2011 Red Herring 100 Europe

1. Company Name *This question is required

2. Address: *This question is required

3. Address 2:

4. City: *This question is required

5. State/Province:

6. Postal Code: *This question is required

7. Country: *This question is required

8. Phone Number: *This question is required

9. Fax Number: *This question is required

10. Company Website: *This question is required

11. Industry: *This question is required

12. Year Founded: *This question is required

13. Number of Employees: *This question is required

14. CEO's First Name: *This question is required

15. CEO's Last Name: *This question is required

16. Salutation: *This question is required

17. Formal Company Tile (ie.g. "President"): *This question is required

18. CEO Phone Number: *This question is required

19. CEO email: *This question is required

20. CEO's Biography: *This question is required

21. Assistants First Name: *This question is required

22. Assistant's Last Name: *This question is required

23. Assistant's Phone Number: *This question is required

24. Assistant's email: *This question is required

25. Board of Directors:

Director 1:
Director 2:
Director 3:
Director 4:
Director 5:
Director 6:

26. Financial Information: *This question is required

Keep private - Judges Eyes Only:
Use as you see fit:

27. Revenues ($Millions): *This question is required

2009:
2010:
2011 (estimated):

28. Net Income ($Millions): *This question is required

2009:
2010:
2011 (estimate):

29. Is the Company Profitable: *This question is required

Yes:
No:
Very Soon:

30. Top Five Investor Information - Judges Eyes Only (use "none" if not applicable): *This question is required

Total Rounds:
Total Amount:
Investor 1:
Investor 2:
Investor 3:
Investor 4:
Investor 5:

31. Technology Overview (in 30 words or less): *This question is required

32. Business model (how do you make money)?: *This question is required

33. What problem does your technology solve?: *This question is required

34. Competition - name three competitors: *This question is required

First:
Second:
Third:

35. Primary advantage over competitors: *This question is required

36. International Strategy: *This question is required

37. Domestic Strategy: *This question is required

38. List your three largest customers:

First:
Second:
Third:

39. Is your company IP protected (patents, licenses, etc.)?: *This question is required

Yes:
No:
Some:

40. Company's biggest achievement during the 12 months: *This question is required

41. Company's biggest challenge moving forward: *This question is required

42. Is there anything else you would like to tell us about the company?:

RED HERRING

WHERE INNOVATION MEETS THE WORLD

2011 Red Herring 100 Europe Submission Form