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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
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
cial 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, FATCA compliant W-9s and W-8BENs are required for clients to execute new inves
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.
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
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 UBS Alternative Investments US and this Investor Application
Subscription Booklet
ORGANIZATIONQuickCard
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