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uity investments in such entity by one or more persons described in clause (1) or (2) above. Examples of the foregoing include, among other things, 'Keogh' plans, other tax-qualified retirement plans, IRAs, certain other types of employee benefit plans (and accounts) and entities that are deemed to hol
c Company or a Covered Non-Public Company, or (ii) a person receiving Material Support by an executive officer or director of a Public Company or a Covered Non-Public Company (any person in (i) or (ii), a "5131 Covered Person"). (2) If you initialed statement (1) above, you must name each relevant Public Company ancVor Co
mmunication: Type of Investor - Please check one: Trust Foundation Endowment Employee Benefit Plan (Please complete Exhibit A attached hereto) Keogh Plan (Please complete Exhibit A attached hereto) Individual Retirement Plan (Please complete Exhibit B Individual Tenants in Common Joint Tenan
ace, please provide a separate addendum) The Investor is a person materially supported by an executive officer or director of a Public Company or a Covered Non-Public Company. "Material support" means directly or indirectly providing more than 25% of a person's income in the prior calendar year. Persons living in the sam
of, the Employee Retirement Income Security Act of 1974, as amended ("ERISA"); Initial 2. A plan subject to Section 4975 of the Code, including a Keogh plan or an individual retirement account (an "IRA") which is not subject to ERISA; 3. An insurance company's general account assets or the assets
ed Non-Public Company (as defined in Item D.1(c) below), or who are materially supported by an executive officer or director of a Public Company or Covered Non-Public Company, are referred to below as "Covered Persons." Initial Initial I . The Subscriber represents that (please initial and. if applicable. complete one
Entities connected to both Keogh and Covered Non-Public Company

George W. Bush
PERSON
Ghislaine Maxwell
PERSONthe State of New York
LOCATIONInvestment Company
ORGANIZATIONthe U.S. Small Business Administration
ORGANIZATIONForm BD
ORGANIZATION
Internal Revenue Service
ORGANIZATIONNon-Public Company
ORGANIZATIONthe Commodity Futures Trading Commission
ORGANIZATIONCollective Investment
ORGANIZATIONInvestment Banking Services
ORGANIZATIONCovered Broker Dealer
ORGANIZATIONCollective Investment Account
ORGANIZATIONMaterial Support
ORGANIZATIONCovered Broker
ORGANIZATION