Name *

First Name

Last Name

Phone *

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I certify that I meet the definition of a “qualified client” as set forth in the Investment Advisors Act of 1940. *

(1) The Investor is a natural person who (a) together with such person’s spouse, has a net worth in excess of $2,200,000 (excluding the value of such individual’s primary residence) , or (b) immediately after entering into this Subscription Agreement will have at least $1,100,000 under the management of the Investment Manager, or (c) is a “qualified purchaser” as defined in Section 2(a)(51) of the Investment Company Act; OR (2) The Investor is a corporation, partnership, association, joint-stock company, trust or any organized group of persons, whether incorporated or not, that (a) has a net worth in excess of $2,200,000, or (b) immediately after entering into this Subscription Agreement, will have at least $1,100,000 under the management of the Investment Manager, or (c) is a “qualified purchaser” as defined in Section 2(a)(51) of the Investment Company Act; provided, however, that if the Investor is (1) a registered investment company under the Investment Company Act, or (2) a business development company under the Advisers Act, or (3) a company excepted from the definition of “investment company” under Section 3(c)(1) of the Investment Company Act ((1) (3) shall each be defined as an “Excluded Company”), then each equity owner of such Excluded Company is a natural person or non-Excluded Company satisfying the Qualified Client criteria set forth herein. OR (3) The Investor is a natural person who is: (a) an Executive Officer, director, trustee, general partner, or person serving in a similar capacity, of the Investment Manager; or (b) an employee of the Investment Manager (other than an employee performing solely clerical, secretarial or administrative functions with regard to the investment adviser) who, in connection with his or her regular functions or duties, participates in the investment activities of such investment adviser, provided that such employee has been performing such functions and duties for or on behalf of the Investment Manager, or substantially similar functions or duties for or on behalf of another company for at least 12 months.

YES

NO

Are you a qualified purchaser? *

A qualified purchaser (QP) is an individual or entity that has an investment portfolio worth at least $5 million. This status is based on the value of the portfolio, rather than the person's net worth, income, or credentials. For entities, the minimum portfolio value is $25 million. Investments can include stocks and bonds, but do not include a primary residence or business property

YES

NO

Do you represent a family office or multi-family office? *

YES

NO

Are you a representative of an institutional investor? *

YES

NO