Capital availability questionnaire - Investors.doc

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Capital availability questionnaire (for Investors)
Commonwealth Government Statistical Clearing House Approval Number:
Please complete on electronic database
Commissioned by DITR
Please note: individual responses will be utilized in aggregated format for policy development purposes.
1.
Demand for Finance
1.1
Over the past 12 months how may applications for funding has your organization received:
Total Number: ……………………
(Where possible breakdown by sector)
ICT
Pharmaceutical Development
Medical Devices
Laboratory Equipment
Other Health/Biotech
Agriculture/Animal Health
Materials/Engineering/Manufacturing
Environment
Nanotechnology
Other
1.2
Please indicate the levels of investment/funding sought by these applications
Aggregate amount: …………………..
Where possible indicate relative numbers in each of following brackets:
<$100K
1.3
1.4
1.5
[
]
$100K- < $250K [
]
$250 - <$500K
[
]
$500K - <$1M [
]
$1M - <$2M
]
$2M or more
[
]
[
How many applications did your organization fund in the past 12 months? ………
Of these funded applications, please indicate the % of funds provided compared to the
level of funding sought.
How did you secure your investment?
Equity…….. Where possible please indicate range of % equity positions.
10-20 20-30 30-40 40-50 50-60 60-70 70-80 80-100
…………………………………………………………………………….
Debt ……….Where possible please indicate how you secured this debt finance.
IP / Personal Assets /
Company Assets /
Was an interest rate charged – Y/N
<5.0%
[
]
>5% - 7.0%
<10%
[
]
>10%
other
If so what interest rate was charged:
[
]
$7.1 – 9.0%.
[
]
[
]
1.6
Of this investment, was there any proportion provided as provisional funding.
Yes
No
If yes, please indicate if (eg)
subject to raising of matching government/other grant funds
Base level of funding allocated to specific activities such as market research, business plan
development, consultants etc
Base level of funding for first option to invest/due diligence activities etc
Other
2.
Of the unfunded applications, what was the criteria for rejection: Please rank by frequency
of occurrence:
3.
Risk too high:
Please specify:
Technical / Business / Market / Management / Competition
Too difficult to negotiate
Management Capability, skills and experience – track record
Poor Business Plan
Poor Market research
Unrealistic valuation expectation
Insufficient market analysis
Insufficient Revenue streams
No novelty in IP
Insufficient funds requested
Too much due diligence required for funds requested and resources available.
Other
4.
What is your expectation for timing of return on investment (ROI)?
5.
Do you consider that there is a range of finance in which it is difficult to access debt/equity
finance, and where it is most apparent? (more than one answer is acceptable).
6.
Not difficult
[
]
<$100K
[
]
$100K- < $250K [
]
$250 - <$500K
[
]
$500K - <$1M [
]
$1M - <$2M
]
$2M or more
[
]
[
Based on your experience, do you think the current financial market adequately services
the needs of those seeking commercialisation funding?
Yes
No
6.1
If no, please briefly indicate why. All comments are welcome.
6.2
Of no, also please indicate if you believe that where alternate/additional funding/incentives
programs were available for improving the presentation and business analysis of each
application, that it would significantly improve the quality of prospective deals presented
and that you would potentially invest in more if they were in an investor ready presentation.
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