AUSSEN WIRTSCHAFT LANDING ZONE GO-BOSTON BEWERBUNG 2018 Boston COMPANY PROFILE CONTACT AußenwirtschaftsCenter New York T +1 212 421 52 50 F +1 212 421 52 51 E newyork@wko.at W wko.at/aussenwirtschaft/us COMPANY NAME WEBSITE PARTICIPANTS CONTACT INFORMATION NAME POSITION E-MAIL PHONE LINKEDIN PROFILE TIME* *e.g. May/June 2018 1
Application Form Landing Zone «Go Boston» A) Company Overview 1. Please provide a brief summary of your company 2. Identify the primary life science segment your company operates in. 3. Product/Service - What problem do you solve? Describe your product and/or service including the stage you are at in product development. (Please include a product demo in the Additional Materials section, or arrange to give a product demo if your product is an app.) 4. Founders and management - Who are the key members/roles? Who are the founders and are they still involved in the company? 5. Stage and legal structure - When did you incorporate your company and what is its current legal status? 6. Business Model - What strategy do you employ to build, deliver and retain company value? 2
B) Details 7. Team - Tell us about your team s background and strengths. Who works full-time and who works part-time in the company? 8. Outside support - Are you participating now, or have you ever participated in any other accelerator/incubator programs? If so, describe the program and the support you have received, and the (expected) start and end dates. 9. Funding - How much money have you raised and from whom? What is your burn rate? Please describe the ownership structure of your company (including %). 10. Annual Financials - Include this year and last as well as projections for the following year. Also include product revenue, cost of goods sold/ gross margin, general and administrative costs, costs for marketing and sales, and net profit before tax. 3
11. Sales and Marketing - Outline who your customers are and how you target them. Please include geography, differences in profitability and pricing, and key drivers for purchase decisions for each customer type. 12. Competition - List direct and indirect competitors (companies and technologies that use other approaches but yield parallel results) and disruptive technologies, approaches and/ or trends if any. What is your competitive advantage? 13. Operations - What are the risks and challenges your company faces (e.g. availability of materials, instrument downtime)? Where are your opportunities for growth and improvement? 14. Intellectual Property To what extent do you have freedom to operate? 4
15. Regulatory Pathway - Do you have or are you seeking FDA approval? Have you obtained any other certification (e.g. CE Mark, EMA)? 16. Objectives - What overall goals do you want to achieve by entering the US market? 17. ACI Support - Please describe how your company could be impacted by ACI if accepted. What are specific milestones you want to reach in the program? 18. How did you hear about the Landing Zone? C) Consent to sharing of data and other information By submitting this application, you acknowledge and agree that that the data and other information you provide in connection with this application, including any files you have uploaded or otherwise submitted to the Austrian Federal Economic Chamber (WKO), may be shared with our exclusive program partner Advise.Connect.Inspire LLC in connection with evaluating your application for the program and in connection with your participation. WKO may also share the information entered under "A) Company Overview" and the uploaded Non-confidential Slide Deck with ACI. The information provided in this company profile will be used to pre-screen your company and make a decision based on the facts provided. By submitting this company profile you agree that all information submitted can be forwarded to our local partner Advise.Connect.Inspire (ACI). ACI may be consulted to help with the selection process and assess the U.S. market fit. Yes No 5