Content
Licensing and program development
- Optional Pre-Screening Executive Summary and Template
- SBIC Program Application (Forms 2181, 2182, and 2183):
- Management Assessment Questionnaire (Form 2181 and Part I of Form 2182): Reviewed by the Office of Investment and Innovation's Office of Program Development
- License Application (Revised and updated Forms 2181, 2182, and 2183): Reviewed by the Office of Investment and Innovation Licensing
- Model LPA (submitted as part of Exhibit Q to Form 2183)
Private capital
SBA guaranteed leverage commitment
- Commitment Application Instructions
- Exhibits to Be Submitted
- Form 468 – SBIC Financial Report
- Form 25 LLGP Model Limited Liability General Partner Certificate for SBA Commitment
- Form 25 PCGP Model Resolution, SBIC organized as Corporate General Partnership
- Form 25 PC Model Resolution, SBIC organized as Corporation
- Form 2183 Exhibit L (previously labeled Exhibit J) - Transferor’s Liability Contract
- Form 652 Assurance of Compliance for Nondiscrimination
- Form 2183 Exhibit K (previously labeled Exhibit M) Capital Certificate
- Form 1065 Applicant Licensee’s Assurance of Compliance for the Public Interest
- Form 1846 Statement Regarding Lobbying for Loan Guarantees and Loan Issuance
- Opinions of Counsel
| Type of SBIC | Form |
|---|---|
| Standard and Impact SBICs |
Form 27B Standard Debenture Opinion of Counsel If you intend to issue either LMI or Energy Saving Debentures at some point: Form 27C LMI Debenture Opinion of Counsel |
| Early Stage |
Form 27E Early Stage Discount Debenture Opinion of Counsel |
Submit the following selling documents:
- Form 34 Bank Identification
- Form 33 Instructions for the Authorization to Disburse Proceeds
- Debit Authorization
Draw instructions and forms
Leverage Security Instruments (specific to the type of debenture leverage requested):
| Type of leverage | Form |
|---|---|
| Standard debenture |
Form 444C Debenture Certification |
| LMI debenture |
Form 2163 5-Year LMI Debenture Certification |
| Energy Saving debenture |
Form 2434 5-Year Energy Saving Debenture Certification |
| Early Stage debenture |
Form 2432 Early Stage Discount Debenture Certification |
- Form 468 SBIC Financial Report
- Opinion of Counsel
Prepayment instructions
Financings
| Situation | Form |
|---|---|
| All |
Form 1031 Portfolio Financing Report |
| If you need a small business size determination. |
Form 355 Application For Small Business Size Determination |
| If you're using an Energy Saving debenture to finance the investment and need a pre-financing determination of eligibility |
Form 2428 Financing Eligibility Statement for Usage of Energy Savings Debentures |
| If you're a specialized SBIC |
Form 1941B Financing Eligibility Statement - "Social Disadvantage" (For individuals who are not members of a designated group) Form 1941A Financing Eligibility Statement - "Social Disadvantage" (For individuals who are members of a designated group) Form 1941C Financing Eligibility Statement - "Economic Disadvantage" |
| If you're submitting a portfolio company to the SBA as a success story |
Form 1926 SBA Success Story |
Examinations
The SBA will send the following forms to the SBIC prior to the examination:
- Disclosure statement
- Form 857 Request for Information Concerning Portfolio Financing by SBICs
- SBIC ownership confirmation
- Form 1405 Stockholder’s Confirmation for Corporate SBICs
- Form 1405A Ownership Confirmation for Partnership SBICs