For Payment of Purchase Price. The following are the wire instructions for the account into which the payment of the purchase price for the Shares subscribed for should be wired. In case the entity on behalf of which the transfer is taking place is different from the transferor, please make sure that the wire includes in the comments the name of the entity. Exhibit A ACCREDITED INVESTOR STATUS The undersigned subscriber represents that it is an Accredited Investor on the basis that it is (check one):
For Payment of Purchase Price. The following are the wire instructions for the account into which the payment of the purchase price for the Units subscribed for should be wired. The bank account of Buckeye Oil & Gas, Inc. at ________is as follows: __________ __________ __________ __________ In case the entity on behalf of which the transfer is taking place is different from the transferor , please make sure that the wire includes in the comments the name of the entity. ACCREDITED INVESTOR QUESTIONNAIRE (check one): The undersigned subscriber represents that it is an Accredited Investor on the basis that it is _______ {i) A bank as defined in Section 3(a)(2) of the Act, or a savings and loan association or other institution as defined in Section 3(a)(5)(A) of the Act, whether acting in its individual or fiduciary capacity; a broker or dealer registered pursuant to Section 15 of the Securities Exchange Act of 1934; an insurance company as defined in Section 2(13) of the Act; an investment company registered under the Investment Company Act of 1940 (the "Investment Company Act") or a business development company as defined in Section 2(a)(48) of the Investment Company Act; a Small Business Investment Company licensed by the U.S. Small Business Administration under Section 30l(c) or (d) of the Small Business Investment Act of 1958; a plan established and maintained by a state, its political subdivisions or any agency or instrumentality of a state or its political subdivisions for the benefit of its employees, if such plan has total assets in excess of $5,000,000; an employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974 ("ERISA"), if the investment decision is made by a plan fiduciary, as defined in Section 3(21) of ERISA, which is either a bank, savings and loan association, insurance company, or registered investment advisor, or if the employee benefit plan has total assets in excess of $5,000,000 or, if a self-directed plan, with investment decisions made solely by persons that are accredited investors. _______ {ii) A private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940. _______ {iii) An organization described in Section 50l(c)(3) of the Internal Revenue Code, corporation, Massachusetts or similar business trust, or partnership, not formed for the specific purpose of acquiring the securities offered, with total assets in excess of $5,000,000. __X____ (iv) A director or executive officer of th...
For Payment of Purchase Price. The following are the wire instructions for the account into which the payment of the purchase price for the Shares subscribed for should be wired. The bank account of Energtek Inc. at Safra National Bank of New York is active. The number is Safra National Bank of New York 000 Xxxxx Xxxxxx Xxx Xxxx, XX 00000 (000) 000-0000 ABA 0000-00000 Account No: 0610-9004 Account Owner: Energtek Inc. In case the entity on behalf of which the transfer is taking place is different from the transferor, please make sure that the wire includes in the comments the name of the entity. ENERGTEK INC. INVESTOR QUESTIONNAIRE
For Payment of Purchase Price. The following are the wire instructions for the account into which the payment of the purchase price for the Shares subscribed for should be wired. Xxxxxxx Xxxxxx Xxxxxx & Associates 000 Xx Xxxxxxxx xxxxx 000 Xxx Xxxxxxx, XX 00000 000-000-0000 In case the entity on behalf of which the transfer is taking place is different from the transferor, please make sure that the wire includes in the comments the name of the entity.
For Payment of Purchase Price. The following are the wire instructions for the account into which the payment of the purchase price for the Units subscribed for should be wired. The bank account of Tuffnell Ltd. at _________ is as follows: __________ __________ __________ __________ In case the entity on behalf of which the transfer is taking place is different from the transferor, please make sure that the wire includes in the comments the name of the entity. TUFFNELL LTD. INVESTOR QUESTIONNAIRE
For Payment of Purchase Price. The following are the wire instructions for the account into which the payment of the purchase price for the Shares subscribed for should be wired. _________ _________ ________ In case the entity on behalf of which the transfer is taking place is different from the transferor, please make sure that the wire includes in the comments the name of the entity. Exhibit A
For Payment of Purchase Price. The following are the wire instructions for the account into which the payment of the purchase price for _____ Units subscribed for should be wired. Account #: 9429354769 Routing #: 000000000 Reference Sub-Account # 11645 Account Name: Xxxxx Xxxxx & Associates Master Escrow Account Bank of America 000 Xxxxxxx Xxxxxx Xxxxxxxx, Xxx Xxxx 00000 In case the entity on behalf of which the transfer is taking place is different from the transferor, please make sure that the wire includes in the comments the name of the entity. SUSPECT DETECTION SYSTEMS, INC. INVESTOR QUESTIONNAIRE
For Payment of Purchase Price. The following are the wire instructions for the account into which the payment of the purchase price for the Units subscribed for should be wired. Account #: 9429354769 Routing #: 000000000 Reference Sub-Account # 11645 Account Name: Xxxxx Xxxxx & Associates Master Escrow Account Bank of America 000 Xxxxxxx Xxxxxx Xxxxxxxx, Xxx Xxxx 00000 In case the entity on behalf of which the transfer is taking place is different from the transferor, please make sure that the wire includes in the comments the name of the entity. PCMT CORPORATION INVESTOR QUESTIONNAIRE
For Payment of Purchase Price. The following are the wire instructions for the account into which the payment of the purchase price for the Units subscribed for should be wired. The bank account of Ranger Gold Corp. at _________ is as follows: __________ __________ __________ __________ In case the entity on behalf of which the transfer is taking place is different from the transferor, please make sure that the wire includes in the comments the name of the entity. RANGER GOLD CORP. INVESTOR QUESTIONNAIRE A. eGeneral Information
For Payment of Purchase Price. The following are the wire instructions for the account into which the payment of the purchase price for the Units subscribed for should be wired. The bank account of Buckeye Oil & Gas, Inc. at _________ is as follows: __________ __________ __________ __________ In case the entity on behalf of which the transfer is taking place is different from the transferor, please make sure that the wire includes in the comments the name of the entity.
