3
Shared Docs
3
Same-Page
3 / 3
Mentions
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
d* Pirnitirtnitntielf r signs the following page. CONFIDENTIAL Private and Confidential 13 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
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
dvisor E-mail Address: our Rranch Manager signs the following page. Private and Confidential CONFIDENTIAL UBSTERRAMAR00001150 EFTA00236805 For Branch Managers IV. Branch Manager Signature: [certify that I have reviewed the completed Investor Suitability and Investor Qualifications sections above, the clie
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
ease make sure your Branch Manager signs the following page. ER3053 Private and Confidential CONFIDENTIAL UBSTERRAMAR00001763 EFTA00237394 For Branch Managers IV. Branch Manager Signature: I certify that I have reviewed the completed Investor Suitability and Investor Qualifications sections above, the cli
Entities connected to both Limited Liability Company and Branch Managers

Samantha Power
PERSON
United States
LOCATION
George W. Bush
PERSON
Ghislaine Maxwell
PERSONKeogh
ORGANIZATIONSubscription Booklet
ORGANIZATIONQuickCard
ORGANIZATIONUBS Alternative Investments US
ORGANIZATIONthe Memorandum
ORGANIZATIONthe Fund Investment Application
ORGANIZATION
Eric Holder
PERSONUBS Financial Services Inc.
ORGANIZATIONDelegate
ORGANIZATIONComplex Admin
ORGANIZATION
Internal Revenue Service
ORGANIZATIONUndersigned
ORGANIZATIONUBSFA
ORGANIZATIONthe State of New York
LOCATIONUBS Financial Advisor
ORGANIZATIONthe Fund or Placement Agent
ORGANIZATION