Pre-Investment Evaluation

(1)

Kingdom Paradigm

Str. V. Crăsescu 100 Chișinău, Moldova [email protected] +373 (78) 303-235

Pre-Investment Evaluation

First, Last Name:

___________________________________________________

Name of Company (

if relevant

):

___________________________________________________

Location of Company:

___________________________________________________

Activities of Company:

Purpose of Investment: ___________________________________________________________________

Amount of Investment Needed: ___________________________________________________________

Use of Invested Funds

(

list of all purchases/expenses and costs associated with each

):

Purchase of Equipment, Land, Buildings, etc. Cost Purchase of Raw Materials, Utility Payments Cost

(2)

Pre-Investment Evaluation

Personal Information

Contact Information Name, Surname: __________________________________________________________________________ Mobile Phone: __________________________________________________________________________ Home Phone: __________________________________________________________________________ Email: __________________________________________________________________________ Address: __________________________________________________________________________ Current Occupation Name of Organization: ______________________________________________________________ Activities of Organization: ______________________________________________________________

Your Role and Responsibilities for the Organization:

Previous Professional Experience

Name of Organization: ______________________________________________________________

Activities of Organization: ______________________________________________________________

Name of Organization: ______________________________________________________________

(3)

Formal and Non-Formal Educational Background

Highest Level of Education Completed: ______________________________________________________

Specialty/Profession (if applicable): ______________________________________________________

Certifications, Accreditations, or Training Courses Completed: (Indicate title, duration, and date for each)

Credit History

List all previous loans:

(Total amount, size and frequency of repayments, purpose of loan)

Were all the above loans repaid in full and on time? (If no, please explain)

List all current outstanding debt:

(4)

Are all the above debts being repaid in full and on time? (If no, please explain)

Reference Information

(List the contact information for one pastor, who can recommend you for receiving an investment from

Kingdom Paradigm) Name, Surname: ___________________________________________________________________________ Mobile Phone: ___________________________________________________________________________ Home Phone: ___________________________________________________________________________ Email: ___________________________________________________________________________

Business

Vision for the Business You Wish To Start or Expand:

Target Market

Where will you sell your products/services: ____________________________________________________ (Indicate the city/region)

Location where sold: ________________________________________________________________________

(Store, outdoor market, direct to consumer, direct to businesses, etc.)

Customer Demographic: ____________________________________________________________________

(Describe the characteristics of your target customer, be as specific as possible)

Approximate number of potential customers matching this target customer demographic:

(5)

Uniqueness of Your Business:

Product or Service Offerings:

1. ___________________________________________________________________________________________

2. ___________________________________________________________________________________________

3. ___________________________________________________________________________________________

4. ___________________________________________________________________________________________

5. ___________________________________________________________________________________________

Pricing of Each Product or Service:

1. ___________________________________________________________________________________________

2. ___________________________________________________________________________________________

3. ___________________________________________________________________________________________

4. ___________________________________________________________________________________________

5. ___________________________________________________________________________________________

Expected Volume of Sales During First Full Year of Operation:

Month Types of Products/Services Sold Expected Revenue

January February March April May June

(6)

August September October November December Expected Expenses: Startup Expenses:

These are one-time purchases your business needs to open (e.g. equipment, certification, training, etc.)

Item Quantity Unit Price Per Unit Total Cost

Monthly Fixed Expenses:

These are monthly expenses that do not change depending on the amount of products/services sold (e.g. salary, taxes, insurance, heating, etc.)

(7)

Monthly Variable Expenses:

These are monthly expenses that fluctuate depending on the number of units sold (i.e. electricity, water, materials, transportation, etc.)

Item Quantity Unit Price Per Unit Total Cost

Business Team

(List the names and roles for each member of your business’ team)

Support You Need From Kingdom Paradigm:

(Specific area of consulting, training, networking, other)

(8)

Assets You Are Bringing Into the Investment Project:

(Item, monetary value, year of production, and current condition)

Land: _______________________________________________________________________________ Buildings: _______________________________________________________________________________ Equipment: _______________________________________________________________________________ Capital: _______________________________________________________________________________ Other: _______________________________________________________________________________

Transformational Impact

Number of Jobs Your Business Will Create:

(Include all directors, managers, and employees; indicate if these jobs are full- or part-time)

1st Year: __________________________________________________________________________________

3rd_{Year: __________________________________________________________________________________}

5th Year: __________________________________________________________________________________

Ministry/Project Supported by a Portion of Business Profits:

(9)

Anticipated Impact for the Community or Region:

Anticipated Partnerships:

(list all churches, organizations, or groups)

Agreement

I, _____________________________________ hereby certify that the above information is, to my best understanding, accurate and true as stated.

Name, Surname: ___________________________________ Passport Number: ___________________________________

Date: ___________________________________

Signature: ___________________________________