CORPORATE STRUCTURE Are you currently seeking private funding or additional investors? If so, how much $ are you seeking? None $500,000 - $1,250,000 $1,251,000 - $3,000,000 More than $3,000,000 Are you publicly traded or seeking to go public within the next year? Yes No What is your corporate structure? C or S Corp Professional Corporation LLC or LLP Sole Proprietor or None How many corporate structures are tied together or related in your business through subsidiary structures or otherwise? 1 2 3 4 or more If you are an LLC or LLP, do you have an Operating Agreement? Yes No How many Board of Director/ Member meetings do you have each year? 3 or more 2 1 None How often do you change your share/member price for investors or employee stock option prices each year? 1 or less 2 3 4 If you are seeking private funding/financing, how many different investors or investor groups do you estimate you send information on equity investment to each week - on average? 3 or less 4 - 9 10 - 15 More than 15 MANAGEMENT & EMPLOYEE STRUCTURE How many employees do you have? 5 or less 6 - 15 16 - 30 More than 30 Do you have an HR manager dedicated to HR issues/ management? Yes No w/5 or less employees No w/6-30 employees No w/more than 30 employees How many employees do you have filling more than one role or title (ex: COO is also President; COO is the only one that manages operations and HR without a lower/mid level manager, etc.)? None 1 - 2 3 More than 3 Do you use contractors as additional workforce to perform what could be employee work? If so, how many? None 1 - 2 3 - 4 More than 4 GENERAL BUSINESS In what type of business or industry are you? Other General sales, supply, distribution or manufacturing, not otherwise listed Banking, finance, lending, communications (tele, cable, radio, t.v., etc.), software development or internet services and/or suppliers to these industries Healthcare, cosmoceutical, food service or biotech, whether manufacturing, supply, distribution, service provider or otherwise How many different customers do you enter into contracts with or with whom you have relationships? Less than 5 5 - 10 11 - 16 More than 16 How often do you have communications with any of your customers and/or suppliers beyond basic purchase and sale transactions? 1 time a month or less Once every 2 weeks Once per week Multiple times per week How often are you discussing strategic alliances with other companies? 1 time a year or less Once every 6 months Once every 1 - 5 months Once every 3 weeks or more often How many distributors do you use to distribute or sell your product or service? None 1 - 5 6 - 12 13 or more Do you have both direct sales as well as sales through a channel like a distributor or supplier? Yes No Do you sell products or services over the Internet? Yes No How many suppliers do you have? 3 - 5 6 - 10 1 - 2 More than 10 Do you have any proprietary intellectual property or patented technology involved in your products that you sell? Yes No Do you use a third party to manufacture any product or major product component that you sell? Yes No How many proprietary or patented products do you own, sell or license? None 1 - 2 3 - 4 More than 4 In how many countries outside of the US do you sell products or services? None 1 - 2 3 - 4 More than 4