| Breeden Insurance Services | Administrative and Support and Waste Management | $379,000 | $381,348 | 32 | $6.1M | Research |
| Wilderness Nc, Inc. | Manufacturing | $377,300 | $382,520 | 59 | $58.5M | Research |
| Transit Damaged Freight INC | Retail Trade | $375,800 | $378,525 | 46 | $8.3M | Research |
| L. T. Hedrick Construction Company Inc. | Construction | $369,450 | $372,618 | 35 | $13.1M | Research |
| L. T. Hedrick Construction Company, Inc. | Construction | $369,450 | $372,932 | 35 | $13.1M | Research |
| Jaycare of Davidson and Davie Corporation | Health Care and Social Assistance | $368,163 | $371,289 | 137 | $23.5M | Research |
| Nc Moulding Acquisition LLC | Manufacturing | $362,800 | $366,776 | 50 | $49.6M | Research |
| Quality Trailer Enterprises, INC | Manufacturing | $357,800 | $361,080 | 42 | $11.0M | Research |
| Sink Tower Erection Co. Inc. | Construction | $357,566 | $358,956 | 29 | $9.0M | Research |
| G W Mountcastle Agency INC | Finance and Insurance | $357,100 | $359,203 | 31 | $15.9M | Research |
| Parkway Ford Lincoln of Lexington INC | Retail Trade | $348,300 | $352,557 | 37 | $9.3M | Research |
| Abatemaster INC | Administrative and Support and Waste Management | $332,300 | $0 | 29 | $5.5M | Research |
| Davidson Charter Academy, Inc. | Educational Services | $319,188 | $321,192 | 52 | N/A | Research |
| Sink Farm Equipment INC | Wholesale Trade | $318,800 | $322,369 | 32 | $9.8M | Research |
| High Rock Internal Medicine P.a. | Health Care and Social Assistance | $316,535 | $319,163 | 31 | $9.7M | Research |
| High Rock Internal Medicine, P.a. | Health Care and Social Assistance | $316,535 | $318,391 | 31 | $9.7M | Research |
| Koontz Masonry INC | Construction | $312,948 | $316,225 | 30 | <$5M | Research |
| Lexington Veterinary Associates PA | Administrative and Support and Waste Management | $311,100 | $314,799 | 43 | $8.1M | Research |
| Koontz Masonry Inc. | Construction | $308,914 | $312,029 | 14 | <$5M | Research |
| Davidson Eye Associates, P.a. | Health Care and Social Assistance | $306,000 | $307,945 | 27 | $6.3M | Research |
| Lexington Family Physicians PA | Health Care and Social Assistance | $294,900 | $297,049 | 22 | $6.9M | Research |
| Jks Motorsports INC | Professional, Scientific, and Technical Services | $289,118 | $292,341 | 21 | <$5M | Research |
| Point Security, Inc. | Administrative and Support and Waste Management | $286,300 | $289,587 | 16 | <$5M | Research |
| Point Security Inc. | Administrative and Support and Waste Management | $286,300 | $288,041 | 16 | <$5M | Research |
| Pro Plumbing Services LLC | Administrative and Support and Waste Management | $285,200 | $288,725 | 55 | $10.4M | Research |