Fund Submission Form

General Information

Fund Name(Required)

Fund Description(Required)

Please include the fund size, stage type, industry focus, and geographical focus.

Management Company(Required)

Firm Name

If different than Management Company

Firm Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Fund Contact Name(Required)

First Last

Fund Contact Email(Required)

Fund Contact Phone(Required)

Fund Contact Fax

Website

How did you hear about us?(Required)

Deal Source

Source Description

Comment, if necessary

Placement Agent Name(Required)

First Last

Placement Agent Firm(Required)

Placement Agent Address(Required)

Street Address City State / Province / Region Zip Code Country

Placement Agent Phone(Required)

Placement Agent Email(Required)

Characteristics of Fund

Target Fund Size(Required)

Enter full whole dollar value in numbers only (e.g. 3250000)

Maximum Fund Size(Required)

Enter full whole dollar value in numbers only (e.g. 3250000)

Stage Focus(Required)

Industry Focus(Required)

Geographic Focus(Required)

Estimated 1st Closing Date(Required)

Estimated Final Closing Date(Required)

Amount Closed To-Date(Required)

Enter full whole dollar value in numbers only (e.g. 3250000)

MOIC(Required)

Enter numbers only w/ 2 decimal places (e.g., 2.50 = 2.50x MOIC)

Gross IRR(Required)

Enter numbers only w/ 2 decimal places (e.g., 25.00 = 25.00%)

Vintage Year(Required)

Enter year (e.g., 2020)

Women-Owned(Required)

Minority-Owned

Management Company Ownership % by Ethnicity

Enter only numbers below, no %, <, or > characters are allowed.

Caucasian(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Minority/Women(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

African American(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Hispanic(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Asian(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Native American(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Other(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Specify Other

Specify, if applicable

Total

Auto-calculates. Must equal 100%.

GP Carry Ownership % by Ethnicity

Enter only numbers below, no %, <, or > characters are allowed.

Caucasian(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Minority/Women(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

African American(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Hispanic(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Asian(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Native American(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Other(Required)

Enter numbers only up to 100 w/ 1 decimal place (e.g., 2.5 = 2.5%)

Please enter a number from 0 to 100.

Specify Other

Specify, if applicable

Total

Auto-calculates. Must equal 100%.

Other Limited Partners

List the Fund's other Limited Partners, if applicable, including the following information: LP Name/Entity, Commitment Amount and Advisory Board Member (Y/N)

Key Team Members

Enter information for up to four team members. Bio information for more people can be submitted via email to [email protected]. Be sure to add Fund Name to subject line.

Team Member 1

First Middle Last

Phone

Title

Bio

Enter short biography that includes information about prior work experience and educational background

Add Another Team Member

Add another Team Member

Team Member 2

First Middle Last

Phone

Title

Bio

Enter short biography that includes information about prior work experience and educational background

Add Another Team Member

Add another Team Member

Team Member 3

First Middle Last

Phone

Title

Bio

Enter short biography that includes information about prior work experience and educational background

Add Another Team Member

Add another Team Member

Team Member 4

First Middle Last

Phone

Title

Bio

Enter short biography that includes information about prior work experience and educational background

Track Record

Please enter track record information for up to two prior investment platforms, if available. If you have additional track record information (e.g., Excel) available, please email it to [email protected]. Be sure to add Fund Name to subject line. If there is no available track record information, please advance to the next section.

Fund 1 Name

Enter Fund Name or Description (e.g. "Pre-Fund Deals")

Vintage Year

Enter year (e.g., 2020)

Number of Deals Realized

Number of Deals Unrealized

Total Number of Deals

Total Capital Invested (PI)

Enter full whole dollar value in numbers only (e.g. 3250000)

Total Realized Value

Enter full whole dollar value in numbers only (e.g. 3250000)

Total Unrealized Value

Enter full whole dollar value in numbers only (e.g. 3250000)

Gross Multiple Total (TV/PI = MOIC)

Enter numbers only w/ 2 decimal places (e.g., 2.50 = 2.50x MOIC)

Gross IRR

Enter numbers only w/ 2 decimal places (e.g., 25.00 = 25.00%)

Net IRR

Enter numbers only w/ 2 decimal places (e.g., 25.00 = 25.00%)

Net TVPI (TV/PI = TVPI net)

Enter numbers only w/ 2 decimal places (e.g., 2.50 = 2.50x TVPI)

Fund Size

Enter full whole dollar value in numbers only (e.g. 3250000)

Track Record Notes

Enter commentary on track record

Fund 2 Name

Enter Fund Name or Description (e.g. "Pre-Fund Deals")

Vintage Year

Enter year (e.g., 2020)

Number of Deals Realized

Number of Deals Unrealized

Total Number of Deals

Total Capital Invested (PI)

Enter full whole dollar value in numbers only (e.g. 3250000)

Total Realized Value

Enter full whole dollar value in numbers only (e.g. 3250000)

Total Unrealized Value

Enter full whole dollar value in numbers only (e.g. 3250000)

Gross Multiple Total (TV/PI = MOIC)

Enter numbers only w/ 2 decimal places (e.g., 2.50 = 2.50x MOIC)

Gross IRR

Enter numbers only w/ 2 decimal places (e.g., 25.00 = 25.00%)

Net IRR

Enter numbers only w/ 2 decimal places (e.g., 25.00 = 25.00%)

Net TVPI (TV/PI = TVPI net)

Enter numbers only w/ 2 decimal places (e.g., 2.50 = 2.50x TVPI)

Fund Size

Enter full whole dollar value in numbers only (e.g. 3250000)

Track Record Notes

Enter commentary on track record

Fund Terms

Management Fee (as a percent)

Enter numbers only w/ 2 decimal places (e.g., 2.00 = 2.00%)

GP Commitment

Enter full whole dollar value in numbers only (e.g. 3250000)

Projected Return (IRR)

Enter numbers only w/ 2 decimal places (e.g., 25.00 = 25.00%)

Investment Period (in years)

Enter years in whole numbers only

Claw Back Provision

Recycle Principal Provision

Co-Investments

Carried Interest (as a percent)

Enter as percentage in numbers only (e.g., 8.00 = 8.00%)

Minimum Commitment

Enter full whole dollar value in numbers only (e.g. 3250000)

Preferred Return (as a percent)

Enter numbers only w/ 2 decimal places (e.g., 8.00 = 8.00%)

Term (in years)

Enter years in whole numbers only

Term Extension

Enter years in whole numbers only

Expense Offset

Enter full whole dollar value in numbers only (e.g. 3250000)

Name

This field is for validation purposes and should be left unchanged.