EFTA01358585.pdf

(n) r real estate broker or dealer (o) r sponsor or syndicator of limited partnerships (or equivalent), excluding pooled investment vehicles (p) I✓ sponsor, general partner, managing member (or equivalent) of pooled investment vehicles Yes No 6. Do you control or are you controlled by the related person? C 7. Are you and the related person under common control? • r 8. (a) Does the related person act as a qualified custodian for your clients in connection with advisory services you provide to clients? (b) If you are registering or registered with the SEC and you have answered "yes," to question 8(a) above, have you overcome the r r presumption that you are not operationally independent (pursuant to rule 206(4)-(2)(d)(5)) from the related person and thus are not required to obtain a surprise examination for your clients' funds or securities that are maintained at the related person? (c) If you have answered "yes" to question 8.(a) above, provide the location of the related person's office responsible for custody of your clients' assets: Number and Street 1: Number and Street 2: City: State: Country: ZIP+4/Postal Code: If this address is a private residence, check this box: r Yes No 9. (a) If the related person is an investment adviser, is it exempt from registration? C (b) If the answer is yes, under what exemption? 10. (a) Is the related person registered with a foreign financial regulatory authority ? (b) If the answer is yes, list the name and country, in English, of each foreign financial regulatory authority with which the related person is registered. No Information Filed 11. Do you and the related person share any supervised persons? r. r 12. Do you and the related person share the same physical location? r 1. Legal Name of Related Person: GOLDENTREE CREDIT OPPORTUNITIES GP LLC 2. Primary Business Name of Related Person: GOLDENTREE CREDIT OPPORTUNITIES GP LLC 3. Related Person's SEC File Number (if any) (e.g., 801-, 8-, 866-, 802-) or Other 4. Related Person's CRD Number (if any): 5. Related Person is: (check all that apply) (a) r broker-dealer, municipal securities dealer, or government securities broker or dealer (b) r other investment adviser (including financial planners) r registered municipal advisor (d) r registered security-based swap dealer (e) major security-based swap participant (f) commodity pool operator or commodity trading advisor (whether registered or exempt from registration) (g) futures commission merchant (h) r banking or thrift institution r trust company (i) r accountant or accounting firm (k) lawyer or law firm co r insurance company or agency (m) pension consultant (n) r real estate broker or dealer (o) sponsor or syndicator of limited partnerships (or equivalent), excluding pooled investment vehicles (p) sponsor, general partner, managing member (or equivalent) of pooled investment vehicles Yes No 6. Do you control or are you controlled by the related person? • r 7. Are you and the related person under common control? a r 8. (a) Does the related person act as a qualified custodian for your clients in connection with advisory services you provide to clients? CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0046524 CONFIDENTIAL SDNY_GM_00192708 EFTA01358585