Statement of Interest

    [group waiver]

    Prior to completing the form below, please confirm that your business meets the following general eligibility criteria:

    • The business employs approximately 50 to 500 employees.

    • The business is unable to obtain adequate and reasonable financing from other lending sources

    • The business operates in Southern Ontario

    • The business has demonstrated job creation/retention for Southern Ontario residents

    • The business is suitable for public funding

    • The business has established a reasonable expectation of economic viability

    • The business has demonstrated the ability to repay funds advanced by SOFII

    • The business has secured the required matching funding through private investment, financial or equity partnerships or working capital.

    • You can provides evidence of your ability or experience to operate the business

    • The business is generating revenue


    [/group]

    [group pqa]

    Application Business Information

    Language Preference



    Ineligible Borrowers

    Does the business fall under any of the following categories of ineligible borrowers?

    • Federal and Provincial government departments, agencies, boards, corporations and commissions.

    • Post-secondary institutions (e.g. colleges, polytechnic institutes, universities and teaching institutions).

    • Not-for profit corporations; and

    • Municipal governments.

    • Is the business involved in marijuana/cannabis or related products/services?

    General Background

    Has the business been unsuccessful in obtaining financing from other lending sources?

    Are you currently involved in the application process with other lending sources?

    For any existing loan agreements, are you in compliance with the covenants?

    Do you employ a full-time CFO (or similar finance role)?

    Has the business ever borrowed from SOFII (West or East) before?

    If yes, please provide details:

    Has the borrower or any of the principals, filed for consumer proposals or declared bankruptcy in the last 5 years?

    If yes, please provide details:

    Conflict of Interest

    Are lobbyists utilized?

    If yes, are they registered in accordance with the Lobbying Act and that no actual or potential conflict of interest exists?

    Will any former public servant derive benefit from this loan?

    If yes, are they in compliance with the Conflict of Interest Act and the Value and Ethics Code for the Public Service?

    Priority Areas

    Does the business provide direct support to any of the following federal target groups? Select all that apply:

    Does the business align with any of the following economic sector priorities? Select all that apply:

    Is the business located within a community facing long-term vulnerabilities due to structural and socio-economic factors?

    Has the business experienced constraints in accessing capital? (e.g. does not meet eligibility for a bank loan, etc.)

    Projects and Activities

    Select any eligible projects that apply:

    Select any eligible activities that apply:

    Summary of Projects

    Project Description and Benefits:

    Project Technical Assessment:

    Project Milestones:

    Project Budget and Funding Sources: Provide a summary of the project activities, detailed funding sources (external and internal):

    Economic Contribution: Provide a summary of the estimated employment created and / or maintained. Provide the current export sales and export sales in each of the forecasted years.

    Other Information:

    Financial Information

    Revenues

    What was your revenue in the past fiscal year?

    What is your forecasted revenue for the current fiscal year?

    Please describe the various sources/streams of revenue.

    What is the company’s current and forecasted export sales for the next 2 years?

    Net Income

    What was your net income for the past fiscal year?

    What is your forecasted net income for the current fiscal year?

    Breakeven/Profitability

    When is the business expected to reach breakeven/profitability?

    Intellectual Property

    Please describe any applicable intellectual property (patents, trademarks, etc.) and the estimated value (If known).

    Authorization and Application Submission

    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 705-741-1980 (East Region).

    Declaration

    The organization agrees information provided will be disclosed to third parties for purposes of assessing the project 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 applicant hereby certifies the application and supporting documentation are true and complete in all respects. Signator(s) must be an Officer or Director legally authorized by the applicant to bind the organization.

    Confirmation

    [/group]
    [group submit]

    [/group]
    [group ineligible]

    Unfortunately your business does not qualify for our funding.

    [/group]