Common use of Supplemental Data for Entities Clause in Contracts

Supplemental Data for Entities. 1. If the Investor is not a natural person, the Investor must furnish the following supplemental data (Natural persons may skip this Section of the Investor Questionnaire): Legal form of entity (trust, corporation, partnership, limited liability company, etc.): Jurisdiction of organization and location of domicile: Is the Investor (a) a trust any portion of which is treated (under subpart E of part I of subchapter J of chapter 1 of subtitle A of the Code) as owned by a natural person (e.g., a grantor trust), (b) an entity disregarded for U.S. federal income tax purposes and owned (or treated as owned) by a natural person or a trust described in clause (a) of this sentence (e.g., a limited liability company with a single member), (c) an organization described in Sections 401(a) or 501 of the Code or (d) a trust permanently set aside or to be used for a charitable purpose? ¨ Yes ¨ No Is the Investor acting on behalf of an unrelated third party (e.g., nominee arrangement)? ¨ Yes ¨ No If “Yes,” please describe the arrangement: Does the Investor have one or more ultimate beneficiaries who (a) are entitled to 10% or more of the proceeds from this investment or (b) hold 10% or more of the control rights of the Investor? ¨ Yes ¨ No Is the Investor or any of the ultimate beneficiaries publicly traded? ¨ Yes ¨ No Is the Investor or any of the ultimate beneficiaries a regulated entity? ¨ Yes ¨ No If the response to any of the above questions is “yes,” please complete the below chart. If there is insufficient space in the chart, please include additional sheets of paper with the relevant information. Name of Investor and Each 10% Beneficial Owner If the Investor or Any of the 10% Beneficial Owners Is Publicly Traded, Please Identify the Exchange for the Public Trading. If the Investor or Any of the 10% Beneficial Owners Is a Regulated Entity, Please Identify Regulator and Jurisdiction.

Supplemental Data for Entities. 1. If the Investor is not a natural person, the Investor must furnish the following supplemental data (Natural persons may skip this Section of the Investor Suitability Questionnaire): Legal form of entity (trust, corporation, partnership, limited limited-liability company, etc.): ____________________________________________________________________________________________ Jurisdiction of organization and location of domicile: Is the Investor (a) a trust any portion of which is treated (under subpart E of part I of subchapter J of chapter 1 of subtitle A of the Code) as owned by a natural person (e.g., a grantor trust), (b) an entity disregarded for U.S. federal income tax purposes and owned (or treated as owned) by a natural person or a trust described in clause (a) of this sentence (e.g., a limited limited-liability company with a single member), (c) an organization described in Sections 401(a) or 501 of the Code or (d) a trust permanently set aside or to be used for a charitable purpose? ¨ ☐ Yes ¨ ☐No Is the Investor acting on behalf of an unrelated third party (e.g., nominee arrangement)? ¨ ☐ Yes ¨ ☐No If “Yes,” please describe the arrangement: _____________________________ Does the Investor have one or more ultimate beneficiaries who (a) are entitled to 10% or more of the proceeds from this investment or (b) hold 10% or more of the control rights of the Investor? ¨ ☐ Yes ¨ ☐No Is the Investor or any of the ultimate beneficiaries publicly traded? ¨ ☐ Yes ¨ ☐No Is the Investor or any of the ultimate beneficiaries a regulated entity? ¨ ☐ Yes ¨ ☐No If the response to any of the above questions is “yes,” please complete the below chart. If there is insufficient space in the chart, please include additional sheets of paper with the relevant information. Name of Investor and Each 10% Beneficial Owner If the Investor or Any of the 10% Beneficial Owners Is Publicly Traded, Please Identify the Exchange for the Public Trading. If the Investor or Any of the 10% Beneficial Owners Is a Regulated Entity, Please Identify Regulator and Jurisdiction.

Supplemental Data for Entities. 1. If the Investor Subscriber is not a natural person, the Investor Subscriber must furnish the following supplemental data (Natural persons may skip this Section V of the Investor Questionnaire): Legal form of entity (trust, corporation, partnership, limited liability company, etc.): Jurisdiction of organization and location of domicile: Subscriber Control Person*: *For all entity accounts a Control Person is required. The Control person must be a person with significant responsibility for managing the Subscriber, including an executive officer or senior manager. Xxxxxxxxx Xxxxxx XXXx INVESTOR QUESTIONNAIRE Is the Investor Subscriber (a) a trust any portion of which is treated (under subpart E of part I of subchapter J of chapter 1 of subtitle A of the Code) as owned by a natural person (e.g., a grantor trust), (b) an entity disregarded for U.S. federal income tax purposes and owned (or treated as owned) by a natural person or a trust described in clause (a) of this sentence (e.g., a limited liability company with a single member), (c) an organization described in Sections 401(a) or 501 of the Code or (d) a trust permanently set aside or to be used for a charitable purpose? ¨ Yes ¨ No Is the Investor Subscriber acting on behalf of an unrelated third party (e.g., nominee arrangement)? ¨ Yes ¨ No If “Yes,” please describe the arrangement: Does the Investor Subscriber have one or more ultimate beneficiaries who (a) are entitled to 10% or more of the proceeds from this investment or (b) hold 10% or more of the control rights of the InvestorSubscriber? ¨ Yes ¨ No Is the Investor Subscriber or any of the ultimate beneficiaries publicly traded? ¨ Yes ¨ No Is the Investor Subscriber or any of the ultimate beneficiaries a regulated entity? ¨ Yes ¨ No If the response to any of the above questions is “yes,” please complete the below chart. If there is insufficient space in the chart, please include additional sheets of paper with the relevant information. Name of Investor Subscriber and Each 10% Beneficial Owner If the Investor Subscriber or Any of the 10% Beneficial Owners Is Publicly Traded, Please Identify the Exchange for the Public Trading. If the Investor Subscriber or Any of the 10% Beneficial Owners Is a Regulated Entity, Please Identify Regulator and Jurisdiction. For each 10% Beneficial Owner of the Subscriber and the Control Person listed above, please provide the below information. Xxxxxxxxx Xxxxxx XXXx INVESTOR QUESTIONNAIRE Name Date of Birth Address (Residential of Business Street Address) For U.S. Persons: Social Security Number For Non-U.S. Persons: Social Security Number, Passport Number and Country of Issuance, or other similar identification number* *In lieu of a passport number, Non-U.S. Persons may also provide a Social Security Number, an alien identification card number, or number and country of issuance of any other government-issued document evidencing nationality or residence and bearing a photograph or similar safeguard.

Supplemental Data for Entities. 1. If the Investor Subscriber is not a natural person, the Investor Subscriber must furnish the following supplemental data (Natural persons may skip this Section V of the Investor Questionnaire): Legal form of entity (trust, corporation, partnership, limited liability company, etc.): Jurisdiction of organization and location of domicile: ___________________________________ Subscriber Control Person*: ____________________________________ *For all entity accounts a Control Person is required. The Control person must be a person with significant responsibility for managing the Subscriber, including an executive officer or senior manager. Xxxxxxxxx Xxxxxx XXXx INVESTOR QUESTIONNAIRE Is the Investor Subscriber (a) a trust any portion of which is treated (under subpart E of part I of subchapter J of chapter 1 of subtitle A of the Code) as owned by a natural person (e.g., a grantor trust), (b) an entity disregarded for U.S. federal income tax purposes and owned (or treated as owned) by a natural person or a trust described in clause (a) of this sentence (e.g., a limited liability company with a single member), (c) an organization described in Sections 401(a) or 501 of the Code or (d) a trust permanently set aside or to be used for a charitable purpose? ¨ Yes ¨ No Is the Investor Subscriber acting on behalf of an unrelated third party (e.g., nominee arrangement)? ¨ Yes ¨ No If “Yes,” please describe the arrangement: ___________________________ Does the Investor Subscriber have one or more ultimate beneficiaries who (a) are entitled to 10% or more of the proceeds from this investment or (b) hold 10% or more of the control rights of the InvestorSubscriber? ¨ Yes ¨ No Is the Investor Subscriber or any of the ultimate beneficiaries publicly traded? ¨ Yes ¨ No Is the Investor Subscriber or any of the ultimate beneficiaries a regulated entity? ¨ Yes ¨ No If the response to any of the above questions is “yes,” please complete the below chart. If there is insufficient space in the chart, please include additional sheets of paper with the relevant information. Name of Investor Subscriber and Each 10% Beneficial Owner If the Investor Subscriber or Any of the 10% Beneficial Owners Is Publicly Traded, Please Identify the Exchange for the Public Trading. If the Investor Subscriber or Any of the 10% Beneficial Owners Is a Regulated Entity, Please Identify Regulator and Jurisdiction. For each 10% Beneficial Owner of the Subscriber and the Control Person listed above, please provide the below information. Xxxxxxxxx Xxxxxx XXXx INVESTOR QUESTIONNAIRE Name Date of Birth Address (Residential of Business Street Address) For U.S. Persons: Social Security Number For Non-U.S. Persons: Social Security Number, Passport Number and Country of Issuance, or other similar identification number* *In lieu of a passport number, Non-U.S. Persons may also provide a Social Security Number, an alien identification card number, or number and country of issuance of any other government-issued document evidencing nationality or residence and bearing a photograph or similar safeguard.