U.S. Securities regulations require that we confirm your investor status.
I am an Accredited Investor
Please indicate the basis of “accredited investor” status as defined by rule 501 under the Securities Act of 1933 by checking the most applicable statement.
A bank as defined in Section 3(a)(2) of the Investment Company Act, or any savings and loan association or other institution as defined in Section 3(a)(5)(A) of the Investment Company Act, acting for its own account or for the account of a "qualified eligible person."
A private business development company as defined in section 202(a)(22) of the Investment Advisers Act of 1940
An organization described in section 501(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
A natural person whose individual net worth, or joint net worth with that person's spouse, exceeds $1,000,000
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
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 Section 230.506(b)(2)(ii)
An entity in which all of the equity owners are accredited investors
An investment company registered under the Investment Company Act or a business development company as defined in Section 2(a)(48) of the Investment Company Act not formed for the specific purpose of investing in the securities offered herein
An insurance company as defined in Section 2(13) of the Investment Company Act, acting for its own account or for the account of a "qualified eligible person"
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 U.S. Employee Retirement Income Security Act of 1974, as amended (“ERISA”), and the decision to invest in the Fund was 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
A corporation, Massachusetts or similar business trust, or partnership, limited liability company or similar entity, other than a commodity pool, which has total assets in excess of $5,000,000 and is not formed for the specific purpose of opening an exempt account
A broker or dealer registered pursuant to section 15 of the Securities Exchange Act of 1934
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 individual retirement account, Keogh Plan or other self-directed plan (i.e., a tax-qualified defined contribution plan in which a participant may exercise control over the investment of assets credited to his or her account) in which the investing participant is an accredited investor because such participant has a net worth of at least US$1,000,000 or has had an individual income of at least US$200,000 (or a joint income with spouse of at least US$300,000) in each of the last two years
A revocable trust that may be amended or revoked at any time by the grantors thereof and all of the grantors are accredited investors
A Rural Business Investment Company as defined in Section 384A of the Consolidated Farm and Rural Development Act.
A “family office”, as defined in Rule 202(a)(11)(G)-1 under the Investment Advisers Act of 1940, (i) with assets under management in excess of $5,000,000, (ii) that is not formed for the specific purpose of acquiring the Interest, and (iii) whose prospective investment is directed by a person who has such knowledge and experience in financial and business matters that such family office is capable of evaluating the merits and risks of the prospective investment.
A "family client", as defined in Rule202(a)(11)(G)-1 under the Investment Advisers Act of 1940, of a family office (i) with assets under management in excess of $5,000,000, (ii) that is not formed for the specific purpose of acquiring the Interest, and (iii) whose prospective investment is directed by a person who has such knowledge and experience in financial and business matters that such family office is capable of evaluating the merits and risks of the prospective investment.
An employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974 with total plan assets in excess of $5,000,000 with investment decisions made solely by persons that are accredited investors
A natural person holding in good standing one or more professional certifications or designations or credentials from an accredited educational institution that the SEC has designated as qualifying an individual for accredited investor status. On August 26, 2020, the Commission designated the following certifications, when held in good standing, as qualifying natural persons for accredited investor status: Licensed General Securities Representative (Series 7); Licensed Investment Adviser Representative (Series 65); and Licensed Private Securities Offerings Representative (Series 82).
A natural person who is a "knowledgeable employee," as defined in Rule3c-5(a)(4) under the Investment Company Act, of the Partnership where the Partnership would be an investment company, as defined in Section 3 of the Investment Company Act, but for the exclusion provided by either Section 3(c)(1) or Section 3(c)(7) of the Investment Company Act.
Any investment advisor relying on the exemption from registering with the SEC under Section 203(l) or 203(m) of the Investment Advisors Act.
Any investment advisor registered with the SEC under Section 203 of the Investment Advisors Act or registered pursuant to the laws of a state.
I am a Qualified Client
Please indicate the basis of "qualified client" status as defined in Rule 205-3 of the Investment Advisers Act of 1940 by checking the most applicable statement.
A natural person who, or a company that, immediately after entering into the contract has at least $1,000,000 under the management of the investment adviser for the securities offered
A natural person who, or a company that, the investment adviser entering into the contract (and any person acting on his behalf) reasonably believes, immediately prior to entering into the contract, either: (A) has a net worth (together, in the case of a natural person, with assets held jointly with a spouse) of more than $2,200,000. For purposes of calculating a natural person's net worth: (1) The person's primary residence must not be included as an asset; (2) Indebtedness secured by the person's primary residence, up to the estimated fair market value of the primary residence at the time the investment advisory contract is entered into may not be included as a liability (except that if the amount of such indebtedness outstanding at the time of calculation exceeds the amount outstanding 60 days before such time, other than as a result of the acquisition of the primary residence, the amount of such excess must be included as a liability); and (3) Indebtedness that is secured by the person's primary residence in excess of the estimated fair market value of the residence must be included as a liability; or (B) is a qualified purchaser as defined in section 2(a)(51)(A) of the Investment Company Act of 1940 (15 U.S.C. 80a-2(a)(51)(A)) at the time the contract is entered into
A natural person who immediately prior to entering into the contract is: (A) An executive officer, director, trustee, general partner, or person serving in a similar capacity, of the investment adviser; or (B) An employee of the investment adviser (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 adviser, or substantially similar functions or duties for or on behalf of another company for at least 12 months.
I am a Qualified Purchaser
Please indicate the basis of “qualified purchaser” status as defined in Section 2(a)(51) of the Investment Company Act by checking the most applicable statement.
A natural person (including a person who holds a joint, community property with that person's qualified purchaser spouse) who owns not less than $5,000,000 in aggregate value of investments, which include securities, financial contracts entered into for investment purposes, cash, cash equivalents, real estate held for investment purposes, CDs, bankers acceptances and other similar bank instruments held for investment purposes. Investments do not include real estate held for personal purposes, jewelry, art, antiques, and other collectibles. Debt used to acquire the investments is excluded from the value of the investments.
An entity not formed for the specific purpose of investing in the securities offered herein that owns not less than US $5,000,000 in “investments” and that is owned directly or indirectly by or for two or more natural persons who are related as siblings or spouse (including former spouses), or direct lineal descendants by birth or adoption, spouses of such persons, the estates of such persons, or foundations, charitable organizations or trusts established by or for the benefit of such persons
A trust that was not formed for the specific purpose of acquiring the securities offered, as to which the trustee or other person authorized to make decisions with respect to the trust, and each settlor or other person who has contributed assets to the trust, is: i) a qualified purchaser that is either a) an entity that acts on its own account, was not formed for making this investment, and owns and invests on a discretionary basis not less than $25,000,000, or b) a Family Company that owns not less than $5,000,0000; or ii) or a natural person who owns at least $5,000,000 of investments
An entity, acting for its own account or the accounts of other qualified purchasers, not formed for the specific purpose of acquiring the securities offered herein, which in the aggregate owns and invests on a discretionary basis not less than US$25,000,000 in investments
A qualified institutional buyer as defined in Rule 144A under the Securities Act, acting for its own account, the account of another qualified institutional buyer, or the account of a qualified purchaser, provided that (i) a dealer described in paragraph (a)(1)(ii) of Rule 144A shall own and invest on a discretionary basis at least $25,000,000 in securities of issuers that are not affiliated persons of the dealer; and (ii) a plan referred to in paragraph (a)(1)(D) or (a)(1)(E) of Rule 144A, or a trust fund referred to in paragraph (a)(1)(F) of Rule 144A that holds the assets of such a plan, will not be deemed to be acting for its own account if investment decisions with respect to the plan are made by the beneficiaries of the plan, except with respect to investment decisions made solely by the fiduciary, trustee or sponsor of such plan
A pool, trust, insurance company separate account or bank collective trust, with total assets in excess of $5,000,000, not formed for the specific purpose of either participating in the exempt pool or opening an exempt account, and whose participation in the exempt pool or investment in the exempt account is directed by a "qualified eligible person"
Except as provided for the governmental entities referenced above (i.e., employee benefit plan established and maintained by a state, its political subdivisions or any agency or instrumentality of a state or its political subdivisions, which has total assets in excess of $5,000,000), if otherwise authorized by law to engage in such transactions, a governmental entity (including the United States, a state or a foreign government) or political subdivision thereof, or a multinational or supranational entity or an instrumentality, agency, or department of any of the foregoing
A company where each beneficial owner of the company's securities is a qualified purchaser
None apply to me
As it relates to making private investments, I am not an Accredited Investor or Qualified Purchaser, nor is the company that I represent.
This Investor is not an Accredited Investor, Qualified Client or Qualified Purchaser
