General Company Information
Company's full legal name:
*
Company Name
Company address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Maryland County:
*
Allegany County
Anne Arundel County
Baltimore County
Baltimore City
Calvert County
Caroline County
Carroll County
Cecil County
Charles County
Dorchester County
Frederick County
Garrett County
Harford County
Howard County
Kent County
Montgomery County
Prince George's County
Queen Anne's County
Saint Mary's County
Somerset County
Talbot County
Washington County
Wicomico County
Worcester County
Outside Maryland
Company type:
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Sole Proprietorship
General Partnership
Limited Liability Corporation (LLC)
Limited Liability Partnership (LLP)
'C' Corporation
'S' Corporation
Date of Company Formation:
*
/
Month
/
Day
Year
Date
Company Website:
Website
Primary Contact Information
Primary Contact:
*
First Name
Last Name
Primary Contact Email:
*
example@example.com
Primary Contact Phone Number:
*
Format: (000) 000-0000.
Specific Company Information
Description of Business/Product (Explain why it is a great opportunity for an investment.):
*
Limit 100 words.
0/100
Description of the greatest achievement of the founders in business:
*
Limit 100 words.
0/100
Company FOUNDER Information:
*
Rows
Full Name
Equity Stake/Ownership (%)
Role/Expertise (e.g., business, technical, marketing, etc.)
Email Address
Phone Number
Company INVESTOR Information:
Rows
Investor Name
Investment Type (e.g., Equity, Convertible Note, SAFE, Other)
Investment Amount ($)
Investment Date
Equity Stake/Ownership Interest (%)
Current Company Cash Available ($):
*
Name of Founder Working Full-time on the Company:
*
First Name
Last Name
Stage of Product Development:
*
Concept only
Mock-ups/Design drawings
Functional prototype built/tested
Beta testing with customers
Product revenue < $1 million/year
Product revenue > $1 million/year
List Projected Milestones for next 12 - 18 Months:
*
Rows
Target Milestone Description/Name
Funding Required ($)
Time required (Months)
Describe your Exit Strategy:
*
Limit 100 words.
0/100
Socially or Economically Disadvantaged Statement:
*
Socially or economically disadvantaged refers to individuals whose ability to compete in the free enterprise system has been impaired because they generally do not have access to investment capital, are at a clear networking disadvantage, or are subject to being professionally marginalized. Clearly state why you consider yourself to be socially or economically disadvantaged. 100 Word limit.
0/100
Executive Summary:
*
Browse Files
Attach an Executive Summary (10 Mb file size limit)
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How did you hear about the Builder Fund?:
*
Limit 100 words.
0/100
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