Sponsored Company
Registration
Company Name: | |
Company Website : | |
Sponsoring Organization: | |
LEVEL OF HEAVY LIFTING RECEIVED | |
Sourced: | |
Screened: | |
Mentored : | |
Incubated: | |
Angel: | |
Address 1: | |
Address 2: | |
City State/Province: | |
Country: | |
Phone #: | |
Fax #: | |
Contact Person / Title : | |
Contact Person's Email: | |
MANAGEMENT TEAM | |
1. First Name Last Name Title: | |
2. First Name Last Name Title: | |
3. First Name Last Name Title: | |
4. First Name Last Name Title: | |
5. First Name Last Name Title: | |
Total Number of Full Time Employees: | |
Total Number of Consultants/PT Employees: | |
Founded Date: |
Legal Formation: |
WEB PRESENCE | |
LinkedIn Address: | |
Facebook Address: | |
Plaxo Address : | |
Other: | |
Other: |
PRODUCT / MARKET CLASSIFICATION | |
Is your Revenue Model based on a Product or Service : |
|
Category: |
TARGET MARKET / USER | |
Business | |
Consumer | |
Government |
CUSTOMERS/PARTNERSHIPS/RELATIONSHIPS |
Company | Customer | Joint Development | Work 4 Hire | Distribution / Promotion |
Company Revenue Model |
FINANCIAL HISTORY COMPANY FUNDING HISTORY |
Date Rcvd | Amount Rcvd | Financing Method (1) | |
Personal/Friends&Family Funds | |||
Academic/Research Grants | |||
Government Contract | |||
Work-For-Hire Project(s) | |||
Angel(s) | |||
Venture Capital | |||
OTHER | |||
% Equity Owned by Founders |
(1) Financing Method (Debt, Common Stock, Preferred Stock, Convertible Preferred,
Work Compensation, Other) |
REVENUE HISTORY | |
Pre-Revenue: | |
Expected Date of Revenue Generation: | |
P&L History Year Revenue Expenses P/L | |
P&L Forecast Year Revenue Expenses P/L |
ADD DOCUMENTS - add only those documents you wish to be viewable to registered Validation Partner and Funder members of the ESM. No documents you provide will be made available to other Sponsored Companies or 3rd Party Resources |
Download Date | |
Executive Summary: | |
Powerpoint Presentation: | |
Financial Plan: | |
Business Plan: | |
Patent Applications: | |
Patent Grants (Patent #): |