INFORMATION REQUESTED - Gottesman-Company



GOTTESMAN COMPANY

USA, Canada, Europe, Asia, South America

America’s International Network of M&A Business Brokers

Established 1985

CONFIDENTIAL SELLER REGISTRATION FORM

BACKGROUND

Date ________________

Name of Company________________________________________________________

Address________________________________________________________________________________________________________________________________________

Telephone ____________________________ Fax______________________________

E Mail Address____________________ Web Address__________________________

SIC____________________________________________________________________

Name and Home Address of All Shareholders Owning In Excess of 5% of the Company _______________________________________________________________________

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Home Telephone(s) of Principal Shareholders ________________________________________________________________________________________________________________________________________________

Home Fax of Principal Shareholders ________________________________________________________________________________________________________________________________________________________________________________________________________________________

E-mail Address of Principal Shareholders ________________________________________________________________________________________________________________________________________________________________________________________________________________________

Corporation Status S Corp ___ C Corp___ Fiscal Year End _______________

Accountants _____________________________ Telephone ______________________

Bank ___________________________________________________________________

MEMO

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1. Brief History of Company, including

A. Date and State of Incorporation

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B. States Qualified to do Business

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C. Prior Acquisitions, when and nature of company acquired.

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D. General Description of Company Services & Products and evolution thereof.

__________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________

E. Who started Company and under what circumstances

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F. Year acquired by present management

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2. Litigation

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3. EPA Issues

(status of Phase I, Superfund, in ground oil tanks, violations)

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4. OSHA Violations

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CRITICAL SUCCESS FACTORS

1. What factors are critical to your success

(e.g. proprietary products, management, customer service, price etc.)

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PLANS FOR GROWTH

1. How would you grow the business

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2. If by acquisition - describe your specific targets

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3. If by product or market expansion - describe the products or markets to be added

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4. Capital investment and additional management required to carry out plan

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PRODUCTS AND SERVICES

1. Product/Service Line

Leading services rendered or products sold in order of importance indicating %

of contribution to profits. Idicate any brand names or special relationships with

vendors.

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2 Product Changes and Obsolescence

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3. Product warranty policies

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4. Warranty costs for the last three years

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MARKETING AND SALES

1. Nature of Customers

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2. Number of active customers

3. List of 10 leading customers, showing amount of sales to each (may be generic).

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4. Sales backlog __________________________________________________________

5. Sales backlog same date one year ago______________________________________

6. Sales Personnel

How many in house sales persons and method of compensation ____________________________________________________________________________________________________________________________________

How many rep organizations and rate of compensation

____________________________________________________________________________________________________________________________________

7. Samples of advertising employed (attach)

8. Trade magazines available in the industry

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9. Primary trade associations

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10. Trading area ________________________________________________________________________________________________________________________________________________

COMPETITION

1. Who are the primary competitors

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2. Comparison to primary competitors

(size, service, quality of product, customer loyalty, years in business, etc.)

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MARKET OVERVIEW

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FACILITIES

1. For each facility -

A square footage and number of floors

B acreage

C term of lease

D renewal provisioms

E features - ceiling height, sprinklers, loading docks, etc

F rent, escalations and expense pass thrus

G parking

H convenience to highways and transportation

I space utilization

Office

Factory

Warehouse

Available for expansion

J if owned, is it included in sale or available for sale

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MANUFACTURING

1. Raw materials in order of importance

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2. Manufacturing process

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3. Basis for pricing decisions

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4. Justification of inventory level maintained

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5. At what capacity is plant operating

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6. Days and hours of operations

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EQUIPMENT

1. List primary manufacturing equipment

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2. Additional equipment required and cost thereof

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EMPLOYEES

1. Number of employees by function or department - include salary range or labor rate

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2. List of unions, number of employees involved with each union and date of last contract renewal

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3. Benefit plans for non union employees (401K, medical benefits, pensions etc.)

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CONFIDENTIAL SELLER REGISTRATION FORM

Financial Information

Please provide us with the three most recent fiscal years’ financial reports (Balance Sheet, Income and Cash Flow Statements).

Does the inventory shown on the balance sheet represent the true value of inventory? if not, we need to know its true value for the last fiscal year.

We would like to have an introduction to your accountant, so that we may speak directly concerning questions that will undoubtedly arise.

We need to have a discussion about any discretionary expenses in the business. These will be added back to the net profit of the business in the summary that we will produce, and increase the business valuation.

Please provide the name and title of the person charged with the company’s management and financial accounting. Is this person aware of a potential transaction? We may need to speak with this individual at some point.

MANAGEMENT AND OWNERSHIP

1. For all Management Personnel

Name

Position

Years w/Company

Age

Compensation including Bonus

Prior experience, if significant

Education

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Gottesman Broker ___________________________

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