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Submission: On August 22 via manual from IN — Scanned from IT

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          <h1 style="text-align: center;">Fruit Street Health - Angel Investor Application &amp; Advisory Board Application</h1>
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          <p><span style="font-size: 12pt; color: #000000; background-color: transparent; font-weight: 400; text-decoration: none; vertical-align: baseline;">Thank you for your interest in applying to be an advisor to Fruit Street Health. With your
              help, we can prevent thousands of cases of Type 2 diabetes through our digitally delivered diabetes prevention program.&nbsp;<br><br>Our diabetes prevention program is approved by the CDC and is delivered via telehealth and live group
              video conferencing with registered dietitians. Participants are also issued a wireless scale, Fitbit, and can take photos of their food in the Fruit Street mobile application. The goal of the program is to help participants lose at
              least 5% of their weight. This is a video of our product:
            </span><a href="https://www.youtube.com/watch?v=rTujudQ_-zE"><span style="font-size: 12pt; color: #1155cc; background-color: transparent; font-weight: 400; text-decoration: underline; vertical-align: baseline;">https://www.youtube.com/watch?v=rTujudQ_-zE</span></a><span
              style="font-size: 12pt; color: #000000; background-color: transparent; font-weight: 400; text-decoration: none; vertical-align: baseline;">.&nbsp;</span></p>
          <p><span style="font-size: 12pt; color: #000000; background-color: transparent; font-weight: 400; text-decoration: none; vertical-align: baseline;">We are currently recruiting advisory board members who believe in our mission of preventing
              Type 2 diabetes. Please consider applying. <br><br></span><strong><span style="font-size: 12pt; color: #000000; background-color: transparent; text-decoration: underline; vertical-align: baseline;">Role of
                advisors:</span></strong><strong><span style="font-size: 12pt; color: #000000; background-color: transparent; text-decoration: underline; vertical-align: baseline;"><br></span></strong><span
              style="font-size: 12pt; color: #000000; background-color: transparent; font-weight: 400; text-decoration: none; vertical-align: baseline;">-Provide input on the strategy and growth of the company</span><span
              style="font-size: 12pt; color: #000000; background-color: transparent; font-weight: 400; text-decoration: none; vertical-align: baseline;"><br></span><span
              style="font-size: 12pt; color: #000000; background-color: transparent; font-weight: 400; text-decoration: none; vertical-align: baseline;">-Given input to our CEO and management team. </span><span
              style="font-size: 12pt; color: #000000; background-color: transparent; font-weight: 400; text-decoration: none; vertical-align: baseline;"><br></span><span
              style="font-size: 12pt; color: #000000; background-color: transparent; font-weight: 400; text-decoration: none; vertical-align: baseline;">-Make helpful introductions to potential customers or partners</span><span
              style="font-size: 12pt; color: #000000; background-color: transparent; font-weight: 400; text-decoration: none; vertical-align: baseline;"><br></span></p>
          <p><strong><span style="font-size: 12pt; color: #000000; background-color: #ffffff; text-decoration: underline; vertical-align: baseline;">Benefits to advisors:</span></strong><strong><span
                style="font-size: 12pt; color: #000000; background-color: #ffffff; text-decoration: underline; vertical-align: baseline;"><br></span></strong><span
              style="font-size: 12pt; color: #000000; background-color: #ffffff; font-weight: 400; text-decoration: none; vertical-align: baseline;">-Issuance of stock options in exchange for spending a few hours per month advising the
              company</span><span style="font-size: 12pt; color: #000000; background-color: #ffffff; font-weight: 400; text-decoration: none; vertical-align: baseline;"><br></span><span
              style="font-size: 12pt; color: #000000; background-color: #ffffff; font-weight: 400; text-decoration: none; vertical-align: baseline;">-Opportunity to make a $25K+ angel investment in the company via an IRA/401K.&nbsp;<br></span><span
              style="font-size: 12pt; color: #000000; background-color: #ffffff; font-weight: 400; text-decoration: none; vertical-align: baseline;"><br></span><span
              style="font-size: 12pt; color: #000000; background-color: #ffffff; font-weight: 400; text-decoration: none; vertical-align: baseline;">Please fill out this form if you are interested in joining our advisory board! Someone from our team
              will be in touch.&nbsp;<br><strong><br></strong>Currently, we have several hundred physicians who have invested in the company as well as executives who have worked at companies such as Google, Amazon, Facebook, Accenture, IBM, and
              other leading technology companies who have also invested. These physicians and business executives have also made angel investments of $25K-$100K each. Many use an IRA/401K to invest. We have raised more than $35 million in financing
              since we started the company in 2014.&nbsp;<br><br>Before you apply, we encourage you to watch a video of our product <a href="https://www.youtube.com/watch?v=rTujudQ_-zE" rel="noopener">Here.&nbsp;</a><br><br>We hope you will join us
              on our mission of diabetes prevention and that you will consider joining us as an advisory board member and possibly as an investor!<br></span></p>
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FRUIT STREET HEALTH - ANGEL INVESTOR APPLICATION & ADVISORY BOARD APPLICATION

Thank you for your interest in applying to be an advisor to Fruit Street Health.
With your help, we can prevent thousands of cases of Type 2 diabetes through our
digitally delivered diabetes prevention program. 

Our diabetes prevention program is approved by the CDC and is delivered via
telehealth and live group video conferencing with registered dietitians.
Participants are also issued a wireless scale, Fitbit, and can take photos of
their food in the Fruit Street mobile application. The goal of the program is to
help participants lose at least 5% of their weight. This is a video of our
product: https://www.youtube.com/watch?v=rTujudQ_-zE. 

We are currently recruiting advisory board members who believe in our mission of
preventing Type 2 diabetes. Please consider applying.

Role of advisors:
-Provide input on the strategy and growth of the company
-Given input to our CEO and management team.
-Make helpful introductions to potential customers or partners


Benefits to advisors:
-Issuance of stock options in exchange for spending a few hours per month
advising the company
-Opportunity to make a $25K+ angel investment in the company via an IRA/401K. 

Please fill out this form if you are interested in joining our advisory board!
Someone from our team will be in touch. 

Currently, we have several hundred physicians who have invested in the company
as well as executives who have worked at companies such as Google, Amazon,
Facebook, Accenture, IBM, and other leading technology companies who have also
invested. These physicians and business executives have also made angel
investments of $25K-$100K each. Many use an IRA/401K to invest. We have raised
more than $35 million in financing since we started the company in 2014. 

Before you apply, we encourage you to watch a video of our product Here. 

We hope you will join us on our mission of diabetes prevention and that you will
consider joining us as an advisory board member and possibly as an investor!


First name*
Last name*
Email*
Phone number*

LinkedIn URL*
How do you think you could contribute to Fruit Street's advisory board?*
Would you strongly consider making a $25,000 angel investment in Fruit Street's
current funding round in the next 60-90 days? Note that investors can use an
IRA/401K to invest.*
Yes, I would strongly consider making a $25K angel investment within the next
60-90 days.
No, I would not consider investing.


Are you an accredited investor? The SEC defines accredited investors as
individuals with a $200K+ income OR $300K+ income with a spouse or $1M net
worth. *Please SelectNo, I am not an accredited investor.Yes, I am an accredited
investor.
Submit Advisory Board Application