1. Application to be listed as a company seeking investment at ExpoEast

Each year Nutrition Capital Network leads a session at ExpoEast for qualified investors with an interest in nutrition and health & wellness companies. As part of this orientation, NCN distributes a list of Expo exhibitors that are seeking capital, partnership or exits, complete with booth numbers and a contact name. Investors use this as a guide when they walk the show floor. New in 2012 in cooperation with Expo host New Hope is a 'Shark Tank' format public event where four entrepreneurs compete in front of an investor/expert panel.

To be considered for inclusion, please fill in the profile below. Companies filling in the profile will also get a list of investors in attendance.

NCN will also make this list of exhibiting companies seeking capital or partners available to its members or Cornerstone Investors (see NCN website for a list).

Please complete profile submissions by September 10, 2012. Any questions can be directed to Mike Dovbish at 415-202-5254 or mdovbish@nutritioncapital.com. By submitting this application you are authorizing Nutrition Capital Network to share this information with NCN-member investors.

* 1. Please indicate all items for which you want to be considered:

* 2. Contact Information:

* 3. 10-15 word company snapshot (e.g. $2 million natural hair care and cosmetics company selling in natural foods stores and on line.)

* 4. Product descriptions, brand names, patents, trademarks or exclusives, business model. (What makes your company unique.)

* 5. Reasons for raising capital, amount sought and intended use of capital; or desired outcome in partnership.

* 6. Approximate 2011 sales and estimated 2012 sales.