Sba Form 1919 - Borrower Information - Applicant Business Information

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SBA 7(a) Borrower Information Form
OMB Control No.: 3245-0348
For use with all 7(a) Programs
Expiration Date: 07/31/2020
Purpose of this form:
The purpose of this form is to collect information about the Small Business Applicant (“Applicant”) and its principals, the loan
request, indebtedness, information about current or previous government financing, and certain other topics. The information also
facilitates background checks as authorized by section 7(a)(1)(B) of the Small Business Act, 15 U.S.C. 636(a)(1)(B). This form is to
be completed by the Applicant and all individuals identified below and submitted to your SBA Participating Lender. Submission of
the requested information is required for SBA or the Lender to make a determination regarding eligibility for financial assistance.
Failure to submit the information would affect that determination.
Instructions for completing this form:
This form is divided into two sections. Section I requests information about the Small Business Applicant and must be completed in its
entirety, signed and dated by an authorized representative of the Small Business Applicant that is requesting a business loan. A
separate Section I is required to be completed and signed for each co-applicant (e.g. “Eligible Passive Company (EPC)”or
“Operating Company (OC)”).
Section II of this form requests information about each of the Small Business Applicant’s principals. This section must be completed
in its entirety, signed and dated by the following:
For a sole proprietorship, the sole proprietor;
For a partnership, all general partners, and all limited partners owning 20% or more of the equity of the firm; or any partner that is
involved in management of the applicant business;
For a corporation, all owners of 20% or more of the corporation, and each officer and director;
For limited liability companies, all members owning 20% or more of the company, each officer, director, and managing member;
Any Person hired by the business to manage day-to-day operations (“key employee”); and
Any Trustor (if the Small Business Applicant is owned by a trust).
All parties listed above are considered “Associates” of the Small Business Applicant as defined in 13 CFR § 120.10, as well as
“principals.” A separate Section II is required to be completed and signed by each principal of the Small Business Applicant.
For clarification regarding any of the questions, please contact your Lender.
Definitions:
1.
Affiliation – Concerns and entities are affiliates of each other when one controls or has the power to control the other, or a
third party (or parties) controls or has power to control both. For example, affiliation may arise through ownership,
common management (including through a management agreement), or when there is an identity of interest between close
relatives with identical, or substantially identical, business interests. The complete definition of “affiliation” is found at 13
CFR § 121.301(f).
2.
Close Relative - Close Relative is a spouse; a parent; or a child or sibling, or the spouse of any such person.
3.
Eligible Passive Company (“EPC”) – is a small entity or trust which does not engage in regular and continuous business
activity which leases real or personal property to an Operating Company for use in the Operating Company’s business, and
which complies with the conditions set forth in 13 CFR § 120.111.
4.
Household Member – A “household member” of an SBA employee includes: a) the spouse of the SBA employee; b) the
minor children of said individual; and c) the blood relatives of the employee, and the blood relatives of the employee’s
spouse who reside in the same place of abode as the employee. [13 CFR § 105.201(d)]
5.
Operating Company (“OC”) – is an eligible small business actively involved in conducting business operations now or
about to be located on real property owned by an Eligible Passive Company, or using or about to use in its business
operations personal property owned by an Eligible Passive Company.
SBA Form 1919 (05/17)
1

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