FORM OF ESCROW AGREEMENT
EXHIBIT
10.3
FORM
OF ESCROW AGREEMENT
This
escrow agreement ("Agreement") dated and entered as of September __, is by and
among, Xxxxx Retail Centers, Inc., a Delaware corporation (“Company”), Freedom
Investors Corp., a FINRA-registered broker-dealer (“Dealer Manager”), and
Century Bank and Trust (“Escrow Agent”). The “Escrow Agent,” the “Company,” and
the “Dealer Manager” may also be hereinafter referred to as the
“Parties.”
RECITALS
A. The
Company, by and through the Dealer Manager and each registered FINRA
broker-dealer with whom the Dealer Manager has entered into or will enter into a
Soliciting Dealer Agreement in the form attached to this Agreement as Exhibit B (you and
said dealers being hereinafter sometimes referred to collectively as the
“Dealers”), is offering for sale to the public a maximum of 3,000,000 shares of
its Common Stock (“Offering”) through the Dealers, including the Dealer Manager.
The Offering is being conducted on a “best efforts” basis, which means that the
Dealers must use only their best efforts to sell the shares and have no firm
commitment or obligation to purchase any of the shares. We are offering such
3,000,000 shares at a price of $5.00 per share. The Offering is scheduled to
terminate by ______________, 2011. Under rules promulgated by the SEC, in some
circumstances we could continue the Offering until as late as __________, 2012.
If we decide to continue the Offering beyond _____________ , 2011, we will
supplement the prospectus relating to the Offering accordingly. We may terminate
this Offering at any time. The Company reserves the right to accept
subscriptions for less than the preferred minimum investment of
$__________.
B. The
Company desires to establish an escrow account with the Escrow Agent into which
certain monies will be deposited and held in escrow until collected funds
representing payment in full for those shares covered by at least one
subscription agreement in the form attached hereto as Exhibit C
(“Subscription Agreement”) that has been accepted by the Company.
C.
Century Bank and Trust has agreed to act as Escrow Agent on behalf of the
Company and Freedom Investors Corp. on the terms and conditions set forth in
this Agreement;
NOW,
THEREFORE, in consideration of the premises the Parties agree as
follows:
1. ESCROW
FEES: The Company hereby agrees to pay the Escrow Agent compensation for
ordinary services rendered hereunder (“Escrow Fee”) which shall be calculated in
accordance with the Escrow Agent's fee schedule attached as Exhibit A. The
Company further agrees to pay the Escrow Agent’s reasonable fees, which shall be
agreed upon between the Parties, for any services in addition to those provided
for herein to the extent that the Company has expressly requested such
extraordinary services and has been made aware of their cost in advance of their
performance.
2. DEPOSITS: The
Company, through Dealers, shall deliver to the Escrow Agent all checks, drafts
and money orders (“Subscription Payments”) received by any Dealer from each
subscriber for shares (“Subscriber”) in connection with the Offering. All
checks, drafts or money orders for payment of the Proceeds shall be made payable
to the “Xxxxx Retail Centers, Inc. Escrow Account” and shall be deposited by
noon of the following business day to such escrow account. The Escrow Agent
shall keep full and proper records (“Records”) of the names of Subscribers, the
number of Shares purchased and amount of Subscription Payments paid by each
Subscriber.
3. INVESTMENT
OF FUNDS: All Subscription Payments shall be cleared and held in a
separate U.S. Bank FDIC – Insured Money Market Account. The Escrow Agent may
invest the Escrow Amount only in such accounts or investments as the Company may
specify by written notice. The Company may only specify investment in (1) bank
accounts, (2) bank money-market account, (3) short time certificates of deposit
issued by a bank, or (4) short-term securities issued or guaranteed by the U.S.
Government.
4. TERMINATION
DATE: For the purpose of this Agreement, the “Termination Date” of the
Offering shall be ___________, 20__ unless terminated earlier by the Company and
Dealer Manager, or extended mutually by both of them, in writing for up to an
additional ____ days.
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5. DISBURSEMENT
OF FUNDS:
(a) TERMINATION OF THE
OFFERING: If the Escrow Agent has not received on or before the
Termination Date, collected funds funds representing payment in full for those
shares covered by one or more Subscription Agreements (in the form attached
hereto as Exhibit B) that have been accepted by the Company, then the Escrow
Agent shall proceed as directed by the Company and Dealer Manager. The Escrow
Agent, if so directed, shall return all Subscription Payments, without interest
thereon or deduction therefrom, directly to each Subscriber, respectively, at
the address given by such Subscriber in the Subscription Agreement. All
disbursements by the Escrow Agent pursuant to this section shall be made by the
Escrow Agent's usual escrow checks and shall be mailed by first class United
States Postal Services mail, postage pre-paid, as soon as practicable but not
later than the third business day after the Termination Date.
(b) INITIAL CLOSING OF
OFFERING: If the Escrow Agent has received on or before the
Termination Date, collected funds funds representing payment in full for those
shares covered by one or more subscription agreements (in the form attached
hereto as Exhibit C), and the Company’s acceptance of each Subscriber, in
writing, then the Escrow Agent shall disburse one-hundred percent (100%) of the
Subscription Payments in immediately available funds in accordance with written
instructions from both Company and Dealer Manager.
(c) SUBSEQUENT CLOSINGS:
After an initial closing of the Offering, from time to time upon receipt by the
Escrow Agent of additional Subscription Payments and written acceptance of each
Subscriber by the Company, the Escrow Agent shall disburse one-hundred percent
(100%) of all then held Subscription Payments in immediately available funds in
accordance with written instructions from both the Company and Dealer
Manager.
6. COLLECTED
FUNDS: No Subscription Payment shall be disbursed pursuant to Section 5
until such Subscription Payment has been received by the Escrow Agent in
immediately available funds.
7. LIABILITY
OF ESCROW AGENT: In performing any duties under this Agreement, the
Escrow Agent shall not be liable to the Company, any Dealer, or any Subscriber
for damages, losses, or expenses, except for gross negligence or willful
misconduct on the part of the Escrow Agent. The Escrow Agent shall not incur any
such liability for any action taken or omitted in reliance upon any instrument,
including any written statement or affidavit provided for in this Agreement that
the Escrow Agent shall in good faith believe to be genuine, nor will the Escrow
Agent be liable or responsible for forgeries, fraud, impersonations, or
determining the scope of any representative’s authority. In addition, the Escrow
Agent may consult with legal counsel in connection with the Escrow Agent's
duties under this Agreement and shall be fully protected in any action taken,
suffered, or permitted by it in good faith in accordance with the reasonable
advice of counsel. The Escrow Agent is not responsible for determining and
verifying the authority of any person acting or purporting to act on behalf of
any Party to this Agreement.
8. FEES AND
EXPENSES: It is understood that the fees and usual charges agreed upon
for services of the Escrow Agent shall be considered compensation for ordinary
services as contemplated by this Agreement. In the event that the
conditions of this Agreement are not promptly fulfilled, or if the Escrow Agent
renders any service not provided for in this Agreement after approval by the
Company and Dealer Manager, or if the Company and Dealer Manager request a
substantial modification of its terms, or if any controversy arises, or if the
Escrow Agent is made a party to, or intervenes in, any litigation pertaining to
this Agreement or its subject matter, the Escrow Agent shall be reasonably
compensated for such extraordinary services and reimbursed for all reasonable
costs, attorney's fees, including allocated costs of in-house counsel, and
reasonable expenses occasioned by such default, delay, controversy or
litigation. The Company promises to pay these sums promptly upon
demand.
9. CONTROVERSIES:
If any controversy arises between the Parties to this Agreement concerning the
subject matter of this Agreement, its terms or conditions, the Escrow Agent will
not be required to determine the controversy or to take any action regarding it.
The Escrow Agent will hold all documents and funds and will wait for settlement
of any such controversy by final appropriate legal proceedings or other means
as, in the Escrow Agent's discretion, the Escrow Agent may require, despite what
may be set forth elsewhere in this Agreement. In such event, the
Escrow Agent will not be liable for interest or damage. Furthermore, the Escrow
Agent may at its option file an action of interpleader requiring the Parties to
answer and litigate any claims and rights among themselves. The Escrow Agent is
authorized to deposit with the clerk of the court all documents and funds held
in escrow. Upon initiating such action, the Escrow Agent shall be fully released
and discharged of and from all obligations and liability imposed by the terms of
this Agreement.
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10. INDEMNIFICATION
OF ESCROW AGENT: The Company and the respective Dealers, and their
successors and assigns, agree jointly and severally to indemnify and hold the
Escrow Agent harmless against any and all losses, claims, damages, liabilities,
and expenses, including reasonable costs of investigation, counsel fees,
including allocated costs of in-house counsel and disbursements that may be
imposed on the Escrow Agent or incurred by the Escrow Agent in connection with
the performance of its duties under this Agreement, including but not limited to
any litigation arising from this Agreement or involving its subject matter
(“Losses”); provided, however, no such duty to indemnity or hold harmless shall
apply to the extent such Losses are caused by the gross negligence or willful
misconduct on the part of the Escrow Agent.
11. RESIGNATION
OF ESCROW AGENT: The Escrow Agent may resign at any time upon giving at
least (30) days written notice to the Company and Dealer Manager, provided,
however, that no such resignation shall become effective until the appointment
of a successor escrow agent which shall be accomplished as
follows: The Company and Dealer Manager shall use their best efforts
to obtain a successor escrow agent within thirty (30) days after receiving such
notice. If the Company and Dealer Manager fail to agree upon a successor escrow
agent within such time, the Escrow Agent shall have the right to appoint a
successor escrow agent authorized to do business in the state of Michigan. The
successor escrow agent shall execute and deliver an instrument accepting such
appointment and it shall without further acts, be vested with all the estates,
properties, rights, powers, and duties of the predecessor escrow agent as if
originally named as Escrow Agent. The Escrow Agent shall thereupon be discharged
from any further duties and liability under this Agreement.
12. AUTOMATIC
SUCCESSION: Any company into which the Escrow Agent may be merged or with
which it may be consolidated, or any company to whom the Escrow Agent may
transfer a substantial amount of its global escrow business, shall be the
Successor to the Escrow Agent without the execution or filing of any paper or
any further act on the part of any of the Parties, anything herein to the
contrary notwithstanding.
13. TERMINATION: This
Agreement shall terminate on; (i) the Termination Date as defined in Section 4
hereof or (ii) upon the completion of the conditions of Sections 5(a) or 5(b)
hereof, without any notices to any person, unless earlier terminated pursuant to
the terms hereof.
14. MISCELLANEOUS:
(a) GOVERNING LAWS: This
Agreement is to be construed and interpreted in accordance with the laws of the
state of Michigan applicable to agreements made and to be performed wholly
within such state.
(b) COUNTERPARTS: This
Agreement may be executed in two or more counterparts, each of which shall be
deemed an original, but all of which together shall constitute one and the same
instrument.
(c) NOTICES: All
instructions, notices and demands herein provided for shall be in writing and
shall be mailed postage prepaid, first class mail, delivered by courier, or
telecopies as follows:
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If
to the Company:
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If
to the Escrow Agent:
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Xxxxx
Retail Centers, Inc.
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Century
Bank and Trust
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000
Xxxxxxxxx Xxxxxxx, Xxxxx 000
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000
Xxxx Xxxxxxx Xxxxxx
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Xxxxxx,
XX 00000
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Xxxxxxxxx,
XX 00000
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Attn.:Xxxx
Xxxx
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Attn:
Xxx Xxxxxxx
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Telephone
No (000) 000-0000
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Telephone
No: (000) 000-0000
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Fax
No.: (000)
000-0000
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Fax
No:
(000) 000-0000
|
If to the
Dealer Manager:
Freedom
Investors Corp.
000
Xxxxxxx Xxx, Xxxxx 000
Xxxxxxxxxx,
XX 00000
Attn.:
Xxxx X. Xxxxxxxxxxxx
Telephone
No.: (000) 000-0000
Fax
No.: (000)
000-0000
(d) AMENDMENTS: This
Agreement may be amended, supplemented or otherwise modified only by a written
instrument signed by all Parties hereto.
(e) USA PATRIOT ACT
INFORMATION: The Company and each other Party shall provide to the Escrow
Agent such other information as the Escrow Agent may reasonably require to
permit the Escrow Agent to comply with its obligations under the federal USA
Patriot Act. The Escrow Agent shall not credit any amount of interest or
investment proceeds earned on the Subscription Payments, or make any payment of
all or a portion of monies held in the escrow account pursuant to this
Agreement, to any person unless and until such person has provided to the Escrow
Agent such documents as the Escrow Agent may require to permit the Escrow Agent
to comply with its obligations under such Act.
(f) SECURITY ADVICE WAIVER
LANGUAGE: The Company and the Dealer Manager acknowledge that, in
accordance with regulations of the Comptroller of the Currency, the Company and
the Dealers (including the Dealer Manager) have the right to receive brokerage
confirmations of security transactions as they occur. The Company and the
Dealers specifically waive such notification to the extent permitted by law and
acknowledge that the Company and Dealers will receive periodic cash transaction
statements, which will detail all investment transactions.
The Company and Dealer Manager represent and
agree that neither of them have made nor will they in the future make any
representation that states or implies that the Escrow Agent has endorsed,
recommended or guaranteed the purchase, value, or repayment of the Shares
offered for sale by the Company. The Company further agrees that it will insert
in the Subscription Agreement and Instructions made available to prospective
purchasers of the Shares the statement in bold and italics below and will
furnish to the Escrow Agent a copy of each such prospectus, offering circular,
advertisement, subscription agreement or other document at least 5 business days
prior to its distribution to prospective Subscribers.
“The
undersigned acknowledges that Century Bank and Trust is acting only as an escrow
agent in connection with the Offering of the Shares described herein, and has
not endorsed, recommended or guaranteed the purchase, value or repayment of such
Shares.”
The
Parties hereto have executed this Agreement by their duly authorized
representatives as of the date set forth above.
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COMPANY
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ESCROW
AGENT
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Xxxxx
Retail Centers, Inc.
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Century
Bank and Trust, as
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Escrow
Agent
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By:
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By:
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Escrow
Agent
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||||
Date:
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Date: __________________,
2009
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PLACEMENT
AGENT
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Freedom
Investors Corp.
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By:
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Name:
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Date:
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5
EXHIBIT
A
Acceptance
Fee
The
acceptance fee includes the administrative review of documents, initial set-up
of the account, and other reasonably required services up to and including the
closing. This is a one-time fee, payable at closing, of $_________.
Century
Bank and Trust reserves the right to refer any or all escrow documents for legal
review before execution. Legal fees (billed on an hourly basis) and
expenses for this service will be billed to, and paid by, the
customer. If appropriate and upon request by the customer, Century
Bank and Trust will provide advance estimates of these legal fees.
Escrow
Disbursement Fee
For the
performance of the routine duties associated with escrow tranche disbursements
the escrow agent shall charge $________ per tranche disbursement. Escrow
disbursement fees are payable in advance.
Direct
Out of Pocket Expenses
Reimbursement
of expenses associated with the performance of our duties, including but not
limited to publications, legal counsel after the initial close, travel expenses
and filing fees.
Extraordinary
Services
Extraordinary
services are duties or responsibilities of an unusual nature, including
termination, but not provided for in the governing documents or otherwise set
forth in this schedule. A reasonable charge will be assessed based on the nature
of the service and the responsibility involved. At our option, these
charges will be billed at a flat fee or at our hourly rate then in
effect.
Account
approval is subject to review and qualification. Fees are subject to change at
our discretion and upon written notice. Fees paid in advance will not be
prorated. The fees set forth above and any subsequent modifications thereof are
part of your agreement. Finalization of the transaction constitutes agreement to
the above fee schedule, including agreement to any subsequent changes upon
proper written notice. In the event your transaction is not
finalized, any related out-of-pocket expenses will be billed to you
directly. Absent your written instructions to sweep or otherwise
invest, all sums in your account will remain uninvested and no accrued interest
or other compensation will be credited to the account. Payment of fees
constitutes acceptance of the terms and conditions set forth.
IMPORTANT
INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT:
To help
the government fight the funding of terrorism and money laundering activities,
Federal law requires all financial institutions to obtain, verify and record
information that identifies each person who opens an account.For a
non-individual person such as a business entity, a charity, a Trust or other
legal entity we will ask for documentation to verify its formation and existence
as a legal entity. We may also ask to see financial statements, licenses,
identification and authorization documents from individuals claiming authority
to represent the entity or other relevant documentation.
6
EXHIBIT
C
SUBSCRIPTION
AGREEMENT
Xxxxxxx
X. Xxxxx, Chief Executive Officer
Xxxxx
Retail Centers, Inc.
000
Xxxxxxxxx Xxxxxxx, Xxxxx. 000
Xxxxxx,
XX 00000
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Re:
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Xxxxx
Retail Centers, Inc. – shares of common stock
(“Shares”)
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In
connection with the offer and proposed sale to the public by Xxxxx Retail
Centers, Inc. (“Company”), a Delaware corporation, of up to 3,000,000 Shares
(“Offering”), the undersigned prospective investor (the “Investor”) and the
Company hereby agree as follows:
1. Subscription. The Investor
hereby subscribes for and agrees to purchase the number of Shares set forth on
the signature page of this Subscription Agreement, subject to the following
conditions and understandings:
(i) Acceptance or
Rejection. The Company, in its sole discretion and for any reason, may
accept or reject this subscription, in whole or in part and at any time. The
Company may also allocate to the Investor less than the number of Shares
subscribed for, in which case there shall be remitted to the Investor the
difference between the subscription amount paid and the subscription price
allocable to the Shares accepted.
(ii) Closing. All funds
will be held in a non-interest bearing escrow account until collected funds
representing one or more subscriptions have been received by the Escrow Agent
This escrow agent will continue as the distribution agent until the Offering is
terminated.
(iii) Treatment of Funds Submitted
in Connection with Rejected Subscriptions. If the Company rejects this
subscription in its entirety, the Investor's check or wire transfer accompanying
this subscription will be returned to the Investor without interest or
deduction. If this subscription is accepted in whole or in part, the Investor's
check will be cashed or the wire transfer approved with funds disbursed pursuant
to the Escrow Agreement, and the Company will promptly remit to the Investor the
funds relating to that portion of the subscription, if any that is not
accepted.
2. Representations and
Warranties. The Investor makes the acknowledgments, representations and
warranties set forth in this Section with the intent that the same may be relied
upon in determining the Investor's suitability as a purchaser of Shares. The
obligations of the Investor and the acknowledgments, representations and
warranties herein contained shall be binding upon each such person and his
respective heirs, executors, administrators, and assigns.
(i) No Regulatory Review.
The Investor acknowledges that no federal, state or other agency has made nor
will make any finding or determination as to the fairness of the investment or
make nor made any recommendation or endorsement of the Shares.
(ii) Escrow Agent Status.
The Investor acknowledges that Century Bank and Trust is acting only as an
escrow agent in connection with the Offering of the Shares described herein, and
has not endorsed, recommended or guaranteed the purchase, value or repayment of
such Units.
3. Survival. The representations
and warranties contained in Section 2 herein will survive the
Closing.
4. Reliance on Representations and
Warranties; Indemnification. The Investor understands that the Company
will rely on the representations and warranties of the Investor herein in
determining whether a sale of Shares to the Investor is in compliance with
federal and applicable state securities laws. The Investor hereby agrees to
indemnify the Company and its respective affiliates, and hold the Company and
its affiliates harmless from and against any and all liability, damage, cost or
expense (including reasonable attorneys' fees) incurred on the account of or
arising out of: (a) any inaccuracy in the Investor's Acknowledgments,
representations and warranties set forth in this Subscription Agreement; (b) the
disposition of any of the Shares which the Investor will receive, contrary to
the Investor's acknowledgments, representations and warranties in this
Subscription Agreement; (c) any suit or proceeding based upon the claim that
said acknowledgments, representations or warranties were inaccurate or
misleading or otherwise cause for obtaining damages or redress from the Company
or any of its affiliates or the disposition of all or any part of the Investor's
Shares; and (d) the Investor's failure to fulfill any or all of the Investor's
obligations herein.
7
5. Updating Information. All of
the information set forth herein with respect to the Investor, including,
without limitation all of the acknowledgments, representations and warranties
set forth herein, is correct and complete as of the date hereof and, if there
should be any material change in such information prior to the acceptance of
this subscription by the Company, the Investor will immediately furnish the
revised or corrected information to the Company.
6. Execution of Additional
Documents. The parties to this Subscription Agreement will execute and
deliver any other documents, transfers, assurances and procedures necessary, in
the opinion of counsel for the Company, for the purposes of giving effect to or
perfecting the transactions contemplated by this Subscription
Agreement.
7. Notices. Any notices or other
communication required or permitted hereunder shall be sufficiently given if in
writing and sent by registered or certified mail, postage prepaid and return
receipt requested if to the Company to: Xxxxxxx Xxxxx, Chief Executive, Xxxxx
Retail Centers, Inc., 000 Xxxxxxxxx Xxxxxxx, Xxxxx. 000, Xxxxxx, XX 00000, (000)
000-0000 and if to the Investor, at the address set forth following the
Investor's signature to this Subscription Agreement, or to such other address as
either the Company or the Investor shall designate to the other by notice in
writing.
8. Successors;
Amendment. This Subscription Agreement inures to the benefit
of and is binding upon the parties to this Subscription Agreement and their
heirs, executors, administrators, successors and permitted
assigns. This Subscription Agreement may be amended, modified or
terminated only by an agreement in writing, signed by the parties to be changed
by such amendment, modification or termination.
9. Governing Law. This
Subscription Agreement shall be governed by and construed in accordance with the
laws of the state of Michigan.
10. Representation. The
Investor acknowledges that legal counsel for the Company has acted as counsel
solely to the Company and not to the Investor. The Investor is advised to have
his/her/its own legal counsel and other advisors review the Offering Memorandum
prior to subscribing for Shares.
11. The undersigned
acknowledges that Century Bank and Trust is acting only as an escrow agent in
connection with the Offering of the Shares described herein, and has not
endorsed, recommended or guaranteed the purchase, value or repayment of such
Shares.
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12. Signatures. The
Investor declares under penalty of perjury that the statements, acknowledgments,
representations and warranties contained herein are true, correct and complete
and that this Subscription Agreement was executed.
Print
Name
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Address
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City State Zip
Code
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||||
By:
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By:
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Signature
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Signature
of Spouse (if
applicable)
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Dated:
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9
(SUBMIT
WITH CHECK)
Number of
Shares subscribed for: _______@ $5.00 per Share (__________ Shares
Minimum).
Dollar
Amount of Shares subscribed
for: $_________________
Make
all certified or bank checks payable to: Xxxxx Retail Centers, Inc. Escrow
Account
If you
wish to execute a wire transfer, please contact Xxxx X Xxxxxxxxxxxx of Freedom
Investors Corp (Dealer Manager Agent) at (000) 000-0000 for wire instructions.
NOTE: All funds, whether
by check or wire transfer, must be drawn on a United States bank for same day
and in United States funds.
Print
exact name(s) in which Units are to be registered:
NAME
(1):
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SS#
or Tax I.D.:
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Telephone
No.:
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Email
Address:
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NAME
(2):
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SS#
or Tax I.D.:
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Telephone
No.:
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Email
Address:
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ENTITY:
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ADDRESS:
The
investment is to be held as follows (check one):
(a)____Husband
& Wife, as community property
(b)____Joint
Tenants
(c)____Tenants
in Common
(d)____Individual
(e)____Corporation
(f)____
Partnership
(g)____Trust
(h)____Other
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Broker/Dealer
Information
Name
of Broker/Dealer:
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Address:
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TEL:
( ) FAX:
( )
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Registered
Representative:
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Rep.
Address (If Different):
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Rep.
Telephone & Fax:
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( ) ( )
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ACCEPTANCE
OF SUBSCRIPTION
Accepted
by Xxxxx Retail Centers, Inc., as of ,
200__.
By
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Xxxxxxx
Xxxxx, Chief Executive Officer
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Xxxxx
Retail Centers, Inc.
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THIS
SPACE INTENTIONALLY LEFT BLANK
11
ANTI-MONEY
LAUNDERING PROVISIONS
The
USA PATRIOT Act
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What
is money laundering?
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How
big is the problem and why is it important?
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The
USA PATRIOT Act is designed to detect, deter, and punish terrorists in the
United States and abroad. The Act imposes new anti-money
laundering requirements on brokerage firms and financial
institutions. Since April 24, 2002, all brokerage firms have
been required to have new, comprehensive anti-money laundering
programs.
To
help you understand these efforts, we want to provide you with some
information about money laundering and The Company’s steps to implement
the USA PATRIOT Act.
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Money
laundering is the process of disguising illegally obtained money so that
the funds appear to come from legitimate sources or
activities. Money laundering occurs in connection with a wide
variety of crimes, including illegal arms sales, drug trafficking,
robbery, fraud, racketeering, and terrorism.
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The
use of the U.S. financial system by criminals to facilitate terrorism or
other crimes could taint The Company’s financial markets. According to
the U.S. State Department, one recent estimate puts the amount of
worldwide money laundering activity at $1 trillion a
year.
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What
are we required to do to eliminate money laundering?
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Under
new rules required by the USA PATRIOT Act, The Company’s anti-money
laundering program must designate a special compliance officer, set up
employee training, conduct independent audits, and establish policies and
procedures to detect and report suspicious transactions and ensure
compliance with the new laws.
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As
part of The Company’s required program, we may ask you to provide various
identification documents or other information. Until you
provide the information or documents we need, we may not be able to effect
any transactions for you.
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PATRIOT
ACT REQUIREMENTS
The
Patriot Act requires us to obtain the following information from you to detect
and prevent the misuse of the world financial system.
1. In
the space provided below, please provide details of where monies were transferred
from to the Company in relation to your subscription for
Units.
COUNTRY
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NAME OF BANK OR
FINANCIAL
INSTITUTION
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CONTACT
NAME/PHONE
NUMBER AT BANK
OR FINANCIAL
INSTITUTION
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NAME OF
ACCOUNT
HOLDER
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ACCOUNT
NUMBER
|
||||
If the
country from which the monies were transferred appears in the Approved Country
List below, please go to number 3. If the country does not appear,
please go to number 2.
Approved
Country List:
Argentina
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Germany
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Liechtenstein
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Spain
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Australia
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Gibraltar
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Luxembourg
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Switzerland
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Bermuda
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Guernsey
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Mexico
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Turkey
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Belgium
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Hong
Kong
|
Netherlands
|
United
Kingdom
|
|||
Brazil
|
Iceland
|
New
Zealand
|
United
States
|
|||
British
Virgin Islands
|
Ireland
|
Norway
|
||||
Canada
|
Isle
of Man
|
Panama
|
||||
Denmark
|
Italy
|
Portugal
|
||||
Finland
|
Japan
|
Singapore
|
||||
France
|
Jersey
|
2. If
subscription monies were transferred to the Company from any country other than
on the Approved Country List (see above), please provide the following
documentation to the Company (all copies should be in English and certified as
being “true and correct copies of the original” by a notary public of the
jurisdiction of which you are resident).
(a)
|
For
Individuals:
|
(i)
|
evidence
of name, signature, date of birth and photographic
identification,
|
(ii)
|
evidence
of permanent address, and
|
(iii)
|
where
possible, a reference from a bank with whom the individual maintains a
current relationship and has maintained such relationship for at least two
years
|
(b)
|
For
Companies:
|
(i)
|
a
copy of its certificate of incorporation and any change of name
certificate,
|
(ii)
|
a
certificate of good standing,
|
(iii)
|
a
register or other acceptable list of directors and
officers,
|
(iv)
|
a
properly authorized mandate of the company to subscribe in the form, for
example, of a certified resolution which includes naming authorized
signatories,
|
(v)
|
a
description of the nature of the business of the
company,
|
13
(vi)
|
identification,
as described above for individuals, for at least two directors and
authorized signatories,
|
(vii)
|
a
register of members or list of shareholders holding a controlling
interest, and
|
(viii)
|
identification,
as described above, for individuals who are beneficial owners of corporate
shareholders which hold 10% or more of the capital share of the
company.
|
(c)
|
For
Partnerships and Unincorporated
Businesses:
|
(i)
|
a
copy of any certificate of registration and a certificate of good
standing, if registered,
|
(ii)
|
identification,
as described above, for individuals and, where relevant, companies
constituting a majority of the partners, owners or managers and authorized
signatories,
|
(iii)
|
a
copy of the mandate from the partnership or business authorizing the
subscription in the form, for example, of a certified resolution which
includes naming authorized signatories,
and
|
(iv)
|
a
copy of constitutional documents (formation and partnership
agreements).
|
(d)
|
For
Trustees:
|
(i)
|
identification,
as described above, for individuals or companies (as the case may be) in
respect of the trustees,
|
(ii)
|
identification,
as described above for individuals, of beneficiaries, any person on whose
instructions or in accordance with whose wishes the trustee/nominee is
prepared or accustomed to act and the settlor of the trust,
and
|
(iii)
|
evidence
of that nature of the duties or capacity of the
trustee.
|
3. The
Company is also required to verify the source of funds. To this end,
summarize the underlying source of the funds remitted to us (for example, where
subscription monies were the profits of business (and if so please specify type
of business), investment income, savings, etc.).
Source
of Funds
|
14
ANTI-MONEY
LAUNDERING ACT
WIRING FUNDS: Due to the
Anti-Money Laundering Act, Compliance must grant approval prior to
funds being wired from any account other than National Financial Services (NFS)
or an XXX Custodial Account. Thus, please adhere to the
following procedure:
A.
|
Complete
Sections 1 through 3 in the Patriot Act Requirements section above, as
applicable, utilizing the information for the bank from which the wire
will originate.
|
B.
|
Attach
a copy of your “Letter of Instruction” or other wire instructions showing
your name, financial institution name (where wire will originate), account
number, wire amount, and wire instructions (escrow agent information such
as ABA routing number, escrow account number etc) – this must be signed
and dated.
|
C.
|
If
monies will be wired from an account not matching the name on this
Subscription Agreement, additional documentation is necessary (please
contact ____________ at __________________ for
assistance).
|
D.
|
Submit
Subscription Agreement to _______________ for processing and compliance
approval.
|
E.
|
Upon
notification of approval from, wire
funds.
|
F.
|
will
obtain wire confirmation from escrow agent. If wire
confirmation does NOT show account number of wire origination, additional
documentation will be required.
|
WIRING
FUNDS IN ADVANCE OF COMPLIANCE APPROVAL IS
PROHIBITED
|
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SPACE INTENTIONALLY LEFT BLANK]
15
PRIVACY
POLICY
It is the
policy of Freedom Investors Corp. to respect the privacy of customers
(hereinafter referred to as “Subscribers”) who subscribe to transactions placed
by Freedom Investors Corp.
Whether
its own brokers introduce Subscribers to the investment opportunity, or the
introduction was made through Selling Agents, non-public personal information is
protected by Freedom Investors Corp.
Freedom
Investors Corp. does not disclose any nonpublic personal information about
Subscribers to anyone, except as required or permitted by law and to effect,
administer, or enforce transactions requested by Subscribers in the ordinary
processing, servicing or maintaining their accounts. Furthermore, Freedom
Investors Corporation does not reserve the right to disclose Subscriber’s
nonpublic personal information in the future without first notifying the
Subscriber of a change in privacy policy and providing a convenient opportunity
for Subscriber to opt out of information sharing with nonaffiliated third
parties.
Under the
USA PATRIOT Act of 2001 (Public Law 107-56)(together with all rules and
regulations promulgated hereunder, the “Patriot Act”), and/or your broker may be
required or requested to disclose to one or more regulatory and/or law
enforcement bodies certain information regarding transactions relating to your
account involving transactions with foreign entitles and individuals, other
transactions in your account as required in the Patriot Act and other activities
described in the Patriot Act as “suspicious activities.” Neither nor your broker
shall have any obligation to advise you of any such disclosures or reports made
in compliance with the Patriot Act.
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SPACE INTENTIONALLY LEFT BLANK]
16