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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
ny (any person in 0 or (11a -5131 Covered Person'). (2) If you iritialed statement (1) above. you must name each relevant Pubk Company ander Covered Non-Public Company: (3) If you labeled statement (1) above, please initial the following only if such appricabk PublX Company or Covered Non-Public Company:. (a) is c
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
Covered Non-Public Company: (3) II you initialed statement (1) above, please initial the following only if such applicable Public Company or Covered Non-Public Company. (a; is currently a client receiving Investment Banking Services provided by a FINRA member, or has paid compensation to a FINRA member for investme
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 The Investor, a any person having a Beneficial Interest in the Invests, is (i) an executive officer or director of a Public Company or a Covered Non-Public Company, or (ii) a person receiving Material Support by an executive officer or director of a Public Company or a Covered Non-Public Company (any person in
Entities connected to both UBS Alternative Investments US and Non-Public Company
the Fund Investment Application
ORGANIZATIONKeogh
ORGANIZATION
Ghislaine Maxwell
PERSONQuickCard
ORGANIZATIONSubscription Booklet
ORGANIZATIONBranch Managers
ORGANIZATIONthe Memorandum
ORGANIZATIONDelegate
ORGANIZATIONInvestment Banking Services
ORGANIZATIONUBS Financial Services Inc.
ORGANIZATIONInvestment Company
ORGANIZATIONUndersigned
ORGANIZATIONCovered Broker Dealer
ORGANIZATIONCollective Investment Account
ORGANIZATIONForm BD
ORGANIZATIONSocial Security/Tax
ORGANIZATIONUBS Financial Advisor
ORGANIZATIONMaterial Support
ORGANIZATIONVI-VIII
ORGANIZATIONthis Investor Application
ORGANIZATION