Fillable Form 1: Business Application Racial Equity Capital Fund

Fill Online, Printable, Fillable, Blank Form 1: Business Application Racial Equity Capital Fund Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 1: Business Application Racial Equity Capital Fund

On average this form takes 19 minutes to complete

The Form 1: Business Application Racial Equity Capital Fund form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 75 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1
1133 Connecticut Avenue N.W. | Washington, D.C. 20036 | Telephone: (202) 331-3400 | Facsimile: (202) 331-3420
Racial Equity Capital Fund
Business Application
Summary Information
Business name
Completion date
Contact name
Title
Phone number
Email
Business address
Business website
Year business was established
Current owner since
Type of legal business structure
State of registration
Principals / Owners
Name
Race
Ownership (%)
Personal net worth ($)
Overview
Give a concise description of the business’ primary activities and the product(s) or service(s) it provides.
Does the business have a business plan? If yes, please provide business plan and other supporting business
presentations when submitting this application.
Has the business been certified as a minority-owned business by a certifying agency? If yes, please list certifying
agency.
Number of employees
Full-time:
Part-time:
Seasonal:
List 3 largest contracts or supply invoices completed
1.
2.
3.
2
1133 Connecticut Avenue N.W. | Washington, D.C. 20036 | Telephone: (202) 331-3400 | Facsimile: (202) 331-3420
Describe how the business has historically financed its operations.
Describe how much financing is needed, why the business is seeking financing, how will the funds be used, and
what results you hope to achieve.
Describe the business’ near-term growth opportunities (i.e., next 6-12 months).
Financial Information
Assets
Cash & investments:
Accounts receivables:
Inventory:
PP&E
1
:
Liabilities
Accounts payable:
Short-term debt:
Long-term debt:
Taxes owed:
2021 Profitability
Revenue:
Gross profit:
EBITDA:
Net income:
2020 Profitability
Revenue:
Gross profit:
EBITDA:
Net income:
2019 Profitability
Revenue:
Gross profit:
EBITDA:
Net income:
If the business has debt, please describe when the debt was incurred, the use of proceeds, original loan amount,
interest rate, amortization schedule, maturity date, and collateral pledged.
To date, how much capital have the principals/owners invested into the business?
Trade References (please list two major suppliers or references)
Business name
Address
Contact name
Phone number
How did you hear about the Racial Equity Capital Fund?
1
Property, plant, and equipment (PP&E) are a business' physical or tangible long-term assets that typically have a life of more than one year. Examples of PP&E include
buildings, machinery,
land, office equipment, furniture, and vehicles.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 1: Business Application Racial Equity Capital Fund

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 10 May 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document