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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
tor Application Form. A. Capital Contribution Amount • Indicate the Capital Contribution applied for (which may be accepted in whole or in part by UBSFA). • Provide your Account Number. • Funds must be drawn on an account that corresponds exactly to the name of Undersigned. UBSFA may in its sole
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
or Application Form. A. Capital Contribution Amount: • Indicate the Capital Contribution applied for (which may be accepted in whole or in part by UBSFA). • Provide your Account Number. • Funds must be drawn on an account that corresponds exactly to the name of Undersigned. UBSFA may in its sole
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
vestor Application Form. A. Capital Commitment Amount: • Indicate the Capital Commitment applied for (which may be accepted in whole or in part by UBSFA). (Note: Initially, your account will be debited for 5% of the Capital Commitment plus the Placement Fee, if charged, and any additional amounts ca
Entities connected to both UBS Alternative Investments US and UBSFA

Ghislaine Maxwell
PERSONthe Fund Investment Application
ORGANIZATIONQuickCard
ORGANIZATIONSubscription Booklet
ORGANIZATIONthe Memorandum
ORGANIZATIONKeogh
ORGANIZATIONBranch Managers
ORGANIZATION
Samantha Power
PERSONUBS Fund Advisor
ORGANIZATION
George W. Bush
PERSONDelegate
ORGANIZATION
the U.S. Treasury Department
ORGANIZATION
United States
LOCATION
Limited Liability Company
ORGANIZATIONthe Fund or Placement Agent
ORGANIZATIONUBS Financial Services Inc.
ORGANIZATIONComplex Admin
ORGANIZATIONUBS Financial Advisor
ORGANIZATIONUBS Online Services
ORGANIZATIONUndersigned
ORGANIZATION