Use this form to begin the process of gaining representation by the Hannaian Fund. The information provided in the form will be used to determine the level and type of representation we will be able to provide you. After review of the information we will contact you either for additional information if needed or to complete the terms of our agreement for representation. We primarily represent the business, investment and management interests of established artists, entertainers and professional athletes. We can assist these artists with the analysis, structuring, capitalization and management of their business operations and investment interests. You may review the full complement of our services at our website www.hannaian.com/fund. In order to properly and effectively setup, manage and operate their business and investment interests, we encourage professional artists to first have a comprehensive evaluation of the status of their current business operations which will provide them with recommendations as to which steps and direction they will need to move forward with their endeavors. As such, our work with our clients is done on a case by case basis, involves a significant amount of legal and accounting work by our legal, accounting and investment team, and is highly confidential. We provide a structured service to assist artists in this regard. The cost of the initial evaluation begins at a base rate of $350 with additional fees for more complex projects. The analysis covers the following areas: Evaluation Phase & Process A comprehensive evaluation of the artist’s project or company’s * Legal Form/Model/Tiers, *Mission, *Management, *Marketing, *Monetary Fundamentals, *Investment Valuation & Securities Structure, *Merger/Infusion Ability, * Market Competitive Position, *Branding, *Intellectual Property Holdings, and *Ultimate Marketability. The evaluation also determines what restructuring of the artist business operations may be needed. The Hannaian Fund can then assist the artist in restructuring business, management and investment operations. We will only take on management responsibilities after the initial evaluation is completed and the type of management services needed can be ascertained and agreed to by all parties. One of the unique opportunities we offer our clients is the use of our Intellectual Property Repository which manages and protects the publishing rights and other intellectual property (Copyrights, Trade & Service Marks, Patents and Industrial Secrets) holdings of our clients. If you are further interested in engaging our services you may visit our website www.hannaian.com/fund for more information or contact us with further questions by email at hfund@hannaian.com, or call our office at (772) 597-4300. Please fill in as much details as possible in the form below. We will contact you if we have additional questions and to give you a report on our evaluation of your information and the status of our ability to provide your representation.
Registration Category	Representation Agreement Information Other	you may select more than one
Date this form is being filed (e.g., January 1, 1998)		** (required)
Choose an identification number of your choice (min. 5 numbers and/or letters)
Full name of person submitting this Registration (e.g John A. Smith)		**
Business or Company name if any:
Registrant's First Name:		**
Registrant' Last Name:		**
Middle Initial:
Email Address:		**
Internet Website Address
Street Address:		**
Additional Address:
City:		**
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesotta Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
Zip/Mailing Code (use12345 If no mail code):		**
Country:
Home Telephone #:	( )
Business Telephone #:	( )
Fax Number:	( )
Gender:	Male Female
Age:
How long have you been in the occupation or business you need representation in:
What type of Artist, Actor, Athlete, Entertainer, or other business are you involved in:
What type of service or representation are you interested in. Explain in Detail:
Describe any other occupation or business experience you have had:
What product or service that you provide, would you like to list in our business database?
What type of business structure do you conduct your business in (Individual, partnership, corporation, LLC etc.?
Have you authored, recorded or published any songs, books, plays, or other material. Do you own any rights in such material. Explain in Detail:
Are you looking for manufacturing and/or distribution collaboration. Explain.
Have you, or are you interested in licensing your product(s) or certain rights to it. Explain.
Have you in the past and/or do you currently give live performances. If so describe your performance history:
Have you in the past and/or do you currently have representation of any type, agents, managers, etc. If so please give a history of these representations:
Have in the past and/or do you now have any contracts for your service from any production, record, theatre, motion picture, or publishing companies. If so explain in detail:
Have you in the past or are you currently involved in any dispute or litigation involvingyour work or holdings as an artist. If so please give brief details:
Is there any other information you would like to provide us with: