Submit Business Plan

Company Name:
Address 1:
Address 2:
City/Town:
State:
Zip Code:
Email Address:
Phone:
Fax:
Funds requested:
Use of Funds:

Officer to be contacted:
Type of Business:
Partnership Public Corporation Private Company Other, Please specify

Years in operation:
Revenues:
2001 $ - 2002 $ Year to date $

Investment Summary/Current Situation Preferably not longer than four pages; please make sure that all topics are covered.
Nature of Business:
Current Situation - Company Overview:
Corporate History:
Market and Competition:
Management Profiles (brief):
Growth Opportunities:
Operations and Facilities:
Financial Requirements and Structure:
Current Balance Sheet:

Financial Projections
Although you may have prepared Financial Projections that are very comprehensive and detailed, we must still ask you that you please fill this table in order to expedite the evaluation of your project.

Summary Projections	1999	2000	2001	2002	2003
Gross Revenues
Gross Total Expenses
Net Profit/Loss

Notes and Comments:


	Industry Coverage
	Working Relationships
	Recent Successes
	Submit Business Plan