Docstoc

Capitalization Table - Excel

Document Sample
Capitalization Table - Excel Powered By Docstoc
					OFFICE OF THE GOVERNOR                   CAPITALIZATION TABLE                            Company Name, Inc.
EMERGING TECHNOLOGY FUND




                                                 As of:         DATE
                                              FD Shares          %
   Total # common shares authorized
   Total # common shares issued                                 #DIV/0!
   Total # preferred shares authorized
   Total # preferred shares issued                              #DIV/0!
   Total # options/warrants issued                    -         #DIV/0!
                                                      -         #DIV/0!

                                                                             Seed          Round A
                                               Amount                        % of           % of
                                              Raised ($)        Shares     Ownership      Ownership
        COMMON SHARES ISSUED
                        Entity/Individual     $       -                -    #DIV/0!        #DIV/0!
                        Entity/Individual     $       -                -    #DIV/0!        #DIV/0!
                        Entity/Individual     $       -                -    #DIV/0!        #DIV/0!
        PREFERRED SHARES ISSUED
    S
                                   None       $       -                -    #DIV/0!        #DIV/0!
    E   OPTIONS/WARRANTS ISSUED
    E             Miscellaneous Rights        $       -                -    #DIV/0!        #DIV/0!
    D            Other Common Shares          $       -                -    #DIV/0!        #DIV/0!
                                              $       -                -    #DIV/0!        #DIV/0!
                               TOTALS         $       -                -    #DIV/0!

             Date:    DATE      TOTAL SHARES                           -
                              COST PER SHARE                      NA
               TOTAL VALUATION (FULL DILUTION)                    NA
           PRE MONEY VALUATION (FULL DILUTION)                    NA

        COMMON SHARES ISSUED
           Bonus/Stock Options Exercised      $       -                -                   #DIV/0!
        PREFERRED SHARES ISSUED                                            Price/Share
                          Entity/Individual   $       -                -     #DIV/0!       #DIV/0!
                          Entity/Individual   $       -                -                   #DIV/0!
    R
                          Entity/Individual   $       -                -                   #DIV/0!
    O
        OPTIONS/WARRANTS ISSUED
    U
                     Bonus Option Issued      $       -                -                   #DIV/0!
    N                  Stock Option Isued     $       -                -                   #DIV/0!
    D    Miscellaneous Common Warrants        $       -                -                   #DIV/0!
                               TOTALS         $       -                -                   #DIV/0!
    A
             Date:    DATE      TOTAL SHARES                           -
                              COST PER SHARE                      NA
               TOTAL VALUATION (FULL DILUTION)                    NA
           PRE MONEY VALUATION (FULL DILUTION)                    NA




FOR INTERNAL USE ONLY
COMPETITION SENSITIVE                             PAGE 1 OF 3                CONFIDENTIAL INFORMATION
OFFICE OF THE GOVERNOR                                CAPITALIZATION TABLE                                     Company Name, Inc.
EMERGING TECHNOLOGY FUND
                                                     As of:       DATE
                                                  FD Shares        %
         Total # common shares authorized                -
         Total # common shares issued                    -        #DIV/0!
         Total # preferred shares authorized             -
         Total # preferred shares issued                 -        #DIV/0!
         Total # options/warrants issued           #DIV/0!        #DIV/0!
                                                   #DIV/0!        #DIV/0!

                                                                               Seed         Round A        Round B
                                                   Amount                      % of          % of            % of
                                                  Raised ($)      Shares     Ownership     Ownership      Ownership
             COMMON SHARES ISSUED
                                                 $       -               -    #DIV/0!       #DIV/0!         #DIV/0!
                                                 $       -               -    #DIV/0!       #DIV/0!         #DIV/0!
                                                 $       -               -    #DIV/0!       #DIV/0!         #DIV/0!
             PREFERRED SHARES ISSUED
                                                 $       -               -    #DIV/0!       #DIV/0!         #DIV/0!
         S
                                                 $       -               -    #DIV/0!       #DIV/0!         #DIV/0!
         E
                                                 $       -               -    #DIV/0!       #DIV/0!         #DIV/0!
         E OPTIONS/WARRANTS ISSUED
         D                                       $       -               -    #DIV/0!       #DIV/0!         #DIV/0!
                                                 $       -               -    #DIV/0!       #DIV/0!         #DIV/0!
                                                 $       -               -    #DIV/0!       #DIV/0!         #DIV/0!
                                     TOTALS      $       -               -    #DIV/0!

                  Date:     DATE     TOTAL SHARES                        -
                                  COST PER SHARE                    NA
                    TOTAL VALUATION (FULL DILUTION)                 NA
                PRE MONEY VALUATION (FULL DILUTION)                 NA

             COMMON SHARES ISSUED
                                                 $       -               -                  #DIV/0!         #DIV/0!
                                                 $       -               -                  #DIV/0!         #DIV/0!
                                                 $       -               -                  #DIV/0!         #DIV/0!
             PREFERRED SHARES ISSUED                                         Price/Share
         R                                       $       -               -     #DIV/0!      #DIV/0!         #DIV/0!
         O                                       $       -               -                  #DIV/0!         #DIV/0!
                                                 $       -               -                  #DIV/0!         #DIV/0!
         U
           OPTIONS/WARRANTS ISSUED
         N
                                                 $       -               -                  #DIV/0!         #DIV/0!
         D                                       $       -               -                  #DIV/0!         #DIV/0!
                                                 $       -               -                  #DIV/0!         #DIV/0!
         A                           TOTALS      $       -               -                  #DIV/0!

                  Date:     DATE     TOTAL SHARES                        -
                                  COST PER SHARE                    NA
                    TOTAL VALUATION (FULL DILUTION)                 NA
                PRE MONEY VALUATION (FULL DILUTION)                 NA

             COMMON SHARES ISSUED
                                                 $       -               -                                  #DIV/0!
                                                 $       -               -                                  #DIV/0!
                                                 $       -               -                                  #DIV/0!
             PREFERRED SHARES ISSUED
         R                                       $       -               -                                  #DIV/0!
                                                 $       -               -                                  #DIV/0!
         O
                                                 $       -               -                                  #DIV/0!
         U
           OPTIONS/WARRANTS ISSUED                                           Price/Share
         N
                                                  $      -              -                                   #DIV/0!
         D                                        $      -              -                                   #DIV/0!
                          State of Texas, ETF (d) $      -        #DIV/0!     #DIV/0!                       #DIV/0!
         B                            TOTALS      $      -        #DIV/0!                                   #DIV/0!

                  Date:     DATE     TOTAL SHARES                 #DIV/0!
                                  COST PER SHARE                    NA
                    TOTAL VALUATION (FULL DILUTION)                 NA
                PRE MONEY VALUATION (FULL DILUTION)                 NA

FOR INTERNAL USE ONLY
COMPETITION SENSITIVE                                        PAGE 2 OF 3                              CONFIDENTIAL INFORMATION
OFFICE OF THE GOVERNOR                             CAPITALIZATION TABLE                                 Company Name, Inc.
EMERGING TECHNOLOGY FUND
                                                  As of:       DATE
                                               FD Shares        %
      Total # common shares authorized                -
      Total # common shares issued              3,000,000      #DIV/0!                    (*) Denotes QFT Round
      Total # preferred shares authorized             -
      Total # preferred shares issued                 -        #DIV/0!
      Total # options/warrants issued           #DIV/0!        #DIV/0!
                                                #DIV/0!        #DIV/0!

                                                                             Seed         Round A      Round B
                                                Amount                       % of           % of         % of
                                               Raised ($)      Shares      Ownership     Ownership    Ownership
           COMMON SHARES ISSUED
                         Entity/Individual $    -              1,000,000    33.33%        33.33%        #DIV/0!
                         Entity/Individual $    -              1,000,000    33.33%        33.33%        #DIV/0!
                         Entity/Individual $    -              1,000,000    33.33%        33.33%        #DIV/0!
           PREFERRED SHARES ISSUED
       S
                                    None $      -                     -      0.00%         0.00%        #DIV/0!
       E
           OPTIONS/WARRANTS ISSUED
       E                    Misc. Rights $      -                    -       0.00%         0.00%        #DIV/0!
       D                                   $    -
                              Other Common Shares                    -       0.00%         0.00%        #DIV/0!
                                           $    -                    -       0.00%         0.00%        #DIV/0!
                              TOTALS       $    -              3,000,000    100.00%

               Date:     DATE      TOTAL SHARES                3,000,000
                                COST PER SHARE                   NA
                  TOTAL VALUATION (FULL DILUTION)                NA
              PRE MONEY VALUATION (FULL DILUTION)                NA

           COMMON SHARES ISSUED
                              Bonus/Stock $        -
                                           Options Exercised          -                    0.00%        #DIV/0!
           PREFERRED SHARES ISSUED                                         Price/Share
                         Entity/Individual $       -                  -      #DIV/0!       0.00%        #DIV/0!
                         Entity/Individual $       -                  -                    0.00%        #DIV/0!
       R
                         Entity/Individual $       -                  -                    0.00%        #DIV/0!
       O
           OPTIONS/WARRANTS ISSUED
       U
                                           $       -                  -                    0.00%        #DIV/0!
       N                                   $       -                  -                    0.00%        #DIV/0!
       D                                   $       -                  -                    0.00%        #DIV/0!
                              TOTALS       $       -                  -                   100.00%
       A
               Date:     DATE      TOTAL SHARES                3,000,000
                                COST PER SHARE                   NA
                  TOTAL VALUATION (FULL DILUTION)                NA
              PRE MONEY VALUATION (FULL DILUTION)                NA

           COMMON SHARES ISSUED
                                              $       -               -                                 #DIV/0!
                                              $       -               -                                 #DIV/0!
                                              $       -               -                                 #DIV/0!
           PREFERRED SHARES ISSUED
       R                                      $       -               -                                 #DIV/0!
                                              $       -               -                                 #DIV/0!
       O
                                              $       -               -                                 #DIV/0!
       U
         OPTIONS/WARRANTS ISSUED                                           Price/Share
       N
                                               $      -              -                                  #DIV/0!
       D                                       $      -              -                                  #DIV/0!
                       State of Texas, ETF (d) $      -        #DIV/0!      #DIV/0!                     #DIV/0!
       B                           TOTALS      $      -        #DIV/0!                                  #DIV/0!

               Date:     DATE      TOTAL SHARES                #DIV/0!
                                COST PER SHARE                   NA
                  TOTAL VALUATION (FULL DILUTION)                NA
              PRE MONEY VALUATION (FULL DILUTION)                NA

FOR INTERNAL USE ONLY
COMPETITION SENSITIVE                                     PAGE 3 OF 3                         CONFIDENTIAL INFORMATION

				
DOCUMENT INFO