Incredible Pizza Franchise Group, LLC (IPFG)
Document Sample


Incredible Pizza Franchise Group, LLC (IPFG)
REQUEST FOR CONSIDERATION
TO BECOME A FRANCHISEE
Thank you for your interest in Incredible Pizza Company. Please complete the following application
Application Process
As a prospective franchisee, please complete this franchise application and then we will set an appointment to
interview with our Franchise Representatives at Incredible Pizza Company in Springfield, Missouri.
Application submitted by prospective franchisee
All candidates and partners will submit a completed application to be considered.
Financial Approval
IPFG evaluates each application to ascertain a candidate’s financial ability to successfully capitalize an
Incredible Pizza Family Entertainment Center (“IPFEC”). We will accept a pre-printed personal
financial statement if you have a current one prepared. Please note (ALL APPLICANTS MUST FILL
OUT OR PROVIDE THE FINANCIAL STATEMENT BEFORE BEING CONSIDERED)!
Introductory Call
Once approved, candidates will then receive an introductory call from Incredible Pizza Company
detailing the basic information about franchising opportunities. In addition, you will receive a copy of
the Incredible Pizza Franchise Group Franchise Disclosure Document (“FDD”).
Detailed Call
After a few days you will receive a call where all other questions may be addressed. When your
questions have been answered, we will make arrangements with you to schedule a one-day trip to
Incredible Pizza Company in Springfield, Missouri to begin to gain an understanding what is involved in
owning an Incredible Pizza Family Entertainment Center Franchise. Candidates meet with
representatives of the Franchise Operations to discuss facility management, construction management,
personnel, training requirements, development goals and objectives.
Development Process
Franchise Agreement Signed and Franchise Fee Paid
Site Development Form Completed
IPFG will make arrangements to visit your site and decide if it is acceptable for an IPFEC
Site Approved and Financing Secured
If your site is approved, the next step is to sign a Management Agreement, Project Consulting
Agreement and pay the appropriate fees listed in the FDD that pertains to these two agreements.
Construction Begins
Family Entertainment Center Approved to Open
Pre-opening parties
Opening Day
For additional information regarding this application, please call 417.890-1408 extension
14 or send an email to franchiseinfo@incrediblepizza.com.
Incredible Pizza Company Family Entertainment Centers require a significant amount of capital to
build. All applicants must meet or exceed a minimum net worth requirement of $1.5 million
($1,500,000.00) and have liquid assets of $500,000. The cost to build is much more than this;
however there are SBA loans etc. that you may qualify for.
IPFG Franchise Application Page 1of 6 APRIL 2009
APPLICATION FOR AN INCREDIBLE PIZZA FAMILY ENTERTAINMENT CENTER
FRANCHISE
Personal Data
Full Name
(Last) (Middle) (First)
Social Security No.
Primary Residence Address
City State Zip
Telephone no.: Residence ( ) Daytime (if different) ( )
If, the daytime phone no. is your work no., may we contact you at work? Y / N Fax #: (_______________________________)
Driver’s License No.: State:
Date of birth Country of Citizenship
Marital status
Name of Spouse
(Last) (Middle) (First)
Social Security No.
Occupation of Spouse Length of employment Income
Home: Own Rent Name & Phone no. of Landlord
Length of occupancy
Last former residence
(if less five years at current address)
Own Rent Length of occupancy
Education: Degree or Last year of school completed Name of college
____________________________________________________________
Employment Background
List employment history for the past ten years, beginning with the most current:
(PLEASE ATTACH PERSONAL RESUME)
Dates Company Name & Address Title Annual Income
to
to
to
to
to
Current Business Affiliations other than occupation (owner, partner, officer, etc.)
IPFG Franchise Application Page 2of 6 APRIL 2009
Company Data
Company Name
Federal ID No.
(As shown on tax return fillings)
Primary Address
City State Zip
Telephone no.: ( ) Fax #: (______________________________)
Date of Incorporation State
Incorporated In
Name of Officer (1)
(Last) (First) (Middle)
Title: Social Security No.
Name of Officer (2)
(Last) (First) (Middle)
Title: Social Security No.
Please indicate the primary business of your company:
Other Background Information
Have you and/or any applicable partners, officers, directors, or shareholders within your business or personal affiliations ever:
a) had any administrative, criminal, or civil action alleging a violation of any franchise law, fraud, embezzlement, fraudulent conversion, restraint of
trade, unfair or deceptive practices, misappropriation of property, or comparable allegations?
Y/N
b) been convicted of a felony or pleaded nolo contendere to a felony charge or been held liable in a civil action by final judgment or been the subject
of a material complaint or other legal proceeding if such felony, civil action, complaint, fraud, embezzlement, fraudulent conversion, restraint of
trade, unfair or deceptive practices, misappropriation of property, or comparable allegations?
Y/N
c) been adjudged bankrupt or reorganized due to insolvency?
Y/N
If yes to any of the above three, please explain
IPFG Franchise Application Page 3of 6 APRIL 2009
Franchise Information
Location preferences: 1st
2nd
3rd
4rd
Size Concept Desired: 90,000 to 60,000 Sq Ft ____ 60,000 to 40,000 Sq, Ft. ____ 40,000 to 20,000.00 Sq. Ft ____ 20,000 to 15,000 Sq ___.
Do you currently own/operate any other franchises? Y/N
If yes, please indicate franchise name(s), location(s) and type of business(es)
How will you finance this franchise investment?
Please indicate proposed management structure and names of individuals responsible for the development and finance of an Incredible Pizza Company
Franchise:
All information contained herein is confidential and is strictly for the purpose of facilitating the IPFG franchise application process.
All applicants will receive consideration without regard to race, color, religion, sex or national origin.
The submission of this application does not obligate either the applicant or IPFG in any manner, nor does it imply that there is any legal or commercial
relationship between either party. IPFG reserves the sole right to approve or disapprove the Application for any reason it may determine, and in the
event that IPFG disapproves the Application, it shall have no liability to the undersigned. It is merely a preliminary procedure.
Acknowledgment is made that the information supplied by me is true and correct. I hereby authorize Incredible Pizza
Franchise Group, LLC. to obtain any information about my credit history or other information that it deems appropriate to
evaluate my suitability as a potential Incredible Pizza Company Franchisee.
Signature Date
The application must be completed in its entirety with the following attached for franchise consideration:
a) Resume(s) which details background, work experience and other pertinent affiliations for the above mentioned individual(s).
Return Application and required attachments to:
Incredible Pizza Franchise Group, LLC
2772 South Campbell Ave
Springfield, MO 65807
Phone 417.890.1408 Ext. 14
Fax to 417.890.1635
Email to franchiseinfo@incrediblepizza.com
IPFG Franchise Application Page 4of 6 APRIL 2009
Corporate Name:___________________________________________________________________________________
Address:__________________________________________________________________________________________
City _______________________________________________ State __________________ Zip __________________
CORPORATE, PARTNERSHIP, LP, LLP OR LLC FINANCIAL STATEMENT
If you will be purchasing an Incredible Pizza Company franchise as an individual, please complete the financial information requested below. If you will
be purchasing an Incredible Pizza Company franchise as part of a Limited Partnership (LP or LLP), Limited Liability Company (LLC), Subchapter S
Corporation (S Corp) or Corporation (C Corp), please provide the most recent balance sheet and income statement for your organization. In some
instances both personal and corporate financial statements are required. All Franchise Agreements must be signed individually and corporately.
PERSONAL FINANCIAL STATEMENT
(A separate financial statement can be attached in place of this statement)
ASSETS LIABILITIES AND NET WORTH
Cash on Hand and in Banks (Schedule 1) $ Notes Payable to Banks-Unsecured (Schedule 1) $
US Government Securities (Schedule 2) $ Notes Payable to Banks-Secured (Schedule 1) $
Trade Accounts and Loans Receivable (Schedule 3) $ Notes, Loans and Advances Payable to Relatives $
Non-Trade Accounts and Loans Receivable Notes, Loans and Advances Payable to Others $
(Schedule 3) $
Notes Receivable-Secured (Schedule 3) $ Contract Accounts Unpaid $
Notes Receivable-Unsecured (Schedule 3) $ Interest and Rents Payable $
Life Insurance, Cash Surrender Value (Schedule 4) $ Loans Against Life Insurance (Schedule 4) $
Stocks and Bonds-Marketable and Accounts Payable $
Non-Marketable (Schedule 5) $
Real Estate (Schedule 6) $ Taxes and Assessments Payable (Schedule 6) $
Automobiles-Market Value-Registered in Mortgages Payable on Real Estate (Schedule 6) $
Own Name Number of Vehicles $
Other Assets, Property or Investments (Itemize) $ Brokers’ Margin Accounts (Schedule 5) $
$ Liens on Real Estate (Schedule 6) $
$ Federal and State Taxes on Current Income $
$ Other Indebtedness (Itemize) $
$ $
$ $
$ $
$ $
$ $
$ Total Liabilities $
$ Net Worth $
Total Assets $ Total Liabilities and Net Worth $
ANNUAL SOURCE OF INCOME CONTINGENT LIABILITIES
Salary and/or Fees $ Guarantor Obligations $
Bonus and Commissions $ Legal Claims $
Dividends and Interest $ Endorser or Co-Maker Obligations $
Real Estate Income $ Leases or Contracts $
Business, Profession or Royalty Income $ Liens or Special Debt $
Other Income (Itemize) $ Provision for Federal or Other Taxes $
$ Other Liabilities (Alimony, Child Support,
Maintenance, etc.) (Itemize) $
$ $
Total $ Total $
IPFG Franchise Application Page 5of 6 APRIL 2009
Schedule 1 — Banking Relations
Name and Location Cash Outstanding Loans, Maturity of Description of
of Bank Balance Guarantees Loan Security
Schedule 2 — Government Securities
Description of Market Face Maturity Income Received Are Securities
Security Value Value Date Last Year Pledged?
Schedule 3 — Accounts, Loans and Notes Receivable - Secured and Unsecured
Name of Maturity Face Monthly Installment Balance Description of Security
Debtor Date Value Payments Due
Schedule 4 — Life Insurance
Insurance Beneficiary and Type of Face Present Cash Amount of Policy Annual Is Policy
Company Relationship Policy Amount Surrender Value Loan Premium Assigned?
Schedule 5 — Stocks and Bonds
Name of Number of Face Value of Market Income Received Are Shares/
Stock/Bond Shares/Bonds Bonds Cost Value Last Year Bonds Pledged?
Schedule 6 — Real Estate
Title in Market Balance on Date of Installment
Address Whose Name(s) Cost Value Mortgage Maturity Amount
Use an additional Information Sheet if you need more space.
IPFG Franchise Application Page 6of 6 APRIL 2009
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