EFTA01358653.pdf

(b) If yes, does the private fund invest in funds managed by you or by a related person? ✓ r NOTE: For purposes of this question only, answer "yes" if the fund invests 10 percent or more of its total assets in other pooled investment vehicles, whether or not they are also private funds, or registered investment companies. Yes No 9. During your last fiscal year, did the private fund invest in securities issued by investment companies registered under the Investment r Company Act of 1940 (other than "money market funds," to the extent provided in Instruction 6.e.)? 10. What type of fund is the private fund? to hedge fund r liquidity fund r private equity fund r real estate fund r securitized asset fund rventure capital fund r Other private fund NOTE: For funds of funds, refer to the funds in which the private fund invests. For definitions of these fund types, please see Instruction 6 of the Instructions to Part 1A. 11. Current gross asset value of the private fund: $ 4,457,000 Ownership 12. Minimum investment commitment required of an investor in the private fund: $ 100,000 NOTE: Report the amount routinely required of investors who are not your related persons (even if different from the amount set forth in the organizational documents of the fund). 13. Approximate number of the private fund's beneficial owners: 2 14. What is the approximate percentage of the private fund beneficially owned by you and your related persons: 1% 15. What is the approximate percentage of the private fund beneficially owned (in the aggregate) by funds of funds: 99% 16. What is the approximate percentage of the private fund beneficially owned by non-United States persons: 0% Your Advisory Services Yes No 17. (a) Are you a subadviser to this private fund? ✓ r. (b) If the answer to question 17(a) is "yes," provide the name and SEC file number, if any, of the adviser of the private fund. If the answer to question 17(a) is "no," leave this question blank. No Information Filed Yes No 18. (a) Do any other investment advisers advise the private fund? r (b) If the answer to question 18(a) is "yes," provide the name and SEC file number, if any, of the other advisers to the private fund. If the answer to question 18(a) is "no," leave this question blank. No Information Filed Yes No 19. Are your clients solicited to invest in the private fund? ✓ r. 20. Approximately what percentage of your clients has invested in the private fund? 0% Private Offering Yes No 21. Does the private fund rely on an exemption from registration of its securities under Regulation D of the Securities Act of 1933? • r 22. If yes, provide the private funds Form D file number (if any): No Information Filed CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0046593 CONFIDENTIAL SDNY_GM_00192777 EFTA01358653