Business Assessment – Radium Spring Inc.

Basic Information

Please set aside 2 hours to complete the form below! Please fill out the information requested below. Do not continue filling out this document if you do not wish to move forward with Radium Spring. Along with filling out this document, you give Radium Spring permission to speak with you (the business owner) about your business. Unless expressed in written format, no one else (not including a lawyer, accountant, and/or majority owner) from your team will be allowed to communicate with Radium Spring unless listed on this form. Thanks in advance.

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About You

Name*

First

Last

Contact Phone #*

Contact Email address*

What is your position in this company?

Do you have a business plan?

if you already have a previous version of your business plan, please upload it here for review.

Do you have a business plan online?

if you already have a previous version of your business plan, please copy the link here for review.

Purpose of Business Plan

More Details

Do you have authority to make decisions?

Do you have Proformas?

if you already have a previous version of your Proformas, please upload it here for review.

Do you have a Proformas online?

if you already have a previous version of your Proformas, please copy the link here for review.

if required, what dollar amount are you seeking?

More Details

Company Information

Company Legal Name*

Company Phone Number*

Company Email address*

Company Website

Company Facebook

please paste the entire link here. For example https://www.facebook.com/companyFB

Company Instagram

please paste the entire link here. For example https://www.instagram.com/companyIG

Company Twitter

please paste the entire link here. For example https://www.twitter.com/companyTW

Company Blog

please paste the entire link here. For example https://www.limitlessideas.com/companyblog

Company Tik Tok

please paste the entire link here. For example https://www.limitlessideas.com/companyblog

Company Physical Address*

Company Mailing Address*

How many Employees work for your company?

How many Vendors do you work with?

How many 1099 Contractors work with your company?

How many Trademarks do you own?

Company History

Mission Statement

List Company Milestones

Past achievements and awards

Top 3 Target Customers

who do you market to?

What is your main industry?

What industry do you belong to?

What Products do you offer?

Please list your Products here:

Last years Revenue?

Year to Date Revenue?

End of Year Revenue Forecast?

Vision Statement

CSR Statement

Corporate Social Responsibility

Who are your direct competitors?

Please list your top 3 competitors?

What is your secondary industry?

What secondary industry do you belong to?

What Services do you offer?

Please list your services here:

Last years net profits?

Year to Date net profits?

End of Year net profits?

Upload your TIN/EIN

Upload your EIN / Tax ID PDF (Employer Identification Number)

Maximum size 10MB. PDF, DOC, TXT only, please

Online EIN/TIN link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload your State Certificate of Good Standing PDF

Upload your State Structure (LLC or INC) PDF

Maximum size 10MB. PDF, DOC, TXT only, please

Online State Structure (LLC or INC) PDF link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload your City/County Business License PDF here

Upload your City/County Business License

Maximum size 10MB. PDF, DOC, TXT only, please

Online City/County Business License link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload any and all Professional Licences

Upload Professional Licences

Maximum size 10MB. PDF, DOC, TXT only, please

Online Upload any and all Professional Licenses link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload Professional Licences

Maximum size 10MB. PDF, DOC, TXT only, please

Online Upload any and all Professional Licenses link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload Professional Licences

Maximum size 10MB. PDF, DOC, TXT only, please

Online Upload any and all Professional Licenses link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload Professional Licences

Maximum size 10MB. PDF, DOC, TXT only, please

Online Upload any and all Professional Licenses link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload your SBA Licenses here

Upload Small Business Administration (SBA) Licenses Here

Maximum size 10MB. PDF, DOC, TXT only, please

Any Online Small Business Administration (SBA) Licenses link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Online Small Business Administration (SBA) Certifications including 8(A) link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Only Online SBA Minority Owned Licenses link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Only Online SBA Woman Owned Licenses link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Only Online SBA Veteran Owned Licenses link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload your (DOD) C.A.G.E. CODE PDF here

Upload (DOD) C.A.G.E. CODE Here

Maximum size 10MB. PDF, DOC, TXT only, please

Online (DOD) C.A.G.E. CODE link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload your (SAM Number/Profile) PDF here

Upload System for Award Management (SAM) here

Maximum size 10MB. PDF, DOC, TXT only, please

Online SAM Number/Profile link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload your DUNS PDF here

Upload DUNS Number here

Maximum size 10MB. PDF, DOC, TXT only, please

Online DUNS Number link

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Upload documents and links below

Please list any other important licenses/ permits and/or certificates below and clearly label the document so we know what it is.

Doc#1: Label and upload document with the name of document

Maximum size 10MB. PDF, DOC, TXT only, please

Doc#1: Label document link with the name of permit/license

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Doc#2: Label and upload document with the name of document

Maximum size 10MB. PDF, DOC, TXT only, please

Doc#2: Label document link with the name of permit/license

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Doc#3: Label and upload document with the name of document

Maximum size 10MB. PDF, DOC, TXT only, please

Doc#3: Label document link with the name of permit/license

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Doc#4: Label and upload document with the name of document

Maximum size 10MB. PDF, DOC, TXT only, please

Doc#4: Label document link with the name of permit/license

Provide the link here as shown in example EG: https://www.limitlessideas.com/EIN.pdf

Is your company interested in grants?

Has your company hired/retained a lawyer?

Do you have corporate insurance?

Does your company have business partners?

Does your company have donors?

Do you provide manufacturing?

Do you over $10,000 or over worth of orders to fill?

Is your company interested in Debt Services?

Has your company hired/retained an account?

Do you have industry required insurance?

Does your company have business sponsors?

Does your company have a fan base?

Do you provide distribution?

Do you any current contracts with clients?

How would you like to be contacted?

How would you like to be contacted?

Home / office

Mobile / cell phone

Email

Mobile Tel

Home Tel

Email address

This field should be left blank