Form 3315 - National Small Business Week Page 2

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2. Co-nominee(s) Information (Note: you may nominate up to 3 additional co-nominees per
business. Each co-nominee must fill out the SBA Form 3300):
a. Name(s):
b. Title(s):
c. Email address(es):
3. Nominator Information (if you are nominating yourself, write n/a):
a. Nominator name:
b. Title:
c. Address:
d. Phone number:
e. Email address:
4. Provide the nominee(s) percentage of ownership or stock owned in the small business.
5. How many years has the nominee’s business been operational?
6. How many employees does the business currently have?
7. Does the business have a website? If yes, list the URL:
SBA Form 3315 (09/2017)

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