How to complete an SBA Form 355 (Step by Step)

To complete an SBA Form 355, you will need to provide the following information:

• Applicant information
  • Name and address of applicant
  • Name and title of person authorized to provide more information
  • County located in
  • Whether assistance funds will be used in a labor surplus area
  • Purpose for size/status determination request
  • Date of establishment or incorporation
  • Overall primary business activity
  • Major products or services
  • Whether applicant issues or operates under a franchise, license, or other contractual agreement with another concern
  • Name and address of owner, partners, and principal stockholders
  • Name and address of all officers
  • Name and address of all directors
  • Whether ny stock options are outstanding
  • Whether any stock is held as pledged collateral
  • Whether any stock is voted under proxy agreement, trust, or voting trust
  • Whether applicant agreed to combine or merge with another concern in the future by sale of stock or assets
  • Whether applicant or any person listed above is an owner, partner, director, officer, employee, or principal stockholder in any other concern
• Employee-based size standards information
  • Number of employees
• Revenue-based size standards information
  • Fiscal year end date
  • Total sales or receipts for each of the three most recently completed fiscal years
• Information related to alleged, acknowledged or possible affiliates of applicant
  • Affiliates of applicant: name, address, % of voting stock or ownership held by applicant or concern, major products or services of concern
  • Names, addresses, position, % of voting stock or ownership of all partners, officers, directors, principal stockholders of each concern listed above
  • Number of employees of each concern
  • Total sales or receipts of each concern
  • Whether persons listed above are also owner, partner, director, officer, employee, or principal stockholder in any other company
• Information relating to applicant and alleged, acknowledged or possible affiliates
  • Whether owners, officers, directors, key employees, or supervisors have ever been employed by or performed similar work for any of the alleged, acknowledged or possible affiliates
  • Whether at the time or bid opening or application for assistance or at present any services have been performed by applicate by any of the alleged, acknowledged or possible affiliates, or vice versa.
  • Whether applicant shares facilities, equipment, or personnel with any affiliates
  • Whether applicant was assisted in preparing the bid or application by any affiliates
  • Whether there is or was any financial obligations between applicant and affiliates
  • Whether there are any individuals who sign documents for applicant who receive indemnifications who are not owners, officers, directors, employees, partners, or principal stockholders of applicant
  • Whether any family member of an owner, partner, officer, director, or principal stockholders has an ownership interest in any affiliate
  • Whether SBA has ever determined applicant to be affiliated with any affiliates
  • Whether any of the affiliates will provide an indemnity or guaranty to a surety to facilitate a contract award
  • Whether any affiliates arranged for any subcontractors required for performance of the contract or any contract awarded in the past two years
  • Whether there have been any actual or proposed subcontracts between applicant and any affiliates
  • Whether any affiliates will perform more than 25 percent of this contract 
  • Whether the termination of applicant on a contract would cause financial impact on any affiliate
  • Whether the procuring activity mailed your current bidding documents to any address other than the applicant’s current business address
• Certification 
  • Signature
  • Title
  • Date