STATEMENT

YES

NO

NOT SURE

1.

I have gathered all the information I need to prepare an estate and succession
plan. [1]

2.

My family knows the location of all our important documents in the event of an
emergency. [1]

3.

Our accounting statements provide an accurate picture of our cash flow and
profitability. [2]

4.

The business financial commitments are aligned with and support our
succession plan. [2]

5.

We have clear guidelines for family members who choose to participate in the
business. [3]

6.

I know what I want to do when I retire. [3]

7.

My family is aware of my long term plans for the business. [3]

8.

The business is not a source of friction within my family. [3]

9.

I communicate openly and easily with family members. [3]

10.

Our strategic plan includes a clearly defined exit strategy. [4]

11.

I have communicated my succession plans to my employees. [4]

12.

I have an estate plan that my attorney has updated within the past two years. [5]

13.

I have an ample and secure source of retirement income that is not tied to the success of the business. [5]

14.

We have a valid buy-sell agreement that is reviewed annually. [5]

15.

We have a family member interested in taking over the business. [6]

16.

I have a qualified successor capable of taking my place. [6]

17.

My designated successors have experienced success outside of my business. [7]

18.

I have clear guidelines of my expectations for my successor. [7]

19.

We have a training program for qualified successor candidates. [7]

20.

I have an excellent team of advisors. [8]

21.

My advisors will work well with my successor. [8]

22.

All of my advisors regularly communicate with each other. [9]

23.

My advisors all work well together and with my family and management team. [9]

24.

We have an independent Board of Directors. [10]

25.

The Board is involved in the strategic and succession plans. [10]