Opportunity Profile Form General Information Please select the industry that best describes your business: Accident & Health InsuranceAdvertisingAerospace & DefenseAgriculture ProductionAirlineAlcoholic BeveragesAluminumApparel, Footwear & AccessoriesAppliance & ToolAudio & Video EquipmentAuto & Truck ManufacturersAuto & Truck PartsAutomotive AftermarketBiotechnology & DrugsBroadcasting Media & Cable TVCasinos & GamingChemical ManufacturingChemicals – Plastics & RubberCoal MiningCommercial BanksCommunications EquipmentCommunications ServicesComputer HardwareComputer NetworksComputer Peripherals & Office EquipmentComputer processing and cloud servicesConglomeratesConstruction & Mining MachineryConstruction Raw MaterialsConstruction ServicesConsulting ServicesConsumer ElectronicsConsumer Financial ServicesContainers & PackagingDepartment & Discount RetailDiversifiedEducational ServicesElectric & Wiring EquipmentElectric UtilitiesElectronic Instruments & ControlsEmployment AgenciesEnvironmental ServicesFood ProcessingForestry & Wood ProductsFurniture & FixturesGrocery StoresHealthcare FacilitiesHome ImprovementHotels & LeisureIndustrial Machinery & ComponentsInsurance BrokerageInternet Services & Social MediaInternet, Mail Order & Online ShopsInvestment ServicesIron & SteelLaboratory Analytical InstrumentsLegal MarijuanaLife InsuranceMajor Pharmaceutical PreparationsMarine TransportationMedical Equipment & SuppliesMedical LaboratoriesMetal MiningMiscellaneous Fabricated ProductsMiscellaneous Financial ServicesMiscellaneous ManufacturingMoney Center BanksMovies and EntertainmentNatural Gas UtilitiesNonalcoholic BeveragesOffice SuppliesOil & Gas Integrated OperationsOil & Gas ProductionOil RefineriesOil Well Services & EquipmentPaper & Paper ProductsPersonal & Household ProductsPersonal ServicesPharmacy Services & Retail DrugstorePrint Media & Newspaper PublishingProfessional ServicesProperty & Casualty InsuranceRailroadsReal Estate Investment TrustsReal Estate OperationsRecreational ProductsRegional BanksRenewable Energy Services & EquipmentRental & LeasingRestaurantsRetail ApparelS&Ls Savings BanksScientific & Technical InstrumentsSecurity & Armored Car ServicesSemiconductorsSoftware & ProgrammingSpecial Transportation ServicesSpecialty RetailTechnology RetailTiresTobaccoTransport & LogisticsWater SupplyWholesale Required Field Business Name: Required Field Business URL: Required Field – ex: http(s)://www.abccorp.com Address: City: State: USAAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP: Responsible Party For Financial Data: Required Field Responsible Party’s Position/Title: Required Field Responsible Party’s Email: Required Field Does the Organization have Audited Financials: Yes No If Yes, what is the last audited year? Capital Requested? $ Required Field Funding round type: Required Field Current valuation: $ Required Field Financial Data (At minimum; please provide four years of projected financials in USD) (OPTIONAL) Description CY2020 CY2021 CY2022 CY2023 CY2024 CY2025 Sales Revenue: $ $ $ $ $ $ Cost of Goods Sold (COGS): $ $ $ $ $ $ Gross Profit:(calc) $ $ $ $ $ $ Operating Expense (SG&A): $ $ $ $ $ $ Operating Income:(calc) $ $ $ $ $ $ Interest: $ $ $ $ $ $ Taxes: $ $ $ $ $ $ Depreciation & Amortization: $ $ $ $ $ $ EBITDA:(calc) $ $ $ $ $ $ Investment Income: (optional) $ $ $ $ $ $ Adj. Cash Flow: $ $ $ $ $ $ Send (Please do not ‘run calculations’ if data was provided for ‘calc’ fields.)