PROJECT INFORMATION *Project Legal Name:
*Project Type: ConstructionAcquisitionIntellectual PropertyRefinanceFarmRefurbishingOil, Gas, MineralsArtsEquipmentRaw LandOther
Other Description:
PROJECT LOCATION *Project Location Address/Premises:
*City:
*State/Location:
*Zipcode/Postcode/N/A:
*Country:
PROJECT DESCRIPTION This paragraph MUST be completed. Do not attach the description*
*Project Description:
FINANCING OVERVIEW *Finance Amount:
*Client Legal Name:
*Client Address/Premises:
*Email:
Additional Information *Corporate Form (inc., LLC, Partnership, etc.):
*State of Formation:
*Date of Formation:
*EIN or Registration:
Individuals who are legally authorized to “Represent the Corporation” for this funding. *Full Name:
*Business Title:
*Personal Address/Premises:
*Phone:
Full Name:
Business Title:
Personal Address/Premises:
City:
State/Location:
Zipcode/Postcode/N/A:
Phone:
Email:
OTHER RELEVANT INFORMATION Is there any other information that you need us to know about your requirements for funding your project? If so, please provide that information below:
Other Information:
How did you find out about us?
Title:
Address/Premises:
The undersigned acknowledges that this application does not bind 1 KSK LLC to any commitment of any nature to secure financing for this project submission. This Project Submission application is for discussion purposes only. The undersigned acknowledges that he/she is authorized to represent said Company in present and future discussions about this project and authorizes KSK LLC to request, obtain, and review such Company information.
