Statement of Interest Budget - Eastern Ontario CFDC Network Inc

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					                                  Statement of Interest




 The Eastern Ontario Regional Office serves the                            The Western Ontario Regional Office serves
 following areas as outlined in the census                                 the following areas as outlined in the census
 divisions:  Durham, Frontenac,      Haliburton,                           divisions: Barrie, Brant, Bruce, Chatham-Kent,
 Hastings, Kawartha Lakes, Lanark, Leeds and                               Dufferin, Elgin, Essex, Grey, Haldimand-Norfolk,
 Grenville,     Lennox      and      Addington,                            Halton, Hamilton, Huron, Lambton, London,
 Northumberland, Ottawa, Peterborough, Prescott                            Middlesex, Niagara, Oxford, Peel, Perth, St.
 and Russell, Prince Edward, Renfrew, Stormont-                            Catharines, Simcoe, Waterloo, and Wellington,
 Dundas-Glengarry, Toronto and York.                                       Windsor.
 Carol A. Armstrong, Executive Director                                    Rory Ring, Executive Director
 351 Charlotte Street, Suit 201A                                           109 Durand Street
 Peterborough ON K9J 2W1
                                                  Sarnia, ON N7T 5A1
 Phone: 705-741-1980                                                       Phone: 519-383-1371
 Email: info@eocfdc.ca                                                     Email: rring@wocfdca.com
 Web: www.eocfdc.ca                                                        Web: www.wocfdca.com


The Southern Ontario Fund for Investment in Innovation (SOFII) is supported entirely by the Federal Economic Development Agency for
Southern Ontario.
Page 1 of 6
                                                                                                   Eligibility Criteria
The investment fund is not a grant or forgivable loan program. Loans are available to businesses operating in
Southern Ontario who:

        Employ 50 to 500 employees, or identify that there is a strong likelihood that they will reach 50
         employees within the term of the loan
        Be unable to obtain adequate and reasonable financing from other lending sources
        Operate in Southern Ontario
        Demonstrate job creation/retention for Southern Ontario residents
        Be suitable for public funding and not involved in the commercial exploitation of sex, religion, political or
         illegal activities
        Establish a reasonable expectation of economic viability
        Demonstrate the ability to repay funds advanced by the corporation
        Include other funding partners such as: the shareholders of an incorporated business; the principals
         and/or partners of an unincorporated business; Private investors, including family members;
         Government agencies; Other approved funding partners
        Provide evidence of their ability or experience to operate the business
        Demonstrate that their project encompasses one of the following: Late stage commercialization; New
         product or service development; New applications or markets; or Development or implementation of
         new processes or technologies.


                                                                                           Application Process
The Southern Ontario Fund for Investment in Innovation (SOFII) has a two-stage application process:

(1) Pre-Application, whereby applicants will discuss their project with the local Community Futures
    Development Corporation (CFDC) staff, if desired, and/or Regional staff and will then submit the
    Statement of Interest to the appropriate Southern Ontario CFDC Network office:
           Cover sheet (page 3)
           Narrative (page 4 & 5)
           Budget (page 6)

(2) Loan Application, which includes, but is not limited to:
        Completed business plan
        Personal statement of affairs
        Business bank/credit information
        Disclosure and release statement
        Income statement and cash flow assumptions
        Acknowledgement of the Regional Office privacy statement
        List of business assets

Information from the Statement of Interest will assist the Regional staff in providing feedback to the applicants
on whether the concept is eligible. All Statements of Interests will be provided to the appropriate Regional
Intake Committee for review. Applicants whose projects are deemed eligible for the SOFII will be asked by the
Regional staff to complete a Business Loan Application.


            Any questions? - Please contact your Regional Office at 519-383-1371 (West Region) or 705-741-
           1980 (East Region). Interest need to be submitted to your respective Regional Office and May 23

The SOFII is supported entirely by the Federal Economic Development Agency for Southern Ontario.
Page 2 of 6
                                                           Statement of Interest Cover Sheet
 Name of Company:


 Nature of Business:

 Number of Employees:

 Name of Key Contact:
 Position:
 Street Address:
 City/Town:                                                County / Region:
 Province:                                                 Postal Code:
 Telephone:                                                Fax:
 E-mail:                                                   Website:
 Language:                                                 English: □                              French: □

 Potential Partners :
               Names                                                Organization Name                          Phone Number
 1.
 2.

CONFIDENTIALITY
Applications and supporting materials submitted to the Southern Ontario Fund for Investment in Innovation will
be subject to the Access to Information Act and the Privacy Act. Any information submitted in confidence
should be clearly marked “CONFIDENTIAL” by the applicant. Inquiries about confidentiality should be directed
to the Southern Ontario Fund for Investment in Innovation Director at 519-383-1371 (West Region) or 705-741-
1980 (East Region).


DECLARATION
The organization agrees information provided will be disclosed to third parties for purposes of assessing the
Statement of Interest for funding. All third parties in receipt of this information have signed agreements to
maintain the confidentiality of this document and its contents.

CERTIFICATION
By submitting this application the lead applicant hereby certifies the application and supporting documentation
are true and complete in all respects.

- Applicant (please print):
Position:                                           _______________________________
Signature:                                                                                          Date:




The SOFII is supported entirely by the Federal Economic Development Agency for Southern Ontario.
Page 3 of 6
                                                                 Statement of Interest Narrative
Applicants are required to complete the narrative section of the Statement of Interest and are encouraged to
attach additional information as it relates to the application, but should be limited to a maximum of 2 pages.


     1) Project Description and Benefits: How it leads to innovation and improves your company’s
        competitiveness, leads to sales growth/margin improvement, employment opportunities, etc.)




     2) Operations and Market: Describe your business operations and the market you compete in
        (competitors, market size, etc.)




     3) Management Team: Describe your management team and their experience




     4) Financial Summary: Fill out your key financial information for the past three years.

                 (000’s)                                Prior Fiscal Year                          Last Fiscal Year
Sales
Gross Profit
Net Profit
Depreciation/Amortization
Total Assets
Current Portion of Long Term Debt




The SOFII is supported entirely by the Federal Economic Development Agency for Southern Ontario.
Page 4 of 6
     5) Equity: Outline the business’ equity (Capital Stock, retained earnings and shareholder loans)




     6) Security: List all key security, provide a description of the security including any encumbrances, and
        assign a value:

                 Security                                   Encumbrances                           $ Value




     7) Other Information: Please include any additional information which you feel is relevant to the project.




The SOFII is supported entirely by the Federal Economic Development Agency for Southern Ontario.
Page 5 of 6
                                                                     Statement of Interest Budget
Please note: The budget submission in the Statement of Interest stage is to be used for discussion purposes
only. Applicants who are encouraged to complete the Business Loan Application will need to provide more
detailed information which may alter the funding request at that time.

                                                                   (1) Funding              (2) Requested      (3) Total
                                                                    from other             loan from SOFII    estimated
                   Project Activities
                                                                      sources                                project cost




                          Totals:



    1. “Funding from other sources.” This should include all sources of funding other than the SOFII.
    2. “Requested loan from SOFII.” This should be an estimate of the amount requested if the project goes
       to the Business Loan Application stage.
    3. “Total estimated project costs.” This should be the estimated total cost of the project including all
         sources.




The SOFII is supported entirely by the Federal Economic Development Agency for Southern Ontario.
Page 6 of 6

				
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