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d pay the section 1446 withholding tax. Therefore. a you are a U.S. person that is a partner In a partnership conducting a trade or business in the United Stales, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partrier5114) income. Cal. N
e through a UBS advisory program (rn) Please check the appropriate box below that most accurately describes the Undersigned flAn individual that is a United States Person (including his or her trusts) ❑An individual that is not a United Slates Person (inclucEng his or her trusts) ❑A broker-dealer CI An Insura
S. citizen a U.S. resident seen. • A pannershp. corporation. company, or association created or organized in the United States or under the laws of the United Slates. • An estate (other than a foreign estate). or • A domestic trust (as defined in Regulations SeCtion 301.7701.7). Special rules for partnerships.
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
• a nt or subscriber information form ot in nether document provided by Me Subscriber to the Fund or any of es Alines The Undersigned coteries that the Used States is his, her a its country of residence or principal irtrtul MN; place of business Of undersigned cannot make this overwind,, please talk to your F
de through a LABS ad.-tatty program. ON Meese check the appropriate tor below that most accurately describes the Undersigned. fAn individual mat is a United States Person (inducing his or her trims) 0 An individual that is not a United Sul& Person (including hrs or her ousts) OA br0ker-dealer O An InSuraree
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
s than the Capital Commitment applied for herein. Initial Initial tit joint tenants, both may be required to initial The Investor certifies that the Vnited States is his, her or its country of residence or principal place of business the Undersigned cannot make this certification, please talk to your financia
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 United States and the Memorandum

George W. Bush
PERSON
Ghislaine Maxwell
PERSON
Samantha Power
PERSON
Eric Holder
PERSONUBS Financial Services Inc.
ORGANIZATIONthe State of New York
LOCATION
Mao Zedong
PERSONKeogh
ORGANIZATION
Internal Revenue Service
ORGANIZATION
the U.S. Treasury Department
ORGANIZATION
Limited Liability Company
ORGANIZATION
Meade
PERSONUBS Financial Advisor
ORGANIZATIONInvestment Company
ORGANIZATIONSeaton
PERSONUBS Online Services
ORGANIZATIONthe Commodity Futures Trading Commission
ORGANIZATIONUBS Fund Advisor
ORGANIZATIONSubscription Booklet
ORGANIZATIONthe Fund Investment Application
ORGANIZATION