📄 Extracted Text (492 words)
SOF III - 1081 Southern Financial LLC
3. Is the Investor a registered investment company or a private investment fund which is not
registered under the Investment Company Act of 1940 in reliance on Section 3(c)(1) or 3(e)(7)
thereof?
Yes No
(If YES, proceed to the question 3(a)) (If NO, go to Question 4 below)
(a) If the Investor answered YES to the question above, did any of the Investor's beneficial
owners acquire their interests in the subscriber on or before April 30, 1996?
Yes No
(If YES, proceed to the next question) (If NO, go to Question 4 below)
(b) Have all the beneficial owners of the Investor's securities consented (as required under
Section 2(a)(51XC) of the Investment Company Act of 1940) to the Investor's treatment
as a Qualified Purchaser?
Yes No
4. The fiscal year-end of the Investor is
(Month/Day)
VI. Verification of Status under ERISA.
By executing this Subscription Agreement the Investor hereby represents, acknowledges and covenants
that the representations made in Items 1 through 5 below shall be deemed made on each day from the date
the Investor makes such representations through and including the date on which such Investor disposes
of its Interest in the Onshore Feeder Fund. The Investor understands and agrees that the information
supplied above and in this Subscription Agreement will be utilized and relied upon by the Onshore Feeder
Fund to determine whether - Benefit Plan Investors" (within the meaning of the Employee Retirement
Income Security Act of 1986, as amended ("ERISA")) own less than twenty-five percent (25%) of the
outstanding Interests, both upon the original issuance of the Interests and upon any subsequent transfer of
any equity interest in the Onshore Feeder Fund.
1. By executing this Subscription Agreement the Investor hereby represents and acknowledges that
for purposes of determining whether Benefit Plan Investors hold less than twenty-five percent
(25%) of the outstanding Interests, any portion of the Interest held by Controlling Persons that are
not Benefit Plan Investors will be disregarded. The Investor acknowledges that no purchase of an
Interest by or proposed transfer of an Interest to a person that has represented that it is a Benefit
Plan Investor within the meaning of the Plan Asset Provisions or to a Controlling Person will be
permitted to the extent that such purchase or transfer would result in persons that have
represented that they arc Benefit Plan Investors owning 22% or more of the outstanding Interests
immediately after such purchase or proposed transfer (such percentage determined in accordance
with the Plan Asset Provisions). "Controlling Person" as used in this paragraph refers to a person
who has discretionary authority or control with respect to the assets of the Onshore Feeder Fund
or any person who provides investment advice for a fee (direct or indirect) with respect to such
assets or any affiliate of such persons.
Investor Questionnaire - 8
Confidential
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0109157
CONFIDENTIAL SDNY_GM_00255341
EFTA01452240
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EFTA01452240
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document
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