2021 governors celebration of innovation

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NOMINATION INFORMATION State Zip Applicant company name Company address Address City Applicant company website Main contact for award submission Contact title Contact phone number Contact email INNOVATOR OF THE YEAR - SMALL COMPANY AWARD Presented to a company or business unit in a technology industry that has achieved significant business success (including profitability), and technical innovation or scientific achievement in the past calendar year and meets the following requirements: • Must be in operation for 24 months or more. • Must be generating less than $50 million in annual revenues. • Company or business unit must be based in Arizona. • Innovation must be technological in nature or involve technology. • Innovation must be developed in Arizona. • Innovation may have been in previous years. Innovator of the Year - Small Company Company inception date Company revenue or funding - 2020 2021 GOVERNOR'S CELEBRATION OF INNOVATION NOMINATION DEADLINE IS FRIDAY, JULY 09, 2021.

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Page 1: 2021 GOVERNORS CELEBRATION OF INNOVATION

NOMINATION INFORMATION

State Zip

Applicant company name

Company address

Address

City

Applicant company website

Main contact for award submission

Contact title

Contact phone number Contact email

INNOVATOR OF THE YEAR - SMALL COMPANY AWARDPresented to a company or business unit in a technology industry that has achieved significant business success (including profitability), and technical innovation or scientific achievement in the past calendar year and meets the following requirements:

• Must be in operation for 24 months or more.• Must be generating less than $50 million in annual revenues.• Company or business unit must be based in Arizona.• Innovation must be technological in nature or involve technology.• Innovation must be developed in Arizona.• Innovation may have been in previous years.

Innovator of the Year - Small Company

Company inception date

Company revenue or funding - 2020

2021 GOVERNOR'S CELEBRATION OF INNOVATION

NOMINATION DEADLINE IS FRIDAY, JULY 09, 2021.

Page 2: 2021 GOVERNORS CELEBRATION OF INNOVATION

Provide bio of top start-up executive.

Describe in detail your company’s innovation or product, including what sets it apart.

Awards or achievements your company, innovation or product have received.

Page 3: 2021 GOVERNORS CELEBRATION OF INNOVATION

Describe the challenges you have overcame or must overcome to proceed with your innovation or product.

What product/services would be your innovation’s or product’s competitor?

What is the potential of profitablity of your innovation or product?

Page 4: 2021 GOVERNORS CELEBRATION OF INNOVATION

Provide any additional information on your company or innovation (website, articles, etc.)

NOMINATION DEADLINE IS FRIDAY, JULY 09, 2021.

Please submit nominations via email to: [email protected].