The image is a scanned investor application form related to initial public equity offerings. The document is marked as confidential and contains information about eligibility and exemptions for investors.
Type: form
Key Points:
Full Transcription:
Investor Application Form (continued) G. Certification Regarding Initial Public Equity Offerings: (NITIAL Rule 5130 "Restricted Persons" Appropriate The Fund may elect not to invest in new issues even if your individual account is eligible for such transactions Please initial the appropriate statement, Ine statement, ine underugned has itared those statements below with apply to crporation partnerstyp trust or other entity artist apply to any person nawnge Beneficial Interest in the undersigned The Investor is any of the following AINAA memper the late undersigned An officer, director gerera parte assatec persona employee NRA membernom or other Lovered Broker Deser Ar agent at a ovère Broker Dearestime agent is engaged the investment banking or securities Business An mesate Fame Member of a person speed mio cabove Aiderate per congin ahal apar Covered Broker Dealer, ouding attorneys, accountants anc muncial consultants A perut who has the dully Tueument comparentadvisi unhese serige and can institution wrance company. nvestment AcCOU Amediadem Mertiser of a person spec ed Spear adów w 'eceives from or provides to sati persor Materia A person ste Deale ted to belated checue A or schedule sa for as awning 10% more of averва впиет secured to be i sond Schedule 9 or schedure of um 80 whose ownership teres isi persa" isted A jest that cawarty or indirectly 10% or more of pubes reporting company anted required to be istea in Kesule A or Farm Bl with respect to a Covered Poker Dealer other than a sus company that es listed on a national andrest 25% or more of a pubic reporting company that sa perto istedi above other OLENC compary that stea on a mabonal secuntes exchange As mimed ate fatty Member af a perse sted though above receves from or provides to un pesor An aventurang a corporator patnership muted abrity comparty, trust or other entity in which any of the persons referred to a thout above has a Benef matinterest any person mia trrowgn ma 530 Restricted Person For Entities only: If you initialed any any of items (a) through (m) above, you may still be eligible to participate in "new issues" if you satisfy one of the exemptions listed under "New Issues Exemptions" at the back of the Subscription Agreement. If so, please specify the exemption number (1 through 10) here (exemption 1(b) is not available): NOTE: Exemptions are not applicable for individual retirement accounts, individual or joint accounts, UGMA or UTMA accounts. which are treated as natural persons for this purpose. Private and Confidential SDNY_GM_00020466 CONFIDENTIAL EFTA_00131086
Significance: The document is an investor application form, and the text relates to eligibility for new issues.
The image is a scanned document titled "Investor Application Form (continued)". The document is in English and appears to be a form related to initial public equity offerings. The top of the document contains the title and a section labeled "G. Certification Regarding Initial Public Equity Offerings." Below this, there is a section with the heading "Rule 5130 'Restricted Persons'" and a statement about the fund's ability to elect not to invest in new issues. The document lists several conditions related to the investor's status. The bottom of the document contains a note about exemptions and the phrases "Private and Confidential" and "CONFIDENTIAL". The document also includes the reference numbers "SDNY_GM_00020466" and "EFTA_00131086". The image quality is medium, and the text is readable. The document is a standard form with a formal tone.
The document is marked as confidential, which could indicate an attempt to conceal information.
The document is marked as confidential, which could be used for leverage.