Page 1 of 4

Request For Information

The Request for Information (RFI) is designed to provide sufficient detail for Broadleaf to make an offer of investment in your business on a win/win basis.

This form is structured to make data collection efficient and clear. If you already have information in a different format, you're welcome to upload those documents instead. Note: Your responses are saved automatically in the background. If you leave and reopen this link in the same browser, you’ll continue from where you stopped.

First Name

Last Name

Your Company Name

Your Email

1.0) Ownership Structure

Details of Owner 1

Details of Owner 2

Details of Owner 3

Details of Owner 4

Details of Owner 5

Total Ownership % =

Current Ownership Comments

Future Equity Commitments

If applicable, provide details of other Employees that management have committed future equity to in the short to medium term.