Common use of For Individual Subscribers Clause in Contracts

For Individual Subscribers. (a) For Subscribers that have one or more beneficial owners and to the extent that the beneficial owner’s information is not provided above, please complete the information below with respect to each such beneficial owner. Name Residential Address Date of Birth Occupation PEP¹ Y/N ¹ Is the Owner a Politically Exposed Person? If yes, please attach to this Subscription Agreement a Source of Wealth Letter. The Source of Wealth Letter must describe the economic activity that has generated the individual’s net worth. Subscriber's Bank Account Wire Details (for bank account from which amounts in respect of subscription proceeds will be paid to the Company and to which any amounts due from the Company to the Subscriber will be paid, unless the Company is notified otherwise): Bank Name: Bank Address: __ Bank Swift/ABA Number: __ IBAN Number or Sort Code (if applicable): Correspondent Bank Name: Correspondent Bank Address: Correspondent Bank Account# or swift#: Beneficiary Bank Account Name (should be the same as the Subscriber name above): Beneficiary Bank Account Number: Special instructions for payment through SWIFT. Please note that in order for the Administrator to comply with relevant anti-Money laundering legislation, the Administrator must be able to properly identify the source of funds sent to it for investment. Accordingly, the Subscriber is required to complete both the "Ordering Customer" (field 50) and the "Ordering Institution" (field 52D) when sending a wire payment through the international SWIFT system. I/We hereby certify that the Subscriber is a “Non-U.S. Person” that resides outside of the United States and that information given in this Schedule to the Subscription Agreement is true, accurate and complete. I/we confirm that I/we will, if requested to do so by the Company or the Administrator, provide further information and/or documents to verify this information. Individual Signature(s): _ Entity Signature: Name of Entity Authorized Signatory Payment of Subscription Amount Subscription payments must be made by wire transfer, drawn on a bank account in the same name as that of the subscriber, and must accompany the Subscription Documents when submitted to the Sponsor. Please use the following wiring information: Beneficiary Bank: The Northern Trust International Banking Corporation Harborside Financial Center Plaza 00, Xxxxx 0000, 0 Xxxxxx Xxxxxx, Xxxxxx Xxxx, Xxx Xxxxxx 00000- 0000, XXX SWIFT: CNORUS33 Fedwire (ABA): 000000000 Account Name: Belmont Multi-Strategy Fund Ltd Account No: 29270620010 Reference: “Name of Investor” “Reference” refers to the name of the Subscriber as it will be registered with the Fund. Payment for subscription must be made upon the faxing of subscription documents. If a subscription is not accepted then the Administrator will return the full subscription amount in cash (in accordance with Anti-Money Laundering procedure). All “dollar” or “$” references herein refer to U.S. Dollars. Schedule 3 BOLDER FUND SERVICES (CAYMAN) LIMITED Anti-Money Laundering Client Policy Document The Administrator, Bolder Fund Services (Cayman) Limited (“Bolder”), is regulated by the Cayman Islands Monetary Authority, and must comply with the measures provided for in the Proceeds of Crime Act (Revised), the Anti-Money Laundering Regulations (Revised) and Guidance on the Prevention and Detection of Money Laundering and Terrorist Financing in the Cayman Island. In order to comply with these anti-money laundering regulations, Bolder will require from any subscriber or shareholder a detailed verification of the identity of such subscriber or shareholder, the identity of the beneficial owners of such subscriber or shareholder, the source of funds used to subscribe for Shares, or other additional information which may be requested from any subscriber or shareholder for such purposes from time to time. Xxxxxx reserves the right to request such information as is necessary to verify the identity of an applicant. The Subscriber recognises that Xxxxxx, in accordance with their anti-money laundering (“AML”) procedures reserves the right to prohibit the movement of any monies if all due diligence requirements have not been met, or, if for any reason feels that the origin of the funds or the parties involved are suspicious. In the event that the movement of monies is withheld in accordance with Xxxxxx’s AML procedures, Bolder will strictly adhere to all applicable laws, and shall notify the Fund as soon as professional discretion allows or as otherwise permitted by law.

For Individual Subscribers. (a) For Subscribers that have one or more beneficial owners and to the extent that the beneficial owner’s information is not provided above, please complete the information below with respect to each such beneficial owner. Name Residential Address Date of Birth Occupation PEP¹ Y/N ¹ Is the Owner a Politically Exposed Person? If yes, please attach to this Subscription Agreement a Source of Wealth Letter. The Source of Wealth Letter must describe the economic activity that has generated the individual’s net worth. Subscriber's Bank Account Wire Details (for bank account from which amounts in respect of subscription proceeds will be paid to the Company and to which any amounts due from the Company to the Subscriber will be paid, unless the Company is notified otherwise): Bank Name: Bank Address: __ Bank Swift/ABA Number: __ IBAN Number or Sort Code (if applicable): Correspondent Bank Name: Correspondent Bank Address: Correspondent Bank Account# or swift#: Beneficiary Bank Account Name (should be the same as the Subscriber name above): Beneficiary Bank Account Number: Special instructions for payment through SWIFT. Please note that in order for the Administrator to comply with relevant anti-Money laundering legislation, the Administrator must be able to properly identify the source of funds sent to it for investment. Accordingly, the Subscriber is required to complete both the "Ordering Customer" (field 50) and the "Ordering Institution" (field 52D) when sending a wire payment through the international SWIFT system. I/We hereby certify that the Subscriber is a “Non-U.S. Person” that resides outside of the United States and that information given in this Schedule to the Subscription Agreement is true, accurate and complete. I/we confirm that I/we will, if requested to do so by the Company or the Administrator, provide further information and/or documents to verify this information. Individual Signature(s): _ Entity Signature: Name of Entity Authorized Signatory Payment of Subscription Amount Subscription payments must be made by wire transfer, drawn on a bank account in the same name as that of the subscriber, and must accompany the Subscription Documents when submitted to the Sponsor. Please use the following wiring information: Beneficiary Bank: The Northern Trust International Banking Corporation Harborside Financial Center Plaza 00, Xxxxx 0000, 0 Xxxxxx Xxxxxx, Xxxxxx Xxxx, Xxx Xxxxxx 00000- 0000, XXX SWIFT: CNORUS33 Fedwire (ABA): 000000000 Account Name: Belmont Multi-Strategy Commodity Trend Fund Ltd Account No: 29270620010 29210220010 Reference: “Name of Investor” “Reference” refers to the name of the Subscriber as it will be registered with the Fund. Payment for subscription must be made upon the faxing of subscription documents. If a subscription is not accepted then the Administrator will return the full subscription amount in cash (in accordance with Anti-Money Laundering procedure). All “dollar” or “$” references herein refer to U.S. Dollars. Schedule 3 BOLDER FUND SERVICES (CAYMAN) LIMITED Anti-Money Laundering Client Policy Document The Administrator, Bolder Fund Services (Cayman) Limited (“Bolder”), is regulated by the Cayman Islands Monetary Authority, and must comply with the measures provided for in the Proceeds of Crime Act (Revised), the Anti-Money Laundering Regulations (Revised) and Guidance on the Prevention and Detection of Money Laundering and Terrorist Financing in the Cayman Island. In order to comply with these anti-money laundering regulations, Bolder will require from any subscriber or shareholder a detailed verification of the identity of such subscriber or shareholder, the identity of the beneficial owners of such subscriber or shareholder, the source of funds used to subscribe for Shares, or other additional information which may be requested from any subscriber or shareholder for such purposes from time to time. Xxxxxx reserves the right to request such information as is necessary to verify the identity of an applicant. The Subscriber recognises that Xxxxxx, in accordance with their anti-money laundering (“AML”) procedures reserves the right to prohibit the movement of any monies if all due diligence requirements have not been met, or, if for any reason feels that the origin of the funds or the parties involved are suspicious. In the event that the movement of monies is withheld in accordance with Xxxxxx’s AML procedures, Bolder will strictly adhere to all applicable laws, and shall notify the Fund as soon as professional discretion allows or as otherwise permitted by law.

For Individual Subscribers. (a) For Subscribers that have one or more beneficial owners and to the extent that the beneficial owner’s information is not provided above, please complete the information below with respect to each such beneficial owner. Name Residential Address Date of Birth Occupation PEP¹ Y/N ¹ Is the Owner a Politically Exposed Person? If yes, please attach to this Subscription Agreement a Source of Wealth Letter. The Source of Wealth Letter must describe the economic activity that has generated the individual’s net worth. Subscriber's Bank Account Wire Details (for bank account from which amounts in respect of subscription proceeds will be paid to the Company and to which any amounts due from the Company to the Subscriber will be paid, unless the Company is notified otherwise): Bank Name: Bank Address: __ Bank Swift/ABA Number: __ IBAN Number or Sort Code (if applicable): Correspondent Bank Name: Correspondent Bank Address: Correspondent Bank Account# or swift#: Beneficiary Bank Account Name (should be the same as the Subscriber name above): Beneficiary Bank Account Number: Special instructions for payment through SWIFT. Please note that in order for the Administrator to comply with relevant anti-Money laundering legislation, the Administrator must be able to properly identify the source of funds sent to it for investment. Accordingly, the Subscriber is required to complete both the "Ordering Customer" (field 50) and the "Ordering Institution" (field 52D) when sending a wire payment through the international SWIFT system. I/We hereby certify that the Subscriber is a “Non-U.S. Person” that resides outside of the United States and that information given in this Schedule to the Subscription Agreement is true, accurate and complete. I/we confirm that I/we will, if requested to do so by the Company or the Administrator, provide further information and/or documents to verify this information. Individual Signature(s): _ Entity Signature: Name of Entity Authorized Signatory Payment of Subscription Amount Subscription payments must be made by wire transfer, drawn on a bank account in the same name as that of the subscriber, and must accompany the Subscription Documents when submitted to the Sponsor. Please use the following wiring information: Beneficiary Bank: The Northern Trust International Banking Corporation Harborside Financial Center Plaza 00, Xxxxx 0000, 0 Xxxxxx Xxxxxx, Xxxxxx Xxxx, Xxx Xxxxxx 00000- 0000, XXX SWIFT: CNORUS33 Fedwire (ABA): 000000000 Account Name: Belmont Multi-Strategy Global Trend Fund Ltd Account No: 29270620010 29230020010 Reference: “Name of Investor” “Reference” refers to the name of the Subscriber as it will be registered with the Fund. Payment for subscription must be made upon the faxing of subscription documents. If a subscription is not accepted then the Administrator will return the full subscription amount in cash (in accordance with Anti-Money Laundering procedure). All “dollar” or “$” references herein refer to U.S. Dollars. Schedule 3 BOLDER FUND SERVICES (CAYMAN) LIMITED Anti-Money Laundering Client Policy Document The Administrator, Bolder Fund Services (Cayman) Limited (“Bolder”), is regulated by the Cayman Islands Monetary Authority, and must comply with the measures provided for in the Proceeds of Crime Act (Revised), the Anti-Money Laundering Regulations (Revised) and Guidance on the Prevention and Detection of Money Laundering and Terrorist Financing in the Cayman Island. In order to comply with these anti-money laundering regulations, Bolder will require from any subscriber or shareholder a detailed verification of the identity of such subscriber or shareholder, the identity of the beneficial owners of such subscriber or shareholder, the source of funds used to subscribe for Shares, or other additional information which may be requested from any subscriber or shareholder for such purposes from time to time. Xxxxxx reserves the right to request such information as is necessary to verify the identity of an applicant. The Subscriber recognises that Xxxxxx, in accordance with their anti-money laundering (“AML”) procedures reserves the right to prohibit the movement of any monies if all due diligence requirements have not been met, or, if for any reason feels that the origin of the funds or the parties involved are suspicious. In the event that the movement of monies is withheld in accordance with Xxxxxx’s AML procedures, Bolder will strictly adhere to all applicable laws, and shall notify the Fund as soon as professional discretion allows or as otherwise permitted by law.

For Individual Subscribers. (a) For Subscribers that have one or more beneficial owners and to the extent that the beneficial owner’s information is not provided above, please complete the information below with respect to each such beneficial owner. Name Residential Address Date of Birth Occupation PEP¹ Y/N ¹ Is the Owner a Politically Exposed Person? If yes, please attach to this Subscription Agreement a Source of Wealth Letter. The Source of Wealth Letter must describe the economic activity that has generated the individual’s net worth. Subscriber's Bank Account Wire Details (for bank account from which amounts in respect of subscription proceeds will be paid to the Company and to which any amounts due from the Company to the Subscriber will be paid, unless the Company is notified otherwise): Bank Name: Bank Address: __ Bank Swift/ABA Number: __ IBAN Number or Sort Code (if applicable): Correspondent Bank Name: Correspondent Bank Address: Correspondent Bank Account# or swift#: Beneficiary Bank Account Name (should be the same as the Subscriber name above): Beneficiary Bank Account Number: Special instructions for payment through SWIFT. Please note that in order for the Administrator to comply with relevant anti-Money laundering legislation, the Administrator must be able to properly identify the source of funds sent to it for investment. Accordingly, the Subscriber is required to complete both the "Ordering Customer" (field 50) and the "Ordering Institution" (field 52D) when sending a wire payment through the international SWIFT system. I/We hereby certify that the Subscriber is a “Non-U.S. Person” that resides outside of the United States and that information given in this Schedule to the Subscription Agreement is true, accurate and complete. I/we confirm that I/we will, if requested to do so by the Company or the Administrator, provide further information and/or documents to verify this information. Individual Signature(s): _ Entity Signature: Name of Entity Authorized Signatory Payment of Subscription Amount Subscription payments must be made by wire transfer, drawn on a bank account in the same name as that of the subscriber, and must accompany the Subscription Documents when submitted to the Sponsor. Please use the following wiring information: Beneficiary Correspondent Bank: The Northern Trust International Banking Corporation Harborside Financial Center Plaza 00Xxxxx Fargo Bank, Xxxxx 0000NA, 0 Xxxxxx Xxxxxx, Xxxxxx Xxxx, Xxx Xxxxxx 00000- 0000, XXX New York SWIFT: CNORUS33 PNBPUS3NNYC Fedwire (ABA): 000000000 Account NameBeneficiary Bank: Royal Bank of Scotland International Limited Correspondent Bank A/C No.: 2000193009149 (CHIPS: 155424) Beneficiary: Belmont Multi-Strategy Commodity Trend Fund Ltd Beneficiary Bank BIC: XXXXXXXX Beneficiary Account No: 29270620010 00000000 IBAN: XX00 XXXX 0000 0000 0000 00 Reference: “Name of Investor” “Reference” refers to the name of the Subscriber as it will be registered with the Fund. Payment for subscription must be made upon the faxing of subscription documents. If a subscription is not accepted then the Administrator will return the full subscription amount in cash (in accordance with Anti-Money Laundering procedure). All “dollar” or “$” references herein refer to U.S. Dollars. Schedule 3 BOLDER TRINITY FUND SERVICES (CAYMAN) LIMITED Anti-Money Laundering Client Policy Document The Administrator, Bolder Fund Services (Cayman) Limited (“Bolder”), is regulated by the Cayman Islands Monetary Authority, and must comply with the measures provided for in the Proceeds of Crime Act (Revised), the Anti-Money Laundering Regulations (Revised) and Guidance on the Prevention and Detection of Money Laundering and Terrorist Financing in the Cayman Island. In order to comply with these anti-money laundering regulations, Bolder will require from any subscriber or shareholder a detailed verification of the identity of such subscriber or shareholder, the identity of the beneficial owners of such subscriber or shareholder, the source of funds used to subscribe for Shares, or other additional information which may be requested from any subscriber or shareholder for such purposes from time to time. Xxxxxx reserves the right to request such information as is necessary to verify the identity of an applicant. The Subscriber recognises that Xxxxxx, in accordance with their anti-money laundering (“AML”) procedures reserves the right to prohibit the movement of any monies if all due diligence requirements have not been met, or, if for any reason feels that the origin of the funds or the parties involved are suspicious. In the event that the movement of monies is withheld in accordance with Xxxxxx’s AML procedures, Bolder will strictly adhere to all applicable laws, and shall notify the Fund as soon as professional discretion allows or as otherwise permitted by law.ADMINISTRATION LIMITED

For Individual Subscribers. (a) For Subscribers that have one or more beneficial owners and to the extent that the beneficial owner’s information is not provided above, please complete the information below with respect to each such beneficial owner. Name Residential Address Date of Birth Occupation PEP¹ Y/N ¹ Is the Owner a Politically Exposed Person? If yes, please attach to this Subscription Agreement a Source of Wealth Letter. The Source of Wealth Letter must describe the economic activity that has generated the individual’s net worth. Subscriber's Bank Account Wire Details (for bank account from which amounts in respect of subscription proceeds will be paid to the Company and to which any amounts due from the Company to the Subscriber will be paid, unless the Company is notified otherwise): Bank Name: Bank Address: __ Bank Swift/ABA Number: __ IBAN Number or Sort Code (if applicable): Correspondent Bank Name: Correspondent Bank Address: Correspondent Bank Account# or swift#: Beneficiary Bank Account Name (should be the same as the Subscriber name above): Beneficiary Bank Account Number: Special instructions for payment through SWIFT. Please note that in order for the Administrator to comply with relevant anti-Money laundering legislation, the Administrator must be able to properly identify the source of funds sent to it for investment. Accordingly, the Subscriber is required to complete both the "Ordering Customer" (field 50) and the "Ordering Institution" (field 52D) when sending a wire payment through the international SWIFT system. I/We hereby certify that the Subscriber is a “Non-U.S. Person” that resides outside of the United States and that information given in this Schedule to the Subscription Agreement is true, accurate and complete. I/we confirm that I/we will, if requested to do so by the Company or the Administrator, provide further information and/or documents to verify this information. Individual Signature(s): _ Entity Signature: Name of Entity Authorized Signatory Payment of Subscription Amount Subscription payments must be made by wire transfer, drawn on a bank account in the same name as that of the subscriber, and must accompany the Subscription Documents when submitted to the Sponsor. Please use the following wiring information: Beneficiary Bank: The Northern Trust International Banking Corporation Harborside Financial Center Plaza 00, Xxxxx 0000, 0 Xxxxxx Xxxxxx, Xxxxxx Xxxx, Xxx Xxxxxx 00000- 0000, XXX SWIFT: CNORUS33 Fedwire (ABA): 000000000 Account Name: Belmont Multi-Strategy Quantitative Strategies Fund Ltd Account No: 29270620010 29220120010 Reference: “Name of Investor” “Reference” refers to the name of the Subscriber as it will be registered with the Fund. Payment for subscription must be made upon the faxing of subscription documents. If a subscription is not accepted then the Administrator will return the full subscription amount in cash (in accordance with Anti-Money Laundering procedure). All “dollar” or “$” references herein refer to U.S. Dollars. Schedule 3 BOLDER FUND SERVICES (CAYMAN) LIMITED Anti-Money Laundering Client Policy Document The Administrator, Bolder Fund Services (Cayman) Limited (“Bolder”), is regulated by the Cayman Islands Monetary Authority, and must comply with the measures provided for in the Proceeds of Crime Act (Revised), the Anti-Money Laundering Regulations (Revised) and Guidance on the Prevention and Detection of Money Laundering and Terrorist Financing in the Cayman Island. In order to comply with these anti-money laundering regulations, Bolder will require from any subscriber or shareholder a detailed verification of the identity of such subscriber or shareholder, the identity of the beneficial owners of such subscriber or shareholder, the source of funds used to subscribe for Shares, or other additional information which may be requested from any subscriber or shareholder for such purposes from time to time. Xxxxxx reserves the right to request such information as is necessary to verify the identity of an applicant. The Subscriber recognises that Xxxxxx, in accordance with their anti-money laundering (“AML”) procedures reserves the right to prohibit the movement of any monies if all due diligence requirements have not been met, or, if for any reason feels that the origin of the funds or the parties involved are suspicious. In the event that the movement of monies is withheld in accordance with Xxxxxx’s AML procedures, Bolder will strictly adhere to all applicable laws, and shall notify the Fund as soon as professional discretion allows or as otherwise permitted by law.

For Individual Subscribers. (a) For Subscribers that have one or more beneficial owners and to the extent that the beneficial owner’s information is not provided above, please complete the information below with respect to each such beneficial owner. Name Residential Address Date of Birth Occupation PEP¹ Y/N ¹ Is the Owner a Politically Exposed Person? If yes, please attach to this Subscription Agreement a Source of Wealth Letter. The Source of Wealth Letter must describe the economic activity that has generated the individual’s net worth. Subscriber's Bank Account Wire Details (for bank account from which amounts in respect of subscription proceeds will be paid to the Company and to which any amounts due from the Company to the Subscriber will be paid, unless the Company is notified otherwise): Bank Name: Bank Address: __ Bank Swift/ABA Number: __ IBAN Number or Sort Code (if applicable): Correspondent Bank Name: Correspondent Bank Address: Correspondent Bank Account# or swift#: Beneficiary Bank Account Name (should be the same as the Subscriber name above): Beneficiary Bank Account Number: Special instructions for payment through SWIFT. Please note that in order for the Administrator to comply with relevant anti-Money laundering legislation, the Administrator must be able to properly identify the source of funds sent to it for investment. Accordingly, the Subscriber is required to complete both the "Ordering Customer" (field 50) and the "Ordering Institution" (field 52D) when sending a wire payment through the international SWIFT system. I/We hereby certify that the Subscriber is a “Non-U.S. Person” that resides outside of the United States and that information given in this Schedule to the Subscription Agreement is true, accurate and complete. I/we confirm that I/we will, if requested to do so by the Company or the Administrator, provide further information and/or documents to verify this information. Individual Signature(s): _ Entity Signature: Name of Entity Authorized Signatory Payment of Subscription Amount Subscription payments must be made by wire transfer, drawn on a bank account in the same name as that of the subscriber, and must accompany the Subscription Documents when submitted to the Sponsor. Please use the following wiring information: Beneficiary Bank: The Northern Trust International Banking Corporation Harborside Financial Center Plaza 00, Xxxxx 0000, 0 Xxxxxx Xxxxxx, Xxxxxx Xxxx, Xxx Xxxxxx 00000- 0000, XXX SWIFT: CNORUS33 Fedwire (ABA): 000000000 Account Name: Belmont Multi-Strategy Global Opportunity Fund Ltd Account No: 29270620010 29250820010 Reference: “Name of Investor” “Reference” refers to the name of the Subscriber as it will be registered with the Fund. Payment for subscription must be made upon the faxing of subscription documents. If a subscription is not accepted then the Administrator will return the full subscription amount in cash (in accordance with Anti-Money Laundering procedure). All “dollar” or “$” references herein refer to U.S. Dollars. Schedule 3 BOLDER FUND SERVICES (CAYMAN) LIMITED Anti-Money Laundering Client Policy Document The Administrator, Bolder Fund Services (Cayman) Limited (“Bolder”), is regulated by the Cayman Islands Monetary Authority, and must comply with the measures provided for in the Proceeds of Crime Act (Revised), the Anti-Money Laundering Regulations (Revised) and Guidance on the Prevention and Detection of Money Laundering and Terrorist Financing in the Cayman Island. In order to comply with these anti-money laundering regulations, Bolder will require from any subscriber or shareholder a detailed verification of the identity of such subscriber or shareholder, the identity of the beneficial owners of such subscriber or shareholder, the source of funds used to subscribe for Shares, or other additional information which may be requested from any subscriber or shareholder for such purposes from time to time. Xxxxxx reserves the right to request such information as is necessary to verify the identity of an applicant. The Subscriber recognises that Xxxxxx, in accordance with their anti-money laundering (“AML”) procedures reserves the right to prohibit the movement of any monies if all due diligence requirements have not been met, or, if for any reason feels that the origin of the funds or the parties involved are suspicious. In the event that the movement of monies is withheld in accordance with Xxxxxx’s AML procedures, Bolder will strictly adhere to all applicable laws, and shall notify the Fund as soon as professional discretion allows or as otherwise permitted by law.