Discovery Application

Discovery Application

10 minutes to complete. *None of these questions are required fields. Please answer to the best of your ability, providing maximum information you are comfortable to disclose at this time.
Business Info
Business Name
Please enter the business name or DBA
Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Please enter a valid web domain
Contact Info
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Background
How many years in business?
Nature of Business (select all that apply)

Brick & mortar retailOnline BusinessRestaurantStartupService BusinessLegacy businessB2BOther
Gross Revenue
Is the business currently profitable?
Net Earnings (EBITDA)
Has the business ever been profitable?
Most recent year the business turned a profit?
Enter year
Net Earnings (Before ITDA)
Enter net earnings of that year

A/R Value

Do you own or rent the real estate you currently occupy?
Do you prefer to sell, or lease the property to the new management?
Current Lease

Monthly RentYearly increaseLease term end date
More about you!
Please provide a background of your business. I.e. how it started, how it evolved, and where it is today:
Can you identify the driving factor behind the success you've realized thus far?
Can you identify the primary challenge(s) that your business faces today?
Level of brand recognition, and goodwill of the business currently
Are you the sole owner of the business?
Partner(s) name and percentage

First NameLast Name%
Investor(s) name and equity

First NameLast NameEquity %
Please describe your relation to this business:
Which of the following options are you considering, or would you consider for your business: (select all that apply)

Sell and exitPartnership (Sweat equity)Partnership (Capital infusion)Other
Capital amount and allocation(s):
What would your personal future be like after you sell your company?
How soon would you like a transaction to take place?
Should be Empty:

Business Info