PLEASE SUPPLY THE FOLLOWING INFORMATION. Manner in which title is to be held; (Check one) Individual Ownership Partnership* Individual Retirement Account Trust * Qualified Retirement Plan X Corporation* Other: Limited Liability Company* (Please indicate) * In the case of a partnership, state names of all partners and attach a copy of the partnership agreement. In the case of a corporation, attach a copy of the articles of incorporation together with the resolution of the board of directors authorizing this investment. In the case of a limited liability company, attach a copy of the articles of organization and operating agreement and a copy of any required member or manager resolutions authorizing this investment. In the case of a trust, attach a copy of the trust agreement.
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Samples: Convertible Note and Warrant Subscription Agreement (Steel Vault Corp), Convertible Note and Warrant Subscription Agreement (Blue Moon Energy Partners LLC), Convertible Note and Warrant Subscription Agreement (Steel Vault Corp)
PLEASE SUPPLY THE FOLLOWING INFORMATION. Manner in which title is to be held; (Check one) Individual Ownership Partnership* Individual Retirement Account Trust * Qualified Retirement Plan X Corporation* Other: Limited Liability Company* (Please indicate) * In the case of a partnership, state names of all partners and attach a copy of the partnership agreement. In the case of a corporation, attach a copy of the articles of incorporation together with the resolution of the board of directors authorizing this investment. In the case of a limited liability company, attach a copy of the articles of organization and operating agreement and a copy of any required member or manager resolutions authorizing this investment. In the case of a trust, attach a copy of the trust agreement.
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