Free ESOP Feasibility Survey

Are you a private company?
 Yes No

How many employees in your company?

How many employees do you wish to include in an ESOP?

What is the approximate annual revenue?

What is the average annual growth rate in number of employees in percent?

What industry are you in?

How many owners are there currently in the company?

Are these principal shareholders willing to reduce their ownership?
 Yes No

Have the employees been promised some kind of employee ownership in the past?
 Yes No

What are the main objectives of the current owner(s) in providing an ESOP?
 Attracting Employees Retain Employees Improve Productivity Provide Incentive Plan Leave the Business Grow committment and company Other response

If you selected "Other response", please explain

Do you currently distribute corporate financial information to employees?
 Yes No

Do you have difficulty attracting or retaining key individuals to your company?
 Yes No

Do you currently have an incentive plan in place?
 Yes No

What is your exit strategy (ie. Sale, IPO, Merger etc.)?
 IPO Merger Sale to management/employee Sale to 3rd party Other

If you selected "Other", please explain

Do you have foreign subsidiaries?
 Yes No

Additional information which may help us understand your company

Your Full Name

Title/Position

Name of Company

Address

City

State/Province

Zip/Postal Code

Country

Email* (REQUIRED)

Website

Telephone Number

Please tell us how you found out about our website
 Internet Search Engine Newsletter Recommended by a friend Magazine Newspaper Other

If you used a search engine, can you tell us the phrase you used to locate our site? (e.g. ESOP)

 Yes, please sign me up for ESOP Builders mailing list