Accredited Investor Status for Entities. (a) Check all boxes which apply (XXX Entities can skip this question and go to (b)): o The Entity was not formed for the specific purpose of investing in the Company o The Entity has total assets in excess of $5 million dollars
Accredited Investor Status for Entities. (INVESTORS WHO ARE INDIVIDUALS SHOULD IGNORE THESE QUESTIONS.)
Accredited Investor Status for Entities. (a) Check all boxes which apply: o The Entity was not formed for the specific purpose of investing in the Company o The Entity has total assets in excess of $5 million dollars (Both statements above need to apply in order for an entity to qualify as an Accredited Investor) The undersigned Investor hereby confirms the information set forth above is true and correct in all respects as of the date hereof and will be on the date of the purchase of Common Stock. INVESTOR: ________________________ Signature of Authorized Signatory Name: _____________________________ Title: ______________________________ Date: ______________________________ The foregoing subscription is accepted and the Company hereby agrees to be bound by its terms. XXXXXXXXXXXXXXX.XXX INC. By: _________________________________ Name: _______________________________ Title: ________________________________ Date: ________________________________ APPENDIX A - XxxxxxxXxxxxXxx.xxx Inc Wire Instructions Please T/T remit USD funds to the following: Pay to : For Account of : In Favor of : Payment details : Message : MT-103 MAS (Monetary Authority) implementation wef 1Jul07 - All incoming funds from all over the world, the remitting bank must provide under field 50K "ordering customer" the following information: MT103 - field 50K "ordering customer"
