Black Sand Capital Group | Integrated Discovery Profile

This profile helps us understand the people, priorities, and decisions behind the numbers. Approximate figures are welcome; statements and schedules may be attached rather than recreated here.

01Meeting Details

Date

Advisor

Referred by

Preferred contact method

02You & Your Household

Name	Age / Date of birth	Occupation / Role	Citizenship	Health	Phone	Email

Row 1: primary client · Row 2: spouse or partner

Marital status / date

State of legal residence

Prior states of residence

Years there

03Children, Dependents & Others Included in Planning

Name	Age	Relationship	Financially dependent on you?	Circumstances or planning concern

04What Matters Mostselect all that apply

The M.A.P.™ Process

Measure · Advise · Protect

M

MeasureUnderstand exactly
where you stand today

A

AdviseBuild the right strategy
around your objectives

P

ProtectCoordinate, execute, and
preserve the result

CONFIDENTIAL · Prepared for discovery and planning discussion only. Not tax, legal, investment, or accounting advice.1 / 6

05Assetsattach statements when easier

Examples: checking and savings · brokerage accounts · IRAs and 401(k)s · primary residence · investment real estate · business interests · annuities · collectibles

Asset or account	Owner	Current value	Cost basis	Annual income	Beneficiary / Notes

06Liabilities

Examples: mortgage · home equity line · student loans · auto loans · credit cards · business or personal notes

Loan or obligation	What secures it	Balance	Rate	Maturity / Payment	Personally guaranteed?

07Insurance & Protection Currently In Force

Carrier and type	Insured	Owner	Beneficiary	Cash value	Policy loan	Death benefit

—Snapshot Totals

Total assets

Total liabilities

Estimated net worth

Total life insurance in force

Cash available within 30 days

% of net worth that is illiquid

CONFIDENTIAL · Prepared for discovery and planning discussion only. Not tax, legal, investment, or accounting advice.2 / 6

08Income & Cash Flow

Person or source	Earned income	Other income	Total gross	Notes / Expected change

Annual household spending

Annual savings or surplus

Federal marginal rate

State rate

Effective rate

09Gift & Estate Tax History

Gift tax returns filed (Form 709)

Lifetime exemption already used

Portability elected (DSUE)

Existing trusts — name, type, governing state, trustee, and whether funded

10Core Planning Documentsmark what you currently have

Last reviewed

Drafting attorney

State where signed

11Family, Estate & Charitable Direction

How you want your assets to support family and other beneficiaries Special needs, creditor, divorce, health, or money-management concerns Charitable interests, organizations, and the impact you want to have

12Professional Team & Coordination

Examples: CPA or tax preparer · attorney · financial advisor · real estate professional · insurance professional · banker or lender

Role	Name and firm	Phone	Email	Include in planning?

CONFIDENTIAL · Prepared for discovery and planning discussion only. Not tax, legal, investment, or accounting advice.3 / 6

Part Two

Business Discovery

Skip to Part Three if you do not own a business

If you do not own a business, leave Part Two blank and continue to Part Three.

01Company Profile

Legal business name

Doing business as

Principal address

States where you operate

Year established

Entity type and tax election

Combined tax rate (est.)

Owned since

What the business does — activities, markets, and how it makes money Entity history — prior conversions or restructurings, when ownership was first issued, related entities

02Ownership

Owner	Age / Date of birth	Voting %	Economic %	Salary / Compensation	Title and relationship

03Financial Profile & Outlook

Annual revenue

Net income or EBITDA

Owner income

% used for lifestyle

Recent growth rate

Expected growth rate

How owner compensation is set

Debt at the company

Personal guarantees

Real estate leased from an owner or related party

04Value & Owner Objectives

Estimated value

As of date

How that value was determined

Formal appraisal?

Primary objective

Target timing

Prior offers received

Cash available without disrupting operations

Your ideal outcome, and the role you want to play after a transition

CONFIDENTIAL · Prepared for discovery and planning discussion only. Not tax, legal, investment, or accounting advice.4 / 6

05Buy-Sell & Ownership Continuation Agreement

Status

Structure

Last reviewed

Is it funded?

How it is funded

How price is set

What triggers a buyout, the purchase terms, how value is set, and where the money comes from

06Transition by Event

Event	Likely successor or buyer	Where the money comes from	Desired outcome or concern

If an owner became unavailable today: immediate impact, who decides, and what the first 90 days require

07Key People

Name	Role and duties	Age	Years	Compensation	Retention or succession notes

08Benefits, Retention & Company-Owned Coverage

Details — who is covered, who owns it, the benefit, the annual cost, and its purpose

CONFIDENTIAL · Prepared for discovery and planning discussion only. Not tax, legal, investment, or accounting advice.5 / 6

Part Three

Risk Comfort & Acknowledgment

Everyone completes this section

Choose the answer that best reflects your household today. If you and your spouse or partner differ, mark both and add initials. These answers begin a conversation; they do not replace a formal investment profile.

01Risk Tolerance Snapshot

Primary client — overall comfort

Spouse or partner — overall comfort

02Planning Sensitivitiesselect any that deserve special attention

Anything else we should know before making recommendations

03Information Sharing & Discovery Acknowledgment

The information in this profile is provided for confidential discovery and may include reasonable estimates. It is intended to help Black Sand Capital Group and the advisors you select identify planning topics, information gaps, and possible next steps. Black Sand Capital Group provides strategic coordination; licensed tax, legal, insurance, and securities services are delivered by appropriately licensed professionals and entities. This profile does not authorize any transaction and is not tax, legal, accounting, or investment advice. Recommendations, if any, will be documented separately and reviewed with the appropriate licensed professionals.

I / we authorize Black Sand Capital Group to coordinate with the advisors identified in this profile.

Primary client — signature

Date

Spouse or partner — signature

Date

Submitting online records your acknowledgment with the date and time — no signature is needed here. If you are completing a printed copy instead, sign above.

Helpful attachments

Recent account statements · Prior-year tax return · Estate documents · Business financials · Ownership agreements · Insurance schedules

CONFIDENTIAL · Prepared for discovery and planning discussion only. Not tax, legal, investment, or accounting advice.6 / 6