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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
PROVAL SECTION - THIS SECTION IS ONLY REQUIRED IF A REDUCED PLACEMENT FEE IS CHARGED TO be completed by Complex Director or Complex Admin Manager as Delegate (if necessary) By signing below you have agreed and accepted the reduced placement fee above in section B. If you do not agree to the reduced place
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
PPROVAL SECTION -THIS SECTION IS ONLY REQUIRED IF A REDUCED PLACEMENT FEE IS CHARGED To be completed by Complex Director or Complex Admin Manager as Delegate (if necessary) By signing below you have agreed and accepted the reduced placement fee above in section If you do not agree to the reduced placemen
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
PPROVAL SECTION —THIS SECTION IS ONLY REQUIRED IF A REDUCED PLACEMENT FEE IS CHARGED To be completed by Complex Director or Complex Admin Manager as Delegate if necessary By signing below you have agreed and accepted the reduced placement fee above in section III. If you do not agree to the reduced place
Entities connected to both UBSFA and Delegate

Ghislaine Maxwell
PERSON
Samantha Power
PERSONthe Fund Investment Application
ORGANIZATIONQuickCard
ORGANIZATIONUBS Alternative Investments US
ORGANIZATION
the U.S. Treasury Department
ORGANIZATIONKeogh
ORGANIZATION
George W. Bush
PERSONthe Memorandum
ORGANIZATIONSubscription Booklet
ORGANIZATIONUBS Fund Advisor
ORGANIZATIONBranch Managers
ORGANIZATIONUBS Online Services
ORGANIZATION
Limited Liability Company
ORGANIZATIONComplex Admin
ORGANIZATIONthe Fund or Placement Agent
ORGANIZATION
United States
LOCATIONUBS Financial Advisor
ORGANIZATIONSocial Security/Tax
ORGANIZATIONUBS Financial Services Inc.
ORGANIZATION