EFTA01354046
EFTA01354047 DataSet-10
EFTA01354048

EFTA01354047.pdf

DataSet-10 1 page 284 words document
P17 V15 P21 V16 D5
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GLDUS183 Dimension Capital Management *** PLEASE CHECK THE FOLLOWING BOXES AND SIGN BELOW *** Name of Fund: Glendower Access Secondary Opportunities IV (U.S.), L.P. ❑ The undersigned authorizes Deutsche Bank to provide the undersigned's Information to the iCapital Parties in order to assist the iCapital Parties to verify the undersigned's identity or obtain other "know your customer" information in connection with the undersigned's investment in the Fund. ❑ The undersigned authorizes Deutsche Bank to transfer funds from the undersigned's Deutsche Bank account referenced below (the "Client Account") in order to fund any required capital contribution by the undersigned to the Fund. ❑ In addition, the undersigned authorizes Deutsche Bank to receive from the iCapital Parties any information relating to the undersigned's Fund investment, including but not limited to all correspondence, statements of account and valuations, at the electronic and/or physical address directed by Deutsche Bank. ❑ The undersigned acknowledges that (1) Fund interests will not be held at Deutsche Bank; (2) estimated values of the Fund provided by the iCapital Parties to Deutsche Bank and reported on Client Account statements provided by Deutsche Bank will be for informational purposes only and may not reflect current Fund values or recent activity; and (3) statements of account for the Fund will be sent directly to the undersigned by the iCapital Parties, and not by Deutsche Bank. The undersigned's authorization shall be valid until revoked in writing. Client Authorization: (If you are signing on behalf of your organization, please ensure you are an authorized signatory) Name: Signature: Title (if applicable): Date: Deutsche Bank Representative Name / Number (if applicable): Subscription Amount: $ Confidential 2 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0038640 CONFIDENTIAL SDNY_GM_00184824 EFTA01354047
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8f47bbf3a15635190086e05bf282fe88befd7412364f6e0005568b80014ffc30
Bates Number
EFTA01354047
Dataset
DataSet-10
Document Type
document
Pages
1

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