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The Business has the following characteristics: <br /> Advances Technology 0 <br /> Projects Fast to Moderate Growth 0 <br /> Medical Related Product/Technology ❑ <br /> Energy Related Product/Technology ❑ <br /> If the business is a sole proprietorship, indicate principal's net worth: <br /> $0 - $24,999 0 <br /> $25,000 - $74,999 0 <br /> $75,000 - $99,999 0 <br /> $100,000 - $200,000 0 <br /> Greater than $200,000 0 <br /> List the amount of equity you have received to date in the form of stock ownership and/or direct <br /> investment: <br /> $0 - $24,999 0 $300,000 - $400,000 0 <br /> $25,000 - $74,999 El $400,000 - $500,000 ❑ <br /> $75,000 - $99,999 ❑ $500,000 - $1,000,000 0 <br /> $100,000 - $200,000 ❑ $1,000,000 - $1,500,000 0 <br /> $200,000 - $300,000 0 $1,500,000 and up ❑ <br /> List the amount of equity you will require from outside sources over the period of: <br /> one year in the Business Incubator $250,000 <br /> • two years in the Business Incubator $400.000 <br /> The business is currently in operation: Yes El No 0 <br /> Current Location of Business 942 Main Street, Suite 200, Elk River <br /> Number of Years in Operation 0.17 <br /> Current Number of Employees 1 <br /> Most Recent Annual Sales n/a <br /> The business will require approximately 500 square feet of space in the Business Incubator, <br /> with the following special needs/requirements: <br /> DSL internet connectivity, computer-room environmental controls (65 to 75 degrees Farenheit, relative <br /> humidity of 15%to 35%, non-condensing. ambient noise of not more than 60 dbC, customary lock- <br /> and-key security. parking capacity for seven vehicles <br /> i <br />