2024

Executive Summary Template

Maximum: 3 pages

Full Name: Initials:

Company Name: Date:

Value Proposition
What is the problem that you’re trying to solve? Why is it important? What is your proposed solution?

Scale-Up
What is your go-to-market strategy? What steps have you taken to validate your idea (market testing, customer
feedback, prototypes, sales etc.)? (if any)

Market Overview
What is your target market and its size (include total addressable market)?

Competitive Landscape
Who is the existing competition? What is your competitive advantage over existing solutions?

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Climate Impact
What impact will your solution have on the environment? Please quantify the impact and briefly describe your
assumptions. (ex. 15,000 tons of CO2 avoided per residential customer per year, assuming average U.S. power
generation mix in 2021)

Financing
How do you plan to monetize this solution? What are your rough unit economics/revenue streams? How much
financing have you raised and what additional financing is needed?

Team
Who are the active members of your team, indicating that at least 50% are currently enrolled students? What
makes you best equipped to tackle this problem? What advisors or board members do you have helping you (if
any)?

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IP Disclosure Agreement
By initialing below, I represent that, to best the of my knowledge, the following statements are true:

1. I have not willingly misrepresented, and I will not willingly misrepresent, the ownership of or
my authority to practice any intellectual property required to practice the technology necessary to
execute my business.

2. If at any time during the award period the status of any intellectual property required to practice
the technology necessary to execute my business plan changes, I will notify the ClimateTech & Energy
Prize at MIT of the change(s) within two weeks. The term “status” includes, but is not limited to, the
scope of any intellectual property required to practice the technology; the ownership of any intellectual
property required to practice the technology; and my authority to practice any intellectual property
required to practice the technology.

3. Each owner of the intellectual property referenced within my business plan is aware that our team /
company intends to practice that intellectual property to compete in the ClimateTech & Energy Prize at
MIT.

4. I understand that if our company or any representative of our company is found to violate
these declarations, then the company will be disqualified from the ClimateTech & Energy Prize at MIT.

Full Name
Company Name:
Title (Position)*:
Initials:
Date:

* Note: This declaration should be signed by the CEO or most senior company representative.

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IP Disclosure Form
1. In your business plan, you identify technology that you will deploy under the award. To the best of your
knowledge, will you need a license to any third party intellectual property (“IP”) to deploy that
technology under the award? (Please bold your answer)
☐ Yes – Please list the current third-party owner(s) of the IP:
Click or tap here to enter text.
☐ No – You are currently the owner of any IP required to deploy the technology

2. To the best of your knowledge, do you currently have the intellectual property license(s) necessary to
deploy the technology under the award? (Please bold your answer)
☐ Yes
☐ No
☐ Not applicable – You do not need any licenses to the IP

3. Are you currently in the process of obtaining the intellectual property license(s) necessary to practice the
technology under the award? (Please bold your answer)
☐ Yes – Please explain where you are in the licensing process, and whether you have an exclusive option
on the IP:
Click or tap here to enter text.
☐ No – Please explain why not:
Click or tap here to enter text.
☐ Not applicable – You do not need any licenses to the IP
☐ Not applicable – You are currently the owner of any IP required to deploy the technology

4. To the best of your knowledge, what is the likelihood that you will be able to obtain the intellectual
property license(s) necessary to practice the technology under the award? (Please bold your answer)
☐ Likely – Date by which you expect to obtain all necessary licenses:
Click or tap here to enter text.
☐ Unknown – Please explain:
Click or tap here to enter text..
☐ Unlikely – Please explain:
Click or tap here to enter text.
☐ Not applicable – You do not need any license to the IP
☐ Not applicable – You are currently the owner of any IP required to deploy the technology

5. If the intellectual property required to practice the technology under the award includes any patent,
please identify the patent(s) by patent number, issue date, and owner.

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Patent No. Issue Date Owner
1. Click here to enter text Click here to enter text

2. Click here to enter text Click here to enter text

3. Click here to enter text Click here to enter text

6. If the subject matter of any pending patent application (including any provisional patent application)
includes the technology to be practiced under the award, please identify the patent application(s) by
serial number, filing date, and owner.

Serial No. Filing Date Owner

1. Click here to enter text Click here to enter text

2. Click here to enter text Click here to enter text

3. Click here to enter text Click here to enter text

7. To the best of your knowledge, are there any legal or regulatory barriers that may prevent or hinder the
execution of your business plan? (Please bold your answer)
☐ Yes – Please explain:
Click or tap here to enter text
☐ No

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Capital Information Disclosure Form
Full Name: Click or tap here to enter text Initials: Click or tap here to enter text
Company Name: Click or tap here to enter text Date: Click or tap here to enter text

Source Name Date Amount (USD) Comments / Details

1. Click here to enter text $0 Click here to enter text

2. Click here to enter text $0 Click here to enter text

3. Click here to enter text $0 Click here to enter text

4. Click here to enter text $0 Click here to enter text

5. Click here to enter text $0 Click here to enter text

6. Click here to enter text $0 Click here to enter text

7. Click here to enter text $0 Click here to enter text

8. Click here to enter text $0 Click here to enter text

9. Click here to enter text $0 Click here to enter text

10. Click here to enter text $0 Click here to enter text

11. Click here to enter text $0 Click here to enter text

12. Click here to enter text $0 Click here to enter text

13. Click here to enter text $0 Click here to enter text

14. Click here to enter text $0 Click here to enter text

15. Click here to enter text $0 Click here to enter text

Note: If you have > 15 sources of capital, fill out a 2nd version of this form and submit as one document.

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Revenue Information Disclosure Form
Full Name: Click or tap here to enter text. Initials: Click or tap here to enter text.
Company Name: Click or tap here to enter text. Date: Click or tap to enter a date.

Source Name Fiscal Year Amount (USD) Comments / Details

1. Click here to enter text $0 Click here to enter text

2. Click here to enter text $0 Click here to enter text

3. Click here to enter text $0 Click here to enter text

4. Click here to enter text $0 Click here to enter text

5. Click here to enter text $0 Click here to enter text

6. Click here to enter text $0 Click here to enter text

7. Click here to enter text $0 Click here to enter text

8. Click here to enter text $0 Click here to enter text

9. Click here to enter text $0 Click here to enter text

10. Click here to enter text $0 Click here to enter text

11. Click here to enter text $0 Click here to enter text

12. Click here to enter text $0 Click here to enter text

13. Click here to enter text $0 Click here to enter text

14. Click here to enter text $0 Click here to enter text

15. Click here to enter text $0 Click here to enter text

Note: If you have > 15 sources of capital, fill out a 2nd version of this form and submit it as one document.