Next Wave Impact: Sustainability and Equity Fund Information Form

Information Request

We are gathering a list of women who are interested in our next fund, which will launch in 2020. This form gives us a bit of information about you and registers your interest in receiving more information when we officially open it up for investment. You can see more info about our current fund, team, and portfolio at www.nextwaveimpact.com. Thank you for your interest!

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* 1. What is your name?

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* 2. What is your email?

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* 3. What state do you reside in? (If you are outside the US, please list your country)

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* 4. How many early-stage investments have you made previously?

None

1-4

5-9

10-19

20+

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* 5. Next Wave Impact's Fund will be in the $10M-$20M range, invested over three to four years, beginning in 2020. Investors will send in 1/3 of their total commitment each year, for three years, such that they are fully invested at the end of 2022. "Capital calls" will happen once a year. How much do expect to invest if you join the fund? (This is not a commitment, but just an expression of interest.)

$100,000 ($33,333 at each capital call)

$50,000 ($16,667 at each capital call)

$30,000 ($10K at each capital call)

More than $100K and less than $250K

$250K-499K

$500K-$1M

More than $1M

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* 6. How did you find out about this investment opportunity?

I've invested in a previous fund (Next Wave Impact, Rising Tide Pilot)

An investor from one of the previous funds

An investor in this fund

An event or other (please specify)

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* 7. If someone referred you, what is their name(s)?

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* 8. Are you interested in the learning-by-doing components of the fund?

Yes, I'd love to actively participate in the screening of companies and/or on the due diligence teams

Maybe, I'd possibly be interested in participating in some of the learning activities

No, this is more of a passive investment for me

I don't really know yet!

Other (please specify)

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* 9. Do you have specific sector expertise in any of the following industries?

Education/Edtech

Fintech

Clean Energy/CleanTech

Environment/Conservation

Climate Change

Communications

Health

Medical Devices

Security

Water

Waste Management

Agtech

Sustainable Food

Consumer

Enterprise

Internet

Next Wave Impact: Sustainability and Equity Fund Information Form

Information Request

Question Title

* 1. What is your name?

Question Title

* 2. What is your email?

Question Title

* 3. What state do you reside in? (If you are outside the US, please list your country)

Question Title

* 4. How many early-stage investments have you made previously?

Question Title

Question Title

* 6. How did you find out about this investment opportunity?

Question Title

* 7. If someone referred you, what is their name(s)?

Question Title

* 8. Are you interested in the learning-by-doing components of the fund?

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* 9. Do you have specific sector expertise in any of the following industries?

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* 10. Is there anything else you'd like us to know?