Co-Investment Submission

Fund Submission

Please complete the Fund Submission form with as much detail as possible. Click the "Submit" button when you are finished.
Note: Fields in the "Contact" section are required where specified below.

Fund Information Fund Name Firm Name

Institutional Fund Number

Team Type

Established team Spin-out New Team Re-organization Executive Summary - 1000 character limit Brief Firm History - 1000 character limit

Referred By

Institution Person

Sector

Focus

Fund Description/Strategy - 1000 character limit

Geographic Focus

Fund Size ($MM)

Fund Size Cap ($MM)

Average Investment Size ($MM)

Expected Number of Investments

Women Owned (> 50% of management company)

Yes No

Women Participation in the GP

Yes No

Minority Owned (> 50% of management company)

Yes No

Minority Participation in the GP

Yes No

General Partner Contact Information

First Name*

Last Name*

Title

Email*

Phone* (xxx) xxx-xxxx

Mobile (xxx) xxx-xxxx

Fax (xxx) xxx-xxxx

Website

Address*

City*

State/Province*

Zip*

Country*

Management Team

Partner 1

Last Name

First Name

Title

Bio - 1000 character limit

Partner 2

Last Name

First Name

Title

Bio - 1000 character limit

Partner 3

Last Name

First Name

Title

Bio - 1000 character limit

Partner 4

Last Name

First Name

Title

Bio - 1000 character limit

Combined Years of Experience

Historical Return Data

Fund

Vintage Year

Size ($MM)

# of Portfolio Companies

Invested ($MM)

Realized ($MM)

Unrealized ($MM)

Total Value ($MM)

Gross Multiple

Net Multiple

Gross IRR

Net IRR

Explanation Of Returns

Deal Sourcing How many deals do you see a year?

Breakout of deal sources (%)

Proprietary (No intermediary)

Fundraising

Fundraising update

Soft-Circled

Hard Commitments

Current Investors

Soft-Circled

Committed

Expected Timeline

First Close Date (mm/dd/yyyy)

Subsequent Close Dates (mm/dd/yyyy)

Expected Final Close Date (mm/dd/yyyy)

Date Fundraising Began (mm/dd/yyyy)

Terms

Management Fee (%)

Carried Interest (%)

Preferred Return (%)

GP Commitment (%)

Placement Agent Contact Information Company

First Name

Last Name

Address

Phone (xxx) xxx-xxxx

Mobile

Is your placement agent, or any of its affiliates, registered with the Securities and Exchange Commission, the Financial Industry Regulatory Association, or any similar regulatory agent in the U.S. or any other jurisdiction?*

Yes No N/A

Is your placement agent, or any of its affiliates, registered as a lobbyist with any state or national government?*

Yes No N/A

Will your placement agent, or any of its affiliates, receive any compensation as the result of an investment by Centinela Capital Partners?*

Yes No N/A

File Attachments

Supporting documents: .doc, .docx, .ppt, .pptx, .xls, .xlsx, .pdf or .zip format (filesize: 5MB max.)

Must click on "Add File" to upload files.

Co-Investment Submission

Fund Submission

User Login: