Nominees Name by lonyoo


                                                                                                               SMALL BUSINESS
                                                                                                                 WEEK 2010

      The SBA’s                        2010 SMALL BUSINESS PERSON OF THE YEAR
Small Business Person
  of the Year Award
 honors individuals who            Nominee’s Name:
      demonstrate                  Name of Business:
outstanding skills, savvy,
  and ability to create            Title/Position:
   success in the small            Business Address:
  business community.
                                   Home Address:
Eligibility & Nominations:         Telephone: (Business)                              (Fax)                       (Home)
 Nominee must 1) own and 2)
  operate or bear principal        E-mail address:                                                      NAICS Code:
  responsibility for operating a
  small business.

 Partners who jointly own and     Sponsor’s Name:
  operate a small business may
  be nominated as a “team” (the
  number of individuals in a       Business/Organization:
  single nomination may not
  exceed four persons.)            Address:
 SBA’s size standards apply in    Telephone:                         (Fax)                      E-mail:
  the determination of the
  eligibility of a business.
                                   Give a brief one-paragraph description of the nominee’s business:
 All information must be on the
  official form and not exceed
  four pages - no attachments
  will be accepted.

 The nomination forms must be
  signed by nominator(s) and all

 A Consent for Disclosure and
                                   Give a concise statement clearly describing why the nominated individual should be recognized with
  SBA Release form will also be
  required for all nominees.
                                   this SBA Small Business Award:

   2010 SBA
 Small Business
           are due
  Nov. 16, 2009
     Please deliver to:

 Hawaii District Office
  300 Ala Moana, #2-235
    Honolulu, HI 96850

For more information, contact
       Jane Sawyer
 ( or           Date and Type of SBA Assistance:
 808-541-2990, ext. 205)           Please note SBA Assistance is not required for a nominee to be eligible for this SBA Award Category.
     NOTE: In addressing the following items, please relate specifically how the nominee, not the business, fulfills
           the selection criteria below:

I.     Staying Power – a substantiated history as an established business (as evidenced by expanded service areas,
       growth in space occupied, increasing sales, number of years in business).

II. Growth in Number of Employees – a benchmark to judge the impact of the business on the job market. (Please
    include current number of full-time and part-time employees with comment on record of growth to cover a minimum of
    the last five years.)

III. Increase in Sales and/or Unit Volume - an indication of continued growth. Please include gross revenues for the
     past three full years. (State winners may be asked to document revenue growth for up to five years.)

                                             2006               2007                     2008

2010 SBA Small Business Awards – Hawaii District     Small Business Person of the Year                        Page 2 of 4
IV. Current and Past Financial Data substantiating the improved financial position of the business. (Profit and
    loss statements and balance sheets for the past three years will be required from the State winner. All financial
    information will be kept confidential and used for purposes of the award selection only.)

                                                   2006                            2007       2008
                       Total Assets
                       Total Liabilities
                       Net Worth

V. Innovativeness of Product or Service Offered - illustrations of the creativity and imagination of the nominee.
   (Includes the uniqueness of product, service, or procedures; addressing a new market niche; competitive strategies.)

VI. Response to Adversity - examples of problems faced by the business and the methods used to solve them.
    (Includes a specific financial, physical or other crisis; threat to continuity of business, etc.)

2010 SBA Small Business Awards – Hawaii District          Small Business Person of the Year                    Page 3 of 4
VII. Evidence of contributions by nominee to aid community-oriented projects through the use of his/her personal time
     or other resources.

                                                         Additional Information

The prestigious Small Business Awards honor the outstanding small business men and women who demonstrate excellence and
achievement. All nominees and nominees’ businesses must comply with state and federal regulations regarding labor, immigratio n, civil
rights, taxation, and other applicable regulations. Any financial information provided as required for the nomination will be held in strict
confidence by the selection committee and SBA.

By submitting the completed nomination form, the nominee certifies that, to the best of his/her knowledge, the information
provided is correct and the business has complied with regulations, as stated above.

Please note that SBA will accept only one nomination per person or business entity within an award category. If a duplicate
nomination is received, the nomination submitted to HDO at the earliest time will be considered for the award. SBA winners who were
honored in this category prior to the 2005 awards (more than five years ago) may be nominated if they continue to meet all criteria for
eligibility for the award.

A Small Business Person of the Year will be selected from qualified candidates for the counties of Hawaii, Maui, Kauai, and the City &
County of Honolulu. From the top candidates, a State winner will be named. The State of Hawaii Small Business Person of the Year will be
considered for the National Small Business Person of the Year Award along with 52 other entrepreneurs from the other 49 states, the District
of Columbia, Puerto Rico/Virgin Islands and Guam. The State winner and their nominator will be required to prepare an expanded
nomination package due early January 2010 to submit for the National competition.

Three headshots/portrait-type photographs and 15-18 colored photo images of the winner, their business operation, and at least one
photo with/of their nominator will be required for publicity and the State Luncheon presentation. The photos may be in hard c opy or
digital format. These items will be due in the District Office in early February 2010.

The State of Hawaii winner will be required to submit an expanded package for competition at the National level, including a profit &
loss statement and balance sheets for the past three years. State Small Business Person(s) may be invited to participate in N ational
Small Business Week activities in Washington, D.C. or other locations.

      Sponsor Signature(s):

      __________________________Date___________                       _______________________Date____________
      Sponsor                                                         Sponsor

      Nominee Signature(s):

      __________________________Date___________                       _______________________Date____________
      Nominee                                                         Nominee

      __________________________Date___________                       _______________________Date____________
      Nominee                                                         Nominee

  Received at SBA District Office on ______________ by ___________________.                        For internal use only:
                                          (Date)              (Staff)

2010 SBA Small Business Awards – Hawaii District            Small Business Person of the Year                                    Page 4 of 4

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