Page 1 of 1

Trade Business Capital Program – Qualification Form

INTRO

The Genrus Group is currently onboarding a limited number of plumbing, electrical, and welding businesses into a private capital matching program.

This program is designed for companies generating $1M–$2M in annual revenue seeking capital for growth, equipment, or working capital.

All submissions are confidential. Completion does not guarantee financing. We act solely in an advisory capacity.

SECTION 1:

Company Name

*

Contact Name

*

Email

*

Phone

*

Industry

*

Years in Business

*

Years in Business

A

<1

B

1-2

C

2-5

D

5+

SECTION 2:

Annual Revenue

*

Annual Revenue

A

<$1M

B

$1M-$2M

C

$2M-$5M

Approx. Net Profit

*

Do you have financial statements available?

*

Do you have financial statements available?

A

Yes (accountant-prepared)

B

Yes (internal only)

C

No

SECTION 3:

Amount of Capital Needed

*

Amount of Capital Needed

A

<$250K

B

$250K–$1M

C

$1M–$5M

D

$5M–$10M

Purpose

*

Purpose

Equipment

Working Capital

Expansion

Acquisition

Other

SECTION 4:

Have you previously obtained financing?

*

Have you previously obtained financing?

Yes

No

Are you comfortable providing financial documents if qualified?

*

Are you comfortable providing financial documents if qualified?

Yes

No

Submission Confirmation

*

Submission Confirmation

I confirm my business generates at least $1M in annual revenue