART II. SCHEDULE OF REGULATORY AND LEVERAGEABLE CAPITAL


































1 Private Partners' Contributed Capital (line 47c, page 3)








$-
























2 ADD
















a. Unfunded binding commitments from Institutional Investors






$-








b. Waived management fees credited as capital contributions
















c. Total Additions (Sum of Line 2a and 2b)








$-






3 LESS: Regulatory Distributions
















a. Organization Expenses Not Approved by SBA (1)
















b. Partnership interests Issued for Services






$-








c. Partnership interests Issued for Non-cash Assets






$-








(unless approved by SBA for inclusion in Regulatory Capital or converted to cash)
















Err:502
















d. Other credits (specify)


$-








4 Total Regulatory Deductions (Sum of 3a through 3d








$-
























5 Other Adjustments to Regulatory Capital (specify)






$-
























6 REGULATORY CAPITAL (sum of lines 1, 2, 4, and 5)








$-
























7 LESS: Unfunded binding commitments from Institutional Investors








$-






8 LESS: Non-cash assets included in Regulatory Capital, other than eligible investments in Small Concerns








$-






9 LESS: Other deductions (specify)





$-
























`








$-
























NOTES
















(1) Deduct only those organizational expenses which were not accepted as reasonable by SBA.























































































































































































































Sheet 8: S1Inv

SCHEDULE 1





SCHEDULE OF LOANS AND INVESTMENTS





OMB Approval No. 3245-0063








FOR MONTH PERIOD ENDED: 01/00/1900





Expiration Date MM/DD/YYYY

































Name of License: 0


























License no.: 00/00-0000

Investment Data Expressed in $










































Investment Data (Expressed in $) Inv. Multiple: SBA Value (B+D)/A Inv. Multiple: GAAP Value (C+D)/A













Total Cash Invested (A) Cost at Beginning Period
Addition/
Deduction
Non Cash in Cost at End of Period Cost at End of Period Unrealized Appreciation (Unrealized Depreciation) Class 1 Class 2 Class 2 Date of Up Round SBA Reported Value (B) GAAP Reported Value (C) Cum. Cash Proceeds (D) Current SBA Mult Prior SBA Mult Current GAAP Mult Prior GAAP Mult




Summary by Investment Type







Total Equity Capital Investments



$-
























Loan $- $-
$- $- $- $- $- $- $-
$- $- $-
















Debt $- $-
$- $- $- $- $- $- $-
$- $- $-
















Equity $- $-
$- $- $- $- $- $- $-
$- $- $-
















Portfolio Securities $- $-
$- $- $- $- $- $- $-
$- $- $-
















Receivables from Sale of Assets Acquired $- $-
$- $- $- $- $- $- $-
$- $- $-
















Assets Acquired $- $-
$- $- $- $- $- $- $-
$- $- $-
















Operating Concerns Acquired $- $-
$- $- $- $- $- $- $-
$- $- $-
















Notes and Other $- $-
$- $- $- $- $- $- $-
$- $- $-
















Equity in Reinvestor/Relender Exception $- $-
$- $- $- $- $- $- $-
$- $- $-





Expand to see totals by investment type.









Totals $- $-
$- $- $- $- $- $- $-
$- $- $-





































*Portfolio companies must be first entered in Schedule 11.












*Link to Schedule 1c.










Inv. Multiple: SBA Value (B+D)/A Inv. Multiple: GAAP Value (C+D)/A

Portfolio Company Name Employer ID Critical Technology
(if applicable)
Financing Type Investment Type Financing Description Financing Date Equity Capital Investment Interest or Dividend Rate Ownership % (Fully Diluted) Restructured? Loan/ Debt Status Total Cash Invested (A) Cost at Beginning Period Schedule 1c Reference Number Addition/
Deduction
Non-Cash Gain included in Cost at End of Period Cost at End of Period Unrealized Appreciation (Unrealized Depreciation) Class 1 Class 2 Class 2 Date of Up Round SBA Reported Value (B) GAAP Reported Value (C) Cum. Cash Proceeds (D) Current SBA Mult Prior SBA Mult Current GAAP Mult Prior GAAP Mult First Investment Date















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















$-
$-




$- $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-




















#VALUE!
#VALUE!




#VALUE! $-







Sheet 9: S1AB

SCHEDULE 1 A/B
1A. SUMMARY OF LOANS AND INVESTMENTS



OMB Approval No. 3245-0063


1B. SMALLER ENTERPRISE FINANCINGS



Expiration Date MM/DD/YYYY


FOR MONTH PERIOD ENDED: 01/00/1900




Name of License: 0




License no.: 00/00-0000
















1A. SUMMARY OF LOANS AND INVESTMENTS






A B C D E F G H
Investment Category Cost at Beginning of Period Additions/ (Deductions) Cost at End of Period Unrealized Appreciated Unrealized Depreciation SBA Reported Value GAAP Reported Value
Total Loans $- $- $- $- $- $- $-
Total Debt Securities $- $- $- $- $- $- $-
Total Equity Securities $- $- $- $- $- $- $-
Totals $- $- $- $- $- $- $-
Total Assets Acquired $- $- $- $- $- $- $-
Total Operating Concerns Acquired $- $- $- $- $- $- $-
Total Notes and Other Secs. Received $- $- $- $- $- $- $-
Equity Investments in Relenders/ReInvestors $- $- $- $- $- $- $-
Total Loans and Investments $- $- $- $- $- $- $-
































1B. SMALLER ENTERPRISE FINANCINGS














1 Cumulative dollar amount of Smaller Enterprise Financings extended between April 25, 1994 and close of reporting fiscal year.














2 Cumulative dollar amount of all Financing extended between April 25, 1994 and close of reporting fiscal year.














3 Percentage of total Financings extended to Smaller Enterprises (line 1 divided by line 2)














SEE 13 CFR 107.710 FOR PERCENTAGE OF TOTAL FINANCINGS WHICH MUST BE IN SMALLER ENTERPRISES.















Sheet 10: S1C

SCHEDULE 1C


SCHEDULE OF ADDITIONS AND DEDUCTIONS TO LOAN AND INVESTMENT COST


OMB Approval No. 3245-0063




FOR MONTH PERIOD ENDED: 01/00/1900


Expiration Date MM/DD/YYYY









Name of License: 0





License no.: 00/00-0000






Additions Deductions Net Changes





Totals $- $- $-









A B C D E F G H I
Portfolio Company Name Employer ID Reference Number Reference ID Transaction Date Description of Addition / Deduction to Loan and Investment Cost Addition/ Deduction Amount Change to Cost Notes



-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-


-


$-

Sheet 11: S2RG

SCHEDULE 2




SCHEDULE OF REALIZED GAINS AND LOSSES ON LOANS AND INVESTMENTS





OMB Approval No. 3245-0063






FOR MONTH PERIOD ENDED: 01/00/1900





Expiration Date MM/DD/YYYY














Name of License: 0










License no.: 00/00-0000





Cost Net Sales Price Realized Gain/(Loss) Cash Note Equity


Exand to see totals for most recent quarter.

Current quarter $- $- $- $- $- $-




Totals Through Period End $- $- $- $- $- $-


A B C D E F G H I J K L M N








Components of Net Sales Price Applies to Sales and Exchanges
Portfolio Company Name Employer ID Financing Type Transaction Date Transaction Type2 Cost Net Sales Price Realized Gain/(Loss) Cash Note Equity Name Address Comments






$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-








$-

$-



Sheet 12: S3NC

SCHEDULE 3
SCHEDULE OF NONCASH GAINS/INCOME

OMB Approval No. 3245-0063


FOR MONTH PERIOD ENDED: 01/00/1900

Expiration Date MM/DD/YYYY








Name of License: 0




License no.: 00/00-0000











Balance at Beginning of Period Additions Collections During Period Balance at End of Period Amount of "includible non-cash gains" for Capital Impairment


Totals $- $- $- $- $-








A B C D E F G H
Portfolio Company Name Employer ID Description of Non-cash Gains/Income (1) Balance at Beginning of Period Additions Deductions / Collections Balance at End of Period Amount of "includible non-cash gains" for Capital Impairment





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-





$-

Sheet 13: S4Del

SCHEDULE 4 SCHEDULE OF DELINQUENT LOANS AND INVESTMENTS
OMB Approval No. 3245-0063

FOR MONTH PERIOD ENDED: 01/00/1900
Expiration Date MM/DD/YYYY












Name of License: 0








License no.: 00/00-0000













Totals $- $-
$-


$- $- $-
Note (1) Days Past Due based on oldest delinquency.










A B C D E F G H I J K L



Delinquent Principal Delinquent Interest Date of Last Payment Amount of Last Payment
Portfolio Company Name Employer ID Outstanding Principal Balance Amount Past Due Days Past Due (1) Amount Past Due Days Past Due (1) Principal Interest Principal Interest Fair Market Value of Collateral





















































































































































































































































































































Sheet 14: S5Commit

SCHEDULE 5
SCHEDULE OF COMMITMENTS



OMB Approval No. 3245-0063



















FOR MONTH PERIOD ENDED: 01/00/1900



Expiration Date MM/DD/YYYY











































Name of License: 0




License no.: 00/00-0000












































Total $-
















































A B C D E F G H

















Portfolio Company Name Employer ID Amount of Commitment Date Made Expiration Date Security Type Investment Type Commitment Type
















Line of Credit














































































































































































































































































































































































































































































































































Sheet 15: S6Guar

SCHEDULE 6 SCHEDULE OF GUARANTEES OMB Approval No. 3245-0063

FOR MONTH PERIOD ENDED: 01/00/1900 Expiration Date MM/DD/YYYY








Name of License: 0




License no.: 00/00-0000








Total
$-












A B C D E F G H
Portfolio Company Name Employer ID Guarantee Amount Date Made Expiration Date Name of Guaranteed Party Is guarantee collateralized? Description of underlying obligation of Small Business

















































































































Sheet 16: S7Cash

SCHEDULE 7



SCHEDULE OF CASH AND INVESTED IDLE FUNDS




OMB Approval No. 3245-0063





FOR MONTH PERIOD ENDED: 01/00/1900




Expiration Date MM/DD/YYYY













Name of License:
0







License no.: 00/00-0000


















COMPLETE SCHEDULE ONLY IF LEVERAGED LICENSEE.
































I. U.S. GOVERNMENT OBLIGATIONS (direct or guaranteed)
























Description






Maturity Date Amount






























II. REPURCHASE AGREEMENTS WITH FEDERALLY-INSURED INSTITUTION
























Name and Location of Financial Institution






Maturity Date Amount






























III. CERTIFICATES OF DEPOSIT ISSUED BY FEDERALLY-INSURED INSTITUTIONS
























Name and Location of Financial Institution






Maturity Date Amount






























IV. DEMAND DEPOSIT, MONEY MARKET, AND SAVING ACCOUNTS IN FEDERALLY-INSURED INSTITUTIONS
























Name and Location of Financial Institution






Maturity Date Amount


$-


























V. OTHER CASH AND INVESTED IDLE FUNDS
























Description






Maturity Date Amount


























TOTAL CASH, CASH EQUIVALENTS AND IDLE FUNDS $-









(total must agree with sum of lines 14 and 15, page 2P) $- *

Sheet 17: S8Dist











Expand column if more distributions are needed.
SCHEDULE 8



DISTRIBUTION SCHEDULE


OMB Approval No. 3245-0063





FOR MONTH PERIOD ENDED: 01/00/1900


Expiration Date MM/DD/YYYY
Only required for Accrual and Reinvestor SBICs









Name of License:


0



License no.: 00/00-0000











A. SBA SHARE PERCENTAGE










1 Total SBA Intended Leverage Commitment








2 Total Private Capital Commitment








3 SBA's Share Percentage

0.0%















B. DISTRIBUTIONS


1 2 3 4 5

1 Distribution Date








2 Accrued Interest Paid

$-





3 Annual Charge Paid

$-





4 Total Distributions After Accrued Interest & Annual Charges

$-





5 SBA Share









a. SBA Calculated Share
$- $- $- $- $-


b. Beginning SBA Leverage Balance
$-






c. Minimum Amount to SBA Leverage Redemption
$- $- $- $- $-


d. Amount to SBA Leverage
$-






e. Ending SBA Leverage Balance
$- $- $- $- $-


f. Beginning SBA Outstanding Commitments
$-






g. Minimum Amount of SBA Commitments to Cancel
$- $- $- $- $-


h. Amount of Commitments Being Cancelled
$-






i. Ending SBA Outstanding Commitments
$- $- $- $- $-

6 Distributions to Private Investors









a. Amount Available to Private Investors
$- $- $- $- $-



1) Amount Distributed to Private Investors & GP $-







2) Amount to Carried Interest $-







3) Amount to Investors After Carried Interest $- $- $- $- $-


b. Return of Capital Distributions









1) Beginning Leverageable Capital $-







2) Beginning Regulatory Capital $-







3) Amount of 6.a.1 Distributed as Return of Capital $-







4) Ending Leverageable Capital $- $- $- $- $-



5) Ending Regulatory Capital $- $- $- $- $-


c. Amout of 6.a.1 Distributed as READ

$- $- $- $- $-

Sheet 18: Certifications

Partnership











Corporate






CERTIFICATIONS



OMB Approval No. 3245-0063












Expiration Date MM/DD/YYYY
















Name of License:
0






License no.: 00/00-0000





















MANAGEMENT CERTIFICATION






















I, [, a General Partner of (Licensee),] [ , a General Partner of the General Partner of (Licensee),]

























[, a Managing Member of , the General Partner of (Licensee),]


























[, the President of , the General Partner of (Licensee),]


























do hereby certify as follows:








































1. The Quarterly Report for the months ended January 00, 1900 submitted by (Licensee) to the Small Business Administration on SBA Form 468 is true and correct in all aspects. The statements and schedules listed below have been omitted from the submission.




























2. The General Partner of (Licensee) has reviewed and approved the Quarterly Report for the months ended January 00, 1900.























3. (Licensee) is in good standing under the laws of the State of .























STATEMENTS AND SCHEDULES OMITTED:







































































Total Assets:





$-





Net Income (Loss):





$-





Cash and Cash Equivalents and Idle Funds at End of Period:





$-

































CAUTION: By signing below, you are certifying as to the truth and accuracy of the Financial Report in all respects, and acknowledging that officials in the Small Business Administration (SBA) will be relying on this certification. Knowingly making a false statement to or concealing a material fact from the SBA can lead to imprisonment of up to 30 years and/or a fine of up to $1,000,000 under 18 U.S.C. § 1014.

The undersigned certifies that the attached SBA Form 468 was prepared using the MS Excel Workbook Form provided by SBA, without modification to any aspect of that Form and the formulae contained therein, other than the addition of Licensee data and information (as contemplated by the instructions provided by SBA).


































Date:

Name:

Signature:









Title:




































Sheet 19: S11cumperf

SCHEDULE 11





UNAUDITED SBIC CUMULATIVE INVESTMENT



OMB Approval No. 3245-0063
















OMB Approval No. 3245-0063











PERIOD ENDED: 01/00/1900



Expiration Date MM/DD/YYYY
















Expiration Date MM/DD/YYYY








































Name of License: 0









License no.: 00/00-0000
















License no.: 00/00-0000








































Include all investments, both realized and unrealized, made by the SBIC since the fund commencement date or October 1, 1993, whichever is later. If historical information is unavailable in the


































format requested, you may omit (1) investments realized or written off on or before June 30, 2011, and (2) for investments held as of July 1, 2011, gross receipts received on or before June 30, 2011.






































































Note 1 - Gross Receipts to Total Dollars Invested


































Note 2 - (Gross Receipts + GAAP Fair Market Value) to Total Dollars Invested





































Number of Portfolio Companies Number of Investments Since Inception Total Dollars Invested Gross Receipts Cash Gross Receipts Equity Total SBA Reported Value GAAP Reported Value Cash Mult. See Note 1 Mult. See Note 2
























Totals - - $- $- $- $- $- $- 0.00x 0.00x







*Owner defined as ownership >50% equity shares in the company.


































**Reinvestor SBICs use Appendix B for underlying funds demographic information and portfolio company jobs data. Do not complete via this form.













A B C D E F G H I J K L M






N O P Q R S T U V W X

























Voluntary Demographic Information**










Gross Receipts * Columns I and J pulled from Schedule 1.


Jobs Data** Founder and/or Majority Owner* CEO or Equivalent




Portfolio Company Name Employer ID Realization Status Date of 1st Investment Number of Investments Since Inception Total Dollars Invested Gross Receipts Cash Gross Receipts Equity Total Receipts SBA Reported Value GAAP Reported Value Cash Mult. See Note 1 Mult. See Note 2 Full-time Employees # Part-time Employees # Total # of Employees Net Employee Count Increase/Decrease in last 12 months # of Employees with Company Equity Ownership Average Employee Tenure (years) Median Salary Founder or Owner Veteran Founder or Owner Gender Founder or Owner Race Founder or Owner Ethnicity Founder - Person with Disabilities CEO or Equivalent Veteran CEO or Equivalent Gender CEO or Equivalent Race CEO or Equivalent Ethnicity CEO or Equivalent Person - with Disabilities













$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-
































$- $- $-

























Sheet 20: ExecSum






EXECUTIVE SUMMARY



OMB Approval No. 3245-0063





FOR MONTH PERIOD ENDED: 01/00/1900



Expiration Date MM/DD/YYYY





(Amounts rounded to the nearest dollar)




Name of License: 0







License no.: 00/00-0000
Strategy: 0






Vintage Year 0











a.      Firm Data









1. Assets under Management (including unfunded commitments)






$-

2. Number of active funds









3. Number of active portfolio companies









4. Number of active and inactive funds









5. Firm established year









6. Total number of investment professionals at the firm









7. Total number of employees at the firm









8. Does your firm have a formal diversity, equity, and inclusion policy?









9. Does your firm have a formal ESG or Responsible Investing policy?









10. Do you offer the following benefits to all full-time employees?









a. 401(k) match or retirement savings









b. Medical insurance









c. Paid Family Leave









d. Childcare services or reimbursement




















b.      Fund Level Data






Private Investor
SBA
1. Total commitments






$-
$-
2. Total calls/draws since inception






$-
$-
3. Remaining commitments






$-
$-
4. Total number of portfolio company investments since inception (from Schedule 11)






0

5. Total amount of investments since inception (from Schedule 11)






$-

6. Gross receipts/proceeds from investments since inception (from Schedule 11)






$-

7. Gross distributions including carried interest






$-

8. Amount of carried interest paid






$-

9. Distributions to private investors net of carried interest and expenses






$-

10. SBA Leverage Repayment








$-
11. GAAP Value of Remaining Loans and Investments (from Schedule 11)






$-












c.      Key Valuation Metrics




MOIC Net DPI Net RVPI Net TVPI Net IRR
(Based on GAAP fund valuations and net to investors of expenses,





#DIV/0!
0.0%
fees, and carried interest)




















d.      Historical Fund Performance






Date Net DPI Net TVPI



























































































































































































e.   Portfolio breakdown of total invested capital to-date by industry, asset type, location, and stage invested.







Total Invested: $-
(Top 5 in descending order)









Industry Invested $ %
State Invested $ %
Stage Invested $ %

$-


$-


$-

$-


$-


$-

$-


$-


$-

$-


$-





$-


$-




Other $-

Other $-

Other $-











Asset Type Invested $ %








$-









$-









$-









$-









$-



















Other $-






























f. Annual Narrative









For the fiscal year ended, the Licensee should discuss the following:
1. Major positive and negative events which affected overall performance including exits / distributions / write
2. Significant changes in the operations of the Licensee, such as changes in organizational structure, scope of operations, level or phase
of investment activity, or types of investments being made.
3. Management changes.
4. Any lawsuits or other events giving rise to contingent liabilities.



Sheet 21: WDSup

SBA Form 468 Wind-Down Plan Supplement








OMB Approval No. 3245-0063



As of 12/30/1899




Expiration Date MM/DD/YYYY











Name of License: 0







License no.: 00/00-0000
Note: Detail for proceeds from income and exits and follow-on investments are on separate schedules.




















I. Capital & Beginning Balances







A. Cash & Cash Equivalents and Idle Funds Balance $-















B. Private Capital




C. SBA Leverage



Total Private Capital Committed to Fund $-








Total Private Capital Paid In $-



Total SBA Leverage Drawn $-



Total Return of Capital Distributions




Total Redemptions $-



Total READ Distributions









Leverageable Capital Balance $-



SBA Leverage Balance $-



Unfunded Regulatory Commitments $-



Unfunded SBA Leverage Commitments $-



Regulatory Capital $-



























II. Pro Forma Cash Flows













12/31/1899

Post Pro Forma

In $


12/31/1900 1901 1902 1902 Total Comments
A. Cash Inflows









1. Private Capital Draws (Paid In)






$-
2. SBA Leverage/Loan Draws






$-
3. Idle Interest & Other Income






$-
4. Loan & Investment Income/Proceeds (Sched A)


$- $- $- $- $- See Wind Down Schedule A.
5. Other Cash Inflows











Total Cash Inflows $- $- $- $- $-

B. Cash Outflows









1. Expenses








a. Management Fees






$-
b. SBA Interest, Leverage Fees, & Annual Charges






$-
c. Other Expenses






$-
d. Total Expenses


$- $- $- $- $-

2. Investment Follow-Ons (Sched B)


$- $- $- $- $- See Wind Down Schedule B.
3. Private Investor Distributions









a. READ






$-
b. Return of Capital






$-
c. Total Distributions to Private Investors


$- $- $- $- $-
4. SBA Leverage Redemptions






$-
5. Other Cash Outflows











Total Cash Outflows $- $- $- $- $-
C. NET CASH FLOW


$- $- $- $- $-












III. Ending Balances

12/30/1899






Regulatory Capital

$- $- $- $- $-


Leverageable Capital

$- $- $- $- $-


SBA Leverage Balance

$- $- $- $- $-


Cash & Cash Equivalents & Idle

$- $- $- $- $-


Unfunded Private Commitments

$- $- $- $- $-


Unfunded SBA Commitments

$- $- $- $- $-



Sheet 22: WDSupA

SBA Form 468 Wind-Down Plan Supplement










OMB Approval No. 3245-0063
Schedule A - SBIC Forecast Anticipated Income/Proceeds




As of 12/30/1899



Expiration Date MM/DD/YYYY













Name of License: 0









License no.: 00/00-0000







































TOTALS
$- $- $- $- $- $- $- $- $- $-













Portfolio Company Name Year First Invested Cost of Invest. 468 SBA Approved Reported Value Anticipated Exit Type Anticipated Income/Exit Proceeds Timing of Likely Exit Income/Proceeds
Minimum Maximum Likely 01/01/1900 to 12/31/1900 1901 1902 Post 1902 Comments

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

$- $-






$-

Sheet 23: WDSupB

SBA Form 468 Wind-Down Plan Supplement








OMB Approval No. 3245-0063
Schedule B - SBIC Forecast Financings


As of 12/30/1899



Expiration Date MM/DD/YYYY











Name of License:
0






License no.: 00/00-0000
















Totals - - - -
Anticipated Follow-on Financings















Timing of SBIC Follow-On

Company Name Investment Type Small Business Total Round/ Deal Size SBIC's Pro-Rata Investment SBIC Follow-on Participation 01/01/1900 to 12/31/1900 1901 1902 Post 1902 Comments








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-








$-

Sheet 24: KeyLeverageMetrics




SBA Leverage Metrics

OMB Approval No. 3245-0063








Based on Form 468 entries for period ended: 01/00/1900

Expiration Date MM/DD/YYYY


















Name of License: 0



License no.: 00/00-0000





Expand rows to see how metrics are calculated.











I. Leverage Coverage Ratio (LCR)




LCR =



















A. SBA Leverage Balance (Form 468 Page 3, Line 31)



$-






B. Recoverable Assets
























+ Total Assets (Form 468 Page 2, Line 30)


$-






- Other Asset (Form 468 Page 2,Line 29)


$-






- Total Liabilities (Form 468 Page 3, Line 41)


$-







Net Asset Value


$-






+ SBA Leverage Balance (Form 468 Pge 3, Line 31)


$-






+ Unfunded Regulatory Commitments (Form 468 Page 8, Part II, Line 2a)


$-







Total Recoverable Assets


$-






C. Leverage Coverage Ratio = Total Recoverable Assets/SBA Leverage Balance




































II. Capital Impairment Percentage (CIP)

CIP = 0.0% Max CIP: 0.0% | Within permissible maximum CIP






Sheet 25: NAICS Search

NAICS Search Tool. Copy NAICS 2022 Code and Title Result into NAICS field
Search - all -


2022 NAICS Title (empty)
Abrasive Product Manufacturing
Adhesive Manufacturing
Administration of Air and Water Resource and Solid Waste Management Programs
Administration of Conservation Programs
Administration of Education Programs
Administration of General Economic Programs
Administration of Housing Programs
Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
Administration of Public Health Programs
Administration of Urban Planning and Community and Rural Development
Administration of Veterans' Affairs
Administrative Management and General Management Consulting Services
Advertising Agencies
Advertising Material Distribution Services
Agents and Managers for Artists, Athletes, Entertainers, and Other Public Figures
Agents for Wireless Telecommunications Services
Air and Gas Compressor Manufacturing
Air Traffic Control
Air-Conditioning and Warm Air Heating Equipment and Commercial and Industrial Refrigeration Equipment Manufacturing
Aircraft Engine and Engine Parts Manufacturing
Aircraft Manufacturing
All Other Amusement and Recreation Industries
All Other Animal Production
All Other Automotive Repair and Maintenance
All Other Basic Organic Chemical Manufacturing
All Other Business Support Services
All Other Consumer Goods Rental
All Other Converted Paper Product Manufacturing
All Other General Merchandise Retailers
All Other Grain Farming
All Other Health and Personal Care Retailers
All Other Home Furnishings Retailers
All Other Industrial Machinery Manufacturing
All Other Insurance Related Activities
All Other Legal Services
All Other Miscellaneous Ambulatory Health Care Services
All Other Miscellaneous Chemical Product and Preparation Manufacturing
All Other Miscellaneous Crop Farming
All Other Miscellaneous Electrical Equipment and Component Manufacturing
All Other Miscellaneous Fabricated Metal Product Manufacturing
All Other Miscellaneous Food Manufacturing
All Other Miscellaneous General Purpose Machinery Manufacturing
All Other Miscellaneous Manufacturing
All Other Miscellaneous Nonmetallic Mineral Product Manufacturing
All Other Miscellaneous Retailers
All Other Miscellaneous Schools and Instruction
All Other Miscellaneous Textile Product Mills
All Other Miscellaneous Waste Management Services
All Other Miscellaneous Wood Product Manufacturing
All Other Outpatient Care Centers
All Other Personal Services
All Other Petroleum and Coal Products Manufacturing
All Other Pipeline Transportation
All Other Plastics Product Manufacturing
All Other Professional, Scientific, and Technical Services
All Other Publishers
All Other Rubber Product Manufacturing
All Other Specialty Food Retailers
All Other Specialty Trade Contractors
All Other Support Activities for Transportation
All Other Support Services
All Other Telecommunications
All Other Transit and Ground Passenger Transportation
All Other Transportation Equipment Manufacturing
All Other Travel Arrangement and Reservation Services
All Other Traveler Accommodation
Alumina Refining and Primary Aluminum Production
Aluminum Foundries (except Die-Casting)
Aluminum Sheet, Plate, and Foil Manufacturing
Ambulance Services
American Indian and Alaska Native Tribal Governments
Ammunition (except Small Arms) Manufacturing
Amusement and Theme Parks
Amusement Arcades
Analytical Laboratory Instrument Manufacturing
Animal (except Poultry) Slaughtering
Apiculture
Apparel Accessories and Other Apparel Manufacturing
Apparel Knitting Mills
Apple Orchards
Appliance Repair and Maintenance
Apprenticeship Training
Architectural Services
Armored Car Services
Art Dealers
Artificial and Synthetic Fibers and Filaments Manufacturing
Asphalt Paving Mixture and Block Manufacturing
Asphalt Shingle and Coating Materials Manufacturing
Assisted Living Facilities for the Elderly
Audio and Video Equipment Manufacturing
Automatic Environmental Control Manufacturing for Residential, Commercial, and Appliance Use
Automobile and Light Duty Motor Vehicle Manufacturing
Automobile and Other Motor Vehicle Merchant Wholesalers
Automobile Driving Schools
Automotive Body, Paint, and Interior Repair and Maintenance
Automotive Glass Replacement Shops
Automotive Oil Change and Lubrication Shops
Automotive Parts and Accessories Retailers
Baked Goods Retailers
Ball and Roller Bearing Manufacturing
Barber Shops
Bare Printed Circuit Board Manufacturing
Battery Manufacturing
Beauty Salons
Bed-and-Breakfast Inns
Beef Cattle Ranching and Farming
Beer and Ale Merchant Wholesalers
Beer, Wine, and Liquor Retailers
Beet Sugar Manufacturing
Berry (except Strawberry) Farming
Biological Product (except Diagnostic) Manufacturing
Biomass Electric Power Generation
Blind and Shade Manufacturing
Blood and Organ Banks
Boat Building
Boat Dealers
Bolt, Nut, Screw, Rivet, and Washer Manufacturing
Book Publishers
Book Retailers and News Dealers
Book, Periodical, and Newspaper Merchant Wholesalers
Books Printing
Bottled Water Manufacturing
Bowling Centers
Breakfast Cereal Manufacturing
Breweries
Brick, Stone, and Related Construction Material Merchant Wholesalers
Broadwoven Fabric Mills
Broilers and Other Meat Type Chicken Production
Broom, Brush, and Mop Manufacturing
Building Inspection Services
Burial Casket Manufacturing
Bus and Other Motor Vehicle Transit Systems
Business and Secretarial Schools
Business Associations
Cafeterias, Grill Buffets, and Buffets
Cane Sugar Manufacturing
Capacitor, Resistor, Coil, Transformer, and Other Inductor Manufacturing
Car Washes
Carbon and Graphite Product Manufacturing
Carpet and Rug Mills
Carpet and Upholstery Cleaning Services
Casino Hotels
Casinos (except Casino Hotels)
Caterers
Cattle Feedlots
Cement Manufacturing
Cemeteries and Crematories
Charter Bus Industry
Cheese Manufacturing
Chicken Egg Production
Child and Youth Services
Child Care Services
Chocolate and Confectionery Manufacturing from Cacao Beans
Citrus (except Orange) Groves
Civic and Social Organizations
Claims Adjusting
Clay Building Material and Refractories Manufacturing
Clothing and Clothing Accessories Merchant Wholesalers
Clothing and Clothing Accessories Retailers
Coal and Other Mineral and Ore Merchant Wholesalers
Coastal and Great Lakes Freight Transportation
Coastal and Great Lakes Passenger Transportation
Coffee and Tea Manufacturing
Coin-Operated Laundries and Drycleaners
Collection Agencies
Colleges, Universities, and Professional Schools
Commercial Air, Rail, and Water Transportation Equipment Rental and Leasing
Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance
Commercial and Institutional Building Construction
Commercial and Service Industry Machinery Manufacturing
Commercial Bakeries
Commercial Banking
Commercial Photography
Commercial Printing (except Screen and Books)
Commercial Screen Printing
Commercial, Industrial, and Institutional Electric Lighting Fixture Manufacturing
Commodity Contracts Intermediation
Community Food Services
Commuter Rail Systems
Compost Manufacturing
Computer and Computer Peripheral Equipment and Software Merchant Wholesalers
Computer Facilities Management Services
Computer Storage Device Manufacturing
Computer Systems Design Services
Computer Terminal and Other Computer Peripheral Equipment Manufacturing
Computer Training
Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
Concrete Block and Brick Manufacturing
Concrete Pipe Manufacturing
Confectionery and Nut Retailers
Confectionery Manufacturing from Purchased Chocolate
Confectionery Merchant Wholesalers
Construction and Mining (except Oil Well) Machinery and Equipment Merchant Wholesalers
Construction Machinery Manufacturing
Construction Sand and Gravel Mining
Construction, Mining, and Forestry Machinery and Equipment Rental and Leasing
Consumer Electronics and Appliances Rental
Consumer Lending
Continuing Care Retirement Communities
Convenience Retailers
Convention and Trade Show Organizers
Convention and Visitors Bureaus
Conveyor and Conveying Equipment Manufacturing
Cookie and Cracker Manufacturing
Copper Rolling, Drawing, Extruding, and Alloying
Copper, Nickel, Lead, and Zinc Mining
Corn Farming
Corporate, Subsidiary, and Regional Managing Offices
Correctional Institutions
Corrugated and Solid Fiber Box Manufacturing
Cosmetics, Beauty Supplies, and Perfume Retailers
Cosmetology and Barber Schools
Cotton Farming
Cotton Ginning
Couriers and Express Delivery Services
Court Reporting and Stenotype Services
Courts
Creamery Butter Manufacturing
Credit Bureaus
Credit Card Issuing
Credit Unions
Crop Harvesting, Primarily by Machine
Crude Petroleum Extraction 
Crushed and Broken Granite Mining and Quarrying
Crushed and Broken Limestone Mining and Quarrying
Current-Carrying Wiring Device Manufacturing
Curtain and Linen Mills
Custom Architectural Woodwork and Millwork Manufacturing
Custom Compounding of Purchased Resins
Custom Computer Programming Services
Custom Roll Forming
Cut and Sew Apparel Contractors
Cut and Sew Apparel Manufacturing (except Contractors)
Cut Stock, Resawing Lumber, and Planing
Cut Stone and Stone Product Manufacturing
Cutting Tool and Machine Tool Accessory Manufacturing
Cyclic Crude, Intermediate, and Gum and Wood Chemical Manufacturing
Dairy Cattle and Milk Production
Dairy Product (except Dried or Canned) Merchant Wholesalers
Dance Companies
Deep Sea Freight Transportation
Deep Sea Passenger Transportation
Dental Equipment and Supplies Manufacturing
Dental Laboratories
Department Stores
Diagnostic Imaging Centers
Diet and Weight Reducing Centers
Dimension Stone Mining and Quarrying
Direct Health and Medical Insurance Carriers
Direct Life Insurance Carriers
Direct Mail Advertising
Direct Property and Casualty Insurance Carriers
Direct Title Insurance Carriers
Directory and Mailing List Publishers
Distilleries
Document Preparation Services
Dog and Cat Food Manufacturing
Doll, Toy, and Game Manufacturing
Drafting Services
Dried and Dehydrated Food Manufacturing
Drilling Oil and Gas Wells
Drinking Places (Alcoholic Beverages)
Drive-In Motion Picture Theaters
Drugs and Druggists' Sundries Merchant Wholesalers
Dry Pasta, Dough, and Flour Mixes Manufacturing from Purchased Flour
Dry Pea and Bean Farming
Dry, Condensed, and Evaporated Dairy Product Manufacturing
Drycleaning and Laundry Services (except Coin-Operated)
Drywall and Insulation Contractors
Dual-Purpose Cattle Ranching and Farming
Educational Support Services
Electric Bulk Power Transmission and Control
Electric Lamp Bulb and Other Lighting Equipment Manufacturing
Electric Power Distribution
Electrical Apparatus and Equipment, Wiring Supplies, and Related Equipment Merchant Wholesalers
Electrical Contractors and Other Wiring Installation Contractors
Electromedical and Electrotherapeutic Apparatus Manufacturing
Electronic and Precision Equipment Repair and Maintenance
Electronic Computer Manufacturing
Electronic Connector Manufacturing
Electronics and Appliance Retailers
Electroplating, Plating, Polishing, Anodizing, and Coloring
Elementary and Secondary Schools
Elevator and Moving Stairway Manufacturing
Emergency and Other Relief Services
Employment Placement Agencies
Engineered Wood Member Manufacturing
Engineering Services
Environment, Conservation and Wildlife Organizations
Environmental Consulting Services
Ethyl Alcohol Manufacturing
Exam Preparation and Tutoring
Executive and Legislative Offices, Combined
Executive Offices
Executive Search Services
Explosives Manufacturing
Exterminating and Pest Control Services
Fabric Coating Mills
Fabricated Pipe and Pipe Fitting Manufacturing
Fabricated Structural Metal Manufacturing
Facilities Support Services
Family Planning Centers
Farm and Garden Machinery and Equipment Merchant Wholesalers
Farm Labor Contractors and Crew Leaders
Farm Machinery and Equipment Manufacturing
Farm Management Services
Farm Product Warehousing and Storage
Farm Supplies Merchant Wholesalers
Fastener, Button, Needle, and Pin Manufacturing
Fats and Oils Refining and Blending
Fertilizer (Mixing Only) Manufacturing
Fiber Optic Cable Manufacturing
Fiber, Yarn, and Thread Mills
Financial Transactions Processing, Reserve, and Clearinghouse Activities
Fine Arts Schools
Finfish Farming and Fish Hatcheries
Finfish Fishing
Finish Carpentry Contractors
Fire Protection
Fish and Seafood Merchant Wholesalers
Fish and Seafood Retailers
Fitness and Recreational Sports Centers
Flat Glass Manufacturing
Flavoring Syrup and Concentrate Manufacturing
Flight Training
Floor Covering Retailers
Flooring Contractors
Floriculture Production
Florists
Flour Milling
Flower, Nursery Stock, and Florists' Supplies Merchant Wholesalers
Fluid Milk Manufacturing
Fluid Power Cylinder and Actuator Manufacturing
Fluid Power Pump and Motor Manufacturing
Fluid Power Valve and Hose Fitting Manufacturing
Folding Paperboard Box Manufacturing
Food (Health) Supplement Retailers
Food Product Machinery Manufacturing
Food Service Contractors
Footwear and Leather Goods Repair
Footwear Manufacturing
Footwear Merchant Wholesalers
Forest Nurseries and Gathering of Forest Products
Formal Wear and Costume Rental
Fossil Fuel Electric Power Generation
Framing Contractors
Freestanding Ambulatory Surgical and Emergency Centers
Freight Transportation Arrangement
Fresh Fruit and Vegetable Merchant Wholesalers
Frozen Cakes, Pies, and Other Pastries Manufacturing
Frozen Fruit, Juice, and Vegetable Manufacturing
Frozen Specialty Food Manufacturing
Fruit and Tree Nut Combination Farming
Fruit and Vegetable Canning
Fruit and Vegetable Retailers
Fuel Dealers
Full-Service Restaurants
Funeral Homes and Funeral Services
Fur-Bearing Animal and Rabbit Production
Furniture Merchant Wholesalers
Furniture Retailers
Gasket, Packing, and Sealing Device Manufacturing
Gasoline Stations with Convenience Stores
General Automotive Repair
General Freight Trucking, Local
General Freight Trucking, Long-Distance, Less Than Truckload
General Freight Trucking, Long-Distance, Truckload
General Line Grocery Merchant Wholesalers
General Medical and Surgical Hospitals
General Rental Centers
General Warehousing and Storage
Geophysical Surveying and Mapping Services
Geothermal Electric Power Generation
Gift, Novelty, and Souvenir Retailers
Glass and Glazing Contractors
Glass Container Manufacturing
Glass Product Manufacturing Made of Purchased Glass
Goat Farming
Gold Ore and Silver Ore Mining
Golf Courses and Country Clubs
Grain and Field Bean Merchant Wholesalers
Grantmaking Foundations
Grape Vineyards
Graphic Design Services
Greeting Card Publishers
Ground or Treated Mineral and Earth Manufacturing
Guided Missile and Space Vehicle Manufacturing
Guided Missile and Space Vehicle Propulsion Unit and Propulsion Unit Parts Manufacturing
Gypsum Product Manufacturing
Hardware Manufacturing
Hardware Merchant Wholesalers
Hardware Retailers
Hardwood Veneer and Plywood Manufacturing
Hay Farming
Hazardous Waste Collection
Hazardous Waste Treatment and Disposal
Health and Welfare Funds
Heating Equipment (except Warm Air Furnaces) Manufacturing
Heavy Duty Truck Manufacturing
Highway, Street, and Bridge Construction
Historical Sites
HMO Medical Centers
Hobby, Toy, and Game Retailers
Hog and Pig Farming
Home and Garden Equipment Repair and Maintenance
Home Centers
Home Furnishing Merchant Wholesalers
Home Health Care Services
Home Health Equipment Rental
Horses and Other Equine Production
Hotels (except Casino Hotels) and Motels
Household Appliances, Electric Housewares, and Consumer Electronics Merchant Wholesalers
Household Furniture (except Wood and Upholstered) Manufacturing
Human Resources Consulting Services
Human Rights Organizations
Hunting and Trapping
Hydroelectric Power Generation
Ice Cream and Frozen Dessert Manufacturing
Ice Manufacturing
In-Vitro Diagnostic Substance Manufacturing
Independent Artists, Writers, and Performers
Indoor and Outdoor Display Advertising
Industrial and Commercial Fan and Blower and Air Purification Equipment Manufacturing
Industrial and Personal Service Paper Merchant Wholesalers
Industrial Building Construction
Industrial Design Services
Industrial Gas Manufacturing
Industrial Launderers
Industrial Machinery and Equipment Merchant Wholesalers
Industrial Mold Manufacturing
Industrial Process Furnace and Oven Manufacturing
Industrial Sand Mining
Industrial Supplies Merchant Wholesalers
Industrial Truck, Tractor, Trailer, and Stacker Machinery Manufacturing
Industrial Valve Manufacturing
Inland Water Freight Transportation
Inland Water Passenger Transportation
Institutional Furniture Manufacturing
Instrument Manufacturing for Measuring and Testing Electricity and Electrical Signals
Instruments and Related Products Manufacturing for Measuring, Displaying, and Controlling Industrial Process Variables
Insurance Agencies and Brokerages
Interior Design Services
International Affairs
International, Secondary Market, and All Other Nondepository Credit Intermediation
Interurban and Rural Bus Transportation
Investigation and Personal Background Check Services
Investment Banking and Securities Intermediation
Iron and Steel Forging
Iron and Steel Mills and Ferroalloy Manufacturing
Iron and Steel Pipe and Tube Manufacturing from Purchased Steel
Iron Foundries
Iron Ore Mining
Irradiation Apparatus Manufacturing
Janitorial Services
Jewelry and Silverware Manufacturing
Jewelry Retailers
Jewelry, Watch, Precious Stone, and Precious Metal Merchant Wholesalers
Junior Colleges
Kaolin, Clay, and Ceramic and Refractory Minerals Mining
Kidney Dialysis Centers
Knit Fabric Mills
Labor Unions and Similar Labor Organizations
Laminated Plastics Plate, Sheet (except Packaging), and Shape Manufacturing
Land Subdivision
Landscape Architectural Services
Landscaping Services
Language Schools
Lawn and Garden Tractor and Home Lawn and Garden Equipment Manufacturing
Leather and Hide Tanning and Finishing
Legal Counsel and Prosecution
Legislative Bodies
Lessors of Miniwarehouses and Self-Storage Units
Lessors of Nonfinancial Intangible Assets (except Copyrighted Works)
Lessors of Nonresidential Buildings (except Miniwarehouses)
Lessors of Other Real Estate Property
Lessors of Residential Buildings and Dwellings
Libraries and Archives
Lime Manufacturing
Limited-Service Restaurants
Limousine Service
Line-Haul Railroads
Linen Supply
Livestock Merchant Wholesalers
Local Messengers and Local Delivery
Locksmiths
Logging
Luggage and Leather Goods Retailers
Lumber, Plywood, Millwork, and Wood Panel Merchant Wholesalers
Machine Shops
Machine Tool Manufacturing
Major Household Appliance Manufacturing
Malt Manufacturing
Manufactured (Mobile) Home Dealers
Manufactured Home (Mobile Home) Manufacturing
Manufacturing and Reproducing Magnetic and Optical Media
Marinas
Marine Cargo Handling
Marketing Consulting Services
Marketing Research and Public Opinion Polling
Masonry Contractors
Materials Recovery Facilities
Mattress Manufacturing
Mayonnaise, Dressing, and Other Prepared Sauce Manufacturing
Measuring, Dispensing, and Other Pumping Equipment Manufacturing
Meat and Meat Product Merchant Wholesalers
Meat Processed from Carcasses
Meat Retailers
Mechanical Power Transmission Equipment Manufacturing
Media Buying Agencies
Media Representatives
Media Streaming Distribution Services, Social Networks, and Other Media Networks and Content Providers
Medical Laboratories
Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
Medicinal and Botanical Manufacturing
Metal Can Manufacturing
Metal Coating, Engraving (except Jewelry and Silverware), and Allied Services to Manufacturers
Metal Crown, Closure, and Other Metal Stamping (except Automotive)
Metal Heat Treating
Metal Kitchen Cookware, Utensil, Cutlery, and Flatware (except Precious) Manufacturing
Metal Service Centers and Other Metal Merchant Wholesalers
Metal Tank (Heavy Gauge) Manufacturing
Metal Window and Door Manufacturing
Military Armored Vehicle, Tank, and Tank Component Manufacturing
Mineral Wool Manufacturing
Mining Machinery and Equipment Manufacturing
Miscellaneous Financial Investment Activities
Miscellaneous Intermediation
Mixed Mode Transit Systems
Mobile Food Services
Monetary Authorities-Central Bank
Mortgage and Nonmortgage Loan Brokers
Motion Picture and Video Distribution
Motion Picture and Video Production
Motion Picture Theaters (except Drive-Ins)
Motor and Generator Manufacturing
Motor Home Manufacturing
Motor Vehicle Body Manufacturing
Motor Vehicle Brake System Manufacturing
Motor Vehicle Electrical and Electronic Equipment Manufacturing
Motor Vehicle Gasoline Engine and Engine Parts Manufacturing
Motor Vehicle Metal Stamping
Motor Vehicle Parts (Used) Merchant Wholesalers
Motor Vehicle Seating and Interior Trim Manufacturing
Motor Vehicle Steering and Suspension Components (except Spring) Manufacturing
Motor Vehicle Supplies and New Parts Merchant Wholesalers
Motor Vehicle Towing
Motor Vehicle Transmission and Power Train Parts Manufacturing
Motorcycle, ATV, and All Other Motor Vehicle Dealers
Motorcycle, Bicycle, and Parts Manufacturing
Museums
Mushroom Production
Music Publishers
Musical Groups and Artists
Musical Instrument and Supplies Retailers
Musical Instrument Manufacturing
Nail Salons
Narrow Fabric Mills and Schiffli Machine Embroidery
National Security
Natural Gas Distribution
Natural Gas Extraction
Nature Parks and Other Similar Institutions
Navigational Services to Shipping
New Car Dealers
New Housing For-Sale Builders
New Multifamily Housing Construction (except For-Sale Builders)
New Single-Family Housing Construction (except For-Sale Builders)
Newspaper Publishers
Nitrogenous Fertilizer Manufacturing
Nonchocolate Confectionery Manufacturing
Noncurrent-Carrying Wiring Device Manufacturing
Nonferrous Forging
Nonferrous Metal (except Aluminum) Smelting and Refining
Nonferrous Metal (except Copper and Aluminum) Rolling, Drawing, and Extruding
Nonferrous Metal Die-Casting Foundries
Nonresidential Property Managers
Nonscheduled Chartered Freight Air Transportation
Nonscheduled Chartered Passenger Air Transportation
Nonupholstered Wood Household Furniture Manufacturing
Nonwoven Fabric Mills
Nuclear Electric Power Generation
Nursery and Tree Production
Nursery, Garden Center, and Farm Supply Retailers
Nursing Care Facilities (Skilled Nursing Facilities)
Office Administrative Services
Office Equipment Merchant Wholesalers
Office Furniture (except Wood) Manufacturing
Office Machinery and Equipment Rental and Leasing
Office Supplies (except Paper) Manufacturing
Office Supplies and Stationery Retailers
Offices of All Other Miscellaneous Health Practitioners
Offices of Bank Holding Companies
Offices of Certified Public Accountants
Offices of Chiropractors
Offices of Dentists
Offices of Lawyers
Offices of Mental Health Practitioners (except Physicians)
Offices of Notaries
Offices of Optometrists
Offices of Other Holding Companies
Offices of Physical, Occupational and Speech Therapists, and Audiologists
Offices of Physicians (except Mental Health Specialists)
Offices of Physicians, Mental Health Specialists
Offices of Podiatrists
Offices of Real Estate Agents and Brokers
Offices of Real Estate Appraisers
Oil and Gas Field Machinery and Equipment Manufacturing
Oil and Gas Pipeline and Related Structures Construction
Oilseed (except Soybean) Farming
Oilseed and Grain Combination Farming
One-Hour Photofinishing
Open-End Investment Funds
Ophthalmic Goods Manufacturing
Ophthalmic Goods Merchant Wholesalers
Optical Goods Retailers
Orange Groves
Ornamental and Architectural Metal Work Manufacturing
Other Accounting Services
Other Activities Related to Credit Intermediation
Other Activities Related to Real Estate
Other Aircraft Parts and Auxiliary Equipment Manufacturing
Other Airport Operations
Other Aluminum Rolling, Drawing, and Extruding
Other Animal Food Manufacturing
Other Aquaculture
Other Basic Inorganic Chemical Manufacturing
Other Building Equipment Contractors
Other Building Finishing Contractors
Other Building Material Dealers
Other Business Service Centers (including Copy Shops)
Other Chemical and Allied Products Merchant Wholesalers
Other Commercial and Industrial Machinery and Equipment Rental and Leasing
Other Commercial Equipment Merchant Wholesalers
Other Communication and Energy Wire Manufacturing
Other Communications Equipment Manufacturing
Other Community Housing Services
Other Computer Related Services
Other Concrete Product Manufacturing
Other Construction Material Merchant Wholesalers
Other Crushed and Broken Stone Mining and Quarrying
Other Direct Insurance (except Life, Health, and Medical) Carriers
Other Electric Power Generation
Other Electronic Component Manufacturing
Other Electronic Parts and Equipment Merchant Wholesalers
Other Engine Equipment Manufacturing
Other Fabricated Wire Product Manufacturing
Other Farm Product Raw Material Merchant Wholesalers
Other Financial Vehicles
Other Food Crops Grown Under Cover
Other Foundation, Structure, and Building Exterior Contractors
Other Gambling Industries
Other Gasoline Stations
Other General Government Support
Other Grantmaking and Giving Services
Other Grocery and Related Products Merchant Wholesalers
Other Guided Missile and Space Vehicle Parts and Auxiliary Equipment Manufacturing
Other Heavy and Civil Engineering Construction
Other Individual and Family Services
Other Insurance Funds
Other Justice, Public Order, and Safety Activities
Other Leather and Allied Product Manufacturing
Other Management Consulting Services
Other Marine Fishing
Other Measuring and Controlling Device Manufacturing
Other Metal Container Manufacturing
Other Metal Ore Mining
Other Metal Valve and Pipe Fitting Manufacturing
Other Millwork (including Flooring)
Other Miscellaneous Durable Goods Merchant Wholesalers
Other Miscellaneous Nondurable Goods Merchant Wholesalers
Other Motion Picture and Video Industries
Other Motor Vehicle Parts Manufacturing
Other Noncitrus Fruit Farming
Other Nonferrous Metal Foundries (except Die-Casting)
Other Nonhazardous Waste Treatment and Disposal
Other Nonmetallic Mineral Mining and Quarrying
Other Nonscheduled Air Transportation
Other Paperboard Container Manufacturing
Other Performing Arts Companies
Other Personal and Household Goods Repair and Maintenance
Other Personal Care Services
Other Poultry Production
Other Pressed and Blown Glass and Glassware Manufacturing
Other Professional Equipment and Supplies Merchant Wholesalers
Other Residential Care Facilities
Other Scientific and Technical Consulting Services
Other Services Related to Advertising
Other Services to Buildings and Dwellings
Other Similar Organizations (except Business, Professional, Labor, and Political Organizations)
Other Snack Food Manufacturing
Other Social Advocacy Organizations
Other Sound Recording Industries
Other Specialized Design Services
Other Spectator Sports
Other Support Activities for Air Transportation
Other Support Activities for Road Transportation
Other Support Activities for Water Transportation
Other Technical and Trade Schools
Other Urban Transit Systems
Other Vegetable (except Potato) and Melon Farming
Other Warehousing and Storage
Other Waste Collection
Outdoor Power Equipment Retailers
Outpatient Mental Health and Substance Abuse Centers
Overhead Traveling Crane, Hoist, and Monorail System Manufacturing
Packaged Frozen Food Merchant Wholesalers
Packaging and Labeling Services
Packaging Machinery Manufacturing
Packing and Crating
Paint and Coating Manufacturing
Paint and Wallpaper Retailers
Paint, Varnish, and Supplies Merchant Wholesalers
Painting and Wall Covering Contractors
Paper Bag and Coated and Treated Paper Manufacturing
Paper Mills
Paperboard Mills
Parking Lots and Garages
Parole Offices and Probation Offices
Passenger Car Leasing
Passenger Car Rental
Payroll Services
Peanut Farming
Pension Funds
Periodical Publishers
Perishable Prepared Food Manufacturing
Pesticide and Other Agricultural Chemical Manufacturing
Pet and Pet Supplies Retailers
Pet Care (except Veterinary) Services
Petrochemical Manufacturing
Petroleum and Petroleum Products Merchant Wholesalers (except Bulk Stations and Terminals)
Petroleum Bulk Stations and Terminals
Petroleum Lubricating Oil and Grease Manufacturing
Petroleum Refineries
Pharmaceutical Preparation Manufacturing
Pharmacies and Drug Retailers
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Phosphatic Fertilizer Manufacturing
Photofinishing Laboratories (except One-Hour)
Photographic Equipment and Supplies Merchant Wholesalers
Photographic Film, Paper, Plate, Chemical, and Copy Toner Manufacturing
Photography Studios, Portrait
Piece Goods, Notions, and Other Dry Goods Merchant Wholesalers
Pipeline Transportation of Crude Oil
Pipeline Transportation of Natural Gas
Pipeline Transportation of Refined Petroleum Products
Plastics Bag and Pouch Manufacturing
Plastics Bottle Manufacturing
Plastics Material and Resin Manufacturing
Plastics Materials and Basic Forms and Shapes Merchant Wholesalers
Plastics Packaging Film and Sheet (including Laminated) Manufacturing
Plastics Pipe and Pipe Fitting Manufacturing
Plastics Plumbing Fixture Manufacturing
Plate Work Manufacturing
Plumbing and Heating Equipment and Supplies (Hydronics) Merchant Wholesalers
Plumbing Fixture Fitting and Trim Manufacturing
Plumbing, Heating, and Air-Conditioning Contractors
Police Protection
Polish and Other Sanitation Good Manufacturing
Political Organizations
Polystyrene Foam Product Manufacturing
Port and Harbor Operations
Portfolio Management and Investment Advice
Postal Service
Postharvest Crop Activities (except Cotton Ginning)
Potato Farming
Pottery, Ceramics, and Plumbing Fixture Manufacturing
Poultry and Poultry Product Merchant Wholesalers
Poultry Hatcheries
Poultry Processing
Poured Concrete Foundation and Structure Contractors
Powder Metallurgy Part Manufacturing
Power and Communication Line and Related Structures Construction
Power Boiler and Heat Exchanger Manufacturing
Power-Driven Handtool Manufacturing
Power, Distribution, and Specialty Transformer Manufacturing
Precision Turned Product Manufacturing
Prefabricated Metal Building and Component Manufacturing
Prefabricated Wood Building Manufacturing
Printed Circuit Assembly (Electronic Assembly) Manufacturing
Printing and Writing Paper Merchant Wholesalers
Printing Ink Manufacturing
Private Households
Private Mail Centers
Process, Physical Distribution, and Logistics Consulting Services
Professional and Management Development Training
Professional Employer Organizations
Professional Organizations
Promoters of Performing Arts, Sports, and Similar Events with Facilities
Promoters of Performing Arts, Sports, and Similar Events without Facilities
Psychiatric and Substance Abuse Hospitals
Public Finance Activities
Public Relations Agencies
Pulp Mills
Racetracks
Radio and Television Broadcasting and Wireless Communications Equipment Manufacturing
Radio Broadcasting Stations
Railroad Rolling Stock Manufacturing
Ready-Mix Concrete Manufacturing
Real Estate Credit
Reconstituted Wood Product Manufacturing
Record Production and Distribution
Recreational and Vacation Camps (except Campgrounds)
Recreational Goods Rental
Recreational Vehicle Dealers
Recyclable Material Merchant Wholesalers
Refrigerated Warehousing and Storage
Refrigeration Equipment and Supplies Merchant Wholesalers
Regulation and Administration of Communications, Electric, Gas, and Other Utilities
Regulation and Administration of Transportation Programs
Regulation of Agricultural Marketing and Commodities
Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors
Reinsurance Carriers
Relay and Industrial Control Manufacturing
Religious Organizations
Remediation Services
Rendering and Meat Byproduct Processing
Repossession Services
Research and Development in Biotechnology (except Nanobiotechnology)
Research and Development in Nanotechnology
Research and Development in the Physical, Engineering, and Life Sciences (except Nanotechnology and Biotechnology)
Research and Development in the Social Sciences and Humanities
Residential Electric Lighting Fixture Manufacturing
Residential Intellectual and Developmental Disability Facilities
Residential Mental Health and Substance Abuse Facilities
Residential Property Managers
Residential Remodelers
Retail Bakeries
Reupholstery and Furniture Repair
Rice Farming
Rice Milling
Roasted Nuts and Peanut Butter Manufacturing
Rolled Steel Shape Manufacturing
Rolling Mill and Other Metalworking Machinery Manufacturing
Roofing Contractors
Roofing, Siding, and Insulation Material Merchant Wholesalers
Rooming and Boarding Houses, Dormitories, and Workers' Camps
Rope, Cordage, Twine, Tire Cord, and Tire Fabric Mills
Rubber and Plastics Hoses and Belting Manufacturing
Rubber Product Manufacturing for Mechanical Use
RV (Recreational Vehicle) Parks and Campgrounds
Sales Financing
Sanitary Paper Product Manufacturing
Satellite Telecommunications
Savings Institutions and Other Depository Credit Intermediation
Saw Blade and Handtool Manufacturing
Sawmill, Woodworking, and Paper Machinery Manufacturing
Sawmills
Scenic and Sightseeing Transportation, Land
Scenic and Sightseeing Transportation, Other
Scenic and Sightseeing Transportation, Water
Scheduled Freight Air Transportation
Scheduled Passenger Air Transportation
School and Employee Bus Transportation
Seafood Product Preparation and Packaging
Search, Detection, Navigation, Guidance, Aeronautical, and Nautical System and Instrument Manufacturing
Secondary Smelting and Alloying of Aluminum
Secondary Smelting, Refining, and Alloying of Nonferrous Metal (except Copper and Aluminum)
Securities and Commodity Exchanges
Security Guards and Patrol Services
Security Systems Services (except Locksmiths)
Semiconductor and Related Device Manufacturing
Semiconductor Machinery Manufacturing
Septic Tank and Related Services
Service Establishment Equipment and Supplies Merchant Wholesalers
Services for the Elderly and Persons with Disabilities
Sewage Treatment Facilities
Sewing, Needlework, and Piece Goods Retailers
Sheep Farming
Sheet Metal Work Manufacturing
Shellfish Farming
Shellfish Fishing
Ship Building and Repairing
Shoe Retailers
Short Line Railroads
Showcase, Partition, Shelving, and Locker Manufacturing
Siding Contractors
Sign Manufacturing
Site Preparation Contractors
Skiing Facilities
Small Arms Ammunition Manufacturing
Small Arms, Ordnance, and Ordnance Accessories Manufacturing
Small Electrical Appliance Manufacturing
Snack and Nonalcoholic Beverage Bars
Soap and Other Detergent Manufacturing
Soft Drink Manufacturing
Software Publishers
Softwood Veneer and Plywood Manufacturing
Soil Preparation, Planting, and Cultivating
Solar Electric Power Generation
Solid Waste Collection
Solid Waste Combustors and Incinerators
Solid Waste Landfill
Sound Recording Studios
Soybean and Other Oilseed Processing
Soybean Farming
Space Research and Technology
Special Die and Tool, Die Set, Jig, and Fixture Manufacturing
Special Needs Transportation
Specialized Automotive Repair
Specialized Freight (except Used Goods) Trucking, Local
Specialized Freight (except Used Goods) Trucking, Long-Distance
Specialty (except Psychiatric and Substance Abuse) Hospitals
Specialty Canning
Speed Changer, Industrial High-Speed Drive, and Gear Manufacturing
Spice and Extract Manufacturing
Sporting and Athletic Goods Manufacturing
Sporting and Recreational Goods and Supplies Merchant Wholesalers
Sporting Goods Retailers
Sports and Recreation Instruction
Sports Teams and Clubs
Spring Manufacturing
Stationery and Office Supplies Merchant Wholesalers
Stationery Product Manufacturing
Steam and Air-Conditioning Supply
Steel Foundries (except Investment)
Steel Investment Foundries
Steel Wire Drawing
Strawberry Farming
Structural Steel and Precast Concrete Contractors
Sugar Beet Farming
Sugarcane Farming
Supermarkets and Other Grocery Retailers (except Convenience Retailers)
Support Activities for Animal Production
Support Activities for Coal Mining
Support Activities for Forestry
Support Activities for Metal Mining
Support Activities for Nonmetallic Minerals (except Fuels) Mining
Support Activities for Oil and Gas Operations
Support Activities for Printing
Support Activities for Rail Transportation
Surface Active Agent Manufacturing
Surface Coal Mining
Surgical and Medical Instrument Manufacturing
Surgical Appliance and Supplies Manufacturing
Surveying and Mapping (except Geophysical) Services
Switchgear and Switchboard Apparatus Manufacturing
Synthetic Dye and Pigment Manufacturing
Synthetic Rubber Manufacturing
Tax Preparation Services
Taxi and Ridesharing Services
Telecommunications Resellers
Telemarketing Bureaus and Other Contact Centers
Telephone Answering Services
Telephone Apparatus Manufacturing
Teleproduction and Other Postproduction Services
Television Broadcasting Stations
Temporary Help Services
Temporary Shelters
Testing Laboratories and Services
Textile and Fabric Finishing Mills
Textile Bag and Canvas Mills
Theater Companies and Dinner Theaters
Tile and Terrazzo Contractors
Timber Tract Operations
Tire and Tube Merchant Wholesalers
Tire Dealers
Tire Manufacturing (except Retreading)
Tire Retreading
Title Abstract and Settlement Offices
Tobacco Farming
Tobacco Manufacturing
Tobacco Product and Electronic Cigarette Merchant Wholesalers
Tobacco, Electronic Cigarette, and Other Smoking Supplies Retailers
Toilet Preparation Manufacturing
Tortilla Manufacturing
Totalizing Fluid Meter and Counting Device Manufacturing
Tour Operators
Toy and Hobby Goods and Supplies Merchant Wholesalers
Translation and Interpretation Services
Transportation Equipment and Supplies (except Motor Vehicle) Merchant Wholesalers
Travel Agencies
Travel Trailer and Camper Manufacturing
Tree Nut Farming
Truck Trailer Manufacturing
Truck, Utility Trailer, and RV (Recreational Vehicle) Rental and Leasing
Trust, Fiduciary, and Custody Activities
Trusts, Estates, and Agency Accounts
Turbine and Turbine Generator Set Units Manufacturing
Turkey Production
Underground Coal Mining
Unlaminated Plastics Film and Sheet (except Packaging) Manufacturing
Unlaminated Plastics Profile Shape Manufacturing
Upholstered Household Furniture Manufacturing
Urethane and Other Foam Product (except Polystyrene) Manufacturing
Used Car Dealers
Used Household and Office Goods Moving
Used Merchandise Retailers
Vending Machine Operators
Veterinary Services
Video Tape and Disc Rental
Vocational Rehabilitation Services
Voluntary Health Organizations
Warehouse Clubs and Supercenters
Warm Air Heating and Air-Conditioning Equipment and Supplies Merchant Wholesalers
Water and Sewer Line and Related Structures Construction
Water Supply and Irrigation Systems
Web Search Portals and All Other Information Services
Welding and Soldering Equipment Manufacturing
Wet Corn Milling and Starch Manufacturing
Wheat Farming
Wholesale Trade Agents and Brokers
Wind Electric Power Generation
Window Treatment Retailers
Wine and Distilled Alcoholic Beverage Merchant Wholesalers
Wineries
Wired Telecommunications Carriers
Wireless Telecommunications Carriers (except Satellite)
Wood Container and Pallet Manufacturing
Wood Kitchen Cabinet and Countertop Manufacturing
Wood Office Furniture Manufacturing
Wood Preservation
Wood Window and Door Manufacturing
Zoos and Botanical Gardens
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy