Green Growth Business Loans Scheme: Expression of Interest Page 3 of 3

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Expression of Interest for a Green Growth Business Loan

SECTION 1: ABOUT YOUR COMPANY

a) Company Name

b) Address

c) Contact (Name, phone, e-mail)

d) Company registration number (if unregistered Startup, put ‘Startup)

e) Is the company an SME according to the EU definition?

To check if you are eligible as an SME under the EU definition, please visit: http://ec.europa.eu/enterprise/policies/sme/facts-figures-analysis/sme-definition/

You should ensure you have checked for the latest version of the EU definition.

f) State your company type, eg sole trader, partnership, limited liability partnership, limited company etc

g) What is the nature of your business? Include details of your revenue generating activities (or for startups, funding streams). [maximum 200 words]

h) Very briefly, describe any existing loans and debts the business is liable for.

i) Does your business have any outstanding hire purchase agreements?

SECTION 2: ABOUT YOUR PROJECT

a) What do you want to do with a Green Growth Business Loan? Explain how your project will help grow the ‘green economy’ in the Solent Area.

[maximum 200 words]

b) How are you going to do it? Outline key tasks, estimating the time for each task (Project Plan).

[maximum 400 words]

Note: you may send in your plan together with this document as a PDF document or complete the table below.

Please list as outputs/deliverables the work which forms the bulk of the effort for the project.

Please list as milestones the events in your project which signify progress towards sucessful completion. (for example: in the process of completing this applicatiopn, completing all of the relevant sections of this form would be an output, whilst being awarded a grant would constitute a milestone).

FY 2014/15 / Key Milestones / Outputs
Q1
Q2
Q3
Q4
FY 2015/16 / Key Milestones / Outputs
Q1
Q2
Q3
Q4
FY 2016/17 / Key Milestones / Outputs
Q1
Q2
Q3
Q4

c) Describe the expertise and resources within your company with which you will carry out the project. [maximum 200 words]

d) What are you missing? What additional resources do you need (with estimated costs) in order to deliver the project, and where will you source them?

[maximum 200 words]

e) What is the estimated additional cost? Include the cost of employment for new jobs, and the cost of equipment and services.

f) Explain how this project will generate revenue for your business. Include information about your market share (current and anticipated) and customers (current and anticipated) [maximum 200 words]

g) What do you estimate the revenue will be from your project? NB We require estimated project revenue, not overall business revenue

Year ending: / Revenue in £s
2014
2015
2016
2017

h) What is the estimated total project cost?

i) Have you secured matched funding?

j) If so, how much and where will the matched funding come from?

k) How many new full-time jobs will be created, and in which functions?

l) How many existing jobs will be safeguarded?

E MAIL THIS TO

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Local First CIC, 3, The Square, Winchester, Hampshire, SO23 9ES Strictly Private and Confidential