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nvestments. 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
State. pri (1,40:. Widow./ PTigipat Fixed &sinew) Dr. Other Phone: Fax: 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 n
omplete all sections of the Investor Application Form Financial Advisors/Branch Managers • 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. • Effective July 1, 2014
MIUMIIIMIIIIIIIIIMMIIM IZIMEINO o nonmEmorao rimummannumm IS Winn A A C. Accredited Investor Representation C heck only one box By executing this Investor Application, the Undersigned certifies that he, she. or it (as applicable) (i) has read and understands the instructions to this Investor Application including.
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 Alternative Investments US at 888-962-3842, option 1, sub option 4. • All Investor Applicati
te: (Nestor Residence Principal Place of Business) Other Phone: Fax EWE C Accredited Investor Representation Check only one box. By executing this Investor Application, the Undersigned certifies that he, she, or it (as applicable) n has read and understands the instructions to this Investor Application inducing, bu
Entities connected to both QuickCard and this Investor Application
Subscription Booklet
ORGANIZATIONUBS Alternative Investments US
ORGANIZATIONthe Fund Investment Application
ORGANIZATION
Ghislaine Maxwell
PERSONKeogh
ORGANIZATIONthe Memorandum
ORGANIZATIONBranch Managers
ORGANIZATIONUndersigned
ORGANIZATIONUBS Financial Services Inc.
ORGANIZATIONDelegate
ORGANIZATIONVI-VIII
ORGANIZATIONSocial Security/Tax
ORGANIZATION
United States
LOCATION
George W. Bush
PERSONUBSFA
ORGANIZATIONUBS Financial Advisor
ORGANIZATIONInvestment Banking Services
ORGANIZATIONAl Investor Service
ORGANIZATIONComplex Admin
ORGANIZATIONNon-Public Company
ORGANIZATION