CORPORATIONS, PARTNERSHIPS OR LIMITED LIABILITY COMPANIES. Please check all applicable information below.
1. Accredited Investor Status
2. Qualified Client Status
A. Is the Investor primarily engaged (or does it have more than 40% of its assets) in owning, holding or trading in securities, including investments in limited partnerships or limited liability companies such as the Fund, and does the Investor fall into one of the categories listed below:
(i) An investment company registered under the Company Act (an “Investment Company”);
(ii) An investment vehicle excluded fromregistering as an investment company byvirtue of Section 3(c)(1) of the Company Actbecause it is a non-publicly offered entitywhose securities are beneficially owned byless than 100 persons (a “Private FundEntity”);
(iii) A business development company as definedin Section 202(a)(22) of the Advisers Act (a“Business Development Company”). ¨ Yes ¨ No If “Yes,” please proceed to section (B) below. If “No,” please state your primary business and proceed to (C) below:
B. For investment vehicles responding “Yes” in section (A) above.
(i) a natural person with an individual net worth2 (including assets held jointly with their spouse) in excess of $1,500,000;
(ii) an entity that is not an Investment Company, a Private Fund Entity or a Business Development Company (as such terms are defined in Statement 2(A) above) and such entity has a net worth in excess of $1,500,000;
(iii) an entity that is an Investment Company, a Private Fund Entity or a Business Development Company (as such terms are defined in Statement 2(A) above) of which each and every equity owner of such entity is a person or entity described in clauses (i) and (ii) of this Statement (B).
C. For entity investors responding “No” in section (A) above
3. Additional Certification (must be completed)
CORPORATIONS, PARTNERSHIPS OR LIMITED LIABILITY COMPANIES. A corporation, Massachusetts or similar business trust, partnership or limited liability company, not formed for the specific purpose of acquiring the securities offered, with total assets in excess of $5,000,000. _____ REVOCABLE TRUSTS. A trust that is revocable by its grantors and each of whose grantors is an accredited investor. (If this category is checked, please also check the additional category or categories under which the grantor qualifies as an accredited investor). _____ IRREVOCABLE TRUSTS. A trust, with total assets in excess of $5,000,000, that is not revocable by its grantors and not formed for the specified purpose of acquiring the securities offered, whose purchase is directed by a sophisticated person as defined in Rule 506(b)(2)(ii) promulgated under the Securities Act. _____ FAMILY OFFICE. A “family office,” as defined in rule 202(a)(11)(G)-1 under the Investment Advisers Act of 1940 (17 CFR 275.202(a)(11)(G)-1): (A) with assets under management in excess of $5,000,000, (B) that is not formed for the specific purpose of acquiring the securities offered, and (C) whose prospective investment is directed by a person who has such knowledge and experience in financial and business matters that such family office is capable of evaluating the merits and risks of the prospective investment. _____ FAMILY CLIENT. A “family client,” as defined in rule 202(a)(11)(G)-1 under the Investment Advisers Act of 1940 (17 CFR 275.202(a)(11)(G)-1)), of a family office meeting the requirements in the preceding paragraph and whose prospective investment in the issuer is directed by such family office pursuant to the preceding paragraph.
CORPORATIONS, PARTNERSHIPS OR LIMITED LIABILITY COMPANIES. The Subscriber has total assets in excess of $5,000,000 and was not formed for the specific purpose of investing in the Fund. or
CORPORATIONS, PARTNERSHIPS OR LIMITED LIABILITY COMPANIES. Please check all applicable information below.
1. Accredited Investor Status
CORPORATIONS, PARTNERSHIPS OR LIMITED LIABILITY COMPANIES. Please check all applicable information below.
1. Accredited Investor Status
2. Additional Certification (must be completed)
