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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
duced placement fee above in section In II you do not agree to the reduced placement fee, please inform the branch who is responsible for contacting Al Investor Service Call Al Investor Services at (888) 962-3842, option I, sub option 4 for questions. Pint Name of Complex Director. Complex Director Signature:
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
reduced placement fee above in section If you do not agree to the reduced placement fee, please inform the branch who is responsiple for contacting Al Investor Service. Call Al Investor Services (800) 580-2359 option #1 for questions. Print Name of Complex Director: Complex Director Signature: Date: (MUST BE
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
ced placement fee above in section III. If you do not agree to the reduced placement fee, please inform the branch who is responsible for contacting Al Investor Service. Call Al Investor Services 1.888) 962-3842, option 1, sub option 4 for questions. Print Name of Complex Director: Complex Director Signature:
Entities connected to both the Memorandum and Al Investor Service
the Fund Investment Application
ORGANIZATIONSubscription Booklet
ORGANIZATIONBranch Managers
ORGANIZATION
Ghislaine Maxwell
PERSONUBS Alternative Investments US
ORGANIZATIONQuickCard
ORGANIZATIONKeogh
ORGANIZATIONDelegate
ORGANIZATIONUndersigned
ORGANIZATIONUBS Financial Services Inc.
ORGANIZATIONInvestment Company
ORGANIZATIONThis Placement Fee
ORGANIZATIONCovered Broker Dealer
ORGANIZATIONCollective Investment Account
ORGANIZATIONUBS Financial Advisor
ORGANIZATION
Limited Liability Company
ORGANIZATION
the U.S. Treasury Department
ORGANIZATION
Samantha Power
PERSONUBSFA
ORGANIZATIONSocial Security/Tax
ORGANIZATION