FA Info Form

Franchisee Agreement Info Form

First, have you set up your business entity, if you plan to do so?
1) Meet with an accountant and/or lawyer to determine your business structure and its name. The business cannot be named ‘Gideon’ or ‘Gideon Math & Reading’. Name it anything else. You will receive payments as ‘Gideon Math & Reading – [Location Name]’ using a ‘Doing Business As (DBA)’ filing (see later). 2) Register your business entity with state as needed.
Center Director (Person Who Will Sign Franchise Agreement) Information
Center Director - CD: The individual who owns and operates the Franchised Business and will be physically present and directly supervising at the Center 75% of the time that the Center is open for class. ----If Franchisee is a business entity, Center Director shall mean a member of the business entity who has a controlling interest in the entity, will complete the Gideon Training, and shall be physically present and directly supervising at the Center 75% of the time that the Center is open for class.
How will you be signing your franchise agreement?*
- As a Sole Proprietor/Center Director
- As a Business Entity With Myself as the Center Director
CD Full Legal Name: First & Last*
CD Title within the Entity*
Such as: Manager, Managing Member, President, CEO, Etc.
Business Entity Name:*
CD Principal Address*
CD Cell Phone*
CD Email*
Attach PDF of Entity Registration Forms
Max. file size: 512 MB.
Entity Type:*
LLC, Corp., Partnership, etc.
State of Formation of Entity*
Date of Formation of Entity*
List all members of the entity, including CD.
If address is the same as CD principal address, simply put 'same'.
Full Name Address % Owned Title/Position
Potential Center Location*
List either an area or an intersection along with the city and state.
Proposed Center Name / DBA*
If purchasing a current franchise or license (to convert to a franchise), list:
Current Owner Name of Center or Location
Version of FDD Received by Candidate*
Date & Year
Date of FDD Receipt*
MM slash DD slash YYYY
Other Questions/Comments

Full Name	Address	% Owned	Title/Position

Current Owner	Name of Center or Location

Franchisee Agreement Info Form

First, have you set up your business entity, if you plan to do so?

Center Director (Person Who Will Sign Franchise Agreement) Information