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Prospect Data Sheet

Company Information

Company Name:

 

Tel Number:

 

Fax Number:

 

Company Address

 

Company Web Site Address

 

CEO:

 

CFO:

 

Industry/Sector:

 

SIC Code

 

Accountant Name/Phone

 

Attorney Name/Phone

 

Business Description

 

Jurisdiction of Organization

 

Type of Enterprise

 

 

List of Subsidiaries

 

List of Office and Plant Locations:

 

Number of Employees by Office and Plant Location

 

Financial Information

Fiscal Year End:

 

Audited/ Unaudited:

 

Revenues /monetary :¥

Net Income  /monetary :¥

2004

 

2004

 

2005

 

2005

 

2006

 

2006

 

2007 Projected:

 

2007 Projected:

 

2008 Projected:

 

2008 Projected:

 

2009 Projected:

 

2009 Projected:

 

The three main reasons of raising or descending

1

2

3

 

2006

2005

2004

% of Revenues - Domestic

  %

 %

 %

%  % of Revenues - International

 %

 %

 %

Primary Products by % of Total Revenue:

 %

 %

 %

Largest Customers by % of Total Revenue:

 %

 %

 %

3 Largest Export Countries by % of Total Revenue and nationalities:

 

 

 

 %

 %

 %

Company's Market Share %

%

%

%

Top 4 Competitors (with % of market share):

1

2

3

4

Balance Sheet Data

As of Date

 

Bank Long-term Credit

 

Cash

 

Bank Short-term Credit

 

Inventory

 

Accounts Payable

 

Receivables

 

Other Current Liabilities

 

Total Current Assets

 

Long-term Liabilities

 

Total Assets

 

Equity

 

Capital Structure

Common Stock:

 

Dilutive Securities

 

Authorized

 

No. of Options/Warrants

 

Outstanding

 

No. of Convertible Securities

 

No. of Holders

 

Total Fully Diluted Shares

 

Name of Majority Stockholder % Of Ownership

 

Technical Background

The international advanced fame and certification

1

2

3

4

The national advanced fame and certification

1

2

3

4

Financing Status

The Projection financing amount

                   

The Projection financing offer

%

 

The funds purpose and amount

1

2

3

 

Note: If the company has three-year or five-year development plan, please attach with the form.

Download the Sheet

 

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