Purchaser Questionnaire Clause Samples

Purchaser Questionnaire. The Company shall have received a completed Purchaser Questionnaire in the form attached hereto as Exhibit A from the Subscriber, which questionnaire shall have responses thereto acceptable to the Company, in its reasonable discretion.

Purchaser Questionnaire. Pursuant to Section 1 of Annex I to the Agreement, please provide us with the following information:

Purchaser Questionnaire. Gentlemen: The information contained herein is being furnished to MOBIEYES SOFTWARE, INC. (the "Company") in order that it may determine whether to accept a subscription offer for Securities made by me. I understand that the information is needed for the Company to determine whether you have reasonable grounds to believe that I am an "Accredited Investor" as that term is defined in Regulation D promulgated under the Act, or am otherwise qualified to make an investment in the Company in accordance with the investment standards established by the Company, and that I have such knowledge and experience in financial and business matters that I am capable of evaluating the merits and risks of the proposed investment in the Company. I understand that (a) you will rely on the information contained herein for purposes of such determination, (b) the Securities will not be registered under the Act in reliance upon the exemptions from registration afforded under the Act, (c) the Securities will not be registered under the securities laws of any state in reliance upon similar exemptions, and (d) this questionnaire is not an offer to purchase the Securities in any case where such offer would not be legally permitted. Information contained in this questionnaire will be kept confidential by the Company and its agents, employees or representatives. I understand, however, that the Company may have the need to present it to such parties as it deems advisable in order to establish the applicability under any federal or state securities laws of an exemption from registration. In accordance with the foregoing, the following representations and information are hereby made and furnished: Please answer all questions. If the answer is "none" or "not applicable," please so state. INFORMATION REQUIRED OF EACH PROSPECTIVE INVESTOR:

Purchaser Questionnaire. Each subscriber must read carefully, complete and sign the Purchaser Questionnaire attached as Exhibit A. For purposes of this offering, you must demonstrate that you meet the investor suitability standards set forth below: Investment in the Company involves certain risks and is suitable only for persons of adequate financial means who have no need for liquidity with respect to this investment and who can afford the risk of a complete loss of their investment.

Purchaser Questionnaire. Such Purchaser has completed or caused to be completed the Purchaser Questionnaire in substantially the form as set forth on Exhibit B, or in another form acceptable to the Company and the information provided by each Purchaser in such Purchaser’s Purchaser Questionnaire is true and correct as of the date of this Agreement and shall be true as of the Effective Date.

Purchaser Questionnaire. The undersigned hereby provides the following information to the Company and represents and warrants that such information is accurate:

Purchaser Questionnaire o All Purchasers should complete the relevant portions of Part I of Appendix A. o Please answer all questions in Part II, III and IV of Appendix A. If the Purchaser believes that certain questions in Part III are not applicable, please fill out “N/A” as answers to such questions. o All Purchasers who potentially will hold 20% or more in Interests in the Fund should complete Part V of Appendix A, and Purchasers should contact the General Partner if they are not certain whether they should be completing Part V of Appendix A.

Purchaser Questionnaire. The Subscriber represents and warrants to the Company that the statements set forth on the Subscriber’s Purchaser Questionnaire are true, correct and complete.

Purchaser Questionnaire. All Purchasers should complete the relevant portions of Part I of Appendix A. · Please answer all questions in Parts II, III and IV of Appendix A. If the Purchaser believes that certain questions in Part III are not applicable, please fill out “N/A” as answers to such questions. · All Purchasers who may potentially hold 20% or more in Interests in the Fund should complete Part V of Appendix A, and Purchasers should contact the General Partner if they are not certain whether they should be completing Part V of Appendix A. · Each Purchaser who is a Hong Kong Investor (as defined herein) and/or indirectly owned by one or more Hong Kong Investor should complete Part VI of Appendix A.