Annacore Business Capital

DEAL REVIEW FORM (DRF) Submitted by:

Date:

Name of Company:

Stock symbol (if publicly traded):

Website: www.

City:

State:

Name of Company contact person:

Title:

Telephone:

Fax:

Email:

How did you hear about Annacore Business Capital?

Year Started:

Number of current owners:

Is your Company a corp. (S or C) or LLC?

2.	Gross revenue 2007: $	Net income 2007: $
3.	Revenue Year-To-Date for 2008: $	Net income Year-To-Date for 2008: $
Below Provide 2008-2010 estimates without new funding.
Revenue estimate for 2008: $		Net income estimate for 2008: $
Revenue estimate for 2009: $		Net income estimate for 2009: $
Revenue estimate for 2010: $		Net income estimate for 2010: $
Below Provide 2008-2010 with new funding.
Revenue estimate for 2008: $		Net income estimate for 2008: $
Revenue estimate for 2009: $		Net income estimate for 2009: $
Revenue estimate for 2010: $		Net income estimate for 2010: $
4.	Date business plan was last revised:	Date of Executive Summary:
5.	Date of last balance sheet / income statement:	Date of last CPA audit:
6.	Date of Private Placement or Offering Memorandum (PPM) for investor prospects:

7.	Date Company last raised debt financing:		Amount: $		Total raised to date: $
8.	Date Company last raised equity funding:		Amount: $		Total raised to date: $

Total liabilities owed in less than one year: $

Owed in more than one year: $

10.

Amount of capital contributed by Founder: $

Founder’s salary: $

Ownership %:

11.	Describe in detail the products and/or services offered by the Company:

12.	Describe in detail the competitive advantages over other companies offering a similar product or service (including patents or patents pending):

13.	Other than lack of capital, list what other challenges the Company needs to address in order to meet its sales goals for the next 12 months:

14.	List at least six significant accomplishments of the Company during the previous 12 months:

15.	Describe the business experience and track record of the Company’s CEO that would lead investors to believe that upon funding the Company future revenue / net income projections can be realized in a timely manner:

16.	Describe the process of how your company acquires new customers?

What is average cost to acquire a new customer?	$
How much average annual income does each new customer bring?	$

17.	Describe any current or threatened lawsuits against the Company or its principals:

18.	List any other information that is important to consider regarding the Company or its principals:

19.	If you were to sell the entire company today what would the asking price be?	$
20.	What is the amount of funds being requested?	$
Is this for equity, debt or a combination of both?
What is the Company offering for the new funds being requested?		$

21.	Describe how the new funds will be used during the next 12 months - Use of Proceeds. (if for acquisitions please describe each acquisition individually, how much revenue and net income it will add and the cost of each acquisition):

22.	List all companies you have already contacted that were not able to provide you funding:

23.	Are you considering any offers or proposals at this time? If so describe:

Have you turned down any funding offers in the past six months? If so describe:

24.	If the funding source wants to have liquidity for their investment are you willing to become a publicly traded company at this time by either a direct public offering (DPO) or by a reverse merger (RTO)?
25.	Once a funding offer is submitted to you how long will it take to make a decision as to weather it is acceptable or not?
25.	Who is involved in making the decision as to whether or not to accept a funding offer?