Buyer Acquisition Profile | Paragon Ventures

* If you have a specific interest and are completing this profile to pre-qualify for addition information on any of our clients, please specify which business, geography and sector in the box below:

Our specific interest includes:

All Buyer Types: Please complete the applicable sections below to submit your acquisition interests:

Your Interests

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 .

We are interested in recent mergers and acquisition transactions.

We are interested in receiving the Paragon Ventures M&A Minute and InSight Email Newsletters

We are interested registering as a BUYER of healthcare businesses

Which of the following best describes your interest?

How do you plan to purchase/invest/sell?

As an individual

As a group

As a corporation

Contact information:

First Name *

Last Name *

Title *

Organization *

Address

City

State/Province

Zip/Postal

Phone Number (including area code) *

Fax

Email Address *

Website/URL

Preferred method of contact:

Business Phone

Mobile Phone

E-mail

Acquisition Preferences

We are primarily interested in the following categories:

Select a category to see more options

We are primarily interested in the following Ancillary Support Service areas:

Select any that apply

We are primarily interested in the following Behavioral Health Service areas:

Select any that apply

We are primarily interested in the following Healthcare Financial Service areas:

Select any that apply

We are primarily interested in the following Medical Device areas:

Biomedical Repair / Maintenance

Medical / Dental Product Manufacturers

Medical Asset Management

Medical Equipment Rental (B2B)

Select any that apply

We are primarily interested in the following Medical Supply areas:

Select any that apply

We are primarily interested in the following Pharmacy areas:

Select any that apply

Please specify the Other areas you are primarily interested in:

Acquisition Target Revenue:

Acquisition Target EBITDA:

Under $1 Million

$1 - $5 Million

$5 - $10 Million

In excess of $10 Million

Additional comments, questions, acquisition and geographic criteria, etc.:

(Detail specific states or regional georgraphy preferences and other specific acquisition criteria)

Select Buyer Type *

Private Equity Firms and Investor Groups

Individual Buyers

Public and Corporate Buyers

Prequalification Profile: (FOR Public and Corporate Buyers)

(This section must be completed by Corporate Buyers in order to register and receive confidential seller disclosures)

Entity Type

Private Corporation

Public Company

Number of Stakeholders

Stock Exchange

Ticker Symbol

Year Established

Gross Sales

Net Earnings

DUNS #/Financial Reference

Describe your main product /service

Prequalification Profile: (FOR Private Equity Firms and Investor Groups)

(This section must be completed by Private Equity Firms and Investors in order to register and receive confidential seller disclosure)

Are you/ your firm working with committed capital or as a search fund? *

Committed Capital / Existing Fund

Pledged Capital

Search Fund

OtherOther

If committed capital, please indicate amount of available capital below. If pledged capital or a search fund, please indicate prior acquisition experience as a search fund or prior transactions closed with pledged capital below. *

Do you currently own (or have owned and divested) any healthcare related companies? Please specify. *

Please indicate any specific areas of healthcare where you are focused in your acquisition search? *

What type of transaction structures do you pursue? i.e. buyout-acquisition, majority/minority ownership, recapitalization, etc. Any insight you can provide regarding your valuation methodologies associated with the transaction structures are also helpful. *

Do you intend to bring in your own management or are you looking for the owner(s) to remain? *

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

Business #1 Name

Primary Business Type #1

Year Business #1 Acquired

Year Business #1 Sold

Business #2 Name

Primary Business Type #2

Year Business #2 Acquired

Year Business #2 Sold

Private Equity - Source Of Available Capital

Prequalification Profile: (FOR INDIVIDUAL BUYERS)

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

Please explain any additional funds available and their source that should be considered. If you have committed capital or plans for leverage buy-out, please detail the amounts/percentages available.

Current employment

Career background

Education

Have you ever owned a business?

Yes

No

Current Healthcare Business

Current Business Name

Current Business Type

Year Established

Current Revenue Size

Individual Buyer Financial Disclosure

The majority of our clients have valuations between $2 - 100 million. Financial pre-qualification is required and will be based on the information you are providing in this disclosure.

It is important that this section be completed accurately in order to pre-qualify before we will send additional information and financials of our clients. Incomplete information will be rejected.

Cash Assets

Notes Payable Liabilities

Receivables Assets

Mortgages Liabilities

Real Estate Assets

Other Loans Liabilities

Securities CD Assets

Other Liabilities

Fixed Assets

Other Liabilities

Other Assets

Other Liabilities

TOTAL ASSETS

TOTAL LIABILITIES

TOTAL NET WORTH

Total Cash available for Acquisitions *

Sources of Additional Funding *

(Please detail sources of available cash and funding. * Proof of funds may be required prior to signing NDA.)

Do you plan to take an active role in management?

Yes

No

If you are a buyer, are you in need of outside financing?

Yes

No

Anticipated Purchase Price

Briefly describe your valuation methodology i.e. X multiple of adjusted EBITDA, etc.

How did you find Paragon Ventures?

Comments - Please provide any additional information which we can consider to assist you in finding the best acquisition targets.

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

I have read and agree with the terms of the Buyer Profile Confidentiality Agreement. *

Yes/Agree

I would like to receive Information from Paragon by Email.

Yes

By typing your FULL NAME in the field below, you are signing this document as it relates to the information in the above Buyer Registration Profile and the Buyer Profile Non-Disclosure/Non-Circumvention/Confidentiality Agreement:

(required) Signature (FULL NAME): *

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