EFTA01384726
EFTA01384727 DataSet-10
EFTA01384728

EFTA01384727.pdf

DataSet-10 1 page 424 words document
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HUESUS133 Alpha Group Capital ADDITIONAL SUBSCRIPTION FORM Hudson Bay Fund LP do International Fund Services (N.A.) LLC 1290 Avenue of the Americas New Y rk NY 10104 Tel: Email: Dear Sir/Madam: The undersigned Investor hereby wishes to make an additional Capital Contribution to Hudson Bay Fund LP (the "Partnership"). The amount to be contributed ("Additional Capital Contribution") is: The undersigned acknowledges and agrees: (i) that the undersigned is making the Additional Capital Contribution on the terms and conditions contained in the subscription agreement, previously executed by the undersigned on 20 and accepted by the General Partner, as the same may be updated or modified from time to time (the "Subscription Agreement"); (ii) that the representations, warranties and covenants of the undersigned contained in the Subscription Agreement are true and correct in all material respects as of the date set forth below; (iii) that the information provided on the Investor Profile Form in the Subscription Agreement is correct as of the date set forth below; and (iv) that the background information provided to the General Partner is true and correct in all material respects as of the date set forth below. Capitalized terms used herein but not defined herein shall have the meanings assigned to them in the Partnership Agreement. For LimitedPartners making an Offsetting Contribution only: The undersigned hereby notifies the Partnership that it is making the following Offsetting Contribution in conjunction with the following withdrawing Limited Partner. Name of withdrawing Limited Partner (must be actual account name): Relationship to the Undersigned: Date Withdrawal has been/will be =do: WIRING INSTRUCTIONS You must wire the payment from an account in your name. If you are not wiring your payment from a bank located in an Approved FATF Country' you must contact the General Partner for further instructions prior to wiring your payment, which may result in a delay in your subscription. Bank: State Street Bank and Trust Company Address: 225 FFrankliin Street, Boston, MA 02110, United States FED ABA#: For Account: Hudson Bay Fund LP Account No: Reference: (Name of Investor) As of the date hereof, approved countries that are members of the Financial Action Task Force on Money Laundering (each, an "Approved FATF Country") are: Argentina. Australia, Austria, Belgium. Brazil. Canada. Denmark. Finland. France, Germany. Greece, Hong Kong. Iceland. Ireland. Italy. Japan. Luxembourg. Mexico. Kingdom of the Netherlands, New Zealand. Norway. Portugal, Singapore, South Africa, Spain, Sweden, Switzerland, Turkey, Unite) Kingdom and the United States. DOC ID • 9978674.66 A-1 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0085198 CONFIDENTIAL SONY GM_00231382 EFTA01384727
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292afa109ca67b7b0b2ea99fc99d7f89dadadccb6e642fbf0afe13e1b19163b3
Bates Number
EFTA01384727
Dataset
DataSet-10
Document Type
document
Pages
1

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