What is the most important subject to discuss during the first 5 minutes of your first meeting with your top account?

In pleasantries.updations of the current project status, 

I would hit the key outcome of what the company stands in from YTD.Discuss the risks we might be facing and how much we know about managing them.

first present your self and the company then your products ,try to break the ice wall but keep the respect i mean approach to have your clients friends for you by making your self loyal them that means be honest 

1. Brief introduction about self and company.

2. Some interesting facts about the company I am approaching

3. Market trends relavant to his business and my product

4. Talk on what recent advancements we have done