DataSet-10
EFTA01391501
1 pg
GLDUS124 BBR Partners
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an Indk aka! m Entity that is…
DataSet-10
EFTA01355269
1 pg
GLDUS127 Annandale Capital
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an IndiN aka! m Entity that is…
DataSet-10
EFTA01354808
1 pg
GLOUS126 Gerald Ford
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I ain investing as an: ❑ Individual ❑ Entity
I am an Inth' aka! m Kiitity that is…
DataSet-10
EFTA01390252
1 pg
GLDUS138 Ian Slome
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an Ind al m Entity that is…
DataSet-10
EFTA01355514
1 pg
GLDUS141 Greg Martin
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I ant investing as an: ❑ Individual ❑ Entity
I am an Inth' aka! m Entity that is…
DataSet-10
EFTA01394317
1 pg
GLDUS129 OF Enterpnses
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I ant investing as an: ❑ Individual ❑ Entity
I am an Intik m Ent…
DataSet-10
EFTA01394712
1 pg
GLDUS140 Lawrence Hirsch
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an Indk aka! H Entity that is…
DataSet-10
EFTA01392167
1 pg
GLOUS144 Glenn Warren
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an Indk aka! m Entity that is…
DataSet-10
EFTA01389897
1 pg
GLDUS132 EverWatch Financial
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an Indk aka! m E…
DataSet-10
EFTA01390912
1 pg
GLDUS113 Cliff Meg
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an Indk alma m Entity that is…
DataSet-10
EFTA01392531
1 pg
GLIDUS128 Patrick Gerschel
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I ant investing as an: ❑ Individual ❑ Entity
I ain an Intik aka! m E…
DataSet-10
EFTA01354380
1 pg
GLOUS143 Henry Nicholas
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an Indk aka! H Entity that is…
DataSet-10
EFTA01393721
1 pg
GLDUS131 Bright Group
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an I niliN aka! m Entity that…
DataSet-10
EFTA01389470
1 pg
GLDUS133 Georgetown University Endowment
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an I…
DataSet-10
EFTA01391834
1 pg
GLDUS142 Ironsides Asset Mgmt
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I ant investing as an: ❑ Individual ❑ Entity
I am an Intik aka! m Entity that…
DataSet-10
EFTA01451777
1 pg
SOF III - 1081 Southern Financial LLC
INVESTOR QUESTIONNAIRE FOR INDIVIDUALS
INDIVIDUALS: Please complete Parts I through VI of this Questionnaire and then proceed to
"Form PF."
1. General Information.
A. Investor Contact Information (al…
DataSet-10
EFTA01355519
1 pg
GLDUS141 Greg Martin
Exhibit B
FOR INDIVIDUALS
INVESTOR STATUS
The Investor hereby repre…
DataSet-10
EFTA01354386
1 pg
GLOUS143 Henry Nicholas
Exhibit B
FOR INDIVIDUALS
INVESTOR STATUS
The Investor hereby re…
DataSet-10
EFTA01389903
1 pg
GLDUS132 EverWatch Financial
Exhibit B
FOR INDIVIDUALS
INVESTOR STATUS
The Investor here…
DataSet-10
EFTA01355075
1 pg
GLDUS126 Pacific Life Insurance Co
Eachprospective Investor is required to complete either the column titled "ForIndividuals" or the column
titled "For Entities -. as applicable.
I am investing as an: ❑ Individual ❑ Entity
I am an Indk aka! m Entity…
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