Crowdfunding Campaign Financial Disclosure Form

Crowdfunding Campaign Financial Disclosure Form — Form Fields

This finance template includes 12 fields. Collect financial disclosures for equity crowdfunding campaign issuers as required by Regulation CF. Free to customize and use on ZenBuild.

• Company Name (text, required)
• CEO Name (text, required)
• Email Address (email, required)
• State of Incorporation (text, required)
• Total Assets ($) (number, required)
• Total Liabilities ($) (number, required)
• Revenue Last 12 Months ($) (number, required)
• Net Income/Loss ($) (number, required)
• Offering Amount ($) (number, required)
• Financial Statement Type Provided (dropdown selection, required) — options: Tax Returns Only, Reviewed Financials, Audited Financials
• Financial Statements (file upload, required)
• Use of proceeds description (long text, required)