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Print or type See Specific Instructions on page 2. I Name (as shown on your income tax Mum). Name is required on the WC do not have this lee Monk- Ghislaine Maxwell 2 Business name/disregarded entity name. d different from above 3 Check appropriate box kr federal tax classikcation; check only one of the follovA
ed on the WC do not have this lee Monk- Ghislaine Maxwell 2 Business name/disregarded entity name. d diffe
is required on the WC do not have this lee Monk- Ghislaine Maxwell 2 Business name/disregarded entity name.
cial Advisors and Branch Managers I. Investor Suitability and /*A Byline 1101: With regard to the proposed investment of the alogementioned client n the Fund, I, as Financial Advisor so the client, by Signing Wow, coney that I have: :I; informed the client of ail pertinent facts relating to the ,thadty a
SUBS UBS Financial Services Inc. Account Nurnoer Cicnt Fund Investment Application Cover Sheet ALPHAKEYS MILLENNIUM FUND LLC Fund Name Ghblaine Maxwell Account title Ghklalne Maxwell Client Name ACU6 Form ML2,31837 Control Number 102725 Appkation Id ECS-0155002191 III FCS-0155002191 For
LPHAKEYS MILLENNIUM FUND LLC Fund Name Ghblaine Maxwell Account title Ghklalne Maxwell Client Name AC
S. her tote assets rl the Fund. if the Investor was famed for the purpose of investing in the Fund, or more than 40% of its assets MI be invested n the Fund, the Undersigned represent fut each Waled Oster Of the investor be "qualified pacheser"; tra Neither the U.S. Securities and Eichange Commission,
y that he, she or it is both an accredited investor and a qualified purchaser in order to invest in the Fund, unless otherwise determined by UBSFA. MAXWELL Private and Confidential 2 CONFIDENTIAL UBSTERFtAMAR00001139 EFTA00236794 Instructions for Completing Investor Application (continued) D. Qu
lt of an investment in the Fund and. according''', are strongly urged to consult their own tax advisors regarding the advisability of an inestment n the Fund The Undersigned has had the opportunity to seek independent tax advice in connection with making this investment. Neither the Fund, the Placement
Entities connected to both Ghislaine Maxwell and n the Fund

George W. Bush
PERSON
Samantha Power
PERSONthe State of New York
LOCATIONUBS Online Services
ORGANIZATIONUBS Financial Advisor
ORGANIZATIONKeogh
ORGANIZATION
Limited Liability Company
ORGANIZATIONUBSFA
ORGANIZATIONUBS Alternative Investments US
ORGANIZATION
the U.S. Treasury Department
ORGANIZATIONSubscription Booklet
ORGANIZATIONthe Fund Investment Application
ORGANIZATIONQuickCard
ORGANIZATIONthe Memorandum
ORGANIZATIONBranch Managers
ORGANIZATIONNon-Public Company
ORGANIZATIONthe AlphaKeys Millennium Fund
ORGANIZATIONDelegate
ORGANIZATIONInvestment Banking Services
ORGANIZATIONthe NASDAQ National Market
ORGANIZATION