Thank you for filling out this survey. We will use this information to determine how LISC can be of assistance to you. For borrowers with multiple projects or loans, please answer this survey based on your largest outstanding loan with LISC. For questions, please email lending@lisc.org.
 
Survey questions with * require responses. Please note that this web page may not save your work if you leave the website before completing and submitting the survey. You may also lose your work if your internet is disconnected, or as a result of other potential web browser issues. We recommend respondents save their answers in a separate document as a backup in case their work in progress on this page disappears for any reason.

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* 1. Contact Person

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* 2. Business Information

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* 5. If you have an outstanding loan from LISC, please enter the LMS number (5 digits, starting with a 1, e.g. 12334). This can be found on the original Loan Approval Notification Letter or on your invoice. For borrowers with multiple projects or loans, please answer based on your largest outstanding loan.

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* 6. What is your primary industry?

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* 7. For Restaurants, please provide the following. Please enter numbers only.

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* 8. For Commercial Multi-Tenant Facility, please provide the following. Please enter numbers only.

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* 9. What was your organization's net operating income in calendar year 2019 (1/1/2019 to 12/31/2019)? (If the LMS number provided is for a project held in a special purpose entity and has a parent level guarantor, please provide net operating income of the parent entity.)

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* 10. Please estimate any revenue decline you've experienced since March 1, 2020 to today as a result of the impact of COVID-19. Please express as percentage of loss as compared to your planned budget. (If the LMS number provided is for a project held in a special purpose entity and has a parent level guarantor, please provide revenue decline of the parent entity.)

0% decline 50% decline 100% decline
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i We adjusted the number you entered based on the slider’s scale.

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* 11. Please describe the direct and indirect ways COVID-19 has impacted your revenue such as what supply chain disruptions you’re experiencing, employee payroll constraints, overhead and fixed expenses, local shut down requirements, etc.

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* 12. Do you anticipate any further revenue decline through calendar year-end 2020 due to COVID-19, if applicable? (If the LMS number provided is for a project held in a special purpose entity and has a parent level guarantor, please provide revenue decline for the parent entity.)

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* 13. If you expect further revenue decline, what do you estimate could be the ultimate decline in revenue on an annual basis relative to pre-virus levels? (If the LMS number provided is for a project held in a special purpose entity and has a parent level guarantor, please provide revenue decline for the parent entity.)

0% decline 50% decline 100% decline
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i We adjusted the number you entered based on the slider’s scale.

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* 14. Has the county in which you operate for your LISC loan been declared a state of emergency?

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* 15. Is your state or local government mandating that you close or limit your services or hours of operation?

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* 16. Is your organization's work considered "essential"?

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* 17. Are you decreasing staff who are working on-site?

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* 18. What alternative services are you offering in light of COVID-19?  Please check all that apply:

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* 19. If you rent commercial or retail space to tenants, have you made adjustments to the rental rates or payment dates of your commercial and retail tenants?

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* 20. How many days' operating cash do you hold? (If the LMS number provided is for a project held in a special purpose entity and has a parent level guarantor, include days' operating cash estimates from the parent entity.)

0 days' operating cash 50 days' operating cash 100 or more days' operating cash
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i We adjusted the number you entered based on the slider’s scale.

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* 21. Going forward, do you anticipate working capital or cash flow challenges due to COVID-19?

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* 22. Have you applied for any of the following aid due to the impact of COVID-19?

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* 23. Do you anticipate having to apply for emergency state or federal grants due to the impact of COVID-19?

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* 24. Do you anticipate having to apply for emergency state or federal loans due to the impact of COVID-19?

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* 25. General comments or any other information you would like to share with us:

Please click "Done" below and you will receive a confirmation. If you do not receive confirmation on the next page after clicking Done, please review the survey above for incomplete entries, which will be denoted by "!" and messages on what to fix. Please email lending@lisc.org for questions and troubleshooting.

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