(TAP) NEOANTIGEN Company: Date: Contact: Email: Address: Please complete this initial questionnaire and do not exceed one page. The answers should be high level, summarizing main points. 1. TECHNOLOGY PLATFORM 2. HEME/ONC INDICATION RATIONALE 3. FUNDING REQUEST (LLS 50%, $10M 4. Total project funding: Funding request to LLS: company overview 5. 6. INDUSTRY RELATED EXPERIENCE 7. COMPANY 8. Funding Raised to date (in dollars) VC Total: Private Total: Grants Other: Please return this completed form along with a non-confidential presentation. Thank you.
(TAP) Company: Date: Contact: Email: Address: Please complete this initial questionnaire and do not exceed one page. The answers should be high level, summarizing main points. 1. NEOANTIGEN TECHNOLOGY PLATFORM 2. HEME/ONC INDICATION RATIONALE 3. 4. FUNDING REQUEST (LLS 50%, $10M Total project funding: Funding request to LLS: 5. company overview 6. INDUSTRY RELATED EXPERIENCE 7. 8. COMPANY Funding Raised to date (in dollars) VC Total: Private Total: Grants Other: Please return this completed form along with a non-confidential presentation. Thank you.
TAP%20Initial%20Inquiry%20Form_neoantigen_0.docx