Individuals. Please complete the following information if you are investing as an individual or jointly with another individual: Name: ________________________. Spouse's full name, if jointly held: ________________________. Date of birth: ________________________. Citizenship: ________________________. Permanent home address: ________________________ ________________________________________________ Marital status: ________________________. Address for notices: ________________________ ________________________________________________ Home telephone number: ________________________. Business telephone number: ________________________. Social security or tax identification number: ________________________. Occupation or profession: ________________________. Are you purchasing Shares for your own account? Yes No If you are not purchasing Shares for your own account, please complete the following:
Individuals. If the undersigned is a natural person (ignoring any revocable grantor trust), then the undersigned hereby represents and warrants as follows (check whichever applies): ☐ The undersigned is a director, executive officer, or general partner of the Issuer, or a director, executive officer, or general partner of a general partner of the Issuer. ☐ The undersigned has a net worth (either individually or jointly with the undersigned’s spouse) in excess of $1,000,000 (see calculation guidance below). ☐ The undersigned (i) either (A) had an individual annual income (exclusive of spousal income) in excess of $200,000 or (B) had a joint income with the undersigned’s spouse in excess of $300,000 in each of the two preceding tax years, and (ii) reasonably expects to have the same income level (individually or jointly, as applicable) in the current tax year (see calculation guidance below).
Individuals. ☐ The Investor has an individual net worth, or joint net worth with his or her spouse, in excess of $1,000,000.1 ☐ The Investor had individual income (exclusive of any income attributable to his or her spouse) of more than $200,0002 in each of the past two years, or joint income with his or her spouse of more than $300,0003 in each of those years, and reasonably expects to reach the same income level in the current year.
Individuals. For Clients whose housing plans include agreed upon goals of accessing information on health, education, housing, budgeting, and/or other services as defined in in the program component selected above, in order to make informed decisions about their health, education, finances, housing and other identified needs, 100 % were provided with such information, as individually appropriate, in order to enable them to make informed decisions on meeting those needs.
Individuals. At least 75 % of Clients access another community housing setting such as transitional housing, residential (treatment) program, or permanent housing.
Individuals. 1. A certified copy of a valid identification document including a specimen signature of the holder (identity card, passport, driving license with photo, or any other appropriate document) for the subscriber and, if applicable, for all third-party beneficiaries.
Individuals. (i) The Investor is an individual with a net worth, or a joint net worth together with his or her spouse, in excess of $1,000,000. (In calculating net worth, you may include equity in personal property and real estate, including your principal residence, cash, short-term investments, stock and securities. Equity in personal property and real estate should be based on the fair market value of such property less any debt secured by such property.)
Individuals. At least 100 % of Clients access additional social and/or outpatient treatment services as needed in the housing plan
Individuals. Unless otherwise agreed to in writing by ERCOT, Contractor warrants that all individuals performing Services on behalf of Contractor under this Agreement (“Individuals” or, singularly, an “Individual”) are employees of Contractor who may legally work in the United States, and for whom Contractor is solely responsible and pays wages, required federal, state, and local tax withholdings (including social security, unemployment, and Medicare), workers’ compensation insurance, and employment benefits (“Contractor Employees”). Under no circumstances will any Individuals, whether Contractor Employees or a Subcontractor, as defined below in Section 3.3, be considered employees of ERCOT.
Individuals. Attach a separate sheet if you want to list more names. (Can be descendants.) . If any Primary Beneficiary predeceases me, his share is to be divided among the Primary Beneficiaries who survive me in the relative proportions assigned to each such surviving Primary Beneficiary. % Name of Individual first middle, last Relationship Date of Birth Social Security Number % Name of Individual first middle, last Relationship Date of Birth Social Security Number