DESCRIPTION OF INVESTOR. The following information is required to ascertain whether you would be deemed an “accredited investor” as defined in Rule 501 of Regulation D under the Securities Act. Please check whether you are any of the following: ¨ a corporation or partnership with total assets in excess of $5,000,000, not organized for the purpose of this particular investment ¨ private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940, a U.S. venture capital fund which invests primarily through private placements in non-publicly traded securities and makes available (either directly or through co-investors) to the portfolio companies significant guidance concerning management, operations or business objectives ¨ a Small Business Investment Company licensed by the U.S. Small Business Administration under Section 301(c) or (d) of the Small Business Investment Act of 1958 ¨ an investment company registered under the Investment Company Act of 1940 or a business development company as defined in Section 2(a)(48) of that Act ¨ a trust not organized to make this particular investment, with total assets in excess of $5,000,000 whose purchase is directed by a sophisticated person as described in Rule 506(b)(2)(ii) of the Securities Act of 1933 and who completed item 4 below of this questionnaire ¨ a bank as defined in Section 3(a)(2) or a savings and loan association or other institution defined in Section 3(a)(5)(A) of the Securities Act of 1933 acting in either an individual or fiduciary capacity ¨ an insurance company as defined in Section 2(13) of the Securities Act of 1933 ¨ an employee benefit plan within the meaning of Title I of the Employee Retirement Income Security Act of 1974 (i) whose investment decision is made by a fiduciary which is either a bank, savings and loan association, insurance company, or registered investment advisor, or (ii) whose total assets exceed $5,000,000, or (iii) if a self-directed plan, whose investment decisions are made solely by a person who is an accredited investor and who completed Part I of this questionnaire; ¨ a charitable, religious, educational or other organization described in Section 501(c)(3) of the Internal Revenue Code, not formed for the purpose of this investment, with total assets in excess of $5,000,000 ¨ an entity not located in the U.S. none of whose equity owners are U.S. citizens or U.S. residents ¨ a broker or dealer registered under Section 15 of the Securities Exchange Act of...
DESCRIPTION OF INVESTOR. The following information is required to ascertain whether you would be deemed an “accredited investor” as defined in Rule 501 of Regulation D under the Securities Act. Please check whether you are any of the following:
DESCRIPTION OF INVESTOR. Please check the appropriate box to indicate which of the following accurately describe the nature of the business conducted by the investing entity: [ ] A corporation or partnership with total assets in excess of $5,000,000, not organized for the purpose of this particular investment; [ ] A private business development company as defined in Section 202(a)(22) of the Investment Advisors Act of 1940 (a U.S. venture capital fund which invests primarily through private placements in non-publicly traded securities and makes available (either directly or through co-investors) to the portfolio companies significant guidance concerning management, operations or business objectives); [ ] A Small Business Investment Company licensed by the U.S. Small Business Administration under Section 301 (c) or (d) of the Small Business Investment Act of 1958; [ ] An investment company registered under the Investment Company Act of 1940 or a business development company as defined in Section 2(a)(48) of that Act; [ ] A bank as defined in Section 3(a)(2) or a savings and loan association or other institution defined in Section 3(a)(5)(A) of the Securities Act of 1933, acting in either an individual or fiduciary capacity; [ ] An insurance company as defined in Section 2(13) of the Securities Act of 1933; [ ] An employee benefit plan within the meaning of Title I of the Employee Retirement Income Security Act of 1974 (i) whose investment decision is made by a fiduciary which is either a bank, savings and loan association, insurance company, or registered investment advisor, or (ii) whose total assets exceeding $5,000,000, or (iii), if a self-directed plan, a plan whose investment decisions are made solely by persons who are accredited investors; [ ] A charitable, religious, educational or other organization described in Section 501(c)(3) of the Internal Revenue Code, not formed for the purpose of this Investment, with total assets in excess of $5,000,000; [ ] A trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the securities offered, whose purchase is directed by a sophisticated person as described in Rule 506(b)(2)(ii) of the Securities Act of 1933 and who completed item 4 below of this Questionnaire; [ ] An entity not located in the U.S., none of whose equity owners are U.S. citizens or U.S. residents; [ ] A broker or dealer registered under Section 15 of the Securities Exchange Act of 1934; [ ] A plan having assets exceeding $5,00...
DESCRIPTION OF INVESTOR. Please check the appropriate box to indicate which of the following accurately describe the nature of the business conducted by the investing entity:
DESCRIPTION OF INVESTOR. The following information is required to ascertain whether you would be deemed an “accredited investor” as defined in Rule 501 of Regulation D under the Securities Act. Please check whether you are any of the following: o a corporation or partnership with total assets in excess of $5,000,000, not organized for the purpose of this particular investment o private business development company as defined in Sec-tion 202(a)(22) of the Investment Advisers Act of 1940, a U.S. venture capital fund which invests primarily through private placements in non-publicly traded secu-rities and makes available (either directly or through co-investors) to the portfolio companies significant guidance concerning management, operations or business objectives o a Small Business Investment Company licensed by the U.S. Small Business Administration under Section 301(c) or (d) of the Small Business Investment Act of 1958 o an investment company registered under the Investment Company Act of 1940 or a business development company as defined in Section 2(a)(48) of that Act o a trust not organized to make this particular investment, with total assets in excess of $5,000,000 whose purchase is directed by a sophisticated person as des-cribed in Rule 506(b)(2)(ii) of the Securities Act of 1933 and who completed item 4 below of this questionnaire o a bank as defined in Section 3(a)(2) or a savings and loan association or other institution defined in Sec-tion 3(a)(5)(A) of the Securities Act of 1933 acting in either an individual or fiduciary capacity o an insurance company as defined in Section 2(13) of the Securities Act of 1933 o an employee benefit plan within the meaning of Title I of the Employee Retirement Income Security Act of 1974 (i) whose investment decision is made by a fiduciary which is either a bank, savings and loan association, insurance company, or registered investment advisor, or (ii) whose total assets exceed $5,000,000, or (iii) if a self-directed plan, whose investment decisions are made solely by a person who is an accredited investor and who completed Part I of this questionnaire; o a charitable, religious, educational or other organiza-tion described in Section 501(c)(3) of the Internal Revenue Code, not formed for the purpose of this invest-ment, with total assets in excess of $5,000,000 o an entity not located in the U.S. none of whose equity owners are U.S. citizens or U.S. residents o a broker or dealer registered under Section 15 of the Securities Exchange ...
DESCRIPTION OF INVESTOR. Please check the appropriate box to indicate which of the following accurately describe the nature of the business conducted by the investing entity: ¨ A corporation or partnership with total assets in excess of $5,000,000, not organized for the purpose of this particular investment; ¨ A private business development company as defined in Section 202(a)(22) of the Investment Advisors Act of 1940 (a U.S. venture capital fund which invests primarily through private placements in non-publicly traded securities and makes available (either directly or through co-investors) to the portfolio companies significant guidance concerning management, operations or business objectives); ¨ A Small Business Investment Company licensed by the U.S. Small Business Administration under Section 301 (c) or (d) of the Small Business Investment Act of 1958; ¨ An investment company registered under the Investment Company Act of 1940 or a business development company as defined in Section 2(a)(48) of that Act; ¨ A bank as defined in Section 3(a)(2) or a savings and loan association or other institution defined in Section 3(a)(5)(A) of the Securities Act of 1933, acting in either an individual or fiduciary capacity; ¨ An insurance company as defined in Section 2(13) of the Securities Act of 1933; ¨ An employee benefit plan within the meaning of Title I of the Employee Retirement Income Security Act of 1974 (i) whose investment decision is made by a fiduciary which is either a bank, savings and loan association, insurance company, or registered investment advisor, or (ii) whose total assets exceed $5,000,000, or (iii), if a self-directed plan, a plan whose investment decisions are made solely by persons who are accredited investors; ¨ A charitable, religious, educational or other organization described in Section 501(c)(3) of the Internal Revenue Code, not formed for the purpose of this Investment, with total assets in excess of $5,000,000; ¨ A trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the securities offered, whose purchase is directed by a sophisticated person as described in Rule 506(b)(2)(ii) of the Securities Act of 1933 and who completed item 4 below of this questionnaire; ¨ An entity not located in the U.S., none of whose equity owners are U.S. citizens or U.S. residents; ¨ A broker or dealer registered under Section 15 of the Securities Exchange Act of 1934; ¨ A plan having assets exceeding $5,000,000 established and maint...
DESCRIPTION OF INVESTOR. The following information is required to ascertain whether you would be deemed an "accredited investor" as defined in Rule 501 of Regulation D under the Securities Act. Please check whether you are any of the following: [] a corporation or partnership with total assets in excess of $5,000,000, not organized for the purpose of this particular investment [] private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940 [a U.S. venture capital fund which invests primarily through private placements in non-publicly traded securities and makes available (either directly or through co-investors) to the portfolio companies significant guidance concerning management, operations or business objectives [] a Small Business Investment Company licensed by the U.S. Small Business Administration under Section 301(c) or (d) of the Small Business Investment Act of 1958 [] an investment company registered under the Investment Company Act of 1940 or a business development company as defined in Section 2(a)(48) of that Act [] a trust not organized to make this particular investment, with total assets in excess of $5,000,000 whose purchase is directed by a sophisticated person as described in Rule 506(b)(2)(ii) of the Securities Act of 1933 and who completed item 4 below of this questionnaire [] a bank as defined in Section 3(a)(2) or a savings and loan association or other institution defined in Section 3(a)(5)(A) of the Securities Act of 1933 acting in either an individual or fiduciary capacity [] an insurance company as defined in Section 2(13) of the Securities Act of 1933 [] an employee benefit plan within the meaning of Title I of the Employee Retirement Income Security Act of 1974 (i) whose investment decision is made by a fiduciary which is either a bank, savings and loan association, insurance company, or registered investment advisor, or (ii) whose total assets exceed $5,000,000, or (iii) if a self-directed plan, whose investment decisions are made solely by a person who is an accredited investor and who completed Part I of this questionnaire; [] a charitable, religious, educational or other organization described in Section 501(c)(3) of the Internal Revenue Code, not formed for the purpose of this investment, with total assets in excess of $5,000,000 [] an entity not located in the U.S. none of whose equity owners are U.S. citizens or U.S. residents [] a broker or dealer registered under Section 15 of the Securities Exch...
DESCRIPTION OF INVESTOR. The following information is required to ascertain whether you would be deemed an “accredited investor” as defined in Rule 501 of Regulation D under the Securities Act. Please check whether you are any of the following: . a corporation or partnership with total assets in excess of $5,000,000, not organized for the purpose of this particular investment . private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940, a U.S. venture capital fund which invests primarily through private placements in non-publicly traded securities and makes available (either directly or through co-investors) to the portfolio companies significant guidance concerning management, operations or business objectives . a Small Business Investment Company licensed by the U.S. Small Business Administration under Section 301(c) or (d) of the Small Business Investment Act of 1958 . an investment company registered under the Investment Company Act of 1940 or a business development company as defined in Section 2(a)(48) of that Act .
DESCRIPTION OF INVESTOR. The following information is required to ascertain whether you would be deemed an “accredited investor” as defined in Rule 501 of Regulation D under the Securities Act. Please check whether you are any of the following: ¨ a corporation or partnership with total assets in excess of $5,000,000, not organized for the purpose of this particular investment ¨ private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940, a U.S. venture capital fund which invests primarily through private placements in non-publicly traded securities and makes available (either directly or through co-investors) to the portfolio companies significant guidance concerning management, operations or business objectives
DESCRIPTION OF INVESTOR. Please check the appropriate box to indicate which of the following accurately describe the status of the investor: ¨ A natural person whose individual net worth, or joint net worth with that person’s spouse, at the time of his or her purchase exceeds $1,000,000 • If the above box is checked, please indicate actual net worth: $ ¨ A natural person who had an individual income in excess of $200,000 in each of the two most recent years or joint income with that person’s spouse in excess of $300,000 in each of those years, and has a reasonable expectation of reaching the same income level in the current year • If the above box is checked, please indicate actual annual income: $ • If the above box is checked, please indicate marital status: ¨ Married ¨ Single ¨ Other. (Describe:)
