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Northern Pacific Asset Management

Enterprise Strategy Preliminary Discovery

Please complete this form prior to your enterprise strategy meeting. Your responses help us understand your organization and its planning needs—so we can align strategies to help you and your enterprise thrive.

Progress
Step 1 of 9
Section 1 of 9

Organization Profile

Type of Entity
Optional
Optional
Optional
Section 2 of 9

Primary Contact & Ownership Basics

Preferred Contact Method *
U.S. Citizen or Permanent Resident *
Marital Status *
Section 3 of 9

Entity Structure Overview

Is your organization part of a larger structure? (Check all that apply)
Any prior entity conversions or elections (e.g., S corp → C corp, LLC check-the-box)
Section 4 of 9

Ownership/Leadership Basics

Section 5 of 9

Primary Owners/Principals or Holding Entities

#Owner TypeNameRole / %ContactEmail/Phone
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2
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5
Section 6 of 9

Current Planning (Check all that apply-helps us understand your foundation)

Employer-Sponsored Retirement Plans *
Executive Compensation Plans *
Equity Compensation Plans *
Buy-Sell or Cross-Purchase Agreement *
How is the Buy-Sell or Cross-Purchase Agreement Funded? *
Check all that apply
Key Person Disability Insurance *
Prior Business/Enterprise Valuation Performed?
Section 7 of 9

Planning Priorities (Select priority level for each-guides our discussion)

Business/Enterprise Succession or Exit Planning
Owner/Executive Retirement Income Planning
Liquidity & Asset Diversification
Executive Compensation & Retention Strategies
Risk Management & Key Person Protection
Buy-Sell Agreement Review/Funding
Business Valuation & Value Enchancement
Employer Sponsored Retirement Plan
Employee Benefits
Wealth Transfer & Estate Tax Minimization (Personal & Enterprise)
Investment Portfolio Review & Optimization
Tax Efficiency (Income, Capital Gains, Entity-Level)
Family Legacy & Governance (Trusts/Foundations)
Philanthropic or Foundation Strategy
Financing / Capital Needs
Section 8 of 9

Additional Comments

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Section 9 of 9

Consent & Submission

Review the disclosures below, provide your electronic signature, and submit.

Data Protection & Privacy

At Northern Pacific Asset Management, LLC., we deeply value the trust you place in us by sharing your personal and confidential information. This statement is a concise overview of our comprehensive Privacy Policy, tailored to the context of your interaction with this form.

Key Aspects of Our Privacy Approach:

1. Personal Information Handling

In line with our Privacy Policy, we collect personal information such as contact details, financial and commercial information, internet or electronic activity data, and other identifiers. This information is essential for offering and providing our services, operating our business, and ensuring compliance with legal obligations.

2. Purposeful Data Utilization

The information you provide is used to understand and meet your financial needs, facilitate transactions, improve our services, and maintain the security of our networks and systems. We do not sell your personal information for third-party promotional purposes.

3. Data Security Measures

Secured with AES-256-bit encryption. Your data is transmitted directly to Northern Pacific Asset Management.

4. Disclosure and Sharing of Information

Consistent with our Privacy Policy, we may disclose personal information to service providers, business partners, and governmental authorities as necessary for business operations, legal compliance, and service provision.

5. Your Privacy Rights

You have rights regarding your personal information, including the right to access, update, and request deletion. Our practices align with federal and state laws, including the California Consumer Privacy Act (CCPA), ensuring your right to non-discrimination in services.

6. Ongoing Updates and Transparency

Our Privacy Policy may be updated periodically. We commit to keeping you informed of any significant changes and encourage you to review the policy regularly.

For a full understanding of how we manage and protect your personal information, we encourage you to review Osaic Wealth, Inc. detailed Privacy Policy.

If you have any questions or concerns regarding the handling of your data, please do not hesitate to contact our customer service team. Trust and transparency are the pillars of our relationship with you.

Thank you for your trust in Northern Pacific Asset Management, LLC.

Legal Disclosure

This form is provided for informational purposes only and does not constitute investment, legal, or tax advice. The information you provide will be used to facilitate your advisory discussion and does not create or modify any advisory agreement. All investments involve the risk of potential investment losses and no strategy can assure a profit. Please consult with a qualified professional for specific legal, tax, or accounting advice. Northern Pacific Asset Management and Osaic Wealth do not provide tax or legal advice.

Thank You!

Your enterprise strategy form has been submitted successfully. Your advisory team at Northern Pacific Asset Management will review your responses and prepare for a focused strategy discussion.

A confirmation will be sent to the email you provided. If you need to make changes, please contact your advisor directly at (832) 559-3771.