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Sample Offering

June 30, 2024

This sample offering is for demonstration purposes only

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Investor Questionnaire


NOTE: The term “net worth” means the excess of total assets over total liabilities. In determining net worth, (i) the person’s primary residence must not be included as an asset; (ii) indebtedness secured by the person’s primary residence, up to the estimated fair market value of the primary residence at the time of subscription, may not be included as a liability (except that if the amount of such indebtedness outstanding at the time of subscription exceeds the amount outstanding sixty days before such time, other than as a result of the acquisition of the primary residence, the amount of such excess must be included as a liability); and (iii) indebtedness that is secured by the person’s primary residence in excess of the estimated fair market value of the residence must be included as a liability.
NOTE: The term “net worth” means the excess of total assets over total liabilities. In determining net worth, (i) the person’s primary residence must not be included as an asset; (ii) indebtedness secured by the person’s primary residence, up to the estimated fair market value of the primary residence at the time of subscription, may not be included as a liability (except that if the amount of such indebtedness outstanding at the time of subscription exceeds the amount outstanding sixty days before such time, other than as a result of the acquisition of the primary residence, the amount of such excess must be included as a liability); and (iii) indebtedness that is secured by the person’s primary residence in excess of the estimated fair market value of the residence must be included as a liability.
Answer must be 'Yes' to submit form
Answer must be 'Yes' to submit form
Answer must be 'Yes' to submit form
Investor Acknowledgements In association with my investments, I specifically acknowledge and agree to the following: I consent to the electric delivery of materials. I acknowledge that Startly Portal and its affiliates may receive compensation from the issuer in the form of a cash payment for due diligence and listing and a percentage of funds raised. I acknowledge that any person who promotes an issuer's offering for compensation, whether past or prospective, or who is a founder or an employee of an issuer that engages in promotional activities on behalf of the issuer on this platform, must clearly disclose in all communications on this platform the receipt of the compensation and that he or she is engaging in promotional activities on behalf of the issuer. The investment account information I have provided is complete and accurate and may be relied upon by the issuer company and Startly Portal and its affiliates. I and my purchaser representative, if any, have performed or will perform due diligence and read the offering materials for the applicable offering(s) and feel comfortable with the risks of the investments. I understand the risks of investing in a private business and recognize that I could lose all of my investment. I am in a financial condition to bear the loss of the investment. I have reviewed the educational materials provided by Startly Portal pursuant to Rule 302(b) of Regulation Crowdfunding (Section 227.302(b)) in connection with investing in securities offered and sold in reliance on Section 4(a)(6) and Section 4A of the Securities Act (https:/startlyportal.com/education). The investment amount I am investing in via Regulation Crowdfunding, together with any other investments I have made in any Regulation Crowdfunding offering during the 12-month period preceding the date of such transaction, will not cause me to exceed the limits prescribed by Regulation Crowdfunding and applicable laws. I understand and acknowledge that there are limitations on my ability to cancel my investment and obtain a return of my investment funds. I understand and acknowledge that it may be difficult for me to resell the securities acquired by me in the Offering(s). The securities I am acquiring may not be transferred by any purchaser of such securities during the one-year period beginning when the securities were issued, unless such securities are transferred pursuant to Rule 501(a) of Regulation Crowdfunding (Section 227.501(a)). Once the Company has approved my investment, I authorize my investment funds to be automatically transferred two business days thereafter from the bank account I have selected, or I will use the instructions provided on the issuer offering profile to initiate a wire transfer within 5 business days, for the amount of my investment to the escrow account for the offering at North Capital. IN WITNESS WHEREOF, the undersigned has executed this Investor Questionnaire as of the date below. By signing below, the undersigned agrees to notify the issuer immediately of any change in the information provided in this Investor Questionnaire prior to the acceptance or rejection of the undersigned’s purchase of securities.
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