| Albemarle Educational Foundation | Educational Services | $183,000 | $184,830 | 43 | N/A |  Research |
| Richard's Rofrigeration INC | Construction | $180,390 | $182,660 | 20 | $6.3M | Research |
| Montero's INC | Accommodation and Food Services | $177,700 | $179,566 | 55 | $9.8M | Research |
| Food Bank of the Albemarle | Health Care and Social Assistance | $174,100 | $175,059 | 27 | N/A | Research |
| M & M Hospitality LLC | Accommodation and Food Services | $171,290 | $172,032 | 21 | $6.6M | Research |
| Kaleb C Thompson Dmd PA | Health Care and Social Assistance | $170,389 | $172,401 | 14 | <$5M | Research |
| Kaleb C. Thompson, Dmd, PA | Health Care and Social Assistance | $170,389 | $172,254 | 15 | <$5M | Research |
| Coastal Carolina Prosthotics | Manufacturing | $169,187 | $170,893 | 17 | <$5M | Research |
| Sunshine Contracting and Construction L | Construction | $168,500 | $170,254 | 36 | $10.9M | Research |
| Five ''c's', Inc. | Real Estate and Rental and Leasing | $165,465 | $167,169 | 21 | <$5M | Research |
| Scott C Blanchard Dds, PA | Health Care and Social Assistance | $165,200 | $166,330 | 10 | <$5M | Research |
| Plaza Azteca Elizabeth City Inc. | Accommodation and Food Services | $164,600 | $166,873 | 23 | <$5M | Research |
| Ambrose Furniture, Inc. | Retail Trade | $155,000 | $155,870 | 16 | <$5M | Research |
| C & W Grading & Excavating Inc. | Construction | $150,300 | $151,066 | 13 | <$5M | Research |
| Mcpherson Enterprizes Plumbing & Trenching, Inc. | Construction | $149,200 | $150,530 | 22 | $7.0M | Research |
| Graca Holdings, LLC | Health Care and Social Assistance | $146,400 | $147,463 | 48 | $8.2M | Research |
| Huo Shan INC | Accommodation and Food Services | $145,579 | $146,339 | 25 | <$5M | Research |
| Albemarle Pulmonary Medicine Associates, PA | Manufacturing | $145,000 | $64,992 | 7 | <$5M | Research |
| Albemarle Termite & Pest Control, INC | Administrative and Support and Waste Management | $142,772 | $144,097 | 15 | <$5M | Research |
| Ffe Investment Llc. | Accommodation and Food Services | $141,000 | $142,061 | 35 | $6.2M | Research |
| Jason A. Banks D.d.s. P.a. | Health Care and Social Assistance | $138,200 | $139,396 | 11 | <$5M | Research |
| Heritage Care of Elizabeth City, LLC | Health Care and Social Assistance | $137,300 | $138,478 | 40 | $6.8M | Research |
| Big Daddys Pizza Inc. | Accommodation and Food Services | $136,923 | $137,912 | 39 | $6.9M | Research |
| C & W Grading & Excavating Inc. | Construction | $136,700 | $137,566 | 15 | $5.6M | Research |
| Sawyer's House of Furniture Inc. | Retail Trade | $135,800 | $136,845 | 19 | <$5M | Research |