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SUITABILITY QUESTIONNAIRE Sample Clauses

SUITABILITY QUESTIONNAIREAll Subscribers shall have completed and delivered to the Company the Accredited Investor section of the Subscriber’s signature page attached hereto; and
SUITABILITY QUESTIONNAIRE. This is a speculative investment (Each responding individual must complete his/her own Suitability Questionnaire) Name of Individual Investor OR Name of Person Answering Questions on behalf of an Entity/Trust/IRA Investor: A. Please provide the below Identification information: Are you a U.S. Citizen? ☐ Yes ☐ No B. Please provide your present employment status. If currently retired or unemployed, please provide your last/most recent employment history: C. Please provide the following information concerning your financial experience: C-1. Risk Tolerance (select one): ☐ Speculative – You are willing to accept substantial risk. May endure extensive volatility and very limited or no liquidity. You value the potential for maximizing long-term returns over principal preservation. ☐ Aggressive – You are willing to accept considerable risk. You may endure high volatility and limited or very limited liquidity. You value long-term appreciation over principal preservation. ☐ Moderate – You are willing to accept limited risk. You may endure some volatility and illiquidity. You value enhancing returns and principal preservation equally. You are willing to risk losing a substantial amount of your investment. ☐ Conservative – You are willing to accept low risk for greater stability and liquidity. You value minimizing risk and maximizing principal preservation. C-2. What is your primary investment objective? (select one): ☐ Investment speculation ☐ Steadily accumulate wealth over the long term ☐ Partially fund my retirement ☐ Other C-3. What are your time horizon and liquidity needs? (a) Time Horizon (select one): (b) Liquidity Needs (select one): ☐ 10 years or more ☐ Low ☐ 5 –10 years ☐ Medium ☐ 2 – 5 years ☐ High ☐ Under 2 years C-4. How much investment experience do you have? (select one): ☐ Extensive ☐ Substantial ☐ Moderate ☐ Limited ☐ None C-5. Please state the approximate number and total dollar amount of your prior investments in restricted securities (e.g., private placements): No. of Investments: _________________ Total Amount: _________________ C-6. Please indicate your Annual Income and Net Worth: (a) Annual Income (b) Net Worth (c) Liquid Net Worth ☐ Under $25,000 ☐ Under $25,000 ☐ Under $25,000 ☐ $25,000 – $50,000 ☐ $25,000 – $50,000 ☐ $25,000 – $50,000 ☐ $50,000 – $75,000 ☐ $50,000 – $75,000 ☐ $50,000 – $75,000 ☐ $75,000 – $100,000 ☐ $75,000 – $100,000 ☐ $75,000 – $100,000 ☐ $100,000 – $200,000 ☐ $100,000 – $150,000 ☐ $100,000 – $150,000 ☐ $200,000 – $300,0...
SUITABILITY QUESTIONNAIRE. Proton shall execute a Purchaser Suitability Questionnaire which demonstrates that Proton qualifies as an offshore investor under Regulation S.
SUITABILITY QUESTIONNAIRE. The following information should be provided by the person making the investment decision whether on his own behalf or on behalf of an entity:
SUITABILITY QUESTIONNAIREThe Purchaser will have executed and delivered to the Company a Suitability Questionnaire, acceptable to counsel for the Company.
SUITABILITY QUESTIONNAIREThe information in the Suitability Questionnaire annexed hereto is accurate and true in all material respects.
SUITABILITY QUESTIONNAIRE. All capitalized terms not defined in this Appendix II shall have the meanings assigned to them in the Securities Purchase Agreement, dated as of March 28, 2007 (the “Agreement”), by and among NextWave Wireless Inc., a Delaware corporation (the “Company”) and each of the purchasers listed on Schedule 1 to the Agreement. 5. STATUS AS AN ACCREDITED INVESTOR
SUITABILITY QUESTIONNAIRE. This is a speculative investment (Each responding individual must complete his/her own Suitability Questionnaire) Name of Individual Investor OR Name of Person Answering Questions on behalf of an Entity/Trust/IRA Investor: A. Please provide the below Identification information: Place of Issuance: Issue Date: Expiration Date: Are you a U.S. Citizen? ¨ Yes ¨ No B. Please provide your present employment status. If currently retired or unemployed, please provide your last/most recent employment history: C. Please provide the following information concerning your financial experience: C-1. _Risk Tolerance (select one): ¨ Speculative – You are willing to accept substantial risk. May endure extensive volatility and very limited or no liquidity. You value the potential for maximizing long-term returns over principal preservation. ¨ Aggressive – You are willing to accept considerable risk. You may endure high volatility and limited or very limited liquidity. You value long-term appreciation over principal preservation. ¨ Moderate – You are willing to accept limited risk. You may endure some volatility and illiquidity. You value enhancing returns and principal preservation equally. You are willing to risk losing a substantial amount of your investment. ¨ Conservative – You are willing to accept low risk for greater stability and liquidity. You value minimizing risk and maximizing principal preservation.
SUITABILITY QUESTIONNAIRE. The OmniComm Shareholders will have executed and delivered to Coral a Suitability Questionnaire, acceptable to counsel for Coral.