Common use of ACKNOWLEDGEMENTS AND SUBSCRIBER SIGNATURE Clause in Contracts

ACKNOWLEDGEMENTS AND SUBSCRIBER SIGNATURE. By signing below, the Subscriber: (a) Is entering into this Subscription Agreement upon the attached terms and conditions which for direct investors, will include the completion and delivery to the Manager of the “Know Your Client Form” which shall be provided to the Subscriber as a direct investor and Schedule “F” – Risk Acknowledgement Form to this Subscription Agreement; (b) Authorizes the indirect collection of personal information about the Subscriber and, if applicable, any disclosed beneficial subscriber of the Purchased Units, by each applicable securities regulatory authority or regulator and acknowledges that such information is made available to the public under applicable securities legislation; (c) Hereby confirms that the Subscriber has read the written leverage disclosure statement in Part C above; (d) Hereby confirms the purpose of the Foreign Account Tax Compliance Act (“FATCA”) is to prevent US persons/entities from avoiding income tax by holding assets through foreign accounts and further confirms that the Subscriber is not a US person as defined by the US Internal Revenue Service; and (e) Hereby confirms that Spartan Fund Management Inc., in compliance with Canada’s Anti Spam Legislation (“CASL”), requires your consent to send certain commercial electronic messages providing information that is relevant to you and your investment in the Fund. Please complete Schedule “E” – Consent to Electronic Communications to this Subscription Agreement indicating whether or not you consent to receiving such communications. The Subscriber certifies that it has read the terms in this Subscription Agreement, including the Fund's offering document, and hereby subscribes for Units of the Fund on the terms and conditions set forth herein and tenders herewith the full payment of the aggregate subscription price for the Units subscribed for as of this day of , 20 .

Appears in 13 contracts

Samples: Subscription Agreement, Subscription Agreement, Subscription Agreement

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ACKNOWLEDGEMENTS AND SUBSCRIBER SIGNATURE. By signing below, the Subscriber: (a) Is entering into this Subscription Agreement upon the attached terms and conditions which for direct investors, will include the completion and delivery to the Manager of the “Know Your Client Account Opening Form”, if applicable, which shall be provided to the Subscriber as a direct investor and Schedule “F” – Risk Acknowledgement Form to this Subscription Agreementinvestor; (b) Authorizes the indirect collection of personal information about the Subscriber and, if applicable, any disclosed beneficial subscriber of the Purchased Units, by each applicable securities regulatory authority or regulator and acknowledges that such information is made available to the public under applicable securities legislation; (c) Hereby Xxxxxx confirms that the Subscriber has read the written leverage disclosure statement in Part C B above; (d) Hereby confirms the purpose Xxxxxx agrees that it does not want to receive annual and interim financial statements in respect of the Foreign Account Tax Compliance Act (Fund. The Subscriber understands that it may change this standing instruction by completing Schedule FATCA”) G” – Standing Instructions Regarding Interim and Annual Financial Statements to this Subscription Agreement. The Subscriber acknowledges that it is entitled to prevent US persons/entities receive annual and interim financial statements and may receive other information about the Fund from avoiding income tax by holding assets through foreign accounts and further confirms that the Subscriber is not a US person as defined by the US Internal Revenue Service; andManager; (e) Hereby Xxxxxx confirms that Spartan Fund XIB Asset Management Inc., in compliance with Canada’s Anti Anti-Spam Legislation (“CASL”), requires your consent to send certain commercial electronic messages providing information that is relevant to you and your investment in the Fund. Please complete Schedule “E” – Consent to Electronic Communications to this Subscription Agreement indicating whether or not you consent to receiving such communications; and (f) Xxxxxx confirms that the Subscriber has completed, executed and returned to the Manager, as applicable, Schedule “H” – U.S. FATCA and CRS Schedule for Individuals or Schedule “I” – U.S. FATCA and CRS Schedule for Entities to this Subscription Agreement. The Subscriber certifies that it has read the terms in this Subscription Agreement, including the Fund's offering documentOffering Memorandum, and hereby subscribes for Units of the Fund on the terms and conditions set forth herein and tenders herewith the full payment of the aggregate subscription price for the Units subscribed for as of this day of , 20 .. X X SUBSCRIBER SIGNATURE(S) Additional / Joint Subscriber Signature(s) (OR AUTHORIZED SIGNING OFFICER IF APPLICABLE) NAME OF SUBSCRIBER‌ Name of Joint Subscriber (OR AUTHORIZED SIGNING OFFICER & TITLE IF APPLICABLE) DEALER CERTIFICATION (this Part is to be completed by the Subscriber’s registered adviser or dealer) By submitting this completed Subscription Agreement to the Manager, the dealer through whom this subscription is being submitted (the “Subscriber’s Agent”) hereby acknowledges and confirms that it has fulfilled all relevant “know-your-client” and suitability obligations that it owes to the Subscriber and co-Subscriber, where applicable, (each individually referred to as the Subscriber) and all identification and investor information collection obligations under anti-money laundering and anti-terrorist financing legislation. The Subscriber’s Agent also agrees to provide any information requested by the Manager to assist it in discharging its obligations under such laws. Specifically, the Subscriber’s Agent represents and warrants that:‌ • if the Subscriber does not have a managed account with the Subscriber’s Agent, it has delivered a copy of the Offering Memorandum to the Subscriber; • if applicable, it has taken appropriate steps to ensure that the Subscriber is an accredited investor; • it is a Reporting Canadian Financial Institution, and will comply with all necessary due diligence and reporting obligations under Part XVIII [FATCA] and Part XIX [CRS] of the Income Tax Act (Canada) with respect to the Subscriber as a client and will provide to the Manager information regarding the Subscriber as the Manager may reasonably request from time to time; • it will maintain all necessary records on transactions for the Subscriber and it will keep records on client identification, account files and business correspondence relating to the Subscriber for at least seven (7) years after the Subscriber’s account is closed; • it will provide supporting documentation to the Manager on file relating to the Subscriber if requested by the Manager; and • it will deliver to the Subscriber all documentation received by the Subscriber’s Agent from the Manager for delivery to the Subscriber. NAME OF SUBSCRIBER'S AGENT (FIRM NAME): SIGNATURE OF AUTHORIZED SIGNATORY: X‌ NAME OF ACCOUNT REPRESENTATIVE AND REP NUMBER: DATE: Authorized Signing Officer‌‌‌‌‌‌‌ Class and Series of Units: Valuation Date: The Manager, for and on behalf of the Fund, accepts the subscription on the terms and conditions of this Subscription Agreement, including the attached “Terms and Conditions of Subscription for Units of XIB Fund”, for the following dollar value of Units: Subscription Amount: $ TERMS AND CONDITIONS OF SUBSCRIPTION FOR UNITS OF XIB FUND‌

Appears in 1 contract

Samples: Subscription Agreement

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ACKNOWLEDGEMENTS AND SUBSCRIBER SIGNATURE. By signing below, the Subscriber: (a) Is entering into this Subscription Agreement upon the attached terms and conditions which for direct investors, will include the completion and delivery to the Manager of the “Know Your Client Form” which shall be provided to the Subscriber as a direct investor and Schedule “FG” – Risk Acknowledgement Form to this Subscription Agreement; (b) Authorizes the indirect collection of personal information about the Subscriber and, if applicable, any disclosed beneficial subscriber of the Purchased Units, by each applicable securities regulatory authority or regulator and acknowledges that such information is made available to the public under applicable securities legislation; (c) Hereby Xxxxxx confirms that the Subscriber has read the written leverage disclosure statement in Part C above; (d) Hereby Xxxxxx confirms the purpose of the Foreign Account Tax Compliance Act (FATCA), the FATCA Intergovernmental Agreements (IGA) and the Common Reporting Standard (CRS) is to prevent US persons/entities from avoiding income tax by holding assets through foreign accounts and further confirms that the Subscriber is not a US person as defined by the US Internal Revenue Serviceaccounts; and (e) Hereby confirms that Spartan Fund Management Inc., in compliance with Canada’s Anti Spam Legislation (“CASL”), requires your consent to send certain commercial electronic messages providing information that is relevant to you and your investment in the Fund. Please complete Schedule “EF” – Consent to Electronic Communications to this Subscription Agreement indicating whether or not you consent to receiving such communications. The Subscriber certifies that it has read the terms in this Subscription Agreement, including the Fund's offering documentOffering Memorandum, and hereby subscribes for Units of the Fund on the terms and conditions set forth herein and tenders herewith the full payment of the aggregate subscription price for the Units subscribed for as of this day of , 20 .

Appears in 1 contract

Samples: Subscription Agreement

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