NON-INDIVIDUAL INVESTORS. (Please answer Part II only if the purchase is proposed to be undertaken by a corporation, partnership, trust or other entity)
1. True False You are an entity organized under the laws of a jurisdiction other than those of the United States or any state, territory or possession of the United States (a "Foreign Entity").
2. True False You are a corporation of which, in the aggregate, more than one-fourth of the capital stock is owned of record or voted by Foreign Citizens, Foreign Entities, Foreign Corporations (as defined below) or Foreign partnerships (as defined below) (a "Foreign Corporation")
3. True False You are a general or limited partnership of which any general or limited partner is a Foreign Citizen, Foreign Entity, Foreign Government, Foreign Corporation or Foreign Partnership (as defined below) (a "Foreign Partnership")
4. True False You are a representative of, or entity controlled by, any of the entities listed in items 1 through 3 above.
1. True False You are a partnership or corporation organized or incorporated under the laws of the United States.
2. True False You are an estate of which any executor or administrator is a U.S. Person. If the preceding sentence is true, but the executor or administrator who is a U.S. Person is a professional fiduciary and (i) there is another executor or administrator who is a non-U.S. Person who has shared or sole investment discretion with respect to the assets of the estate; and (ii) the estate is governed by foreign law, you may answer “False.”
3. True False You are a trust of which any trustee is a U.S. Person. If the preceding sentence is true, but the trustee who is a U.S. Person is a professional fiduciary and (i) there is another trustee who is a non-U.S. Person who has shared or sole investment discretion with respect to the trust assets; and (ii) no beneficiary of the trust is a U.S. Person, you may answer “False.”
4. True False You are an agency or branch of a foreign entity located in the United States.
5. True False You are a non-discretionary or similar account (other than an estate or trust) held by a dealer or fiduciary for the benefit or account of a U.S. Person.
6. True False You are a discretionary account or similar account (other than an estate or trust) held by a dealer or other fiduciary organized or incorporated, or (if an individual) resident in the United States. If the preceding sentence is true, but such account is held by a dealer or other professional fiduciary organized or in...
NON-INDIVIDUAL INVESTORS. (Please answer Part II only if the purchase is proposed to be undertaken by a corporation, partnership, trust or other entity)
1. True False You are an entity organized under the laws of a jurisdiction other than those of the United States or any state, territory or possession of the United States (a “Foreign Entity”).
2. True False You are a corporation of which, in the aggregate, more than one-fourth of the capital stock is owned of record or voted by Foreign Citizens, Foreign Entities, Foreign Corporations (as defined below) or Foreign partnerships (as defined below) (a “Foreign Corporation”).
3. True False You are a general or limited partnership of which any general or limited partner is a Foreign Citizen, Foreign Entity, Foreign Government, Foreign Corporation or Foreign Partnership (as defined below) (a “Foreign Partnership”).
4. True False You are a representative of, or entity controlled by, any of the entities listed in items 1 through 3 above.
NON-INDIVIDUAL INVESTORS. Please indicate the jurisdiction in which the entity is chartered and the jurisdiction in which it maintains its principal offices:
NON-INDIVIDUAL INVESTORS. (Please answer Part II only if the purchase is proposed to be undertaken by a corporation, partnership, trust or other entity)
1. Identification
2. Amount Of Investment
NON-INDIVIDUAL INVESTORS. (Please answer Part II only if the purchase is proposed to be undertaken by a corporation, partnership, trust or other entity)
1. Identification Was entity formed for the purpose of this investment? o Yes o No If the answer is YES, then ALL stockholders, partners or other equity owners must answer Part I of this Questionnaire. If the above answer is no, please continue completing this form.
2. Amount Of Investment
NON-INDIVIDUAL INVESTORS. (Please answer Part I only if the purchase is proposed to be undertaken by a corporation, partnership, trust or other entity)
1. True False You are an entity organized under the laws of a jurisdiction other than those of the United States or any state, territory or possession of the United States (a “Foreign Entity”).
NON-INDIVIDUAL INVESTORS. 第2部分 非个人投资方*
1. True 是 False 否 You are an entity organized under the laws of a jurisdiction other than those of the United States or any state, territory or possession of the United States (a "Foreign Entity"). 您为非美国或任何美国境内或所有管辖权的州的法律管辖权下成立的实体（一个“外国实体”）
NON-INDIVIDUAL INVESTORS. 第2部分 非个人投资方* · If the investment will be made by more than one affiliated entity, please complete a copy of this questionnaire for EACH entity. 如果将有多于一个相关实体进行投资，请为每一个实体各完成一份此调查 · PLEASE PROVIDE COPIES OF THE FORMATION DOCUMENTS ISSUED BY THE COUNTRY IN WHICH YOU WERE FORMED. 请提供成立所在国家出具的成立文件的复印件 Disclosure of Foreign Ownership.
1. True 是 False 否 You are an entity organized under the laws of a jurisdiction other than those of the United States or any state, territory or possession of the United States (a "Foreign Entity"). 您为非美国或任何美国境内或所有管辖权的州的法律管辖权下成立的实体（一个“外国实体”）
NON-INDIVIDUAL INVESTORS. 第 2 部分 非个人投资方* （只有公司、合伙、信托或其他实体将承担购买时，回答第 2 部分） · If the investment will be made by more than one affiliated entity, please complete a copy of this questionnaire for EACH entity. 如果将有多于一个相关实体进行投资，请为每一个实体各完成一份此调查 ·PLEASE PROVIDE COPIES OF THE FORMATION DOCUMENTS ISSUED BY THE COUNTRY IN WHICH YOU WERE FORMED.
1. True 是 False 否 You are an entity organized under the laws of a jurisdiction other than those of the United States or any state, territory or possession of the United States (a "Foreign Entity"). 您为非美国或任何美国境内或所有管辖权的州的法律管辖权下成立的实体（一个“外国实体”）
2. True 是 False 否 You are a corporation of which, in the aggregate, more than one-fourth of the capital stock is owned of record or voted by Foreign Citizens, Foreign Entities, Foreign Corporations (as defined below) or Foreign partnerships (as defined below) (a "Foreign Corporation") 您是一个总共超过四分之一的股票或表决权由外国公民、外国实体、外国公司（下述定义）或外国合伙（下述定 义）拥有的公司（一个“外国企业”）
3. True 是 False 否 You are a general or limited partnership of which any general or limited partner is a Foreign Citizen, Foreign Entity, Foreign Government, Foreign Corporation or Foreign Partnership (as defined below) (a "Foreign Partnership") 您是一个一般或有限合伙，其中任何一般或有限合伙人是外国公民、外国实体、外国政府、外国公司或外国合伙 （下述定义）（一个“外国合伙”）
4. True 是 False 否 You are a representative of, or entity controlled by, any of the entities listed in items 1 through 3 above. 您是上述第 1 项至第 3 项所列的任何实体的代表人、或被 其所控制的实体。
1. True 是 False 否 You are a partnership or corporation organized or incorporated under the laws of the United States. 您是美国法律下所组织或成立的合伙或公司。
2. True 是 False 否 You are an estate of which any executor or administrator is a U.S. Person. If the preceding sentence is true, but the executor or administrator who is a U.S. Person is a professional fiduciary and (i) there is another executor or administrator who is a non-U.S. Person who has shared or sole investment discretion with respect to the assets of the estate; and (ii) the estate is governed by foreign law, you may answer “False.” 您产权的执行人或管理人是美国人。如果前述为“是”，但 是美国籍的执行人或管理人是一名职业财产信托人且 （1）有另一名非美国籍的执行人或管理人共同或独自就 产权资产作出投资决定；且（2）产权受外国法律约束， 请回答“否”。
3. True 是 False 否 You are a trust of which any trustee is a U.S. Person. If the preceding sentence is true, but the trustee who is a U.S. Person is a professional fiduciary and (i) there is another trustee who is a non-U.S. Person who has shared or sole investment discretion with respect to the trust assets; and (ii) no beneficiary of the trust is a U.S. Person, you may answer “False.” 您为受托人是美国人士的信托。如果前述为“是”，但是 美国籍的受托...
NON-INDIVIDUAL INVESTORS. (please answer this Part II only if the proposed purchase is to be made by a corporation, partnership, trust or other entity.) IF INVESTMENT WILL BE MADE BY MORE THAN ONE AFFILIATED ENTITY, PLEASE COMPLETE A COPY OF THIS QUESTIONNAIRE FOR EACH ENTITY.
1. IDENTIFICATION Name_______________________________________________________ (Exact name as it will appear on stock certificate) Address of Principal Place of Business _______________________________________ Jurisdiction of Formation or Incorporation ________________________________________ Contact Person ____________________________________________ Telephone Number ____________________ Facsimile Number____________________________ Type of Entity (corporation, partnership, trust, etc.)__________________________ Was entity formed for the purpose of this investment? Yes ____ No ____ If the answer is yes, all shareholders, partners or other equity owners must answer Part I of this Questionnaire. If the above answer is no, please continue completing this form.
