STARTUP FUNDING UPDATE

PLEASE COMPLETE & SUBMIT THE FOLLOWING FORM

The information gathered through this form is strictly confidential and is intended for internal purposes. Rest assured, it will not be shared or distributed in any manner. Its sole purpose is to facilitate the administration and management of your investments within the CitySide network.

Startup Name: *

Founders Name: *

First

Last

Phone No. *

Email *

Funding Information

Are you currently fundraising? *

What is the amount you are looking to raise in this round? *

What was the post-money valuation of your last funding round? *

What was the your company valuation after the last round of funding

How much funding has already been committed in this round? *

We only count firm commitments that have already been funded and do not include “soft circle”, please.

How much funding are you still open in this round?

What is the current pre-money valuation for this round?

What series is this funding round?

What type of investment are you seeking?

If you have issued a convertible note or SAFE, what is the interest rate?

If you have issued a convertible note or SAFE , what is the conversion discount rate?

What is your target closing date for this round?

Date

Time

Any other notes and or critical information about this raise that we should know?

Do you have a complete term sheet?

Click or drag a file to this area to upload.

If yes, please attach it to this form before submitting.