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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
lient is correct and accurate. 11. Investor Qualification for Offshore Fund offerings only I have reviewed the "Country Cuaifications° appendix to the Memorandum or Subscription Agreement and in any applicable supplement to the Memorandum or stet forth in the instructions on the UBS Intranet and I certify tha
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
he dent is correct ano actuate. It. Investor QuallfkatIon foe Offshore Fund offerings only: I have reviewed the 'Country Qualifications" append to the Memorandum or Subscription Agreement and n any applicable supplement to the Memorandum or set forth in the irntruchons on the UBS intranet and I certify that I
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
ent is correct and accurate. II. Investor Qualification for Offshore Fund offerings only: I have reviewed the "Country Qualifications" appendix to the Memorandum or Subscription Agreement and in any applicable supplement to the Memorandum or set forth in the instructions on the UBS intranet, and I certify tha
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
lient is correct and accurate. IL Investor Qualification for Offshore Fund offerings only: I have reviewed the -Country Qualifications" append& to the Memorandum or Subscription Agreement and in any applicable supplement to the Memorandum or set forth in the instructions on the UBS intranet, and I certify tha
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
ent is correct and accurate. II. Investor Qualification for Offshore Fund offerings only: I have reviewed the -Country Qualifications" appendix to the Memorandum or Subscription Agreement and in any applicable supplement to the Memorandum or set forth in the instructions on the UBS intranet, and I certify tha
Entities connected to both UBS Alternative Investments US and the Memorandum
QuickCard
ORGANIZATIONthe Fund Investment Application
ORGANIZATIONSubscription Booklet
ORGANIZATION
Ghislaine Maxwell
PERSONBranch Managers
ORGANIZATIONKeogh
ORGANIZATIONUndersigned
ORGANIZATIONDelegate
ORGANIZATIONUBS Financial Services Inc.
ORGANIZATIONCollective Investment Account
ORGANIZATIONNon-Public Company
ORGANIZATIONSocial Security/Tax
ORGANIZATION
United States
LOCATIONThis Placement Fee
ORGANIZATIONUBSFA
ORGANIZATIONVI-VIII
ORGANIZATIONAl Investor Service
ORGANIZATIONthis Investor Application
ORGANIZATION
George W. Bush
PERSON
the U.S. Treasury Department
ORGANIZATION