IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Indicate how often you invest in: Marketable Securities Often ☐ Occasionally ☐ Seldom ☐ Never ☐ Restricted Securities Often ☐ Occasionally ☐ Seldom ☐ Never ☐ Venture Capital Companies Often ☐ Occasionally ☐ Seldom ☐ Never ☐
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: Trustee Name: Does the trust have assets greater than $5 million? YES NO Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? YES NO Indicate how often you invest in:
(i) Marketable Securities Often ☐ Occasionally ☐ Seldom ☐ Never ☐
(ii) Restricted Securities Often ☐ Occasionally ☐ Seldom ☐ Never ☐
(iii) Venture Capital Companies Often ☐ Occasionally ☐ Seldom ☐ Never ☐ By signing this Questionnaire, I hereby confirm the following statements:
(a) I am aware that the offering of the Securities will involve securities that are not transferable and for which no market exists, thereby requiring my investment to be maintained for an indefinite period of time.
(b) I acknowledge that any delivery to me of transactions documents relating to the Securities prior to the determination by the Company of my suitability as an investor, shall not constitute an offer of such Securities until such determination of suitability shall be made, and I agree that I shall promptly return the transaction documents to the Company upon request.
(c) My answers to the foregoing questions are, and were on any date (if any) that I previously purchased securities in the Company, true and complete to the best of my information and belief and were true on any date that I previously as of, and I will promptly notify the Company of any changes in the information I have provided. (Print Name) (Signature) (Print Name of Joint Investor) (Signature of Joint Investor) (Print Name of Entity) (Signature) (Print Name and Title of Person Signing) I, , am the of (the “Entity”). I certify that I am empowered and duly authorized by the Entity to execute and carry out the terms of that certain Subscription Agreement dated as of_____________2022, by and between the Entity and Elite Performance Holding Corp. (the “Subscription Agreement”), and to purchase and hold the Securities (as defined in the Subscription Agreement), and certify further that the Subscription Agreement has been duly and validly executed on behalf of the Entity and constitutes a legal and binding obligation of the Entity.
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: Trustee Name: Does the trust have assets greater than $5 million? Yes 🞏 No 🞏 Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes 🞏 No 🞏 Indicate how often you invest in: Marketable Securities Often 🞏 Occasionally 🞏 Seldom 🞏 Never 🞏 Restricted Securities Often 🞏 Occasionally 🞏 Seldom 🞏 Never 🞏 Venture Capital Companies Often 🞏 Occasionally 🞏 Seldom 🞏 Never 🞏 The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent will rely on them. Date: Name of Individual (Please type or print) Signature (Joint Owner) Date: Print or Type Entity Name By: Name: Print or Type Name Title: Signature Title: Signature (other authorized signatory) 25 In addition to the covenants, representations and warranties contained in the Securities Purchase Agreement, to which this Annex B – Certificate of Subscriber is attached, the undersigned Purchaser (or the Purchaser on behalf of one or more beneficial purchasers for whom the Purchaser is purchasing as principal) covenants, represents and warrants to the Company that the Purchaser (or one or more beneficial purchasers for whom the Purchaser is purchasing as principal) is resident in British Columbia, Alberta, Manitoba, Quebec, Newfoundland and Labrador, or Ontario and either (i) qualifies under Category 1 – Accredited Investor as an “accredited investor” as defined in NI 45-106 and has checked the appropriate box below, or (ii) qualifies under Category 2 – Minimum $150,000 Investment, and has checked the appropriate box below, or (iii) for all jurisdictions listed above, except Ontario, qualifies under Category 3 as “Family, friends and business associates” as required by section 2.5 of NI 45-106 and has checked the appropriate box below; or (iv) for Ontario residents only, qualifies under Category 4 as “Founder, control person and family as required by section 2.7 of NI 45-106 and has checked the appropriate box below.
Category 1 - Accredited Investor 🞏 a. a Canadian financial institution, or a Schedule III bank;
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee:
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions about the trust and the trustee:
(a) Does the trust have assets greater than $5 million?
(b) Does the trustee have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in shares of Parent Common Stock? (c) (Name of Trustee)
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: _____________________________________________________ Trustee Name: _____________________________________________________ Does the trust have assets greater than $5 million? Yes ☐ No ☐ Indicate how often you invest in: Often ☐ Occasionally ☐ Seldom ☐ Never ☐ Restricted Securities Often ☐ Occasionally ☐ Seldom ☐ Never ☐ Venture Capital Companies Often ☐ Occasionally ☐ Seldom ☐ Never ☐ The undersigned has been informed of the significance of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company, will rely on them.
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ____________________________________________________________ Trustee Name: ___________________________________________________________
A. Does the trust have assets greater than $5 million? Yes ¨ No ¨
B. Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes ¨ No ¨
C. Indicate how often you invest in:
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent will rely on them.
IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: Trustee Name: Does the trust have assets greater than $5 million? Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Indicate how often you invest in:
(i) Marketable Securities Often [ ] Occasionally [ ] Seldom [ ] Never [ ]
(ii) Restricted Securities Often [ ] Occasionally [ ] Seldom [ ] Never [ ]
(iii) Venture Capital Companies Often [ ] Occasionally [ ] Seldom [ ] Never [ ] By signing this Questionnaire, I hereby confirm the following statements:
(a) I am aware that the offering of Units will involve securities that are not transferable and for which no market exists, thereby requiring my investment to be maintained for an indefinite period of time.
(b) I acknowledge that any delivery to me of a final draft copy of the Current Report on Form 8-K relating to the Units prior to the determination by the Company of my suitability as an investor, shall not constitute an offer of such Units until such determination of suitability shall be made, and I agree that I shall promptly return the final draft copy of the Current Report on Form 8-K to the Company upon request.
