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a Participant-Directed Retirement Ran, check here: it Investor is Other Retirement Plan, check here: If Investor is a Corporation, Partnership, Limited Liability Company and Other Entity, check here: O 00a a O (r< O OM CI gibe or O (labor O (lad K (Mao O (Mb or O (Alcor O Ond cr O (tile or O PO or O 01.09 or CI
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 CONFIDENTIAL Private and Confidential SDNY_GM_00020459 EFTA_00131079
a Participant-Directed Retirement Plan, check here: If Investor is Other Retirement Plan, check here: If Investor is a Corporation, Partnership, Limited Liability Company and Other Entity, check here: K (II)a or K (Ilk O (III)c K (III)a or K (01$ Of K (Red K INla or O (IVIla or O (Pik or O (NM or O (IV)e or O or
ted submission instructions. • Please refer to the Fund Investment Application ("FIA") QuickCard for application submission instructions, or call UBS Alternative 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 fu
a Participant-Directed Retirement Plan, check here: If Investor is Other Retirement Plan, check here: If Investor is a Corporation. Partnership. Limited Liability Company and Other Entity. check here: CI (Nor CI (Mc O (lipc O (III)a or 0 (III)b or 0 Olfid O (IV)a or 0 (II:)ber 0 (Mc or 0 IlV4 or 0 OW or 0 °VII or
ated submission instructions. • Please refer to the Fund Investment Application ("FIA") QuickCard for application submission instructions, or call UBS Alternative 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 5 f
Entities connected to both Limited Liability Company and UBS Alternative Investments US

Samantha Power
PERSON
United States
LOCATION
George W. Bush
PERSON
Ghislaine Maxwell
PERSONQuickCard
ORGANIZATIONKeogh
ORGANIZATIONSubscription Booklet
ORGANIZATIONthe Fund Investment Application
ORGANIZATIONthe Memorandum
ORGANIZATIONBranch Managers
ORGANIZATIONUBS Financial Services Inc.
ORGANIZATIONDelegate
ORGANIZATION
Eric Holder
PERSONUBS Financial Advisor
ORGANIZATIONUBS Online Services
ORGANIZATIONUBSFA
ORGANIZATION
Internal Revenue Service
ORGANIZATIONthe State of New York
LOCATIONUndersigned
ORGANIZATIONthe Fund or Placement Agent
ORGANIZATION