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BUSINESS RETENTION AND EXPANSION SURVEY • <br /> Interview Date <br /> Company Name <br /> Company Address <br /> City State Zip <br /> Contact Name Contact Position <br /> Phone Number ( ) <br /> Is the Company Locally Owned? Yes No <br /> If No, Name of Parent Company <br /> Address of Parent Company <br /> City State Zip <br /> Year Business Was Established <br /> Building Size (Square Feet) <br /> Company Size (Sales Revenue Per Year-- <br /> Optional) (Optional) <br /> Legal Entity (Check One) <br /> Sole Proprietor <br /> Corporation <br /> Partnership <br /> Nonprofit Corporation <br /> Cooperative <br /> Other <br /> Projected- • <br /> Number of Employees Current Year Next Year <br /> Full-Time <br /> Part-Time <br /> * * * * * * * * <br /> Please describe industry and nature of business: <br /> What is your current business climate? <br /> Positive factors and negative factors affecting your business? <br /> • <br /> -1- <br />