Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Are you a U.S. citizen or entity? (Important for ITAR/DFARS/CFIUS compliance) *

US Citizen

US Company

Not a US Citizen or Company

Are any of your limited partners or funds backed by foreign governments or sovereign wealth? *

Yes

No

Would your involvement trigger any export control or CFIUS (Committee on Foreign Investment in the United States) concerns? *

Yes

No

Unkown

Are you open to a background check or KYC (Know Your Customer) screening if required? *

Yes

No

Are you an accredited investor? *

Based on SEC regulations under Rule 501 of Regulation D:

Yes

No

Are you currently involved with sort of litigation? *

Family law or other litigation that would restrict investment.

Yes

No

What is your target investment amount? *

$250,000-$499,999

$500,000-$1,500,000

$1,500,001-$2,500,000

$5,000,000-$9,999,000

$10,000,000 - +

Have you previously invested in companies subject to ITAR, EAR or CFIUS review? *

Yes

No

What level of involvement do you expect post-investment (board seat, advisory, quarterly updates)? *

None - Just Investing

Board Seat

Advisory

Other

Will you abide by any U.S. government contracting or procurement integrity guidelines that apply? *

Yes

No

Are you prepared to sign NDAs or be subject to limited access to proprietary technical data? *

Yes

No

Are you connected with any defense primes, federal agencies, or procurement officers that could benefit the company? *

Yes

No

Do you have any current or past legal disputes with portfolio companies? *

Yes

No

Are you looking for long-term involvement or a short-term return? *

Long-term

Short-term

Unsure

Are there any conflicts of interest we should be aware of? *

Yes

No

The information provided is truthful and accurate, and I understand that any false statements will immediately void your application and will permanently restrict any further interest in our products or investment opportunities. *

Yes

No