Company Profile

  • General Company Information

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  • Company Financial Information

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  • Company Ownership/Management

  • Please provide the following information about your senior management team:
  • Job Information

  • ANY FALSE STATEMENT MADE HEREIN IS PUNISHABLE AS A CLASS A MISDEMEANOR UNDER SECTION 53a-157b OF THE CONNECTICUT GENERAL STATUTES.
  • I hereby certify that, to the best of my knowledge, the preceding information is true and complete. I further certify that I will report, in writing to Connecticut Innovations, Incorporated, any changes to the information contained herein.
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  • NO FEE OR COMMISSION SHOULD BE PAID TO ANY THIRD PARTY FOR CI FUNDING. NO THIRD PARTY CAN INFLUENCE OR INCREASE THE BENEFITS AVAILABLE UNDER CI FUNDING. CONNECTICUT INNOVATIONS WORKS EXCLUSIVELY WITH ELIGIBLE COMPANIES; NOT WITH THIRD PARTIES.