1. Name:

2. Company name:

3. Has your company been able to raise working capital (including dilutive and non-dilutive)?

4. If so, how much?

5. Has your company hired full or part-time employees?

6. If so, how many FTEs (full time equivalents)?

7. What year do you expect your company to be making first revenues? If you are already generating revenue, what year were first revenues?

8. Do you currently have any products approved by the FDA?

9. Are you currently manufacturing in Washington?

10. Do you have any comments, suggestions or questions about WBBA’s Commercialization programs?