1. Are you the owner of the company? (If no, the owner with the greatest percentage of ownership should be the one completing this form, investors will want to communicate with that person) ANSWER HERE 2. What percentage of the company do you own? (If there are other owners, mention each owner and their corresponding ownership percentages so that your answer adds up to one hundred percent ownership) ANSWER HERE 3. What is the formal operating corporate name of your business? ANSWER HERE 4. Is your company publicly or privately held? ANSWER HERE 5. Are you aware that you are expected to pay due diligence fees which cover the cost of the investors’ investigative work, and that these variable fees are after a call with an investor, after a non-disclosure agreement and letter of engagement are signed by all, and due before closing, before investors hire accountants, attorneys and industry experts to conduct due diligence for your project? ANSWER HERE 6. Within whi