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* 1. Communities/Counties in your service area:

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* 2. How many commercial loans does your financial institution place each year?

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* 3. In your opinion, is there a need for subordinated gap financing for large and small businesses in your market area?

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* 4. With funds available, did you or would you make referrals to our program?

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* 5. If so, how many referrals did you or could you have made in the past 12 months?

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* 6. How many referrals would you anticipate making in the next 24 months?

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* 7. Do businesses requesting funding from your financial institution need technical assistance such as preparing business plans, conducting market research, analyzing business conditions and economic trends, and determining enterprise feasibility?

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* 8. Please provide any comments or concerns that you may have regarding this program:

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* 9. Financial Institution Name & Location

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* 10. Person completing survey

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