Funding Application First Name *Last Name *Email Address *Phone *First Time Entrepreneur?NoYesReferral Source *Industry TypeYears of Relevant Industry ExperienceHeadquarters LocationU.S. Corporate Entity?Main CompanySubsidiaryNoneWebsiteLinkedInType of CompanyOperating BusinessReal EstateFundOperating BusinessNeed to Acquire, Develop, Upgrade or Lease Any Real Estate?YesNoType of EntityCorporationLimited Liability CompanyLimited PartnershipOtherCorporationCloud Services UsedN/AAmazon Web ServicesMicrosoft AzureGoogle CloudOtherN/AAnnual Cloud Services CostsUSDSuffered Patent Infringement Damages Greater than $20 MM?NoYesNoBriefly Describe Your Background, Company and What You SeekType of Funding NeededPrivate Equity (Sale)Debt (Loan)Pitch Deck LinkIs Your Company Listed on Any Public Exchange? (NYSE, NASDAQ, OTC, TSE, LSE, SSE, EN, etc...)NoYesEquity Capital Needed (USD)USDMonths Left to Close Equity RoundUse of FundsTotal Equity Capital Raised (USD)USDThis Year's Revenues (USD)USDLast Year's Revenues (USD)Open to Selling at Least 25% of the Business?YesNoOpen to Selling at least 25% of a Voting Class of Stock?YesNoAre You Working with an Investment Banker to Raise Capital?NoYesFor companies in your stage, we have a developmental program that helps you find and build a team that works for performance-based equity. It's free to use and nobody gets anything unless the specific goals that you set are met. This way you don't need to raise capital and pay the workforce in cash. Over 80% success rate in companies growing until they become self-sustaining, venture investable and raise subsequent funding. Would you like to learn more?YesNoYesProject Location (Real Estate Only)Sponsor Liquidity / Net Worth (USD / Real Estate Only)USDOwn the Land & Property Free and Clear? (Real Estate Only)NoYesNoAny Debt on Land & Property? (Real Estate Only)USDTotal Project Cost (USD - Real Estate Only)Project Equity Already Raised (USD - Real Estate Only)Total Project Equity Raised (% - Real Estate Only)Project Stage (Real Estate Only)I - Entitled: Zoned ProperlyII - Permits AcquiredIII - Less Than 120 Days From Breaking GroundIV - Shovel ReadyDebt Capital Needed (USD)How Soon Is Loan Needed?Personal Credit ScoreConsent *Yes, I agree to be contacted for services requested and subscribed to the newsletter. I can unsubscribe at anytime. Submit
