Spark Capital is sponsored by Ann Arbor SPARK. A co-investment fund in Michigan that invests in tech startups.

Apply for Funding - Ann Arbor SPARK " * " indicates required fields Company General Information State / Province / Region Current Stage * Idea MVP/Prototype Early Revenue (<$50K) Scaling (>$50K ARR) 4-digit NAICS code * 3251 Basic Chemicals 3252 Resins and Synthetic rubbers, Fibers, and Filaments 3253 Pesticides, Fertilizers, and other agr .

Chemicals 3254 Pharmaceuticals and Medicine 3259 Other Chemical Products 3261 Plastics Products Manufacturing 3331 Agr . , Construction, and Mining Machinery 3332 Industrial Machinery 3333 Commercial and Service Industry Machinery 3336 Engines, turbines, and Power trans.

equipment 3339 Other General Purpose Machinery 3341 Computers and Peripheral equipment 3342 Communications equipment 3343 Audio and Video equipment 3344 Semiconductors and other electronic Components 3345 Navigation, Measurement, and Control Instruments 3359 Other electrical equipment and Components 3361 Motor Vehicles 3362 Motor Vehicle Bodies and trailers 3363 Motor Vehicle Parts 3364 Aerospace Products and Parts 3369 Other transportation equipment 3391 Medical equipment and Supplies 5112 Software Publishers 5174 Satellite telecommunications 5182 Data Processing and hosting 5191 Other Information 5413 Architecture and engineering 5415 Computer Systems design 5417 Scientific research and development 6215 Medical and diagnostic laboratories Legal Structure * C-Corps LLC S-Corp B-Corp Not Incorporated Yet Number of Full-Time Employees * Please enter a number greater than or equal to 0 .

Please count any part-time employees as . 5 FTE’s BUSINESS DETAILS — Problem & Market What customer problem do you solve, and who feels it most? * Name the customer persona, their pain, and how they cope today.

How big is this problem for your customer? (quantify if possible) * e.g., “$X lost per year,” “Y hours wasted per week,” “Z% error rate” How many substantive customer discovery conversations have you had? * 0 1-4 5-10 11-25 25+ In those conversations, how often is this problem a top-3 priority?

Never Rarely Sometimes Often Always N/A (no conversations) Estimate your Total Addressable Market (TAM) in US$ and briefly explain how you calculated it * e.g., “5,000 mid-market hospitals × $50K/yr = $250M SAM (bottom-up from AHA data)” BUSINESS DETAILS — Solution & Differentiation Describe your solution in 2-3 sentences. * What does it do? How does the customer use it?

Name 2 competitors and one reason a buyer picks you * Include “do nothing / manual process” if that is the real competitor What is better about your solution, and what will be hard to copy in 12 months? * IP, proprietary data, switching costs, regulatory moat, network effects Is your product in market today? * Yes No Does your business have defensible IP or technical differentiation?

* Yes No Not Sure Patents, trade secrets, proprietary data, regulatory moat If you are pursuing a regulatory pathway, what pathway are you pursuing? 510(k) De Novo PMA IND/NDA/BLA Not yet determined N/A: Don't need to pursue regulatory pathway BUSINESS DETAILS — Traction & Validation Strongest evidence customers will pay * Grant(s) tied to customer need Number of paying customers Please enter a number greater than or equal to 0 .

Trailing 12-month revenue band * $0 <$250K $250K–$1M $1M–$2. 5M >$2. 5M How do you make money (business model)?

* SaaS subscription Usage-based Marketplace/commission Hardware + service Licensing Advertising Other Gross margin <20% 20–50% 50–70% 70%+ Don't know yet BUSINESS DETAILS — Team & Execution BUSINESS DETAILS — Capital & Milestones What round of fundraising are you in? * Pre-seed Seed Series A Other Not raising at this time How much are you raising this round? How much have you raised so far (this round)?

Investment instrument SAFE Convertible Note Priced Round (Equity) Other To Be Determined Terms (cap / discount / valuation) e.g., “$8M cap, no discount” or “$6M pre-money” Capital raised to date (all sources) * Sources of prior capital * Corporate/University/Foundation Current cash balance/Runway (months) If given this capital today, how would you allocate it?

(3-4 uses) * e.g., “40% engineering hires, 25% sales, 20% product dev, 15% ops” What specific milestones will this capital fund in next 12–18 months? * 3-5 measurable milestones (e.g., reach TRL 5, close 10 customers, hire CTO) Michigan Presence & Eligibility Is your company headquartered in Michigan? * Yes No Percent of current team physically based in Michigan * 0% 1–49% 50–99% 100% Where will you hire your next 5–10 employees?

e.g. MI city/region: ___ (# roles) | Outside MI: ___ (# roles) BUSINESS DETAILS — Attachments Pitch Deck * Ensure deck covers: problem, solution, market, product, traction, team, competition, financials, ask Accepted file types: pdf, Max. file size: 20 MB, Max. files: 1.

Financial Projections * 3-5 year projections: revenue, expenses, cash flow, hiring plan Accepted file types: pdf, Max. file size: 20 MB, Max. files: 1.

P&L / Income Statement If revenue-stage; current YTD or trailing 12 months Accepted file types: pdf, Max. file size: 20 MB, Max. files: 10.

Additional Documents Executive summary, LOIs, patent filings, demo video, customer testimonials, etc. Accepted file types: pdf, Max. file size: 20 MB, Max. files: 10.

The first step towards SPARK entrepreneurial services is filling out a client intake application.