$250,000 SAFE Note – Funding the 5Star Engagement
$6,000,000
20%
Post-Money SAFE (YC-style)
5Star rollout & ops
MediBridge Consumer Solutions, Inc. • BeneBridge360™ member advocacy & cost containment platform
¹ Refer to definition on Page 7.
Deal Summary (Investor Quick View)
| Term | Detail |
|---|---|
| Instrument | SAFE — Post-Money (YC standard form) |
| Purchase Amount | $250,000 |
| Valuation Cap | $6,000,000 |
| Discount | 20% (applies if next round valuation is below the cap) |
| Pro Rata Rights | Yes — maintain ownership in future rounds (customary exceptions) |
| Conversion Trigger | Next equity financing ≥ $1,000,000 |
| Liquidity Event | Greater of 2× cash return or as-converted proceeds |
| Maturity / Interest | No maturity; no interest — SAFE is not debt |
| Governing Law | Delaware |
Founder-friendly, market-standard structure. Clear upside for early investors via cap + discount.
MediBridge at a Glance
What we do
BeneBridge360™ lowers employee out-of-pocket costs and eliminates billing confusion by intercepting claims, negotiating with providers, and pre-paying balances when needed — then giving members simple payment options.
5Star Rollout
Deployed alongside 5Star’s Hospital Indemnity / Gap offerings, initially reaching 30,000+ members. MediBridge provides the member advocacy & savings engine behind the scenes.
Why now
- Employers shifting to level/self-funded plans need member cost protection.
- Carriers & TPAs want differentiated service + measurable savings.
- Our platform plugs into existing benefits with clear ROI.
Traction signals
5Star HI + Gap integrations
Brokers, GAs, TPAs, captives
Automated claims intake + advocacy workflows
BeneBridge360™ with MediBridge AI / IQ
Use of Funds (2025 Budget Allocation)
Budget Lines (from model)
- IT – $156,000
- Corporate salary (non-direct) – $27,500
- Corporate legal – $6,250
- MGA license – $5,000
- Travel & dining – $3,750
- Website – $2,500
- Assorted admin – $2,500
- Business insurance – $1,500
Total: $205,000 • Remaining funds cover working capital for rollout.
Why this matters
Spend is tightly focused on technology enablement, regulatory readiness, and operational go-live to support carrier & broker channels.
Primary driver: IT integration for claim ingestion, bill review, and member engagement.
Cash Position & Bridge
Bridge Snapshot
| 2025 Pre-Funding Cash | Funding Request | Post-Funding Cash |
|---|---|---|
| $0 | $250,000 | $143,050 |
Your model projects positive cash through rollout with this raise.
Risk posture
- Short, milestone-tied bridge
- Revenue ramp from 5Star programs
- Lean corporate spend
Financial Snapshot (from consolidated model)
| Year | Revenue | Net Profit | End-of-Year Cash |
|---|---|---|---|
| 2025 | $171,961 | ($106,950) | $143,050 |
| 2026 | $1,310,930 | $342,065 | $485,114 |
| 2027 | $2,423,611 | $760,361 | $1,245,475 |
| 2028 | $2,878,881 | $882,596 | $2,128,071 |
Projections pulled from your “Medibridge Financial Model_July 2025_v3_CONSERVATIVE.xlsx”.
Note: Conservative model assumes only customer is 5Star and does not reflect other likely customers.
SAFE — Simple Agreement for Future Equity
Post-Money form (adapted). Recommend counsel review to confirm Delaware boilerplate and capitalization definition alignment.
Header
Company: MediBridge Consumer Solutions, Inc. (Delaware)
Investor: [Investor Name]
Purchase Amount: $250,000
Valuation Cap: $6,000,000
Discount: 20%
Date: [●]
1. Equity Financing
If the Company closes a bona fide equity financing of ≥ $1,000,000 (the “Equity Financing”) prior to termination of this SAFE, this SAFE automatically converts into the greater number of shares of the standard preferred stock sold in that financing determined by (a) the Valuation Cap Price or (b) the Discount Price. “Valuation Cap Price” means a price per share based on a $6,000,000 post-money company valuation (calculated using Company Capitalization immediately prior to the financing). “Discount Price” means the price per share paid by the new money investors multiplied by 80%.
2. Liquidity Event
If a liquidity event (change of control or IPO) occurs before conversion, the Investor will receive the greater of: (i) a cash payment equal to 2× the Purchase Amount, or (ii) the amount payable on the number of shares of common stock issuable upon conversion at the Valuation Cap Price immediately prior to the event.
3. Dissolution
Prior to conversion, upon a voluntary or involuntary dissolution or winding up, the Investor is entitled to receive the Purchase Amount, ranking pari passu with other SAFEs and preferred stockholders, before any distribution to common stockholders.
4. Pro Rata Right
Subject to customary exceptions, Investor may purchase its pro rata share of securities offered in future equity financings to maintain its ownership percentage on an as-converted basis.
5. Company Capitalization
“Company Capitalization” means all shares of capital stock issued and outstanding, all issued and outstanding options and promised but unissued options, and all outstanding convertible securities, in each case immediately prior to the Equity Financing.
6. Termination
This SAFE terminates upon the earliest of: (a) conversion into equity in an Equity Financing; (b) payment or settlement in connection with a Liquidity Event; or (c) payment in connection with a Dissolution.
7. Miscellaneous
- Nature of Instrument. This SAFE is not debt; it bears no interest and has no maturity date.
- Governing Law. State of Delaware.
- Amendments. Require written consent of the Company and the Investor.
- Transfers. Permitted only with Company consent, by operation of law, or to an affiliate, subject to compliance with securities laws.
- Entire Agreement. This document (including Schedule A) constitutes the entire agreement with respect to the subject matter.
Company: MediBridge Consumer Solutions, Inc.
By: ____________________________ Name: Phil Dawes Title: President
Investor: ____________________________ Name / Title: __________________
Schedule A — Investor Summary & Financial Appendix
Use of Funds (2025)
- IT — $156,000
- Corporate salary (non-direct labor) — $27,500
- Corporate legal — $6,250
- MGA license — $5,000
- Travel & dining — $3,750
- Website — $2,500
- Assorted admin — $2,500
- Business insurance — $1,500
- Total: $205,000
Cash Position
Pre-funding cash (2025): $0 • Funding (2025 draw): $250,000 • Post-funding cash (2025): $143,050
Multi-Year Snapshot
| Year | Revenue | Net Profit | End-of-Year Cash |
|---|---|---|---|
| 2025 | $171,961 | ($106,950) | $143,050 |
| 2026 | $1,310,930 | $342,065 | $485,114 |
| 2027 | $2,423,611 | $760,361 | $1,245,475 |
| 2028 | $2,878,881 | $882,596 | $2,128,071 |
Projections pulled from “Medibridge Financial Model_July 2025_v3_CONSERVATIVE.xlsx”.
Note: Conservative model assumes only customer is 5Star and does not reflect other likely customers.