ACFIA - SB Crowdfunding Demo Survey

1. Crowdfunding Small Business Survey

Survey Sponsored by American Crowdfunding Investment Association (www.acfia.org)

In April 2012, President Obama signed into law the Jumpstart Our Business Startups (JOBS) Act. In this bill is a crowdfunding provision. Crowdfunding enables entrepreneurs and small companies (called “issuers”) to raise capital (up to $1 million) and sell equity shares online to a large number of investors with few regulatory restrictions. Small businesses are a primary source of job creation and need capital for growth. Traditional lending and SBA loans are difficult to arrange and do not provide equity capital.

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* 1. Are you an owner, president, partner or treasuer of a small business - less than 500 employees?

Owner

President

Partner

Treasurer

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* 2. What is your business location?

State:

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* 3. What is your industry?

Other (please specify)

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* 4. How many full time employees (including yourself) in your company?

Less than 5

6 to 25

26 to 100

101 to 250

251 to 500

501 to 1000

More than 1000

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* 5. What is total assets of your company?

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* 6. What is age of your company?

Start Up

Less than one year old

1 to 3 years old

3 to 5 years old

5 to 10 years old

More than 10 years old

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* 7. What is current company profitabilty?

Start Up

Negative Net Income

Positive Net Income