PPP Loan Forgiveness Information Request It is important that you complete all requested information in this request, even if the PPP loan has not yet been funded. This information should be your best estimate of the requested information based on the best information available now. Question Title * 1. I authorize Somerset CPAs and Advisors to prepare a PPP loan forgiveness analysis for the company listed below. Agree Disagree Do not complete this information request if you disagree with question #1 Question Title * 2. Your name Question Title * 3. Your email address Question Title * 4. Your phone number (###-###-####) Question Title * 5. Company Name Question Title * 6. Your Somerset contact Abby Cox Andrea Riffey Andrew DePew Ann Vincent Becky Quintana Ben Kimmerling Beth Slaninka Bob Browning Brian Kinnaman Brian Muncy Brian Thrasher Bruce Merrill Caleb Bullock Charlie Naber Chris Hirschfeld Cole House Craig Todderud Cynthia Bay Dan Dickerson Dave Burnett Dave Jongleux Donna Butler Doug Fahrnow Ed McGuire Gary Peretich Gary Peters Gavin McNamara Gene Zoellner Glen Molitor Howard Cox Jackie Verbeten Jane Keller Jane Saxon Jason Bainter Jay Feller Jay Horn Jeff Boomershine Jeff Hoots Jenny Ray Jeremy Davis Jeremy Klonowski Joe Reese John McClary Jordan Shady Kathy Rokita Kelly Hale Ken Hedlund Kevin Koven Kevin O'Connell Kim Dollin Lisa Bailey Lisa Bernet Lori Porten Lou Castellani Mack Dyer Mandi Clossey Matt Utterback Maureen Becher-Sage Mike Fritton Mike McCaslin Mike Stover Nathan Newburn Pat Early Patrick Wanzer Rob Carlson Scott Sutton Scott Thoman Sharon Linville Shelly Shi Steve Blake Steve Diagostino Steve Dobias Steve Riddle Steve Shoemaker Steve Wessel Susan Bradford Susie Keaton Tamera Jones Tom Thieme Toni King Valerie Brennan Victoria Pierceall Other (please provide if not on the above list) Question Title * 7. Number of Employees reported on the Paycheck Protection Program ("PPP") Loan application (enter as whole number with no commas) Question Title * 8. Did Somerset prepare the maximum loan calculation used on your PPP Loan application? Yes No 12% of survey complete. Next