01/07/09      
Company Name:
Contact:
Title:
City:
State:
Zip Code:
Country:
Phone Number:
Email Address:
Industry:
Other Industry
(if applicable):
Description of Cleantechnology:
Year Founded:
Financial Snapshot: 2005 2006 2007
Revenue:
Expenses:
Profits or Loss:
Amount of Funding Needed:
Round of Funding:
Use of Funds:
Target Market & Current Customers:
Key Personnel (for 4 individuals):
Name: Name: Name: Name:
Title: Title: Title: Title:
Referral Source:
Website URL:
How did you hear about Craton Equity Partners?
Additional Comments:
Attach your Business Plan and/or Executive Summary: