Please contact our managing director Jimmy Melton via email at jmelton@crvfund.com. Please include the following information with your submission: Company name Corporate structure (if applicable) CEO Lead contact person Address City State ---ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Email Telephone Website (optional) Description of your business concept (in 200 words or less) (required) Amount of capital currently seeking (numbers only) Amounts and sources of capital raised to date (if applicable) Current equity investors, if any, and amounts raised from each Required verification