Financial Information Request-2024 - Connecticut Innovations Connecticut Innovations

2024 Request for Financial Information

Name of Company*
Federal EIN Number
Contact Name*
Contact Title
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Date fiscal year ended
MM slash DD slash YYYY
Current Capitalization Table
Drop files here or

Max. file size: 50 MB, Max. files: 2.
Audited (if available) or unaudited financial statements for FY ending in 2023
Drop files here or

Max. file size: 50 MB, Max. files: 6.
Latest YTD Financial Statements for 2024
Drop files here or

Max. file size: 50 MB, Max. files: 6.
Financial statements include: balance sheet, profit and loss statement and cash flow statements.
Name of preparer*
Name Title
Date*
MM slash DD slash YYYY
Contact Stepheni Harpin with questions. Stepheni.Harpin@ctinnovations.com 860.258.7880.
CAPTCHA

Save and Continue Later

Phone

Address

470 James Street, Ste 8
New Haven, CT 06513