Sign up for the Pitch Competition: Name of Company*Location of Company Headquarters*If your company is distributed or remote, please use the location where the CEO / Founder resides.What type of capital are you looking to raise?*Pick the one that most accurately describes the stage of your business. We understand every point may not be met for each category. Angel: Generally speaking, companies that are generating less than $500K in revenue run-rate, have raised <$1M in external capital, and are seeking to raise $2M or less in the next 12-18 months. Early-Stage Venture: Generally speaking, companies that are generating $500k - $3M in revenue run-rate, have raised <$5M in external capital, and are seeking to raise $2M - $10M in the next 12-18 months. Growth-Stage: Generally speaking, companies that are generating $3M+ in revenue run-rate, have already raised at least $5M in external capital, and are looking to raise $10M+ in the next 12-18 months.AngelEarly-Stage VentureGrowth-StageName of CEO / Founder* First Last What is your background, and why did you start the company?*Have you had any prior exits as a founder? If so, please describe.Email Address of CEO / Founder* Phone Number of CEO / Founder*LinkedIn of CEO / Founder, if availablePlease provide the names, roles and LinkedIn profiles (if available) of Co-Founders and/or other executives.Company Website*Company Twitter Account (if available)Company LinkedIn Page (if available)Pitch DeckMust be in PDF format.Accepted file types: pdf.Company OverviewYear Founded*Please enter a number from 1900 to 2023.Industry*Ag TechB2B MarketplaceB2C MarketplaceBlockchain / CryptoCyberClimate TechConsumerDigital HealthDigital MediaEnterprise / B2B SoftwareEnvironmental, Social & GovernanceFin TechHardwareReal Estate & PropertyTechSupply Chain & LogisticsOtherWhen selecting Other for the previous question, please provide a brief descriptor of your industry.Problem Statement*Please describe the problem you are solving.Solution*Please describe your solution to the problem.Target Market*Please describe your target market, estimate of potential market size, and market growth rate.Competition*Please describe the competitive environment.Equity*Please enter the total amount of equity capital raised (including SAFEs and Notes) to date in gross dollars.Valuation*Please enter the valuation of your last round was raised at (use the cap if a Note or SAFE.)Monthly Net Cash Burn*Please enter the monthly net cash burn as of the date of this application.Monthly Cash Runway*Please enter the monthly cash runway as of the date of this application.Financing*Please enter the amount of financing sought in the next 12 months in gross dollars.Investors*Please provide information about the current investors in the company.Number of Full-Time Employees*Number of Part-Time Employees*Are you associated with an incubator or accelerator?*YesNoKey Advisors*Please provide information about the key advisors of the company (board members, advisors, mentors, etc.)Financial InformationCommercial Traction*Please summarize your commercial traction including highlighting key customers. If you believe revenue is currently not a good KPI for your business, please use this section to explain.RevenuePlease list the actual or forecasted revenue for each of the following years. This is net revenue for the full calendar year under generally accepted accounting principles (GAAP). Do not use bookings, cash received, run rate, annualized revenue, or any other non-GAAP measurement. Please use gross dollars. If your company has a business model similar to a marketplace business or payment processing business, please use net revenue as opposed to Gross Market Value or Gross Transaction Volume.2021 Actual Revenue*2022 Actual Revenue*2023 Forecasted Revenue*2024 Forecasted Revenue*Revenue Model*Please describe your basic revenue model (i.e. subscription, services, one-time, usage-based, etc.)What are your current gross margins?*2022 Actual EBITDA*2023 Forecasted EBITDA*Recurring RevenuePlease list your actual or forecasted annual recurring revenue (monthly recurring revenue x 12) in gross dollars for the following time periods ending:12/31/2022 Actual*5/31/2023 Actual*12/31/2023 Forecasted*Demographic InformationITEN WIRED is committed to supporting a diverse group of entrepreneurs and founders. Participation in this section is optional; simply select “prefer not to disclose” when appropriate. This will in no way negatively impact your chances of being selected to participate in the pitch competition. ITEN WIRED does not discriminate on the basis of age, disability, ethnicity, gender, gender expression, gender identity, marital status, national origin (ancestry), race, religion (creed), sex, or sexual orientation.Race/Ethnicity*Prefer not to discloseWhite, Anglo, or European-AmericanBlack / African-AmericanHispanic / LatinxEast AsianMiddle Eastern, North African, or ArabNative / First Nations, Indigenous, or AboriginalPacific IslanderSouth AsianSoutheast AsianOther / Not ListedGender Identity*Prefer not to discloseMan (cisgender)Woman (cisgender)TransgenderNon-binding / Gender non-conformingOther / Not ListedDo you identify as part of any other underrepresented group?*Prefer not to discloseYesNoOther InformationName of Corporate Attorney & Firm*Name of CPA Firm*Name of Bank*How did you hear about ITEN WIRED?*Company Logo*Accepted file types: jpg, gif, png.CEO / Founder Headshot*Accepted file types: jpg, gif, png.Introductory VideoPlease enter the URL of an Unlisted (not Private) YouTube video of no more than 60 seconds of the CEO / Founder describing the company. This is optional, but highly encouraged!I acknowledge that if my company is chosen to present at ITEN WIRED Summit 2023, I will adhere to the guidelines and standards set forth by ITEN WIRED.*I agreeI understand that invitations to pitch as a finalist at the ITEN WIRED Innovation Awards are not guaranteed and agree to abide by the final decisions of the judging panel.*I agreeIf selected as a finalist, I will be able to pitch my company at the ITEN WIRED Summit on October 19th, 2023.*YesFile