Intake Form

Intake Form
Please note, Proofing Station only makes direct investments. We do not make investments in funds.
Enterprise Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Location Type*
Website*
Contact Name*

First NameLast Name
Contact E-Mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Brief description of enterprise*
Primary Industry*

Co-packing/co-manufacturingConsumer Packaged GoodsFarm - LivestockFarm - Produce, Grains, and LegumesFarm - OtherFood System TechManufacturingRetailStorage & LogisticsOther
Where is your enterprise's headquarters located?*
State(s) in which the organization operates*

ArkansasIllinoisIndianaIowaKentuckyMichiganMinnesotaMissouriOhioTennesseeWisconsinOther
Years in Operation*
Business stage if applicable*
Annual revenue or income
Annual revenue or income*
Is the organization a for profit or non-profit?*

For profitNon-profit
What is the size of your full time staff?*
What is the size of your part time staff (including consulting and seasonal)?*
Types of Capital Overview

Proofing Station’s PS Fund I is an impact-first investment fund focused on increasing access to capital for small and mid-sized entities in the Midwest regional food and agriculture supply chain. The Fund addresses persistent capital gaps by providing the following types of capital:

Debt: Loans with adaptable terms designed to meet the specific needs and cash flow situations of businesses.

Equity: Capital provided in exchange for ownership shares, allowing businesses to grow without the pressure of immediate debt repayment. There is an expectation that capital will be returned within 5-7 years for Proofing Station equity investments.

Credit Enhancements: Financial products such as guarantees that improve the creditworthiness of businesses, making it easier for them to secure funding.

Please note, this is not an exhaustive list of fund capabilities and financing structures. Not all of these alternatives may be suitable or available for every individual business. We encourage you to reach out for a more tailored discussion.
What kind of financing is the enterprise seeking? *
What is the total amount you are seeking?*
What is the amount you are seeking from Proofing Station?
Between $100k and $1M
Please upload YTD Financials and financials for the most recent three years if available.*

Cancelof
If you did not upload financials, please select the most accurate scenario below.

Financial statements are in progressFinancial statements are not started, but I have an accounting system in place (QuickBooks, Xero, etc)I do not have an accounting system (QuickBooks, Xero, etc)Other
If you have a data room, please link it here.
What will you use the financing for?*

Land purchase or leaseConstructionRenovation/physical improvementsSalariesBuying inputs (agricultural, animal, other)Sales and marketingLand restorationExpansion/growthOther
Referring Organization
Organization*
If "Other" referral organization, please describe
Please list the person(s) from this organization that referred you
Demographic Information

Optional
Which gender best describes the majority of the organization OWNERSHIP?

FemaleMaleNon-binaryA gender not listed herePrefer not to sayOther
Which gender best describes the majority of the organization MANAGEMENT?

FemaleMaleNon-binaryA gender not listed herePrefer not to sayOther
Which race or ethnicity best describes the majority of the organization OWNERSHIP?

American Indian and Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhiteTwo or more racesPrefer not to sayOther
Which race or ethnicity best describes the majority of the organization MANAGEMENT?

American Indian and Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhiteTwo or more racesPrefer not to sayOther
Do any of the following apply to your organization?

Veteran owned and/or operatedOwned and/or operated by a person with a disabilityLGBTQ+ owned and/or operated
Newsletter

Yes, subscribe me to Proofing Station quarterly pipeline newsletter.
500 W. Madison St, Suite 1000 Chicago, IL 60661 | 312-324-4338 | info@proofingstation.org
Should be Empty:

Intake Form

Referring Organization

Demographic Information

500 W. Madison St, Suite 1000 Chicago, IL 60661 | 312-324-4338 | info@proofingstation.org