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U.S. SMALL BUSINESS ADMINISTRATION
8(a) BUSINESS PLAN
OMB Approval No.: 3245-0331
Expiration Date: 3/31/2014
SBA STATEMENT ON REPRESENTATIVES AND FEES
You are not required to use a representative to complete this business plan. If you chose to hire a representative for this
purpose, the following information must be provided:
Names of Representatives
and Addresses
Description of
Services
Hourly
Rate
Amount
Paid
Amount
Due
This form was electronically produced by Elite Federal Forms, Inc.
NAME OF COMPANY:
ADDRESS OF COMPANY:
CONTACT PERSON:
TELEPHONE NO.:
Signature of Principal
Date
Signature of Representative
Date
SBA Form 1010C (12/10) Previous Edition obsolete