Paragon Ventures Buyer Registration Profile Form

* If you have a specific interest and are completing this profile to pre-qualify for addition information on any of our clients,

This section must be completed by corporate buyers in order to register and receive confidential seller disclosures

If you currently own any healthcare related businesses, please complete the Acquisition History section below.

This section must be completed by individual buyers in order to register and receive confidential seller disclosures

Buyer Profile Non-Disclosure/Non-Circumvention/Confidentiality Agreement

AGREEMENT, made as of this day by and between Paragon Ventures, LLC ("Paragon") and the prospective buyer/investor described herein:

WHEREAS, Paragon proposes to disclose to Prospective Buyer the names of Paragon client(s) (“Client Company”) and certain confidential and proprietary financial, business, and product information relating to Client Company’s business operations for possible acquisition by Prospective Buyer; and,
 
WHEREAS, Prospective Buyer desires to receive such confidential and proprietary information and agrees to keep such information confidential pursuant to the terms and conditions contained herein;
 
NOW THEREFORE, for and in consideration of the mutual covenants and agreements set forth in this Agreement, the parties hereto agree as follows:
 
1.  Paragon and Prospective Buyer hereby undertake and agree to retain in confidence, and to require their respective subsidiaries, affiliates, officers, directors, shareholders, employees, consultants, professional representatives, and agents to retain in confidence any and all information delivered from one party to the other party.  Further, Prospective Buyer shall refrain from disclosing to any other party that Client Company is for sale.  Except for information that is in the public domain, all such information given and/or received by either party to the other shall be treated as "Confidential Information".  Each party agrees not to use for its own benefit or disclose to others, or permit the use or disclosure of, any Confidential Information.
 
2.  Prospective Buyer hereby agrees that it, its employees, agents, assigns, affiliates or consultants will not make any contact with, deal with, or otherwise involve with any transaction contemplated hereunder with any corporation or individuals buyers with any prospective seller introduced by Paragon, separately or individually, and its associates without the permission or knowledge of Paragon.  
 
3.  Prospective Buyer hereby agrees to keep confidential the names, contact information, location, business type and any confidential information of any companies, corporations, organizations, individuals or groups of individuals, who are introduced to Prospective Buyer for possible acquisition, investment or merger.  Such identity shall remain confidential for the five (5) year duration of this Agreement and including the duration of any Confidentiality Agreement executed between Prospective Buyer and a Client Company.

4.  Prospective Buyer and Paragon hereby confirms to the other that any information disclosed to or by the other, or any discussions held between them, prior to the date hereof, shall be subject to the terms of this Confidentiality Agreement.  Either party can terminate this Agreement at any time.

Note: As a buyer/investor “Buyer”, it is your responsibility upon receiving information on businesses for sale to respond in a prompt, courteous, and professional manner after your review of the information provided.

Buyer agrees that he/she is serious about buying or investing in a business and is financially qualified to purchase a business in the price range, SIC code, and geographic location designated herein.

As a buyer, it is your express obligation to keep Paragon Ventures informed of negotiations, purchase agreements or ownership transfers between buyer and Seller and to otherwise keep Paragon informed of any material changes to your buying criteria and contact information.

Buyer agrees that the information received through Paragon Ventures is for the express purpose of investigating the venture for purchase, merger, acquisition, or investment and for business purposes that are legal under U.S. federal, state, and local laws.

Buyer agrees that said information will not be released or forwarded to any party other than buyer and that all information and names of businesses received from Paragon shall be treated as confidential.

Buyer further warrants that the information provided herein is true, accurate and complete.

	We are interested in BUYING a business.
	We are interested in SELLING our business.
	We are interested in learning more about strategic EXIT PLANNING
	We are interested in current MARKET VALUATION for our business .

* First Name
* Last Name
* Title
* Organization
Street Address
Address (cont.)
City
* State/Province
Zip/Postal Code
Country
* Phone including area code
FAX
* E-mail
Website URL

Number of Stakeholders
Stock Exchange
Ticker Symbol
Year Established
Gross Sales
Net Earnings
Describe your main product /service
DUNS #/Financial Reference

*Current employment
Career background
Education
Have you ever owned a business?	Yes No

Which of the following best describes your interest?
How do you plan to purchase/invest/sell?

* Total Cash available for Acquisitions
Sources of Additional Funding
DUNS #/Financial Reference

Do you plan to take an active role in management?
If you are a buyer, are you in need of outside financing?

Anticipated Purchase Price (hold down the ctrl key for multiple select):