Innovation Philadelphia: Initiatives: Creative Economy: Business Resources

Investment Fund Application

Directions for Submitting Your Company's Business Plan to the Creative Economy Investment Fund:

Complete the online Creative Economy Investment Fund application below.
It is crucial that all fields in your application are completed. If any of the questions are not applicable, please place N/A in the areas that do not apply.
We will be unable to process your application if your submission is incomplete.
Please submit your company's complete Business Plan as an attachment and email it to ceif@innovationphiladelphia.com.

In the subject area of your email, please entitle it "Company Name/Business Plan" (Example: Innovation Philadelphia Business Plan).

Please contact Innovation Philadelphia at (215) 496-8110 if additional information is necessary, or if you have questions concerning the submission of your application.

List the name of each founder, title and their respective number of years of directly applicable industry experience and where

Fields in bold marked with an asterisk are required.

Company Name: *

Address 1: *

Address 2:

City: *

State: *

Zip Code: *

Phone: *

Fax:

Email:

Web site:

CEO Name:

Company Contact Person:

Number of Employees:

Seeking:

Referring Source with Contact Information :

Creative Industry:

Other:

Attorney:

Accountant:

Bank:

Investment Money Required:

Pre-Investment Valuation:

Cash Raised to Date:

Current Monthly Cash Burn Rate:

Current Monthly Sales Rate (Cash Receipts):

Estimated number of months until cash flow breakeven:

List the name of each founder, title and their respective number of years of directly applicable industry experience and where.

Founder Name:

Company:

Position:

Years:

List any current key company relationships, partners or customers including length of time.

Company Name:

Significance:

Years:

List the company's three leading competitors and your perceived competitive advantage over those competitors.

Competitor #1:

Perceived Advantage:

Competitor #2:

Perceived Advantage:

Competitor #3:

Perceived Advantage:

Patent:

Business Model Overview (What specific problem is the company solving?):

Management Team and Board Members (Brief Bios):

Current Company Status (Stage, Revenues, Cash, Burn Rate, Team Size, Funding Level, etc.):

Market Overview (Include Size, Growth Rates, Segmentation,
Structure, etc.):

Creative Product and/or Technology Overview (Brief):

Customers/Distribution Strategy (Describe fully):

Competitors/Competitive Advantage/Barriers to Entry:

Discuss Revenue to Date:

Revenue Model/Assumptions:

Financial Highlights:

Current Sources/Amount of Funding/Ownership %:

Use of Original and Requested Proceeds:

Economic Impact Questions:

Full Time Employees Current:

1 Year:

3 Years:

5 Years:

Part Time Employees Current:

1 Year:

3 Years:

5 Years:

Location - Is your company located in:

Keystone Opportunity

Philadelphia County

Southeastern Pennsylvania

Elsewhere

Funding - Has your company received:

Federal funding

Description:

Cost:

State funding

What can Innovation Philadelphia do to help you?