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EFTA01273285.pdf
AI Summary
UBS Financial Services Inc. fund investment application and subscription documents for Ghislaine Maxwell to invest in the AlphaKeys Millennium Fund LLC. The documents detail investor qualification requirements, accredited investor status verification, and contain standard hedge fund subscription agreements and disclosures. [Rating: 6/10 - Documents show Ghislaine Maxwell's financial investment activities and relationship with major financial institutions, providing insight into her wealth management during the relevant time period]
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Extracted Entities
| Name | Type | Context |
|---|---|---|
| AlphaKeys Millennium Fund LLC | organization | Investment fund that Maxwell is applying to invest in |
| UBS Financial Services Inc. | organization | Financial services company processing the fund investment application |
| UBSFA | organization | UBS entity referenced throughout subscription documents as fund administrator |
| Ghislaine Maxwell | person | Primary investor/account holder applying for fund investment |
Full Text
SUBS
UBS Financial Services Inc.
Account Nurnoer
Cicnt
Fund Investment Application Cover Sheet
ALPHAKEYS MILLENNIUM FUND LLC
Fund Name
Ghblaine Maxwell
Account title
Ghklalne Maxwell
Client Name
ACU6
Form
ML2,31837
Control Number
102725
Appkation Id
ECS-0155002191
III
FCS-0155002191
For Internal UseOnly CI 2007 UBS Financial Services Inc. AN Rights Reserved. Member SPC
CONFIDENTIAL
SDNY_GM_00020458
EFTA_00131078
EFTA01273285
UBS
AlphaKeys Millennium Fund, L.L.C.
Investor Application Form
Investor(s)
Please:
• Complete the Investor Application Form via UBS Online Services ('OLS") Q8
return this entire Subscription Booklet to your Financial Advisor.
• Only fully completed Subscription Booklets (no faxes, no copies) will be accepted.
• DO NOT TEAR OUT PAGES.
• Retain a copy for your files.
• Read the Fund's Memorandum and the Subscription Agreement.
• Please refer to the enclosed Tax Forms and speak to your UBS Financial Advisor. You may not
be required to complete these forms if your UBS account has already been designated FATCA-
compliant.
Be sure to complete all sections of the Investor Application Form
Financial Advisors/Branch Managers
• Effective July 1, 2014, FATCA compliant tax forms are required for clients to execute new
investments in all Alternative Investments. Please refer to the enclosed Tax Forms and related
submission instructions.
• Please refer to the Fund Investment Application (' FIA") QuickCard for application submission
instructions, or call UBS Altemative Investments US at 888-962-3842, option 1, sub option 4.
• All Investor Applications must be submitted on FIA to UBS Alternative Investments US
no later than 4 full business days prior to month's end.
ML281817-MAXWELL
Private and Confidential
CONFIDENTIAL SDNY_GM_00020459
EFTA_00131079
EFTA01273286
Instructions for Completing Investor Application
Prospective investors in the AlphaKeys Millennium Fund, L.LC. (the 'Fund") should read the Memorandum as well
as this Subscription Booklet prior to subscribing.
Please complete all sections of the Investor Application Form. If you invest via O1.5 please follow the instructions on
the OLS system and/or the enclosed informational card. If you invest via this Subscription Booklet please promptly
retum the entire Subscription Booklet to your Financial Advisor. Do not tear out any pages. Retain a copy for your
files.
Please refer to Schedule 2 for the meanings of the capitalized terms used herein.
Please consult your Financial Advisor or call UBS Alternative Investments US for assistance in completing
this Investor Application Form.
A. Capital Contribution Amount
• Indicate the Capital Contribution applied for (which may be accepted in whole or in part by UBSFA).
• Provide your Account Number.
• Funds must be drawn on an account that corresponds exactly to the name of Undersigned.
UBSFA may in its sole and absolute discretion accept as your Capital Contribution an amount less than
the Capital Contribution applied for herein.
CLEARED FUNDS MUST BE IN YOUR ACCOUNT 5 BUSINESS DAYS PRIOR TO MONTH'S END.
B. Investor Information:
• Provide the Investor's mailing address exactly as it should appear on the address labels.
• Include the Investor's state of residence or principal place of business, if applicable, and Social Security/Tax
ID Number.
• Provide the Investors email address.
C. Accredited Investor Representation:
Please read Schedule 1 and check the appropriate box. Generally, an "accredited investor' has a net worth in
excess of $1 million for individuals (together with spouse) or total assets in excess of $S million for entities. To
calculate net worth, exdude the value of your primary residence, and count as a liability any indebtedness
secured by that property in excecc of the fair market value of that property. If you incurred the debt on your
property within 60 days of subscribing for this investment and did not use those funds to purchase that house,
you must include the full value of the debt as part of your liabilities.
The Investor must certify that he, she or it is both an accredited investor and a qualified purchaser in order to
invest in the Fund, unless otherwise determined by UBSFA.
ML281817-MAXWELL
Private and Confidential
2
SDNY_GM_00020460
CONFIDENTIAL
EFTA_00131080
EFTA01273287
Instructions for Completing Investor Application
(continued)
D. Qualified Purchaser Representation:
Please read Schedule 1 and check the appropriate boxes. Generally, a 'qualified purchaser must be an
individual or beneficiary of an IRA- or participant-directed plan or family trust/entity with at least S5 million in
qualified investments or an entity with at least S25 million in qualified investments. The Undersigned must
certify that he, she or it is both an accredited investor and a qualified purchaser in order to invest in the Fund.
E. Benefit Plan Investor Status:
Please read carefully and check the appropriate box.
F. Controlling Person Status:
Please read carefully and check the appropriate box.
G. Certification Regarding Initial Public Equity Offerings:
Please initial and complete all applicable sections.
H. Government Entity Status:
Please read carefully and check the appropriate box(es).
I. NFA Bylaw 1101 certification
Please read carefully and initial the applicable acknowledgement(s).
.1. Investor Acknowledgement:
Please read the acknowledgements contained in this section carefully, initial the applicable acknowledgements
and complete the applicable certification(s).
K. Investor Signatures:
Please sign.
ML281817-MAXWELL
Private and Confidential
3
SDNY_GM_00020461
CONFIDENTIAL
EFTA_00I 31081
EFTA01273288
Schedule 1
PLEASE REFER TO THE REPRESENTATIONS BELOW IN ORDER TO COMPLETE THE INVESTOR TYPE, ACCREDITED INVESTOR AND
QUALIFIED PURCHASER REPRESENTATION QUESTIONS OF THE INVESTOR APPUCATION FORM.
ACCREDITED INVESTOR STATUS AND N. Corporations, Partnerships, Limited QUAURED PURCHASER STATUS
QUALIFIED PURCHASER STATUS Liability Companies and Other Entities
V. Individuals, Joint Tenants and IRAs
The Undersigned must certify that he, she or {a) The Undersigned is a corporation, (as applicable)
it is an accredited investor and a qualified partnersheo, United liability company,
purchaser based on the categories listed Massachusetts or similar business trust, a The Undersigned is a qualified purchaser
below. an organization described in Section because he/she (alone, or together with
his/her spouse, if investing jointly) owns not
501(cX3) of the Internal Revenue Code of
ACCREDITED INVESTOR STATUS 1986, as amended (the "Code"), not less than SS million in investments.• •
I. Individuals, Joint Tenants and IRAs formed for the specific purpose of investing VI. 'Family" Corporations, "Family
in the Fund, with total assets in excess of $5 Foundations, •Family Endowment,
The Undersigned, either individually or million; or "Family Partnerships, "Family Trusts or
together with the Undersigned's spouse, has
a net worth* in excess of 11 million. N) Each shareholder, partner, or other other "Family" Entities
equity owner of the Undersigned, as the
(a) The Undersigned was not formed for
II. Trusts case night be, is an accredited investor; or
the specific purpose of investing in the
(a) The trust has (i) total assets in excess of (0 The Undersigned is a 'bank' as Fund;
S5 million, (ii) it was not formed for the delned in Section 3(3X2) of the Securities (b) The Undersigned owns not less than S5
specific purpose of investng in the Fund, Act or a 'savings and loan association' a
million in investments;• • and
and (ii) its investment in the Fund is directed other institution referred to in Section
by a person who has such knowledge and 3(aX5XA) of the Securities Act, whether (c) The Undersigned is owned directly or
experience in financial and business matters acting in its individual or fiduciary capacity; indirectly by or for (i) two or more natural
that he or she is capable of evaluating the or persons who are (A) related as siblings or
merits and risks of an investment in the spouses (including former spouses), or (B)
Fund; or (d) The Undersigned is a 'broker a direct lineal descendants by birth or
dealer' registered pursuant to Section 15 of adoption. (ii) spouses of such persons,
(b) Each Grantor of the trust has the the Securities Exchange Act; or (ii) the estates of such persons or
power to revoke the trust and regain title to
the trust assets, and each grantor is an (e) The Undersigned is an 'insurance (iv) foundations, charitable organizations or
accredited investor; a c th o e m S p e a c n u y ri ' t ie a s s A d c e t f ; i n o e r d in Section 2(aX13) of s tr u u c s h ts p e e r s s t o a n b s li . s hed by or for the benefit of
(c) The trustee of the trust is a 'bank' as
defined in Section 3(aX2) of the Securities (t) The Undersigned is an "investrrent VR Trusts (Other than Trusts that
Act or a savings and loan association or company' registered under the Investment qualify under VI or VIII hereof)
other institution referred to in Section Company Act; or (a) The Undersigned was not formed for
3(aXS)(A) of the Sectxities Act (g) The Undersigned is a 'small business the specific purpose of investing in the
III. Retirement Flans investment company' licensed by the U.S. Fund; and
Small Business Administration under Section
(b) The trustee or other authorized person
(a) The plan has total assets in excess of S5 (301X0 or (d) of the Small Business making decisions with respect to the trust,
Milian; or Investment Act; or
and each Settlor or other person who has
(b) Each participant n the plan is an (h) The Undersigned is a • business contributed asset to the trust, is a person
accredited investor; or development company' as defined in described in V, VI, Val or IX.
(c) The plan is partiopant directed, with Section 2(aX48) of the ►'vestment Company VIII. Other Entities
Act or a 'business development company'
investment decisions made solely by persons defined in Section 202(aX22) of the (a) The Undersigned was not formed for
who are accredited investors; or Investment Advisers Act. the specific purpose of investing in the
(d) Investment decisiorts for the plan are Fund; and
Note for Accredited Investor Status:
made by a 'plan fiduciary' as defined in
• The term net worth means total assets (b) The Undersigned is an entity, acting for
Section 3(21) of ERISA that s a bank,
at fair market vNue minus total liabilities. its own account or for the accounts of other
insurance company, registered inverment To c.slailate net worth: () exclude the fair qualified purchasers, which in the aggregate
adviser or savings and loan association market value of your primary residence; (ii) owns and invests on a discretionary base,
count as a liability any indebtedness secured not less than S25 million in investments.• •
by that property josxcsss of the fair market
value of that property. except that if you
incurred that debt on your property within
60 days of subscribing for this investment
and did not use those funds to purchase
that house, you must include the full value
of the debt as part of your liabilities.
ML281817-MAXWELL
Private and Confidential
4
CONFIDENTIAL SDNY_GM_00020462
EFTA (X)131082
EFTA01273289
Schedule 1 (continued)
QUALIFIED PURCHASER STATUS (can't!) a Investors that checked X(b) or X(c) Control Securities may be included in
must also respond YES or NO to XII 'investments' if (A) the issuer of the
IX. Entitles that do not qualify under Control Securities is itself a registered or
VI-VIII Is any direct or indrect beneficial owner of private investment company or is exempted
the Undersigned itself a Section 3(cX1) a from the definition of investment company
The Undersigned is a qualified purchaser 3(cX7) Company that controls, is controlled by Rule 3a-6 or Rule 3a-7 under the
because each beneficial owner of the by, a is under common control with the Investment Company Act, (8) the Control
Investor's securities is a qualified purchaser Undersigned? If the Undersigned cannot Securities represent securities of an issuer
as descnbed herein. answer NO to XII because it has a control that files reports pursuant to Section 13 or
Note: relationship with a beneficial owner that is 15(d) of the Securities Exchange Act, (C) the
itself a Section 3(c)(1) or 3(cX7) Company, issuer of the Control Securities has a dass of
Trusts may not rely on this certification even the Undersigned may be required to obtain securities listed on a designated off-shore
if all of their beneficiaries are qualified consent from the security holders of such securities market under Regulation S under
purchasers. owner. the Securities Act or (0) the issuer of the
Control Securities is a private company with
X. MI Investors that are Entities Notes for Qualified Purchaser Status: shareholders' eouity not less than S50
(a) The Undersigned is not a 3(c)(1) or •• The term 'investments' means any a millon determined in accordance with
3(cX7) Company; or all (I) securities (as defined n the Securities generally accepted accounting principles, as
Act), except for Control Securities unless reflected in the company's most recent
(b) The Undersigned is a Section 3(c)(1) or otherwise included as described below; financial statements (provided such financial
3(0(7) Company but does not have ANY (2) futures contracts or options thereon held statements were issued within 16 months of
Pre-April 30 Holders; or for investment purposes; (3) 005411 the date of Undersigned's purchase of
commodities held for investment purposes; Interests).
(c) the Undersigned is a Section 3(cX1) or (4) Swaps and other similar financial
3(cX7) Company and has obtained consent NOTE. in determining whether the S5
contracts entered into for investment
to its treatment as a qualified purchaser purpose; (5) real estate held for irrvestment million or S2S million thresholds are met,
from all of its ere-April 30 Holders. purposes; and (6) cash and cash equivalents investment can be valued at cost or fair
market value as of a recent date. If
held for investment purposes.
XL Investors that checked VI or VII may investments have been acquired with
check XI Instead of X indebtedness, the amount of the
indebtedness must be deducted in
The Undersigned has obtained consent to its determining whether the threshold has been
treatment as a Quaid-led purchaser from all met.
of its trustees, drectOrs or general partners.
ML281817-MAXWELL
Private and Confidential
5
CONFIDENTIAL SDNY_GM_00020463
EFTA _00131083
EFTA01273290
Investor Application Form
, 0
A. Capital Contribution Applied for: S 2c 00
Mote: Your account will be debited for your Capital Contribution plus the Placement Fee of 2% (which may be waived in limited
circumstances). A Placement Fin will be in addition to your Capital Contribution. Please see the investor Acknowledgement
section for additional information regarding the Placement Fee.
Subscriptions will only be accepted in U.S. Dollars.
Account (Cures cur may iresileble )
B. Investor Information:
pri
SSN/I r..x State. Phone:
(1,40:. Widow./ PTigipat Fixed
&sinew)
Fax:
Mr. Mrs. Ms. MM. Dr. Other
Investor
Address:
Attention
(Name:)
E-mail;
C. Accredited Investor Representation
Check only one box.
By executing this Investor Application, the Undersigned cerffies that he, she, a it (as applicable) has read and understands the instructions to
this Investor Application inducing, but not limited to. the instrations to calculate the net worth for accredited Investors; and (i) if a "accredited
irWeSta* under Regulation D (generally, net worth in excess of St nation for individuals (together with spouse) or total assets in excess of S5
million for entities) and has calafated net worth as moiled by the iratructions in this Investor Application.
Please read Schedule 1 and check one appropriate box below. Note that you must be both an accredited investor and a qualified purchaser in
order to invest in the Fund.
)
If investor is an IndwidualARABoint Tenant
(with Rights of Survivorship). check here:
If investor is a Revocable Trust, check has. O (Ilia or O (gb or O (gc
Invests is an irrevocable Trust,
check here: O 00a a O (r<
If Investor is a Participant-Directed
Retirement Ran, check here: O OM
i c t h I e n c v k e s h t e o r r e i : s Other Retirement Plan, CI gibe or O (labor O (lad
If Investor is a Corporation, Partnership,
Limited Liability Company and Other Entity, q (Mao O (Mb or O (Alcor O Ond cr O (tile or O PO or O 01.09 or CI (N)h
check here:
ML281817-MAXWELL
Private and Confidential
6
CONFIDENTIAL SDNY_GM_00020464
EFTA_00131084
EFTA01273291
Investor Application Form (continued)
D. Qualified Purchaser Representation:
The Undersigned is a 'qualified purchaser' under the trnestrnent Company Act (generally, individuate, beneficiaries of Etaniparticipant-drerted
piers, and familyttnst entities must own at least $5 million or more in qualified investments and entities must own and invest at least $25 mdion in
qualified investments). The Undersigned must certify that he, she or rt is both an accreted investor and a quailed purchaser in order to invest in
the Fund. Please read Schedule 1 and check the appropriate boxes. Trust entitles should read carefully the specific squalled purchaser
requirements on Schedule 1, including the requirement (for trusts other than MIS relying on certifications in VI and Vim that both the trustee (or
other authorized person making decisions with respect to the bust) and each Senor or other person who has contributed assets to the trust must
own at least 55 million in qualfreci investments. The Undersigned's execution of this Investor Application constitutes certification of the
Undersigned's status as a 'qualified purchaser. •
If Investor is an Individual or elm
IRA- or Participant-Directed
Retirement Flan, check here:
If Investor is a
▪ amity' Corporation.
• Fantle Foundation,
• randy" Endowment, O Ma, band c AND 0 Macs 0 Mt' or 0 (10c* or 0 DM
'Family- Partnerships.
• Famly- Tests or Other
'Family' Entitles, check here:
If investor is a Trust (other than
a Trust that qualifies under M or O MN and b MID CI 00a or 0 NV or 0 OOO1* 0 NO
VIII), check here:
If :nests is another type of O 0/114 and b MID O Oa or 0 pOb• or 0 (X)c• or 0 DO
Entity, check here.
If Investor is an Entity that does
not qualify under WW1 check O 0>0 MID CI Oge or 0 Mb* or 0 ()c• or 0 CYO
here:
investors that checked X(b) an you choded Mb or la above.
X(c) must also respond CHICK YES OR NO BELOW
YES or NO to tern XII 0 YES or 0 NO
E. Benefit Plan Investor Status:
Please certify, by checking the appropriate box below, \tether the Investor is or will be described in any of the following categories: (1) an
'employee benefit plan' (as defined in Section 3(3) of ERISA) that is subject to (NSA; (2) a "plan' (as defined in Section 4975(01) of the Code)
that is subaect to Section 4975 of the Code; or (3) an entity which is deemed to be a 'benefit plan investor" or to hold "plan assets' under the Plan
Assets Rules by reason of scatty investments in such entity by one or more persons described in clause (1) or (2) abase. Examples of the foregoing
include, among other things. 'Keogh' plans, other tax-quaified retirement plans, IRAs, certath other types of employee benefit plans (and
accounts) and entities that are deieimi * to hold "plan assets' thereof.
Check one 0 YES or NO
F. Controlling Person Status:
',ease certify, by checking the appropriate box below, *tether the Investor is or will be described in any of the following categories: (0 a person
oe entity that has discretnary authority or control with respect to the assets of the Fund; (N a person or entity that provides investment advice
for a tee trect or incrirett) with respect to the assets of the Fund; or (IN an 'affiliate' of a person or entity described in cause (Dort above.
For purposes of this representation, an 'affiliate of a person or entity includes any person or entity controling, controlled by or under common
control with the person or entity, inducing by reason of having the power to exercise a controing Influence over the management or policies of
the persona entity.
Check one: 0 YES or /NO
ML281817 -MAXWELL
Private and Confidential
7
CONFIDENTIAL SONY_GM_00020465
EFTA_00131085
EFTA01273292
Investor Application Form (continued)
G. Certification Regarding India/ Public Equety OH«I ngS:
i s b ("L . Ruh S130 'Restricted ~
tr
' . o.. 'r<iurge ins, etc ogi e: erkke: in %h. ~ M44 d lac Tørdsabli =apt: 4 419~ lie well Iferisactom
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Rev ensue es bay el itee tealeary
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:...ders si • ern. a ii mt: C.1411 4 ri• awn: 5 eiNeiCeci - Me millImeer cianfil 0 it... - rbeAteen
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twehe- "hi De."‘ k ~aka 'elk a kcal. Ol• p44«,0444% CCTS•Ply aø4 •h.eque•0 kl De PhDs n.
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14441./ on4 of the eatinkooks Meted knekr 'NW knew* twipoont' at the back DI dl. ~Ion Akron"
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wMich are treated e inturS person, fa d.å purpos•
Private end Confidential
8
CONFIDENTIAL SDNY_GM_00020466
EFTA_00131086
EFTA01273293
Investor Application Form (continued)
G. Certification Regarding Initial Public Equity Offerings (contact):
Rule 5131 'Covered Persons'
(1) Please Initial below if applicable a if the timber is a corporation, partnership, trust or other entity, which apply to any person having
a Beneficial hfferest In the Investor
The Investor, a any person having a Beneficial Interest in the Investor, is (0 an executive officer or director of a Putfic Company
et a Covered No-Pubk Company. or (II) a person recemng Material Support by an executive officer or &ecta of a Pubic
Company a a Covered Non•Pubhc Company (any person in 0 or (11a-5131 Covered Person').
(2) If you iritialed statement (1) above. you must name each relevant Pubk Company ander Covered Non-Public Company:
(3) If you labeled statement (1) above, please initial the following only if such appricabk PublX Company or Covered Non-Public Company:.
(a) is currently a client receiving Investment Banking Services crowded by a FINRA member, or has paid compensation to a FINRA
member for Investment Banking Services in the past 12 months;
(b) expects to retain a FORA member for Investment Banking Services within the next 3 months; or
(c) has entered into an express or impbed obligation. drecdy or indirectly through its executive officers or directors. to retain a
I NRA member for the performance of future Investment Banking Services.
If you Initialed any of hams (a) through (4 above, you may still be ellgibk to parddpate in 'new issues" if you satisfy one of the
exemptions listed under 'New issues Exemptions' et the back of the Subscription Agreement.
ff so, please specify the exemption number here (exemption 1(a) is not available):
If the Investor has represented that he, she or it is not a 'Restricted Person" or a 'Covered Person', the Investor further
represents that he, she or it understands that this certificate expires after one year and agrees promptly to notify the Fund
should the account become a 'Restricted Person' or "Covered Perron'.
H. Government Entity Status
0) Is the Investor a Government Entity?
13 Yes
(i) the Investor is acting as agent representative or nominee for one or more investors, is any of such investors a Government Entity?
q Yes tf<do
(ID If the answer to question (IC Is 'Yes', please indicate the names of any such investor:
ML281817-MAXWELL
Private and Confidential
9
CONFIDENTIAL SDNY_GM_00020467
EFTA_00 I 31087
EFTA01273294
Investor Application Form (continued)
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'flarala .• J / tarlatan PA: nusausr
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tate ea so MA Miabets allot Soso relied so noisy we So OTC
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Ze M .77 r 7 " ,, 4 M y .43 D , IO e S a :l : e •a • t '4 Is 0 th • s l e y s e m . * a a • m na a w a n l f e r v e r s a t l h u a • r a • I Y n M O V C e u r r c g . l I a K b • r " e p e a q• l l. Y .. I L l l a ip ic le e f e e 4 l r a . Orn . e „, v . a 9 ll t n . o u . o °Weed.
"V411 'eat t 411.9 4•4 aa'd :410K1' ••• Of Ito.. Ma •04Cli,•If Wnbta ao P07.77 0, waplOsAt WrIriagS at9f.
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Iv
CONFIDENTIAL SONY_GM_00020468
EFTA_0013 1088
EFTA01273295
Investor Application Form (continued)
1. Investor Adintewledshesent
'n• ,.•vsenornej .!CA. win,j• 5, ann. ea, we • :11. a Man am ertaraa 24 a 24 h/ fifth aiSen Ip 02•COSes :JS Naha
tdIgrien
J The Undelnigned terattentl diet S. the or it m e hatted States person' (as such in is definer' in
the Cede) kr purposes a U.S. federal income taxation and has provided to UK ..pfd and duly
cerepieled Conn V4.9. Or wawa form thereto. signed wider pethiltas a fithlthY by such
• p -P r a• !'; ;On fo Undersigned. the Unledelgerad Cilrillsos under penethes of WM" that (AI its U.S. taxpayer
"WC...CC .0 idereilketion isamber, as it egpesra In the investor Appiation Forth ie this Subscription booklet. is
* . PM Ube and correct and ill0 it es NOT pawl to backup VatItt#80161, twat.* either Mile CRAMP( then
beau' , lintlt athleg. ha not berm sobbed by the U.S. Internal Revenue. See** l'IRS1 that it is
militia to baby tuthholdng as a mutt of • lath to report ea theorist a dividend... or (3) the Its
has notified it thanes no kompn subject to backup withholdena. The UndeSegned YOU natty the
Fund within IS days rf any of the above anifeatioin are no long*. raid. Upon aquae by the Fund
Uthla. the Undersigned Well proreptly funtob to the Fund said and duly tompithed Foam W.f.
Cot tur<ewo lean Memo signed under penalthe el paigury by suds undenignod.
Ire nets Ted :as Wt.., confanso a dt fM ciamthon Itly04121 Umbra:de as Canton
it 7.7; the: aa. al two .florstatass Mei tillidaad le be DIMM.0 Ow !le 4P INS fl ee. ACIIIIKAtet
• eau few% ion "a. eiOeet Inc (MOW* .• a. •••••3
:he 000.84.011O3 Nefeltehtt of lot 4 On 'etre:. .Mlatlry Vas SC on be Mee by Ire ArtaTeett Aram IV crodriputs
er.atr O&M ONCTOO2Clet l r< hent'uton Adieerant and Ina Odle Agpepenee NV Spent :rat lira moat rerstrata
eta. ,..••••• ant 'ett 0: t'ni 49lie..10/
he ..NOttlarte:ebter ft :V: V. reee: -etred a :coy a tag Mtnor&4.t . LS.Ntul .1,0 •-o0eltitlat it. and the tnalcItiln•C
•••••• ,Thy I ..n0 t Ntlea diathens w• tlanthatuty aid selftgawat amt CC a-Pettis= Tai r .thattner4 Ile f tine naives
urrials al urea a nt sang t..T• i Pnwrort Air% ate. beta' md. rem •• perments Peen to InelliOn re rad andta Ira "beet
Dew* spor wY awn...a iu.. •:<r Ave. togoo.leary .h. S aid
7,1 sthethignet:CCWICIfflt tr. enenthint 009:04 etc OP. Pte*/ ea !C rot Aloft UTAK 1M f -4V aid $112•0140/ <KAY
ion; al.r" and 'egrets, Thsofteilnlp anat. pain 4 itecarelse Claf es 74 norther! and May Stet ledni owystn...% gain ales
'0 TOkint. Tr Ile eope4r DOOVa0 VO.C.N40 itObalt n are thts tryti.M.Int 1 luld
• :re it derpuo endue:no :LI en nether" c isnd net .roc: tie 'adverted s iwsait (hoc, oiler ttr, 21, vat tea" •••2
'2WiStet> DWI the teMilleti nac' en: 4044 it? :3MS:ell ter TN We both a Sni SIOnt74T2
,1 'he .1101•14W1 'War swat' /CS IM the: C teat Iti 1M C alp :Coe PAP,. OkA an apps care neteuere 1 n a any 41{..lt W e
vogue. reworrKi b:SaISS a Jr MiMbr C If* :tell
• !••• itiOChirc, Vtitl:CSUI4Ps Ca .119A eye !hitt era atno..34 thsleecti Jape n nine (CIS anttbul at in anion nu tow
the .Past CiaInt'sfee CU CC 'it-vier
It '-e .friets red WWI> 'NH the MYttea Stahl A e ner C. ay MOON C; •YOMACIP 0' r t:
"44 place al haus, st ithernand cannel suite Inn aft Law. masa :ao C yrer Arafreit.
jet ',NM 5.1? Ot Udine trait moths: punier east e the Iuna
rev
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• jg 21. t .usain • Int sidathipsid math :wean a bake°, Iltour! “OVOINT. I WC
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102bY. IC. Inc. ; 4CC r4041 we Uninfort .01.C.47:4 ClifttAlICI 111* Nettle.%
> Nett* OY Kplaeure thather r. ilarrism 40M and tnG jtcpric4oca me. Ira
nem eativithe fee To YAW, Me Jeuletrell mat arm wade -01.010 ant/edit bide
.thurtalat Ter uninsured :atoms Vat no haienteril Pet nth ban Sinn*. *1'
sull•••••• • hams Aosia erp pecliecpae cpeeeLecere we IppeXPIAAPC A reepisipc c.
slacenell IN f :e0/010 4 Oet ryelettot m TWO. T nu" a .11A utivari a Da at.
Private and Cott ficiential
CONFIDENTIAL SONY_GM_00020469
EFTA_00131089
EFTA01273296
Investor Application Form (continued)
Investor Acknowledgement kordedk
a. r_tR (AAVC.1 0'. ‘mOrSicrieC g<ARCO' 1,naomplira mAnowicica .het YY at a• amma ea :V ',AC Mt.
pin I . tliOn NC•4 tat 13...C.Cali Mint ot. gIrto• 1:iat $ organ4 $$$$MIDIS n.$ flat ifivell .11 eM11. fund
K. IrmestOi Si9ratureS:
lux at, tn. Owe:eft* .r.:actfig CoMer *1f* 46.4110 Ati0aliOn ; :re 5.oraptca, Mann: ard
gise "Mr n atTgrOJIM. *OP ;Ivo wrri
A
MOO a rest vrt • • ••• • 3 a •
(etieS Joint MAxWPII
1. !....n.ire 0
MAKE SURE YOU HAVE COMPLETED ALL APPUCABLE SECTIONS Of THIS INVESTOR APPLICATION FORM.
Private and cm6dendel
t1
CONFIDENTIAL SDNY_OM_00020470
EFTA_00131090
EFTA01273297
For Financial Advisors
All Investor Applications must be submitted on M. to UBS Alternate* Investments US no later than 4 full business days prior to month's
end.
I. Investor Suitability and NFA Bylaw 1101:
With regard to the proposed investment of the aforementioned client In the Fund, I, as financial Advisor to the dient, by signing below, certify that I
have:
(1) informed the dent of al pertinent facts relating to the ligadity and transferability of the Fund, inckaIng the obligation to maintain sufficient
[Parity to meet ongoing capital calls Of the Fund has a capital cal structure) on potentially stun notice and that the Investment may impact the
diem's lose liquidity;
(2) reasonable grounds to believe (on the basis of 'nfonnation obtained from the dent concerning the client's age, investment objectives.
investment experience, income, net worth. financial §tuallat and needs, other investments and any other information known by me, including
the attached CAI) that:
(a) the lend berg mbecebed for is suitable and appropriate for the client
(b) the dent meets at applicable minimum income, net worth, liquid assets and other objective suitability standards;
(c) the dent can reasonably benefit (including realizing any intended tax benefit if applicable) from the Fund based on the client's financial
position, overall investment objectives and portfolio structure,
(d) the dent can bear the economic risks of the investment in the fund;
(e) the dent's goals are consistent with the time frame of the investment; and
(I) the dent appears to have an understandng of:
(i) the fundamental risks of the Fund (including that the client may lose his or her entire investment);
00 the restrictions on the avidity and transferability of the Fund;
(6) the background and qualifications of the sponsor(s) and immanent manager(s) of the Fund; and
(iv) the tax consequences with respect to an Investment in the Fund;
(3) obtained a valid and duly completed Form W-9 or W-8, as applicable, or successor form thereto, signed alder penalties of (*wry by the client
and I have properly placed such form on fie pursuant to internal UBS policy; and
(4) confirmed, with reasonable due ingery, the clients representations provided in Section I. NFA Bylaw 1101 Certification (if applicable).
Regarding Item 2(b) above, in the event that the dent is an entity (such as a trust or partnership) that does not itself meet the mirimurn investment
requiements (such as net worth) I have ascertained from the appropriate parties (such as the dent's trustee or general partici that al of the client's
beneficial owners meet such requirement.
Wil this investment r t in the client holding more than 30% of his net worth as evidenced on till in Alternative Investments?
O YES H NO
If I assisted the dent In completing any information that is required to be provided by the dent in the Investor Apiece-ion I
have done so pursuant to the client's authorization and direction solely based upon information that has been provided to
me by the client If I did not assist the dam in competing any information in the Investor Application. I certify that I have
reviewed the completed Investor Application Form, and I agree that al the information in connection with the client's
investment in the fund that is provided by the client is correct and accurate.
11. Investor Qualification for Offshore Fund offerings only
I have reviewed the "Country Cuaifications° appendix to the Memorandum or Subscription Agreement and in any applicable supplement to the
Memorandum or stet forth in the instructions on the UBS Intranet and I certify that I have reasonable grounds to believe that the dent isquailed,
under the law of its country of residence, as described therein to invest in the Fwd.
M. Flnandal Advisor Signature (Please Sign Below):
caso Lim #
Print Name of Financial Advisor:
Financial Advisor Signature:. P.acement Fee O % (2%. waivable in lintited drounstancits)
Da te6: 3/
r (Fee will be charged In addition to Capital CorarlbutIon.)
f MIDST BE COMPLETED)
Note: if inst , the CA/ Statement that accompanies this form must be Branch CoderTA ND'vision: Ito I 1155 I PinIVA
dated before or the same day this application is signed.
FInancial Advisors must reconcile the information listed on this Financial Advisor Telephone If:
application with the client's account records, including updating
the client's not worth, objectives and any other relevant information. Financial Advisor E-mail Add*
Pirnitirtnitntielf r signs the following page.
Private and Confidential
13
CONFIDENTIAL SIDNY_GM_00020471
EFTA_00131091
EFTA01273298
For Branch Managers
IV. Branch Manager Signature
I certify that I have reviewed the completed Investor Suitability and Investor Qualifications sections above. tho dent Investor Application Form and
CAI, and if applicable, the 'Country Qualifications' appends to the Memorandum a the Subscription Agreement and any applicable supplement
thereto a set forth in the instructors on the UBS intranet and I agree, based upon the information known to me, with the Financial Advisor's
determination that the Investment being subscribed for is suitable and appropriate for the dient. I agree that if the fluent Advisor assisted the
client n completing any information that n rehired to be provided by the client in the Invest« Application. based upon information known to me,
that the financial Advisor has done so pusuant to the client's authorization and direction solely based upon information that has been ended to
the Financial Advisor by the diem.
By signing below, if applicable, I have determined that (1) if the proposed investment is for an Access Peson's (as defined in the Investment Adviser
Code of Ethics) employee or employee-related account, my signature evidence my pre-approval of the trade and that (2) the Access
Penn's proposed investment a) will not unfairly limit the ability of eligible clients of VBS Financial Services Inc. ('the Firm') to participate in the
proposed investment and (b) does resent a msa" t I conflict with the interests of the Firm's clients or the rum.
Print Name of Branch Manager: /e.lie2- d Af5702,41
0.1/4"
Branch Manager Signature- - bar& (MUST BE COMPLETED)
If the above named t a BS Mold Service IRA, then the Note. tructed, the CAl Statement that accompanies this form
Branch Manager, as a result also signs as the custodian of the IRA must be dated before or the same day this application is signed
and accepts and agrees to this subscription.
PLAaMENI FEE APPROVAL SECTION - THIS SECTION IS ONLY REQUIRED IF A REDUCED PLACEMENT FEE IS CHARGED
TO be completed by Complex Director or Complex Admin Manager as Delegate (if necessary)
By signing below you have agreed and accepted the reduced placement fee above in section B.
If you do not agree to the reduced placement too, pease inform the brand, who is responsible for contacting AI Investor Service. Call Al Investor
Services (800) 580-2359 option N1 for questions.
Print Name of Complex Director.
Comdex Director Signature: Date: (MUST BE CONIIII FTFD)
ML281817-MAXWELL
Private and Confidential
14
CONFIDENTIAL SDNY_GM_00020472
EFTA 00131092
EFTA01273299
.----
CONFIDENTIAL
EFTA,13I093
EFTA01273300
Subscription Agreement
The Undersigned ashes to became an investor un the pknoses only and not with toward diaributip publIcof tering aid the undersigned is an 'aCtedrad
Fund, and to punthare an Interest n the hind upon • resting such Inierests in whole or in part. The (melte" tat defined in Repletion 0);
the tans and condign set forth herein and in the Undersigned understands and agree that he. the or 4
Marc:rend= and the Fund Agreement must bear the economic risk of his, her or its the Fuca will not be registered a an inwstnnent
investment for an Indefinite period of tine (suer to company under the Investrnera Company Act, and
Accordingly, the Uncle-signed hereby agrees as bared Iglu of transfer provided in the Furd the Undersigned is a 'qualified puritheser (as defined
from Agreement) becase among ether rests, the trader Section ia)(SI) of the Investment Company
I. APPLICATION FOR AN INTEREST Interest has not been reclaimed under the Searles Act). The Undersigned represents that, unto
Act a uncle the watt laws of certain states and, otherwise cared d U3SFA. he, she was not
(A) The Undemgred agrees to become an investor, therefore, cannot be read. pledged, assigred or formed for the purpose of Mating In the Fund and
and in connection therewith, subscrtes for and otherwise deposed of unless C is so registered a an vie not Invest more than 40% of S. her tote
arts to paean an Mutest In and to make a therration Iran regal:mon is available The assets rl the Fund. if the Investor was famed for the
Capital Confribudon to the Fund Payment (as Undersigned understands that the Fund is wax re purpose of investing in the Fund, or more than 40%
defied in Schedule 2) must be received pig to the obligation to feaster the beteg on his, here' it of its assets MI be invested n the Fund, the
Closing established by the Fund for the sub:edge:tin. Whet a to asat hrn, her a it incomplyong with my Undersigned represent fut each Waled Oster Of
Any placement fee es il &Skim to the ntirthern exempt:3n from registration under the Securities Act. the investor be "qualified pacheser";
initial subscription. The fund may very the mirevurn He, she or it also urcleestards that sales or triers ol tra Neither the U.S. Securities and Eichange
like) subsoiron frcm the tore. the interest we further restriaed by the Furd Commission, the CFTC, nor the seosities commission
(B) The Urn:enigma understands alt agrees that the Agreement and stare securities of other *grey of any state a Other jureakton has
Fund reserves the right to reject this Atusoipbon for (3) The Undimmed has rot reproduced, &pirated renewed, approved or passed upon the merits of this
an interest for any reason or no reams, th whale or in or dshwed in whole or in prt and at not offering, the rarest or the Memorandum
pan, and at ary dm@ prior to his, her or its reproduce &picas or delver kr whole or in part, the the The Member DISgrole, in the case of a nnenter•
acceptance. t tie stisaiption is rejected. the Memoranda the Feed Agreement or this better managed fund, or Ultra, In the case of a nail-
P U a n y d m er e a n g t ne a d n , d w i a th n y o r P w la it c h e o m u e t n b t ar F e e s e t, p a a id a th b i y c ah th e e , A to p p t l h ic e a ti U on n d F e o r r s m ig t n o e a d n 's y o p t r h o e f r n p e e r r n s a on l o 'd r e e n w tit s y. a o m r a p s m reg e i r s n te te re re d a a n s a a g e 'a d r r fu e n ro d, d w ity it h p o re o s l p o e p c e t r t a o t e th , e ' w Fu it n h d t , h i e s
wall be retuned promptly to tie Urehreathed and this apes* inert/teed or permitted by Unfit CFTC. The Fund is mama from regestratica patent
F i u rr u a r n n n d t , O a t r h c c e A e p U p p t n a li d n c e c a r e t s i o i o g n f n e s th d h i s a s t h M a h e l a l s v b t e e e c r n o o A m p e f p o l a r e c n a e t t io w o n r e a b e y f o f e r t c o in t. u (C n ) d e T r h s e ea U i r s e lme t g h n e e d f h u a n s d m o A v g e re d e e m g e e n t t L dy a r n e d a d a th n e d t th o e t h d e e m ve in rn im p a io e n s u sw nd rp e t r io e n i , t h o e r r R C ul R e C 4. 7 a , n th d e 4 li . t 1 e X t a o y, u 3) r ,
t w he a F in un % d. a o A cc d u r r r i o s n si y m u p o o f n t t h he e C U lo n s c in le g a red as an M Se e a t l t a o n ra t o ck f e th n e , M in em da or n a g nd , um w i e th n o ti u tl t e d a 'R re is k a c F r a e, c to t r h s e ' o w a h r o n s p e e o p n a , r te fo p r a n p t r s i ne a t r e e r ya th f r fe e r a e d d b c om re m m o a d i i n ty h p i o g o h l ) s ,
and 'Pocentie Conflicts of tram' and the sections sophisdcated investors and non-ti S. persons The
(C) The Unknigned acknowledges and agrees that, or oroidons uterine, among other things. the Minter Designee a UBSFA a a0Prorate, is
except as may be provided under applicable state organization aid irnestment apecthe and maces of, required to report amain Information with the CRC
securita laws, the Undersired is rot mated to and the lib and expenses of an investment in the on CPOPOR throaty. The Fund may operate es an
cancel, terminate or revoke this Investor Appeal:en Fund Tee Undesired acknowledges that in making eeempt corrnicry pool pursuant to the CFTC
or any agreement cr the power of attorney of the a Scam to subecrIte for an Interest, the Campton% set forth above with respect to
thelenigned hereunder and this Mesta Appleasko Lndersigned ha feted 'Ole& uPon the Memorandum, commodity pools offered and sad solely to (a) naval
and such agreement and power of attorney shell the Fad Agreement and independent inre49*from persons vita r 4 e .( a " x q 2 u ), a iled Mb* persons' under
survw any changes in the transaction Documents made by the Undesired. The Undersigned's CRC Rde incbing, among others.
and instrument trom the description thereof In the inveurnent In the Fund Is consistent with the 'quailed purchems,' and (b) nen-taut persons
Memorandum vetch in the aggregate art not Mestmem purposes, objectives, and castenow wan are *taw 'Quilled eight persons" under
material or which are contemplared by the recarevrents and need fog diversification and Wady CRC Rile 4.7, inch:dreg "tweed purchasers,' or
Memorandum and (4, the subsequent death, of the Undersigned. The aggregate amount of al "accredited bates?
disability. incapacity, excepetence, termiratern, investments of the Undersigned that are ilkpad (v) The Undasia al is eater a natural person who is a
bankruptcy, insolvency or desobion (as applicable) of (fading commitment for and such iwestrnents end "gaikd eligible person' undo OTC Rule 4.7(42),
the Undersigned, provided that if the Fund does not taking into account his, her a is investment in the inducing, arrong others, 'quaffed purchasers; a a
accept the Investor App kation on or before the Fund) is reasorabie in relation to the Underegrects nail-natural penal veto is tither (1) a 'qualified
Clang, this Imator Appacadon, at agreements aid net worth eligible person' under CFTC Rule 4.7, inducag
r s t e h h e a tu f p t n b o e e w d c e t a r o n o c t f h e a e le t U t d o n r a n d n e e d y r s t o h o f i r s t e h t d e h . r U ep n o de r n A i p g p n e e c d a t t h io e n r e w u i n t d b e e r ( o c 0 o p ) n p c e e r t t h r u t e i n n i g ty U ti n e to d o e f r o f s e b ig r o i n n e e g d o a f n h th y a e s a In d b t d e e e e r l e o n n s a t l p th r i o e n v f A i o d r e n m d d a a ti a n o d n ll o h "o r a r ( r e 2 e ) f s l n e o A d t s r p s e e a t r i i c a r h e to a d e n r t s o o . r " b b o e e r a r a e m n g i e s ' m a te c b re e c d r r e o w t f e it t d h h e b t h N r e e a C t v io e R n , C a " l
(DI The Undersigned agues to provide MSS& the all other ricernaticn. in each case to the scent the underact/inCFTC no-action lean, and
Fund ander the Placement Arm such addlitha fund and LESFA, a the Maniere Agent, possesses hi (a) Certain of the Fund's drect or indirect
information, documentation enact representations as each sienna-ten or can acquit it without imestmens may be PFICs and/ce CFCs for V.S. Waal
UBSfA, the Fund andfor the Placement Art may unrearable effort or ma and has been given income Ire putproat CO) n correction with such
request n order to comply with any pronisen of the opportunity to ask stations of, and MISR InwrsbnentS. various 'areidefemar provisions of the
Sears 1471 through 1474 of the Code and any asters from. UEISFA anceming the terms al Code could potentially cause the Undersigned to
cadence issued thereunder. The U.MMae orations of the offering and other nutters recounts taxable income prior to the Rat or the
understands that such elonnation. Ocarnentabon peruirang to this Irwesanent In making It. Mr or i's Undenigrech receipt of distributable proceeds, pay
arab recresematicre may be &closed to the decision to purchase the Merest, the Undesired has an imam: charge at recasts that an deemed as
internd Revenue service a Med Tad Partin, as teed sole& upon his, her or its sun ndeperdert haring been deferred, at recognize ordinary
apac:nate, by the Fund. nvestesmors. The Underoared is not myth; or the Income that. but fa the 'ant-dime' provisoes.
IL REPRESENTATIONS AND COVENANTS F pe u r n s d o , n M or I A en t a it y t w he it h R r i e te sp rn ec e t ll t o A g t e he n t, l e o g r a l a , n t y a x o t a h n e d r s w p o e u c l ia d l U ha .S ve f e b d e e e ra n l e t r r e e c a t t i e le d ta a r s r e ca p p u i t t i a n l g g re a q it u ir a e n m d e n (c ts )
The Undmigred makes the foaming other euncinic coreideratore ineted In his, her or and other ruses may app to drect and Indeed
reaventabort deciaratons and warranties with the is ireastmero in the Fund. investments on FeKs and CFCs. The Undersigned
ream that the same be rebid tor in determining (E) The Undersigned understands at acknowledges represents and warrants that he, the or it is farrier
the sutability of the Undesired as an iniestor, that the Underegned must bear the !concert risk of with and accept all gobble U.S. tax arrierences to
compliance by the Furd with federal and slate he, her or es inveSttnent n the Fund 10' so long al Itself, and, If the attestor halm-exempt trust, to such
securities taws or the tax status of the Fund Sur he, she or it is iwened n the Fund. The Undersigned Investas benefciaries, of a deed a thdien
reantniations, declaradons. warranties and is aware of the limited wovisiors for tartderablity investment in a CFC or PFIC under the provisions of
agreement that sate the dale of Closing and full The Undersigned has ro current reed for liquicity ih the Code lincutling any vonse taxes the may ape/ d
be deemed to be reaffirmed by the Undersigned at hid, he or as nvesurent in the Fund, can afford a the Investor s a private foundation and spade rules
each tine that the Undersigned makes an ackitional complete be of his, her or its invearent in the Fund that may be aPpicable to beneficiaries of chaitable
Capita Contrbuton to the Furd. The act of making and can afford to hold his, her a its Interest for an remainder trusts), and la the or it Is not relying on
any path adrenal Capita Coranbaion shill be indefinite period of time. the Fwd. USSFA. the Placement Agent, a any of
*Mena of such reaffematicn. their neepecthe alt hates. emptoyers or Dithers, for
(Filly Undersigned acknowledges that: U.S. tar advice of any kind whatsoever in this a. any
(A) The Unttnigred will rot sell or otherwise ranee
other regard. The Undersigned acknowledges tint an
the interest without registrarn under the Securities (il The gefering and sale of the interest has rot been invesvret in the Fund may he* the effect of
At, or an venation therefrom The Undersigned is and wi not be registered under the Act. roguing the Undersigned to file income or other tax
a m cquir t er 2 ; the t r m ar e , a 8 t 1 s 7 pu rcha i s m ed x b v y v th a e L Un s d t e a rs t ig e ne d and s e b s e e in n g c ti m on ad s e f I o n r re tr f a a re c e e r e u a p r o a n n U e .S t . i f n ed v e i r e al g a n a d } re ra tu d rn i s c les in ) I n w ju h r ic is h d t c h h e o F ns in d a (i n a cl n u I d n i e ng e stra n n o t n F -U un .S d .
Private and Confidential
15
CONFIDENTIAL SDNV_GM_00020474
EFTA_00131094
EFTA01273301
rit
Subscription Agreement (continued)
covers property or Conducts aa s downed to conduct Pans" in alined in section 343; of MCA) that are the Undesired (and the fiduciary executing this
business, The Fund's R.15 most key we not be seed to the ncludary mainstay provisions d Stbscriptian Agreement on behalf of the
nada* pncr b Apes 15 and. accorongey. Me ERISA, C4 'gars" as defined in Section 4975(eX1) of Urcleagred) reprint, and warrants to the Fund
Undersigned will grey need to obtain extensions for the Code) that are suttees to Section <975 d the that:
the fing of Mt. her a its own tax num. If the Code (racketing an M a Keogh Pler), and (Ii)
Undersigned is an IRA, a qualified retirement plan or entities that would be deemed (under Sc Man Asses (I) it has been info red of and understands the
other tesexempt entity, it acknowledges and Rules) to be hair* the assets of such an "erreloyee investment rthatlia and pollees of, and die
understands that the Fund and an tenement Fund benefit plan" a 'plan' for purposes of ERISA a investment sbetegieS that may be pursed by, the
are permitted to make initharnems that wi generate Section 4975 of the Code). If the Undersigned has Fut:
UM To the extent that any such iniesonans represented is the tweeter Apace:ion Form that it is (IJ it Is aware of the risks anociated with an
generate USA such USTI would now through to the not and val not be a Benefit flan errestor, and imestment in tie Fund and the fact that the
Undesired and the Undesired may be receined to thereafter the Undersigned becomes a Beret It Plan Undersigned will be unable to redeem as merest
make payments. educing estimated payment, and tweeter, than, without IiSirq the remedies agent and that the hind rnay marches* Interest at certain
file an ixome tax Man for any babe year in which the um:roped la ib bread'. the Undesigned shal times and under avian conditions as sat forth in the
it has at. To he at Income tax return. It may te inrredate/y ratify the Fund n *ding as to what Memorandum
necessary for an lin. a gunned mimment plan or per Mager Of it Insets constitute 'plan nab-
other taxenmpt entity to dean an employer under the Fein Assets Rules Mensaher, the fid it ha given appropriate corsideration to the facts
identifr.ation runnier. Since the Fund ad any Undesired snail irentedaley notify the Fund in and orturnstnoes relevant to an IlVeSbrent in the
investment Find are not moulted to avoid venire snag upon any change in the perunethe of Its Fund and ha determined that such twee:nem is
UB71, taxtharrpt 'nvestors may recognize a sign(i ces assets that constitute 'pbn met' under the Plan reasonably designed, a part of to Undersigned's
award of UEM as a resift of an nvestmeM mthe Asset Wes. ardor* of inveshnents. to rune the purpose of
Fund to, accordngy, re strongly urged 53 consult the Undesired:
the own tax adman regarding the adrisabity of an lid) a the Undesired is a Benefit Piro Manor, then
investment n the fund. The Undersigned ha had the the Undersigned (and the fidutary (*outing this (id its aarastion of the int erests will not result in a
opartunity to seek independerr. tax adrce in Sunedain Agreement on beta of the prohitited trisection under ay federal, state a local
connedicin wilt making des eweiensent. Nether the Undersigned) reetesera and wrens to the Fund tree that is wbeantiegy simile/ to Section 406 of
Fund. tit Fiercernent Agent nor any of that *Hanes that BMA or Section 4975 of the Code for which an
amides tax adva r ccnnedicn with this has been informed of and inlerstands the earraion is not notable;
imminent The Uncleared advantages that the tenement obectires and paten at and the ed its divestment in the Fund is penessibee under any
tax and regulatory sunrneries raided in the investment strategies that may be pursued by, the and at downents, laws, nda, :orations anaor
fintsecondum are of an indicate nature *Sy,* not fund, poldes goreming the investment ol its asset;
constitute tax a regatacey aches and may a may
not be relevant to the Undersigned's personal 0) 5 5 aware d the risks aSS5Ciated with an (N) it Is Independent of the Fund, LSSFA, the
circumstances investment in the Fund ad the fact that the Placement Agent. and are d their athletes
(0) The Undersigned ha such knowledge and a U n n d d t e h r a b t r t e h d e F vA a l d b m e ay u n u a r b n le p a t s o o n re ly d e r e e m de e it m s a M m e e e n * s Wig it a rot eetying and has not retied on the Fund.
experierce in financial and business matters that the at oaten tines and wider Obtain orator's a set UBSFA. the Placement Agent or army affiliate of any of
Undersigned is capable of evaketing the menu aid forth in the Memorandum; the foregoing for any evaluation a other divestment
riNa of the Undersigned's invesement in the Fund and sake in respect of the athisabdity of an investment
is able to bear such it, and has obtained, In the (le e artplabe, k Is aware of the prowiera in tie Fund in fight of the Undenred's asset, ash
Undersicarces judgment sufficient nfoneration from Section 404 d ERISA relating to fduciary duties. needs, intleraYert pokier or strategy, overall
the kr/dabs auderized representatives to evaluate antiwar* the requirement for overefirg the patio* composition a plan for deenrecation of
the merit and it of such Investment The nveunientS of a Benefit Plan Hester; abet5 and
d t l U h o e s e n t s e d r i F n m e u c r n i i b n d d r e e , e d n u d t n a t h l d h a t e a o t r s s t t t h e h a v e e n a d M p l s u u a r t t a t h e h w d e a n s t e h i a s c e r a e t r a s o s n u u b i b m t a s o t b u a f l n t e e t i i n o s a t s i l w n a r t i i i m s n d k g s e t e n o a in t f a M F n u d n i d t d h r a o n a u d g r n l h e e a a n s r c e d e a e s r t n e re n : l o t e e r v - b a re i n d t t O t th o rd a a i t d n e s r u I a c n d h v 0 e 1 s i 1 n tm v to e e s n t e h t r n e I e n f r n a t h c b e t ( U t n r B u il S s ) t e if e F U o e B f t w S t h i F r e r i y d U u c n T i d a r e r u y i s N T t g h n C a e t d o , m C t o p h m a e n p f y i a d n u y t c o i a a r y t e h x h e e a c c u o d t r e r p e o c r t m a h t i d e s
for the Undersigned. reascnably designed, WPM Of the Undersireces SUraiptien Agreemere and that at of the
portfolio of inestmeas, to further the pleases of ranseMations and covenants made hereunder by
(t the Undeterred is acquiing the Interest to the Undersigned the Undeagred appy sotey to the Malay and the
heeerits men accan, for Investment pagan only Undersigned and not to UBS Fiduciary True
and not with a yew toward dstritutirg a rat* OS It acquisition of the Interests Is science-exempt Company.
the Intefat in whole a in part. 'Prohibited transacting within the meaning of
Section 406 of ERMA a Section 4975 of the Cod, (0)The Undersigned understand that
( A I) l b T c h a e tt ns U m ra a r y e g a n e e a d t n u nd la er n s n ta i n v d e s fo t r h t a h t e i m n u c m en m tr e e r P un re d h er t s h i e g d ne w d i m de a r y a b n e y s u o b t j h e e c r t ; snide law to which the (i) If the Find is noway formed, it has a erred
financial and operating history;
of an twestment Fund, and UBSFA only if eatable
a w Im o e u s- l c d t a e d b e o e m s e t h d t e h a e t i a n w s e e t h n d e i t k h e M e o e a r m n o m * r o a r n e d u s o m p f e , c an u t r o t 'o h c e m t t a h a v a k e n e s a 0 p n 0 d i c e e s a s i l n v g d e o o s v o tm e r n r e e i n n n t g t I s n t , h t h e t e a u i R r s r i . n e s d r t u m is in e p , r e s m r o re f e a d i b t l e a a r u s * n se d e t e s n r d a a n i n o d y r ( I t i h n i) t e e N r f e a o s r m t f s a e a r r s e a m a t o d h r e i s s a i e n n y r v a e f s in a tm g d e i e n n n g c t s y a h a d s e t p e a r s m se in d a t u io p n o n a s t h to e
soder EFUSA:
Allocation.
CO t ttis kwestment is covered by an agreement (iii) it a independent of the Fwd. UBSFA, the ( u ii r i) a tt T a h k e i ng re s p r a e n s d en t a a c t k o n ns o , w l w ed a g rr m an en te t s. m a a g * r ee b m y e t n h t e ,
under a UBS advisory program between u8S a-4 the ;Lament Agent. and any of their aft hates; Uncleared no this Subscription Agreement will be
Undersisned, the Undersigned acknowledges that If hal) it b net relying ard has not reed cn the Fund. relied tail by the Fund, UBSFA and the Placement
the Undersigned chooses to ma such UBS advisory ISSEA. the Placement Agent. any affiliate of any Agent in Mouthing the Undenarects suitatifity as
program, the Undersigned may be Carped higew the forego.* fee any evaluate+ a ether knee:nem a thrower of an Interest and the Fund's compliance
fees that are applicable to Mesas that are not Kiva n respect of the advisability of an irnestment with federal and state seethes laws, and shati swam
subject to an athS• ry contract may be required to n the Fund in fight of the Undersigned's asset, cash the Undersigned's admission as an InleVO1;
redeem out of the advisory share class or may be needs, reestment antes or strategy, Gera
required to watch into a nonadesory share clan. porno* cerneasititri a plan for riven/ adon (iv) A Pbcement Fee of 2% of die Capital
Such actin may result In tax ccrisequaxes and 'sate and Cat daub* wi be charged if the Undesired
other penalties, aid the Undersigned SAVA consult Invest through a brcterage moue, subject to
hie tax DOM« en sit and axe mews before fix) i UB5 lariat Trust CCIffPanY is the =Pre Walser by the flacement Agent r reread
making an nvestrnent in the hod. trustee of the Undersigned. the fiduciary has directed circumstances, and that the Placement Fee a in
U85 Fiduciary Trust Company to ezedee this addition to, and vat not reduce, the Undersigned's
(10 We Undenigned Understands that by rmessing in Subsaiabn Agrternent and that el of the capita Cant:bud:4
t p h r e o pc F e u t n o d n . a t t e h e t h h a v t e st o c f r e w x i p ll e n b se e s a r a h id is . f h ee e s r a o r a it n s r t e o p re U se n n d ta e t s io ir n e s d a a n p d p ly co s v c e a n b an t t o s d ra e c f k id u h C e a r r e y u n a d n e d r th b e y (v) The Placemen Agent's financial ashisces naive
invest., in tie Fund and, Intently, similar lees. Undesired and not to UBS Fiduday Trim compassion from the Placement Agent, Inducing
expenses and the incentive Allecation 0 any Company. compemaan based sun assets wider management
rivestrrem fund. ally where appficable. areVor the Fund's investment perkernarce, and a
the Undersigned is an 2emp:opte benefit plan* paten of the Plaretrent fee, it ardable;
f 0 ? N m . a ) n e E 1 n , x t o c 1 e r t p h ' t ( e : a 2 a U s 5 u n c c d e h 7 e tc r s t b 8 i e s g r e n n 1 d e d i i s ( n d I 1 s e t f h i 0 e n n e o d 1 H t o i a ; n r i r t o h r 'B r e n e * M ne V a a f n k i t A a E s r F s l e a L t n s ( t t 'p o a a s l t t a d h n e d e f ' i f r n l i o a d e s u t d c s d i i u n a i b r n S y je e e r c c e d t t s i t o p n o n o r S 3 S a e ( e b 3 c c i t ) t i l i o o l o y f n n E r 4 4 a a 9 9 iS t 7 7 A i 5 5 o ) ( o e t n ) h f ( s a 1 th t ) o e i i o s l f C E n t R o a h I t l e S e s A u C , , b t o a h j d e e e c n a ) t t i t n e o f ) o t I i r f e m t h a in t e i v o F e n s u t c r m d o e n i n t s t a a i F n u e m n d a d s i a t s e n r t d - h f e e it e s d M s e p r e o m S n U o so r U a r C n w d tu u a f m s t o t h b a e t c a n i n n th e e e d
bytheFund hem oenain materials finished by the
Private and Confidential
16
CONFIDENTIAL SDNY_GM_00020475
EFTA_00131095
EFTA01273302
Subscription Agreement (continued)
investment rand and its sponsor. None of Pie ron-U.S tai lass will not be wended a applied in provided to the anew relating to such tax treatment
Placement Agent. UBSFA or the Fund participated in such a manner as to deprive On undenigned or tare and tee Wucture.
the preparation tnereof, and none of them mar any wafer the tee benefits which he, she a it fright
representations regaraw, and each of them exprealy otherwse expect to receive from ha, her er its W. WDEMNIRCATION: POWER Of ATTORNEY;
&satins ery ,lablity a marabila to any neF101 remanent in the Fund. GENERAL
o r i i i i a a o o s N s n n n n i p f f t t n f O t f l f a f e e o o i e i t t i c n n t h n h r n r r h s e e d m e e I v s e e f e r s i O e o d n s F a t s M s i r O , g t u n a , F i t i 5 n e o o d n i n o s 1 o e m r n 0 d a r r i a n r i ; * n d e n o n r a n w e r - t a s g a 4 a l e I l a f P e a i n n n m o n t o n v r d i r r I n n e r e e , , n a u s g a s r i e e v m t i n a s t b m e m t m l u . e o a s w e c p e T v p n f h t n n l o a r h h a o a i e t t r e r e r r y i n m t n s f t n e F h u t U a t s f e s e e u F n n o n u t r . a n u r e , d e d m f n n d o n p s e . , e i t a r d r e n e i m m s n n r a , v I o t i v e r t g n e l n a e w e n F n d n e s t l s i e u e r t t h o l t m s s d n F m a h n o w t d v e u r a a r e i n o i e , s n n l w n e l r w t d a n n t n m o n n h i F s t o o p l w e y a e l o u t e n m c v F v i n r D d e o s o o u f a b d i o t e t r e t n e t . h i e i n r b n n o r d P s e t c t s a o e h g g n s s r t , . r a I t ( b s c s f U t t m e T h e e l t y a u n n p r ) e a n u i r d r b t t y i e c a t h N e U o n a m s t . s t e r u o e n i r s e t o n r s e r t d i t n n d e g w o n a e x t c n u a o i o n r t t e e s a b a h d o a f r i d i r l n s g t e f e d . o h t A n e ' a a s n t t a e o e g n h a s n m t n d o f r d e x d : u e y t r o r . o i o a e n n a s f o l t ' m n g s t t d a r a a n o c i d a n r x e m a x h U r d a n t t n t a e e a y u h n t S a d . e t r n r y e t s y a . e h a a O h n g l e f n U y a o S e e e e t s y s l h n t d n O s n u h e t l d a e F a t d u c r t e s c e t r h ) x u h , 4 a r n r i n a r a e s l f e t a a d r i r n a s l r g e t l o n e a s r t n t P e y m a p i t p r e o s i a a e t n w k e r d m t r t r n a o a g t i m s ' i i n s w e t t a e n o e e h e d t n s d d n o o n n n t i e s ( n r t a M * t i e n d n c n n A a w r o i e p c y n e n n w h t i m l a d o t d t u e h t s i y d e i r b t u n o t t t h i t l n h a h n c o a e u t i ( e e o x h e s g x r . t ( m e h c u w w a a t t in A h h o m g p n a h e h c e e ) n a y o a u p a o n i t n T t r n l n a r P o s r k o U c h s ( i n e o y n a 0 o l s e t d d e e n g n a t : e a v e d w U t a r o e s t n r i y r e h l n o n i r l y f a t n e l d h s l d s n S o W a e i , . i F a d s ( r n e r l i e e s i u s n v c m s o a , e i n A d e t c g f n i S c d o f s r l g n , w i u y e o , c a t n e e i d h p n e g b t d n a 1 E i o a r r t a l n t e r i s 5 t , t a f t i o g s s y g i a n g l o o e a . l r b n r g e t e A n c n e f h r , d d v a t e e a , d e t a e r h e s a e b M m t r a i e e c ) a y o f t c h a o a . , t o n o S e h h c r r d a x n a e i e h o n s a o a p c g i n m t r a n a u f h o o a w i n g r e c a e m f i i s n a t f g e a u r i e e g a r t e P e r n s h o a s n , d e e n o l m a r A y e r o i w f n s r r r y c f d d o e t i a t h t a c e m n a a , h n e b o e f f , s a f i d x a e y r n i i o g p l b F r f d n i n n a e a a h e a d u e t s n i s t t o n e n i n h h b n o b e s l y s s d d e e e y g n y d t . .
(v4 the Fred, UBSFA and the Paternent Agent ham franchise to strategy provided to the Undersigned by Urdersigned to amply with any covenant a
o n p o e n ra o t & io n t s o p o a f l a m ry a te in v n e s t t h m e e c n o t n F t u ra ld m a a n n a d g e h m av e e n t n a o t k n le e r tn F y u in n g d th F e a t F e u s n , d e P x a c rt e ie p s t , a fo n e y o a th ny e r n 10 e -4 s ,1 ts 14 , 6 a 2 1 a S g te re n e ta : r a t t a l m A a g d re e e m b m y t t o h r e in U a n n d y e rs o i t g h n e e r d , d th it u ne th n is t
disaelion over the iwesenents made by ary (except to the extent relevant to such tax strata a furnished by the Undersigned to any of the foregang
Imestment Fund; and tax anneal any norovdic commercial or financial in connection with this transaction or the inataracy
Morrnation. of any informatics) provided by the meta, whether
(viii Fa SO brag as he. she or it a Messed in the in this knesta Apples/Ian lam a Gehenna. a (N
Fund, and tress otherwise waved by UBSFA, the M The Underared agrees that, at its discretion. the any actor fa securities Lew violaters instituted by
Undetected must maintain a brokerage moan veth Fund a UBSFA may (directly a through a service the Undersigned wild, finally resolved by lodgment
an effete of Ulan designeeed by USW. provided provide to the an:tanned to the not to have resulted from the 91055 negigence or
(p) The Undersigned hes all require poorer. authority U an n d d er o s n ig e ne : d c 's o d n e m s u r: n e k e at d io a n g s e n re ts l ) a st t a e te r t n o e nt t S h . e M F a un t d wilful misconduct of any of the foregoing persons
and caterity to acquit and hold the merest end to andror Vie Undersigned's investment in the Find in ON The Unciesigned hereby appoints UBSFA as his,
execute, claw and compy with the terms of each of elecooric am such as anal antra peewee her or in true and lawful represmtadve awl attorney,
the Instruments required to be executed and dithered protected account sieving on the Furors web ate. in in-fact, in his, her a its rat, place and stead to
by the Unclean/0 in connection ea the leu of a In edition to sending such otennuncators make. execute, sign, acknowledge, weer to and he:
c U d M t a t h h o e g n i e a n s r d i n e d s U e e e t S r i i n r s r t y u r d u i e g t t e t e h a r n a r o n e s e a n i d d t g i d o ' p n s U e c e a w n o s f d a n d u m h , u e b i p a c l r A s t s l r h i a t a e a i y g t i r n d p n h l e a c e t e e e i e w o d e m u n , , d n e r a o m d f e n r o e e g t t a y . r s r u y s i t l n n a i h a g s n o e t b n i t d o t r e e : u n m d w m s a b e i u s e a o r c n e a o u h l t l s r n s a p d t d e g a e i . x o n w r r e t v . d y E i c a e t u u h o m c t , r i a t i o i n n h b o r n t e g g y y r , a m a U t r d h e s e B e l p e h l S s a e l i s F s a c t a s e e A a d g d n t e e d a a m o s d e r p r r a c M e o t o e n e r t e h n o t W d e n h o th r v e e o t e e t w i r e d n d w e s t a e a a f y w t e n r s i n r c m i t d a t e t h e s n m a e , d t S n i s & e r m , d n s e a a m P o a y i l g n u a e m a y e t n s a r n c o t e e h y o t t l n e a b n o t t t e b k i a t h o e n e i i n e n o n t w K h k c t a l o i o c e n a t m e d e d g n p t p - h e t t e a n h e t s r * e o a d o e r . f . ( n c i d f n I e e ) e i s d r s a A b t e i i r n f u r c a i a c y r b i l a r , n c l e e t s e e m t r o . a t t o t f if e o i c a , t r a i l a o e c t d c c e o a o f , u a c m l b u o n r u p r m d s ' e l i i , f e s n n o h n e c d r s e t r n s t i e h o g r e e e n n f q r t l u a a b t i e n u w re y t s n h d in e k % e b r i s e n y s t d ' o . a e , P n n t y e h e a c a o n c p c o s p a e l n i o r c y a a t a h m b n a e l e d e r t
Jndersiged s an entity, the person executirg and matters. Please rote that the Fund and Weak/ (II) the rued Agreement on behalf of the Undersigned
dehering each of suds femme= on behalf of the resent the right to intercept, Maitre and retain e- and any anendment dug approved a traded
Uneersithied has all requisite power, authority and mail messages to and from their systems a aerated therein, and
capacity to emcee and definer such imamens arid, by applicable law. 1 the Undersigned has any debts
opal request by the Red or UBSFA, vii turrish to tout tie authmteity of an ernal paportedly sera (ill) Any and all instruments, certificates and other
d th o e c u F m u e n n d t s a tr o u f e a th id e co u r n re d c e t r c s o ig p w y o d , a in rt c y k f d o i r n m g a tio a n ll p by ro t v h i e d e t d u r th d e o t r a U l B o SF a A , ( e M d e is a l r y e q a u ir t e h d o to ug c h o a t a s c e t r v t i h c e e d de o g c r u a m de e n to t e w ff h e ic c h t th m e a w y i n b d e in g d -u e p e m an e d d te ne rm ce i s ll s e a d ry a l a o f
alattarten3 thereto. Purported weer airrelinely. the Ana This power of aborrey is irrevocable. Is
coupled with an nutrest sufficient in law to appal
( c t Q o o ) n A c th e l e l i n v i k n F r g m e n a t d h ri e e U n B U th S n a F d A t e d rs ie c ig e n U e n t d d h , e e r s th ig S e n t a e t d e U m h n e a d n e p t r a ro A ge g v : e e P n d s t ( ( f V 0 ro ) c m l t a h s i e t h s e u d b rd e e n e s e r s a fi i c g p ia r a e l d n o w s n n e e ro r * t f a o n r o a w f n e d e a e n n r t a i d t l y w n d c i i l n e l g m n e o e d t t e b o d e a th n e i t p e o m 1 w 0 : e a s r e b c o l u e r r e p p e o a r w f p o e r r o r m o p a r f i n e a c t t a e to r y o rn f M e a y e n r a e n O s d b t l i o i s g f a d t t a h io e r n n d o e o w d n e t e o d e b o to e f
status. financial position, ktontedge and experience purposes, 00 a 'grantor trust; ary portion el each the donee, and sN1s ures and shall not be affected
of fanancia tax rod busies melte, a, h the case a treated as owed by the granted') a other by the stbsequern death, disability, incanpetexy,
of an Undersigned that a an entity, the Ithardedge Wang., urdet Sectims 671479 of the Code. a termination, bankruptcy. iraolvency or dessoluan ai
and experience of financial, tax and tudiness matters (1) an 'S coma-Aka' within the meanie of Section the Undersigned; prodded, however, that this power
of lit person melting the niestment declaim on !3611a) of the Co* a, it the Undersgned is such an Of attorney veil *ranee tpon the subethrecn of
behalf of such why, is cotton and template a of • then nave of it. Undersigned's (direct a another Mecca for ala of VW brharAtTen
the date set forth heron. watt) borefanal owners will here on the date of Wobbliest In the Fund or upon the withdrawal of the
(R) To *awe commence with mthdreerients the Undersigned's ediriseion a thereafter Undetsigned.
i C t m h b p a a o t d s a a e n r d d 2 3 a b 0 c y , k t n h th o e e w U le n U d d . g S e e . r s s T i t g r h e n a a e t s d : u i r s y h e D r e e p b a y r I t n m fo e r n m t e in d s u i a n u n te t d s t r e h e ta r e s s n t i g 1 ti v i a 0 n a l 0 y r 1 t a s t t h e l b l r e o t e h f e U r t r h m n e i d r e r i s n i r t a s a t i h g t e i e n o o e F n d f u d n n a e e d s b a a c r r n r i a b i d b u r e ( e t b d a a ) t e i s e a n i e T f i t r a n o e o c a r t s r i t u o e h r n a e e e T th h V e e & a U c n t m i d o a e n y r s s b i o g e f n a e U d w B S h ia F e b A re e t b a y t k o e w c n a o v ' n n e t r e s g s o a t, o n r d y e g f a a a n l d t e a * u * t n d d d is e e a f r e f s n f u i s r e c m s h
(I) any tax advice contained herein in the regations g1.7704-101)(1)00 s not a Adrenal Meer of attorney.
investor Application Fonn or in the prate of the use of tris treed arungerrem (C) If any proem of the Subscription Ageement Is
u If s ie e e d t , o a ra n n d d u c m an I n s o n t o b t e in u t s e e n d d . e f d ee a th w e r p it u te rp n o t s o e b o e f ( v W en ) tn E g x , c t e h p e t U a n s d o e t r h t e o r n w e is e ag r p e e e r s m t i o tt e k d e ep b y c o U n B fi S d F e A n ti I a n l M the a n i d s u a c h u P n r e o n vi f s o i r o c n e a th b a le t u b n e d e d r e e a m ny e d e i p n t o u p n e e r v a e tive to
avoiding penalties raider the Code; and not reproduce, disclose or distant, any the extent that it may conflict therewith and shall be
O m p 0 e 0 i a l c ) t e t e e t n a h r o c s e t h i o a n d i a n d d v o r v e e r i s s c m s t e o e a r d r I I k a s n e n t t d i h w n e p g r i o m t o t t e e e f n n m t t h o ia e r t l a o I n t n r d a v s u n e u m s s p a t : p o c a o t . n i r o i d t n n s t t h h a e e I e i l in e r n x f f v a c a o e e r r : p m l n l i e t n a a r i g n t t b i o o c ' y n W n o s n r f h e o n b o r e a f t . c i n 3 n t t i a g o t o n r n n w t c o i w i t n a a t t h t p h A ic u e n r t t F p f t o u i a t s n i i n o e r d v r s , m e a n a s a tm ( W b i 0 s e o ) V n n a u t * s d i m n e i O s a e t r a h a i c y e n s c e F p o s d u u u a n c n t r o d h t t p e d A u r e n l n o e e e y v c n m is f p t o e i r o r d o t c n h v e m s e is a h o i b o e e d l n e r a e e h r e o u t e h d f n , r y d e t a o e o n a r f c d o w a n t r h e o f y n i o c f r t h o h a m r i p s m c t p e o e a a k x y s b a t u i e b b li c n t ' e e y h t , h a l o t a e p h f p w l e d l i a c P i s a n y h r b v a e l a e b l o l l i d O l t a n h w o t o e o r r t .
Fund should 54140g advice based on his, her or its and except/settee/des required by any ngiAat hereof shall be seeable
particular circumstances from an independent authority. law a regulation, or by age protest (D) The Undersigned has reviewed the registration
tax advisor. fabsithstanding the foregoing or anything else in the nicarements of the Commodity Exchange Act. the
o (S r } e q T u h e e re U e n s d e o r f s i a g n ne & d v e u s n tm de e n n t t a in ra b ti e t F ha u t n d th d e e pe t n o d ( t S a h u n e b d s I e n c a r v i c p e h t s io t e o n m r A p m g lo r a y e y e e e m d , e a re n d o t o r t s e o e s t e t h o n e t a s c t o t r y a n t r o e a r n r o y d , t h t a h e l e l r a p I g n e v e rs e n o s t n t o o s r f . ' C t d o F a T c C m o n a n e n n d a o n t t h d t e y h N p as o a o d to l e n o te p a r e l m r F a i u n t t o e u r d r s e t a s h n A a d S t S c th i O o e C r n U ia m n ti o a d l d e a t r y s p i p g tu i n c d e a d n b a g k
U th n a d t e t r h s e ig re n e o d w T b h e e n U o n a d s e s rs tr i a g r n c e e d th fu a r t t h th e e r C un cd ie e r s o o r r t d he s o w o r n i th o it o s m u t n i n a o r a a u n u c d ti t l i o o , n x „ „ o w f a a r n o r y e ki n o d f , r c t u o h e t c o i f s i e a N de o ra d d l i a m n n c d o y m 0 0 e k e t in v a e d x s n r p e u l c r e c o v h m a a n p s t e l i a a c n o t c f iv e i t a w h s e it . h I n nt t e h re s re t q h u e ie re rn u e nd n e ts r in a n re d s p a e l c l t o o t f h i e ts r
Nittztpteli t mAxwej ekcluding Opini:C6 or Other tax inane%) that are
Private and Confidential
17
CONFIDENTIAL SDNY_GM_00020476
EFTA_00131096
EFTA01273303
-.3
Subscription Agreement (continued)
IV. TRUSTEE, AGENT. REPRESENTATIVE OR limited than and different from court Furthermore, the Investment Fund may amend its
NOMINEE proceedings. The arbitrators award Is not Private Platen Memorandum. however, subject to
r S if e w pr a t e h p s e e w n I i t t n a h t d i a v e e T n a hi t r e d n d P om a i i r s n t e . e a th c e f t o i n U r g , n a d a e s r s w i t g i r l n u l e s e d te n w e * , it I a r n g e t e o i n f y t a . r r s e e e a q e s u k o ir n m e i d n o g d . t i o f a ic n a i d n t i c o a lu n d P e o a f r t f y a ru s c l t i u n ri a g g l s h t f b in t y o d i n a a g r p b s p i tr e o a l r t l o e r I e m s p t i e o s l t u t r h p o e d m a F p te l u e n n th d c e e n M o b e y r m t U h o S e r S a R F n A d o u d s m h w . a i ll t h h a a r p e o i a c n a y ll e o t l f a ig w e t n io e n ith t e o r
a th n e d F th un e d I n m d a e t h n e t . e s d he u o n r d e N s i t s a n a d ct s in a g n i d n a s c u k c n h o c n a e l d n g o e tY s t s y t p ri i c c t a ly ll y li I m nc it lu e d d e . a A m p in a o n r e it l y o o f f a a r r b b i i t t r r a a t t o o r r s s w w h i o t M an d I n m ve e s t t e m e n n o t F m in o d r n a m nd e n its d a S ti t o a s t e o s f d t o h e r o F t u e n n d d o a r n s d e
that the fermentations, warra reties and agreement were or are affiliated with the securities make no representation regarding, and expand/
made herein are made by the Undersigned (A) with industry. Coot:pretties shall be determined by dsdarn any Wont or resonant:fit to any redeem
respect to the Undersigenf and al) with respect to the arbitration before, and only before, an of the Marmeandum or try informal= set forth
Tied Party. The Uncierkned tether represent and arbitration panel convened by the NYSE and herein No twestment Fund it reparable for de
warren that (i) he, sheet he all requisite power FINRA. The Parties may also select any other fcrmieen a operation the Find. The past
and authority from said Mid Patty to atom and national senates exchange's arbitration forum Pen:mar= of an Irrnestrrent Fund or the Fund isnot
perform the oargelion under this Subscripts, upon which UtSFA Is legally required to Makatea of Saturn results the eviestment Fund or
Agreement and fa) with respect to a Third Party arbitrate the controversy. Such arbitration shall of to Fund and there can be no guarantee den !NW
veering into a Swap: (a) the Iled Party is authorized be governed by the rules of the organization any twesanent Ftr d or the Fund wlil achieve
under its constituent documents and applicable law to convening the penal. Judgment on any award of comparable result. Thee an be no assurance that
emir into the Swap and motel also be so authorized any such arbitration may be entered in the an Imestmert Fund or the Fund wi be able to
to invest drectly In the Fund, (b) the Third Party has Supreme Court of the State of New York or in implemere it investment strategy o' achew its
received and renewed a copy of the Memoranda)) any other court having jurisdiction of the Peaty awestmers chicanes
and the Fund Agreement; (c) the Third Pity or Parties against whom such sward is rendered.
*NEW ISSUES.' EXEMPTIONS (Not applicable to
acknoMmiges that the Fund and its aftliaws are not Each Party agrees that the deterrninadon of the Individual retirement accounts, inarklual or
r c e o s m po e n p s e ib n le c es k o r f th th e e S w l a e p g a ait d y. tha s t u t h he a U rl n t d e a rs ign la e x d a th r e b m itr . a N to o r s P s a h rt a y l l s b h e a l b l b in r d in in g g a a p n u d t a c t o iv n e c l o us r i c v e e r u ti p fie o d n joint account, UGMA a UTMA accounts that are
is not an agent of the Fund; and (d) the Third Party is dass action to arbitration. nor seek to enforce treated es natural persons for this purpose)
an .eklba oanuaol CurtiGnant• under the CFTC any Pre-dispute arbitration agreement epeinst 1. ta) The Benefical ntesest of rev:iced persons
tees, an •accrecited investor' under Require:on D any Party who has initiated in court a putative des rat exited an the aggregate 10% of the
and a 'qualified purchaser' as defined under Steen dass action; or who Is a member of a putative UndenIgned a If the Benencial retest of at
Nat5t) of the mwstment Conley Act The dass who has not opted out of the class with molded pastors n the Undersigned exceeds in the
Urdersigred agrees to rulemnify the Fund, UBSSA. respect to any claims eacoapassed by the aggregate 10% the sler)igrgcl but the
the Placerrent Agent, and each of their alnates, and putative class action sinless and until: (A) the Wars:gad has instemented anatelueS to reduce
their officers and astern for any and all owes, dass certification Is detect or (B) the dais is the lionencel Interest of ail resulted petals with
lataitiet damn damages, cost, fees and am/rem decertified; or (C) the Party is excluded from the respect to new issues in he magnate below 10%.
Inclucfng legal lees and disbursement) arising in dais by the court. The forbearance to enforce an CO) The Beneficial Interest of 5131 Covered
connection with. resting to a Notre from the agreement to arbitrate shall not constitute a Persons does not exceed the aggregate 25%d the
Urdenignedn eery Into the Swap frcludew such waiver of any ngMs under this Subscripdoe Undersigned a Beneficial Interest of ei 5131
losses, estates, dams, damages, costs, fees and Agreement except to the extant stated herein Covered Persons the Undesired eiceeeds the
expenses arising an with,relating to a 25% c/ the Undersgned but the
resultna from the Undenigners or the Thad Pants W. MISCELLANEOUS Undersigned has ineremented procedures to reduce
misapasentation or mestaterrat comened here.. Ue fiewittal rarest of ail 5131 Covent Permed
Al 'Memnon in re Substripan Agar's'sN be
a the UnzierSigredn lack of primer atrncreation mated conedentiray by the fond, UBSSA end Ow with respect to new issues in fm aggregate below
from the Third Part to enter alto this SubSCPp1011 25%.
W Agr a e i e n n ; w nt h e o r r e in p er c fo o r n m st it t u h t e e s ob a li n g ato K r e s e h n e e rth r a * n de o r r . H P Pl e a e r c e e n e m r n r e e n n t t A a A g n g e d e n n t. t t h I e tw m ir a e e y v o e rr p r n . r e a t s h te e e n n F t p u r n th a d i t . s t l M e S d G u h M t e r r a a e / i d n t o h t n e o I 2 n . v es A t n ra m re C n e t rt anY carporry registered under the
statement by the Fund or Placement Agent to et such panes as deemed addable if Cancelled upon to 3. A common trust turd that has intestment from
irrester's envy ins the Swap, as to the legality of a ICOO a more amount and does not aril Interest n
Sap ate witablay of a swap for the Undersigned D es e ta rm bii a sh f r t o h m at re th g e is t o ra ff t e io r n a t n in d d e s r a l a e p o pl f i c t a h b e le I n Ia te n r e o s r t ( f i a s the fund printrally to dust accents of restricted
a the Thad Pry the information is remeed to be disclosed by the P 4. eri A n n Murata company general. separate or
V. ADDITIONAL INFORMATION AND Fund by law a resulaten or is rethare to an au* in Mestmere accent podded that (a) the WOOS.' Is
SUBSEQUENT CHANGES IN THE FOREGOING wry anon. WA a proceeding to wadi de Fund, funded by preniurns Ina 1000 or more pokyholders
REPRESENTATIONS U3SFA„ the Pitament Agent or thee Willem is a or, Magenta, account the insane company has
party a by welch they are a may be bound. In
m a e T n h t a k e m i n ti h o s e i n e n re e d t s l t t m i o n a f a e o n y r f d i m g r m e a ib q a ti i u y o t e y n m s o t a f u s f r t o h i t t m t e m U fr t a o h n y e m d e d U t e r i s m e r i t m ; e e re r t n s d o e c c t r a o e ie s r e d s e a t r s s y n t r a ic t e c o h k a s e a h d t t a o d f r a m i e t c i o i t w l n h it . a e t h t t e h r e i e t t f s h o F e a r u m t s n t a e d ir t r i e e m o c n s a i w y d fo e s r o s h b c f a r u m r ib e s e m e i d n c e f c o a n a r b p m s o u a r r T p t t i o h o f s e n o e r f s d u , b e n s u t d u a s c i i n m n h e e a a s d y s s r p c 1 e o r 0 e n e 0 m p 0 k i a u e o n m d r y s m a d p o r o e e r e r e s u s o s p n e n o s d o . k t t y o o l r i h f n u o n i l t f d d e t t r a h h s e e a g a F n e c d n o c e i o ( e r b u a / ) n l t o t t h a p t c e e r c i m n M o t u : e r n s t a t h t in a a t n h t g o e e
Infemation as It may dean Mastery to determine purpose will a non-affiliated Rini Para if the entity insurance convoy does not knit its perky:elders
;heeled:leyof the Undersigned to bad an Interest of b under contact to perform transathon processing, principally to estreted press.
to enable 1.18SFA to detente the Fund's compliance sinking or manuring IrrieStOr secants on beef S. A Mont waded entity (other then a brokendeder
i s w n t k a it t t h e u m s s , a a e ti n e p d n t a t a h s e * m U r y e r d g re e u a l s a m i t s o n t r E a y b l r y e a b q g u e re i r r e e e s m q u t e o e n s t p s te r o d o v r i d i e s s i t x a h x c a a e i c i t n u h e t a e n d F y u t r h n u d r e d e T e h * r l s t h o S e f t u c b s o e e u n n o ip t f e t i s r o e p n p a a r A t r s a g t r e e e a s e c t m r h i e a c n t o u t r r r m e e a a p y r a p g a b e n e s o o de r f a a n le n e r w a is ff i i s w li s a t u t h e e o o r e i f z i t e a h d e t r o t o n k e e e n n - s g d a t e g i a n e lt n g , w t g h h e a e r i e p n u s b m u i c c h a o b t f e r t o e r k n e a - . - ;
urderwrker) that is listed on a national securities
The Underegred agrees to noNy the Fund prat* than fa al purposes. content ow 'tenement adage. as traded on the NASDAQ National Market,
i s n h f o o u rm ld a t t h io e n re . be any change in any of the foregone P b a in rt d ie in s g d o o n n o a t l e l s t e h c e u t P e a tn r e ti n sa n n o e t c v o e u t n tr t a e n rp c a fn rt g . that al ▪ q ua i i t n t a :a t f m or ei a g m n e n M n u a e tio r n v i c t r a ite e r ia s o f n o a r l ie li s ft in m g e e o t n d e a
Vt. GOVERNING LAW AND DISPUTE RESOLUTION Memoranda was denied by WS% kom the Private national securities exchange or the NASDAQ (alone
Pacemere Memorandum of an bireSInfent Fund and Market
This Investor Application shall be governed by. provided for inlormatcni purposes oat Neither 6. An investmmt company organized under the twos
and construed In accordance with, the laws of U8SFA rot' it affiliates parkinned in the preparation • a foreign Madder provided that the iwestmem
the State of New York. The Parties hereby agree a the Private Pacement Mernorandirn of the company slated on a foreign eaChange a auterieed
that the Parties shell submit all controversies rivesenent fund ra haw they Independently verified for sale to the public by a foreign regulatory authority
arising among them in connection with the Fond the contents thereof. and they make no and that no person owning S percent or recce of the
or its businesses or concerning any transaction, represertations a women (eapres or menet Investment a:litany is a restricted person.
dispute a the constructkm performance or reaming, a otherwise hive a accept any Art ERISA benefit plan that Oafi t., under
broach of this or any other agreement. whether mpenshaity fa. the accuracy or eandeteness of the Section 401(a) the Code, prodded that such plan if
entered into prior to, on or subsequent to the contents of the Private necernem Memorandum of not 'eery by a broker dealer.
date hereof to arbitration In accordance with the the kwestrrent Fund rix for any other sUtemere 8. A state a ntnclpal government benefit plan that
provisions set forth below and understand that node a purperted to be made by the imamate a subject to mate art municipal reguaticn.
arbitration is final and binding on the Parties. Fund or on it bend,. tante and rts affiliates 9. A tarn dentate organisation under
Except with respect to seeldng injunctive relief. accoreirgly Xdaim all or any lathy whether arsine Section S0l(cX3) of the Code.
the Parties are waiving their rights to seek at tog cr contract that they right otherwise hare in IQ A Chtrch plan Leder Section 414(e) of the Code.
remedies In (own including the right to ley respect of the Private Pager ternoranta of the
Vitstsing &mam 3 Investment fund a any such reflect. and bear no
1— — l irittrAltiVtLiiesperslitity to update ary curl sqcnnadors
Ethane and Confidential
18
CONFIDENTIAL SONY _GM_000204 77
EF1'A_00B1097
EFTA01273304
Schedule 2
Defined Terms Used Herein
An wiry teat a emceed ban the deflation d
WO) er ac)(7) company 'irriestmeol company' sonde the twestrant Company Fisendal Mame Wanda' advent to the Urdenigned
Act panuant to Saban Ter X4(7) Unroof
I h6 tourer Application lam. included the
Agreement, Sasso-mien Agreement and the fonts Amended and PIMA Tha Fnarcial tasty Regulatory Authorial. Inc
Restated Limited Whitey Company Apemen
Any economk interest, math as the Ogee to share gains
and Sasses This does nld rathele re receipt o' a The Falb Amended and Restated Linked Liabity
Beneficial Interest management a pidonnarce lee fa operating a Paid Agreement Company Advertent as the same may be arrested
Coronado Investrnmt Mort a other fan fa acing from dm* to at
in a ficaackey capacity.
Cu and CAT Statement Cant Account Information fund Partits 1135FA and its etIOSOIS, fl ees. alien. clteetal,
MI:ken and Porapsit
Mw state or poliatal abdision of a state. irate:Mg
any opener. authoelty.ce nsuumentalty of re state a
Nadal vabalacts a poold oof masseedts sponsored a
estabished by the stale Ce Subdivacon a WY
Captrel Contribution a A m ca a o i n ta ; l antribubon in the Find Turas/cc Government Entity a to g t e n n o t' t , f a i u n t k h e a d t t t y o o a r 'd In e s n tr t u e m d e b n e ta n l e c f y i t t r p e la a n* d , a n d c e lu rm tng a ,
in sawn 41A) a the Coda t16 US C. 4143. or a
gate general Imo, A pm Or program of ao gf taher ment
tatty, and ofiren. :swum, wrofeettes gate a
p..kal subarea:in a any agency, authority a
Ste ienere.atitr thereof, ring in he cabal capothy
cPC 9 A 5 r 7 i n o e f o th lc e d C f a or t e ign cceporai n. as deft ed in Sector fainter s T u h c e h p h a u n t e Who enabishn the bust and wattles10
An ithaidaall parent motter-iretate or Tather-iblaw,
arc The commode, fauns Sarno Canned:on ; M m e in m e b d e , a t te ramify s so p n a - d W e, o b w o a th e C r l a a u g s h k t e te w 4 . n t 4 ir k o w th a e n r d -n d -t a rr l e te a n s r i o o t d an e y l se,
ore tenon to within the kvfncliial provides material
Pact
closing C Ea a c p h it a d l a C te a u ttr p ib s U v l A ia • l c f h LIBSEA accept; Few or fronted Ince/inv. Allocation% F m ie o l r d r a to m n - e b s a t s o ec t l e a a a p n e e r n e t a d tk sd a a n s p ed ad in w r e e b t r h e e s r e ra t m 40 c i k fs a e l
a en lineament Fund, as applicable
Cod* The Inertial Reitriut Code of 1996. as mead Inns rest M Sven in thefund
My hedge fund. irwestrin partransho, marten
corpontion or any of ere octane fleas:ant whale
that is engaged Cana* in the puirhice andte sale of
secudbes A coliearre imminent accuse dos rM
Collative leviestmant include a family Infest:yea velecn(i.t, a legal entity
Account that is beneficiety awed 100 byname:fete Iambi Investment Adviser; Act freest/ wen Adenas Act of 1910, as arneritd
members) or an BrieStMent alb fie, a gray of
trends. reapboaa business associates, a others that
pool gob wormy to knelt n stock or other Ia
and ant coiedively respectable for mating nvistrant
declared.
Control Securities Sepias% of 104IBIS conlIOOd by the tenancy Investment Company Mt InseSteent Company Act of 1940, as amended
indoSes. without bwhatkw. aceng as an andensaa.
participating in a wing gat inn afemg for the
ewer or cithevene pang n hallways d a pubic
alining of the twee; acting of a Ararat Maw C a
Covered Croke, °catty A Prober a dealer. other than a Lemke Banes, Investment Banking merger, acsreirseitnioena ar co*th er wrpaate nerprizanon.
BrekeriDealw Services providng Par Ives °, cede- pirate
iimi,eesntinheerree, sp« aorthke nrawstiyse u artactons ((PPict) a sinew
acting in furtherance of a
wan Wing d the wa r. or saving as pacement
agent for the awn
My Tamped (aft than a Pubic Comparputhidng
any of the following the ataxia: Of Coro d E'en
Covered bonrubfic S th I r o m e a fe im ca l i n y e th n e s l a a n ; d f P ts a c r a e l h ar o m kl o er r s i ' n m br a a y < o li f t h a e l l I e n a t s t An urragnteted imvsmen 'Ain In which the kid
Company SIS radon; of CI) thanholiferF 0014 of alma S30 investment Fund may invest. Knee n a fund of fords ed meteefeeder
milicth &Ida Two Year Oparating May a(3)tout sPicee
Slats and total revenue of at least S75 mien n the
taint decal yard n woof the bat thwe deal wars
FlitSA a T s h e a m Em en p d lo e y d e , e a R nd et t i h re e m n e e n n t W an a d s t r e ec S u e la cu n r ia it m y A th i e d et u 1 r 9 d 7 e 4 s , Mania An 'eth. c the Fund
ML281817-MAXVVELL
Private and Confidendal
19
SDNY_GM_00026478
CONFIDENTIAL
EFTA_00131098
EFTA01273305
Schedule 2 (continued)
I I n n v v e e s s t t o o r r A A p p p p l l i i c c a a t t i i o o n n a fo n r d m t t h he i B ap o p o l k ic le a t t ion for an merest n the Smcl «luck% in Pnvate rand A 3( f 4 u 0 r / d O e r a X rn .0 p (7 t ) h o e f m th r e e M Inv se e a st t m io e n n p t C in o o m a p n a n t y o A Se R c tian
AT, =tiny that 4 merino under Seaon 12 d te
IRA Inekrickce1retirement accoutt Public Company Secured« Gering* Ad or Ille gene« mean
pumunt to Sock° 15(d) dwreof
Arg broker's*: wham eullicontion to nag* n
D Li e m al it e e r d %Sinus Broket. a th n e 4 s s e e c le e C d I e i s n v tu e O st n m e e y n s t a cc l e a s r p k a % ny t A o m dy na 1 t a a I c t o e n t p ra a c d ts e se Regulation D Regulation D snake the Securities Act
vase« ant erect participlOon (4044" ~no
Weedy or Indiana p0Vidn3 n'ON than ?S% Oi a
Detail niece-min the pia C./11rd" NV An
Material Support deeMod to ~de nwitti s4aPet to an Securities Act SecurCtS Act rd 1933. as amended
kniteciateateriy Member len% In the lame
houeelnkt
%SEA a 'Quelled ~omen' or me members&
mamba. Designee the Ford acting by • mangey h interim, in each ute Securities /zebrine° Act Seams Ca:dungy Ad of 1934, as amended
as set tech 9* Fund Agreement
Memorandum s C n on e fi d m en ay t: e b l e ^ u M pe e n g d W su a p r p ta le a m t" er eed c 4 o r t i m t a s d u d rd e . d a f s r e N er I Settler Tee penn who estahrshes the Mgt aid weebutes
assets to oath trina
tnt Infirm
NYSE ne New York Stook Esthete. Inc Snell Bonn e« Snell Norms Inesymnt Act 04 1958
Investment Act
Parties T F h a e d U natrignrd, %SST& Be likteMett Agent and tro Subscription Agreement Tie stbscreSion ~re <entente Neon
Ths ~peon bootalesNch 'dudes Um inmost
Payment Penn it Sp% knes for an Attest Subsaiption Booklet Applicant.. Tarn and the Subscridion Agreement and
al exhibits nailed Matto
MK P S a e s d s i i d m a b 1 e 2 i 9 n 7 d in t v e e st C m Ø ent COmParty, at de(ned n Swap A t t h h e A e Y r r e e A t a P u . m r ~ n f o e r t o l t m o t e F e u n t n h o d t i a s O b r a o se th d e I r n d w e h rk e a re ti c v c e ~ n a pa n n e o n n t
Mourne% Agent UK Fared Senecos Inc third Party A third Dail
UK Fund Acker. (it. or an intuit. Mentor, in es
M rin e e r n em ne e l n A t A <i g k e e n r t s Finarmil 44vicce anplcood by tne Placement ~I INGFA G =n Ø eu tri a n l o i < n v ID es t t h m e e n R t e a e d f v . i n se r d t o o c k th et e e d F u n n d t o n r t as
krentorantkin
A lee diarged by the ikeernert Agent or 2%d the
Pliamtnent Pee G I i n t a t F p h h i e n o k F . e C u d n t t e d i n n . S n s L ia ts r a e li u C p n . s t o i t l « w c c a e r m i r e t e r o c M b t y o e t t n h e w r e n i P e t s h a e t a e R n n i i o i e n W n ve t o s A r tm n g e e n n t t sen m re e i re n m t a h d e s m m e i w nm lin s g u o n t a S b e l u e t i o n n c s o m 51 e 1 . n t o d 5 e 1 l 4 a a of f k a w 3 C -4 o ot
charged h is add n »WS CapitaiContrbion
Tro pian resets roods*" in Iced, by me Gopertment
Plan Assets Rut« C of J t .R at . c S e 2 in 5 ! 1 h 0 e .3 l . l 1 S 0 . 1 C , a o s d a e n d m F e ed ld er . a t l o R ge e t g ht i : w n it h i n 29 Undersigned The penorn) tiring this ~km App-catcn lam
3449013W) deter%
A duct *temsfedial owlet' of a Sectica 3030) or
PeepApell BO Wady X0(2)Ccerpary that hea held an interest in the
Urderigned on or before Adma 30.19k6
02012 UBS Arundel Services Inc All Rights IteServed. Merrber 51K
11010G-26984201
ubs corn/financieservicesine
UBS Financial Services Inc. is a subsidiary ot UBS AG.
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e2V1[W7-MAXWELL
Private and Confidential
20
CONFIDENTIAL SD NY_GM_00020479
EFTA_00131099
EFTA01273306
W-9
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ICOSIS Fonn W-61a r .2.20i t
CONFIDENTIAL S D NY_GM_00020480
EFTA_001 3 1 100
EFTA01273307