Grow your digital ad receivables and scale your sponsored content with our media funding program. Apply today and we’ll waive $500 in underwriting fees for you. Don’t miss out on Q4 earnings, sign-up today! OAREX Funding Application - Cyber Monday Step 1 of 6 16% Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Cell Phone*Does OAREX have permission to text you?* Yes No Email* Information About Your EntityBusiness Name*As registered with the Secretary of StateEntity Type*Corporation (C-Corp or S-Corp)Limited Liability CompanySole Proprietorship, I operate as an individualOtherDate of Incorporation* State of Incorporation*Federal EIN #*Enter your social security number if you operate as a sole proprietor.What is your title with this entity?*Do you operate under any d/b/a names other than your entity name?*NoYesPlease list all registered and non-registered d/b/a names.*Is this entity associated by joint venture or ownership with any other entities?*NoYesPlease list all parent, subsidiary or sister entities.* Information About Your BusinessBusiness Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Website* Phone*Email* Number of Employees*Do you own the majority of the entity?*YesNoPlease list all other owners, and their relative % of ownership.*Please use full names if a person and actual entity names if non-person.Please list their contact info.*Name, Phone, Email Information About Your Property and Ad RevenuePlease list ALL of your web properties, apps or platforms you own.*Please separate by comma, use full domain names if a website and full name if an app or other digital property.Are these properties currently generating more than $5,000 per month in ad revenue?*NoYesWhy do you want to finance your digital ad receivables?* To promote my content, app or videos. Waiting too long to get paid, hindering growth. To pay down some debt. To cover general operating expenses. Please list all of the demand partners currently monetized through.*Please list all the vendors you pay on a monthly basis in order to drive traffic, downloads and views.*If none, please put n/a Information We Need to Complete UnderwritingDoes your entity or any parent, subsidiary or sister entities have tax liens or bankruptcies?*YesNoHave all requisite State, Local, Federal and payroll tax returns been filed?*NoYesThird ChoiceDoes the business have any outstanding financial instruments like loans?*NoYesPlease check all of the types of financing that you have.* Loan from a bank Loan from a private investor Existing factoring solution Cash advance loan Please list the institution you have a loan or factoring facility from.* References & Final AuthorizationPlease provide contact information for three references you currently do business with.*By filling this out, you're authorizing us to contact them in good faith regarding doing business with you.Do you authorize OAREX to do a background check on you?*NoYesWe will NEVER pull your credit or check your FICO without further authorization.Social Security Number*Signature*By signing above and checking this box, you authorize OAREX Capital Markets, Inc. and OAREX 2016-1, LLC (“OAREX”) and each of its representatives, successors, assigns and designees to obtain consumer or personal, business and investigative reports and other information about you other than your FICO, from one or more consumer reporting agencies, public records and other available data. You also consent to the release, by any creditor or financial institution, of any information relating to any of you or your company. Furthermore, I hereby give OAREX permission to send me correspondence via text message on my mobile cell phone number as listed on this application.