EFTA00238078.pdf

Revised 2/12 UBS wk,:thn. Please return this form to I Alternative Investments US - Additional Subscription Form your Financial Advisor ALPHAKEYS MILLENNIUM FUND LLC The isidenigned hereby wishes to cortnbute additional :spited to the above-named And (the "rune/ Please tndicate amount of addrborut capat contribubon n USS the undersigned contain that the amount contributed is tavastent with &refund's minimum additional investment requirements The uldlrured edravledgeS (* that the undersigned is making an addle:ear capital contribution on the arms and conditiorts contained in the Confidential tannorardurn of the Fund piercusly recited by the undersigned, the govemerq documents of the Fund as asiently in effect and the Subscription Agreement of Imestor Application prevoudy executed by the undersigned and accepted by the Fund (the 'irwestor AdOkalar and (a) that the relareseltationS and ffkarnbis of the undersigned conteined in the Investor Appir.atean se true and correct in an respects as or the date set lath below n addition. the undersigned acknowiedges that a placement fee of 2% of the capital contribution will be charged d the urderiagned nests though a bickerer account Honest'. in Wad circumstances the placement fee may be wined by UBS Financial Services Ira , as placement agent This placement tee is in addition to. and wal not reduce, the imderagned's teal comnbubon THE UNICIETtSiGNED AGREES TO NOTIFY THE FUNO PROWTIN SHOULD ma BE ANY CHANGE IN ANY OF 11* FOREGOING INFORMATION. the investor hereby aarcallel the debt of funds for the capital contrembon, plus any apphrat* placement 're, grid any applicable amount required to satisfy a tor, "Pupation of the f rd By signing below the undersigned acknowledges, represents and egress that: (a) it hes tarefulty read and is I amita with the Stator Application and the Fwd's governing doownerts ntectrvely. the 'Agreemente). including the pm-dispute arbitration clause which appears in the Agreements and a hereby confirms that with to the information worried by UBS F instal Services Inc. regarding the undersigned's portrait heed at UBS Finencial Services Inc.. the WIMInlient objective and ink profile appficeble to the investment in this F tend we respectively. 'capital appreciation' and *aggressive' end that this objective and risk profit is efface,* only to this investment and may differ from the investment goals and risk tolerance for the overall portfolio and the brokerage nowt In sits this lewesement Is held lie Signteca elleni tp x Hin Wares •• arise 1 itOn 3- ti-ts Monne era Were *0 e re tort LI c.In Alf rie — 'in a Mean weir For Financial Advisors and Branch Manages I. ti tan Sultablety Era WA bytes 1101: Att. -era ,c4 re ;neon evertrn of nit etornentreol cent e me Fund, r, as tend Achreor ton C*'L Of Wong becw. certify earthier retired the cant of ae pennen facet fern; to the halt/ ant transaarabary or re rare. eating to cogition to waintan steward recoecety to awn ongoing carter apes I the rl.ind has a u045 cal structat on polentair ital react end that ea errelemene reW tread It carts *AS host• 2 reachable ;owed to Ware a' the bays or rnannatr Ottered :torn its or ....iv re Orton ape, onweirrnt dopective4 arrant eat fret are. net sot. fire* Sotiatir and need,. Ocher troeslevientt aryl any Oils ortOOnfiKee kits: by i.e. onClur9 7* aide Cao that a are had berg iutaated to 4 nUIDID and approwiss nor Mr cure re, the dont reels M asicatee inns= meet nat relit fried inn rd omw OblInn Valet? camas. c: the dirt can rew.c bone Withdolia 'etc NW re -ad ta beet.A aceleabei Franey fund wed an re *ern swots postal meat mann obircan and ocrdollosertate. • we Cell cies tear me porn rib al to nenvnier n the rune e, to Cnenfi ger an. cannon oat Het tin feast of the areserent and t. !recent wows to Mn an umisrearelrg to esenturnata ran of the Fine irading OW to cant may km ho a her why envestivitia. •. the rear Cons an die Cored) and liaratratrae c0 eee hot. h are hateasound end theiehCalechs Se sparschsr and investment rnenareatt CO re Fug, area V Me tar ccracearces wan resat a an street et to keel 3: °awed a raid a-c raty comae:el Fm w-9 a we as winos. cr sacrum torn threw, sapid 4pciar seas or pier, by to Oro and rhea properly braced um tom a He pursuer. .o enamel cosy. ani Confine& van reason*t due hairy. inclalra my fere d refront anCient iscav icatcn. tad de ones iivinelatceri proadad ir to PICA tray '01 Cinema, ,d agicabie Regarcte, item lib 40001. in the yet teat the curt is in entry, wch as a Part a par.rtetAP Wee don rat ern meet ore ifiner4on OWPSIMEnt reginenenn ' feel a nte: *UM I Kr aSVICSIOCI team de emeoprat parts .s6M as St dery sti-aree or greet pa tai WW aa of to atm s benefice Oren Meet mere requesernerts Wa ths arestment result in to cart twang more than 30% at ha re teeth at inhoenced al CAI se Arras estimeett, 0 Yes 0 NO M vying ear& dr ore: raged ca earawer mat to ate aged 'nowt secs, of healer Oael knfordge that to I Conetnien OcCufneeds ere ken perws.66 deivenel to to mew. ▪ Inertilor Quire: Won to 0ftitone Fund altering. Wet nave ntermo 'Corey Cuaticatons* append .0 Ye Mitiorarosh a Stars* aerwnwit re on fry apple** ,d'or'mant to eh Dircrandurn a net ton. e the eileroKteit Cal thf as invent, anal OPM‘y Thai Newt Tara 7064•0110 WAY* /10 Ye den 4 greet et re 4•4 Of its catty Of fornne. a &noon Owen. to nn on the had in addax. dead/rag that r run( 4 Arir nerve fro inenancf be eves aye Road aOTR ran sow ec fora a iiternatve hiestments. fa earn °array crafts-Pr the finebni Atop nests to coulan vas border Orrin ad 1 ante (atm tat : haw reamed ~stand and red forroled tor es woltatiesOnt CONFIDENTIAL UBSTERRAMAR00002522 EFTA00238078  Foam W-9 any Oseember 201is Request for Taxpayer Give Form to the requester. Do not Orporererr al Me Treaty Identification Number and Certification send to the IRS. mime Rose Sena I Nan tor Yawn On YOW nXimIt tlic S14 Ilin a requnal on tha Ina. 6o not So Mr any bin Ghisloine Maxwell 2 Ettamasa nerna~lact fl y norm, Pena Kw Man na t 3 Own apwoonta be tot ail tax clailicalina Mica OM WS 01 Ma tolomma err bons 4 Eyampbona 1606c• WM ray to Star• ~S. not «Wawa its• 8 p fr crooner a 0 3 Cower^ 0 Per O Urinate ~s alen gas, w s role-moitter LW Emma Mee eode et RIO i O Umattal bete, company Eno Mr I» classiallon 'Cue as S-S ~et on. Papertrernsfr &roar from FATCA ~two ti I ROM Fe a anyarmaintat LIZ mere Oersted. do rat etecit I-lc; Chock the ~Otago bon in IT. LW Art* kw the taPreircaron of the~awake OWer Ø (A not) 1 a Othir (OW nalructtora) a news u mmna «sew nam ...is, 1 tt Adams frairts. Orwt. ar alit a n03 ~eft ~Tr en5 ~on ~co. , 6 Oly.ille ono ZIP coot ol 7 Lot account ~MIR hen Mannai rtaiNgror Number (TIN) Bede' steri niras • Ens Your Tri n the 10010pnate box. The TIN proinde0 must mat& Me WA* Wren On rill* avoid bleb» tothholtirs For ~Miele rawer your sots security number r3S21). awe. for a regent air. sole ~St or ranaproso nay. see the Part 1 instructions on pipe 3. For other enetea layout ~We icientificabon ~Ns (EIN) It you do not narre a number. sele lbw byer a TIN on pegs 3. Or Not. If the account 15 en malt then one name. see the oat/ix-tons Iø unsling the chart on page 4 Ice I Iss5505.1~111115/110n winter ~Ones on »ton ~be to sear. II.•• • II Certification Under perelbel of bedunt I certify that 1. The number shown on dros from/ reel taxpayer dentetcatton madet ins lent watthy 101 a %MOW to be Mated to Ma) and 2. I an not *fleet to backup eigtitol6ng biallubt WIWI exempt from backaap withhokfing, or it:Ones not bee' nettred by the internal Revenue StrAC• ~flair subfett to bickup withholding a s net a s faits, to report mg interest ordrifidenils. or to) the IRS has notified me that I am no longer subisct to backup with °Orig. and a ism e U.S. otizen or otter U.S. parson ldiffrect begs), aria 4. The FATCA codes) stand on des tam Ill any) incicabnialhat I arn ~mot from FATCA ricatirmi o comet Cedar bon Inetructions. You must CIIRIS out ern 2 above t yo• mar ben nOti040 by the IRS U.S you are arently sØ to backup wrthholding barrute you have freed to nest all linnet and ~clerks co you tax ram Fa reel estate transactkene earn 2 don not abbey. Fe medgrya interim« Pi" 10:PASAWn a abandoornirt of seared properly. cancegaton of debt, corergiutions to an Stdivetual robremeat arrangement ØRN. and genersIty, payments other dividencle )Cu ere not risairr to sir the oarraiton. Ø you mus ontrade yeas correct TIN. See ens nstructiOna on par 3. J ude General Instructions aia —3* Oates > 11 - I ti • Earn IDA *Nome mormis .terra 109/3-E tauten Iden ~WO 109ST Rumvit Secton minnow we to th• vra.nee Rann Ca was ohm« mein • eons hige-C ~am moo %Sun dinloyermnba intomag+ Stout Ontantrontit anyclang Own WS lauch • Form ICGO-A lama a seteomen of ØaØ a ~con neon alas as ranao it) antra nocrn7a. use Finn W-9 onn it you are a U S pawn ativinjo niflt Ww4 Purpose of Form ponza you, ccnct Tit M ~at a wily Form 1.14-1 nopactw) Wm* Ø 10 att an ~mown • >ou cto rot nem Form 14-9 to VW MILS wan • 73‘ Kw ens« Oa ~et ensue aen Ma IRS mat own as coma tiap/Fic denritaton lamt Rae pacisay intivicdchncs Sr 1~ Is ~Sae wenclictinp, on pay 2 etch mer be your acme torar ~We SM. tfill tearer as, By wrap sur ~out tom. yov rumba r1147 alcobon ~We antIat,on number t/4704. a enWetot I Cechy ear Or 7171 you we rap s ocean Ca you an leg bra nu me øsetan runty Wink to cat on an ~to naurn tir groan recti to be emus& vow or other amount ~Octal, On a' ellotnein "Awn Erwin ot enorrnotsxt Muni efla. Out a not wise to, de ~ens 2 Comfy set you an rot anti to WonoO •enwitang or • Tono 'Meat (erna Wrert a Ow» 3 Cam morction tom ~op d you an sa S wog pew a asOcatde you an abo ~erg met ant., peste. yew Saab* we of • Form I Olge•Cei tamlords. meting dose from stooks or 'utis haw am ~wen income from • U.S tritiCelal s not salar to pup • Er I0011-11•EC MMus types of Ø. omit non a Won Proust "tin% Isr on knew Ina ern of ~vs/ ocorecod nØ. tro • Form 109D-B OWL or enes lit erns WC moan amer trenseeeen by 4 Cothfy ett FATCA ozatni SSW On Oa kvm f anytindcatng that you n (surmen) weep from es FATCA rermo, s Doer Sr YAW is MICA orpoorigv on • Fenn 10~ bølita tram reel eras transact/OM re 2 tortures Sewn • Fan, 109124C latechwa Cad WO Or pry network vaniactone Cat No teem Fem W•11) Sett 12-20141 CONFIDENTIAL UBSTERRAMAR00002523 EFTA00238079  Form W-9 I fkey Decternbar 20144 Request for Taxpayer Dån Fonn tO the npulader. DO not Clowerara or Ni Treskry Identiflcation Number and Certification Mnd Ut the HIS. sms Rawror Samoa 1 It tea ~an eat mr ~tea nare Neo a matta cr, Uta tnt 00 Fea bora arlfinntwa DhiSSItle wall 2 Burns nernetlaregerded *fly raa a art from Sve a t c 3 Chsok apptopren Coa br heat tim derainceon. ~It Oref ore or tro be:~ »an etsa • Exa/ti:Mfl koala KØY ora tO ~n rna ret ramduara ••• a n Indarduelole or • C Corcrabot D s Gene 0 Ostronrw Chbatrootate renn or pc, i i planbal ~Ny corroirry "C Eau the ta clatericaten IC•C °Sak Nels. For • •••91•-neelber 5-4 ttetS VM a dringarOeCt cki rot ~Ur LI.C. Sak re ~ne» napenresha l• b» n the lin• rane lo Esorra patta COde er any1 Exantriton /re Farta ~na Nei tak obertrabon S dr einøfrfnentior oarar Cra tr el i poehe Ilt► Ør» trearo:banal a sia. • ..........~.•••• us: I 0 lea fl at Mroit *C a or sa nO) Reorat• nes and etes loonzad a Ory. atare are Do coris b Lat ~ra ~bene Mr* YobortY0 Town« klontiflcation Nuntius' (TIN) Enter yOur T1N 8/1 9‘11 Wertørial boa. Ule T1N prowded mutt match tt» nevne gan on kne 1 tO avOtti ,sekelsena mant • tata) vatraceding For edet*. OS a ptollirailty Mer soar mecurty ~Der (SSP4). Howetrer. fOf • reilant Sr ION prOpnEttOr. Ca OrnegIMIKI ontity. Ni» th• Part I instrucbord on paps 3 For otte Sea lt ta your emoloyer tdentidadca not», CEB.6. K YOu d0 ng herra a nurnar. ae Now to art a r/N on gags 3 Or Natt K the aCCount 4 a more time or» net alls tber ~motett lOr alarm] the Dart cet moe • tOr t ar latmelloarion neabar budeia» on obo» maite 10 entr- _IT P.trt I Cortification Undir parres ot pertury. I ~tty that 1 Itte fontar Yle" on ^b tomt 1 ray contra tagsyr dstfacn ^Ca tOr i am wattog tora numne lo te ~ad to MOX fl 2. I an not sublect to backup wahholding omosa Wen" snara trom backup ~okt"; or Minere nøt beden rotans, by the internat Reina Serva (AS) etat i am snett to baki» athhokkr» asa nitrat Satset.» ro report ali and or dadenda or (c) the IFIS h» ~rad ren Mat I an no bonger ambar* to backup wethOldeng and 3. larnaUS otten «otre U.S. mnal Samd bisart ard The FATLA code(s) ~reg ce ties Sr. St are indicatna ~tir torlpt trOrn FATLA ~reg 4 CareCt Celatatabon Inetructione. You ~I «ot{ out torn 2 Sous it you bie tan notes, by ro SS mat you are arnwty 'ubedt to backuP tattnnaran2 ~au» Mu hare fatal to mat S fl ens end dedendson yta tas raten. For res state transacoons. item 2 0014 not aptSy. For rnOrtgage ~watt art aaltatiben Or ablendalnent at »curler prOperty. cardelatton d cletat COntrlbuthertS tO Ln naeaS »emment arrangement ORA). and 9erter /tty. panela ottor are ~ords. su ere ret musea to or the ~herd& Out yOu mot prove» your Orid ret Se» the ristnA.-ttonts on pir 3. U t..- U.S. "" 3 -n- i ur 10964 General Instructiona • Fant 109e Pan/4s~ Ø reenrs0 1096-E tructera br anm. Sera tatincia iss to Na aner Ante Co» une» oren rotta • Form 1099-C (C9PC~ dit Niks derelogaiments blarnaban atalt dirscaiwn allkop rer W4 oNal • Far" 1099.A trockeerhon or ~rave of ~rad Pm:~ ss topeason anno Ster at ne er) • al trnspormat Ur» Fant W-9 0«y t paa ert a in »non (skare a rakst arm" to Purposo of Form son» tos onn TN An wnlvnia Or ~ly Fonn IN41net obo o nirlurira b ti an traorrnitan fr tat do rot am hon W-9 lo ten regn artar» pm teflis a ~cf natart wert the Æ» near cash your sena tana« ida~on lo ~p enthnoldng Ses bra • »Sup atienortanp? on pre 2 ratar CF" anch my br rat rarel »ora rurror tæ". ~flir ~ene Sa Be banna ba t9Fdwl kven. you ~or ST« noten ~eg dernesce matte tåra «Ø 1. tatery mer ma ra ro) am arffigacommt la you re maisag ler • rine deineetcriam meda rE1N). to report on an •110nTioPon Sen Ne raud red lo to be are» Mo. «Ø arroure ~sta» on en nannatort Mure Esaniee ot Harme renes aka be ar• ra ~Yd 10 kw bleng 2 Carta the you r• not suter kr backup rall~. • Fornt IblikiNt (k.ar.l nare Or park 3 Cern ructon *om backup yre ar• • u $ nala arre• »Ørt* mu re sura artaing mr ot • U9 Perla Your rostatre ner • Fono 1099-Gin ~enda stang Na» *om ~as «maur knee ena pertnenrid ncorn• torn a U S Na» or banes a not best to ta • Tam scee-mc9C krarlou• tRtee ot enn. Ø Stellk «Ø Lata abiradre tro on loner penneris rus a acerrety corracked mon .ro • Form 1090-6 btock or rna» kad sak» ard ~an ore Innuctons by • terta mr Farta »date rand an IS Sr ' Yl ren S4 AM Erobre narra torn Me FATLA ~eng. a COMK1 Sla att FATCA ang? on • Form 1099-S ems% am real ene siyescbsa sat 2 lor Ass iraormatton • Form 1050-K ten/tener* ora rid Ord party neon knee C« No 1023111 Form W-. (Ra 12.2014) CONFIDENTIAL UBSTERRAMAR00002524 EFTA00238080  Weactr Revised 2/12 *UBS marhsorrnerg Messe rotten this form to Alternative Investments US - Additional Subscription Form your Financial Advisor ALPHAKEYS MILIÆNNIUM The untlefrigreed hereby meus to contribue «Menai capital to the etevenamerl fursd (the 'furie". Messe indien roue ol adeldenal captai t ontributen n USS Tre uremagned content Nat the amant cOntnbuted n consistent vert the tunes nana-nom addrbone rtrestrnere requeements and tonetom Ccntened ra th Confidentiel the undeesseril ailmmerfedgel (0 talt the underugped rs mea; an addtenal capte contribubon on th terms the Sularepten Agrainent Or teemOrandurn of the Fund premously mener by the undersignel, ee raterai) documents of de Fund as «rend! et *11,0 and ketcuted by the undereigned and accepted by Ne (und !the 'Mirer Apparation':, and (n) flat Ne regeseitations and warrantes of infeste Appikation periously are eue arid cette e at respects as of the date set tore bec« reddition, I« wileiReed atbeitridediles the undervgned contait« in tal rasta Application in Fenited ortunntance the Nat a placement tee of 2% of Ne captal contribuer ri be (Perd d the undenegned errent througes a bokrage acCOunt Haves. and will net redut,. Ne eidersignees captal placement tee may be raine ty UGS Finance! Sirotes etc., as placement agent. 1M placement tee es tri adepte ro, cents belon TIE UNDERSIGNEO AGNUS TO NOM THE FOND PSOSIPTVI SØ /HUE SE AMY CHANGE IN ANY OF THE FOREGOING INFORMATION. embatte amOunt caudal to satrtfy a tas the verte hereby authetzes the dete ot lunch for the captai contnbutron. Plus any aistskele Pace/tient h. and any oblegaten of the F und faines with ene livrent°, Application and ei spin tara the undererect acknoveledges. r•ortsants one sors dat w it tus cerefulty nad and is lunes goverseng documents (coactively. the Agreements,. ØN the precasputa arbitratlon demi rends webers n th Agreements and the respect to the edormation mantained by I1dS Ferret Services He regarding the under 's pandas nedatUITS (b) t Meer/ confines tlet with "capital appreciation" and Financée Services let.. th investment °bectes and rusk profile applicable to the ereestrent n tal aud are repettively. the mentirent goals are rek testante 'aggraves» and Chat the objective are risk profile is apparues arry to tes kweitrerest and may Certes Pen for the oser partielle and Ma tos sa. account n Midi tus Investment is Mn For %& .S »Mors and anones Managers forMobIle on0 OUA OMM 1101: • •tØ to ch rocOild orner or th arementera cent nette I. IN r(*a nèfle 30 the art Or »erg oser canât rat art ?Ponta de dent of ad sentent :ace tan; lo ttr Ispaty and voroberabbry d the ho* tete.; var ottgeon e morue surfant knery to mer aber.; cent cati ro ha he a capa cal Øve' en certain non mea rd Mit the marna mag man de <brin future Icsarty. °Para bons the dal canocrnri; te danse, marra cacha emmena tanne, are. net ne/enter para ici bave m re can d n1'Ø Acre, Rural «rem rd rire. crie ornements ard arry artr rems Man orre. rcerg de atterra C Ae ai iN Ne Arden wesebect for n retable end weepree tendent. ttil Ne erra iree al apeure, rneernum «Crne re net tee esses ve ere oncle ktrber SUreare an N;) ee CSN Cet otaltriabbr Nere'l edurn9 ah rØ tal ana a appecater en, rie lutta base ee cents Pourri& Positron, cane assirent opimes rd °cade enslut. (6) ete dall Un trer ee Kehrh the Dr Ine nonne in tar Fure tel uteelene 90/e et (Chah toet et lene erre CI drenteere and Cf, te Cher enanes t hie an tedervano n; d fe filtrent. 'ire te !lit :talong tnif ?e hm mag eh h Cr her ter( internera di te teseetcris ai et trouera an* transfeatety of de kilo. Pur the tançait and readcarn dor rornes, and rennes mannite ai de trid. end le the tatersequerces rem mixe to an meurent e the Fumt, Parsy date abrita • ad ni chly cirera tam W-9 a ad a, as erece., cr stase toen thro. saga urger pentes of main ty et dent and i ha parts ram Catfrefailreent Io mimai et petit. W a. &e narv. r&CkN ny Te* 0I netet «met aohnenutsce. Tat te cura reartsereatons ramas n ter te A Sytan 1101 tnnen nee Wei nestte Certdcaters «ace* Sue it ne Itepartmg certs erre ri kir are de the cent n et regs sue-influe a partnennts, tMt ais rot ad Mie Ire herrum enetere rernblereene reetameres Vere e hoe asterened from or aporanate parties futt as th dent*s ivette or genre cette ne al me mes otretoo cumin rire MM es neurrent fo ces océan met nn 30% ra re m verm as en:rte ce CA1 e Altman matants, Yes ❑ No D eat nt Ases rames *sont% nar Wen preecue, ly paner terre Ne ardeurs rr renommes ret re undeveed tross deetry or Meer Mn &rostre* Stara es ee mes ▪ lait« osollaelke one. nad Ofeangi One en/ aposeer kepensent po dr reercranam or set luth ri de I hm ara...este 'Con, Owerceces • entre> k dr larcrafeur or l'aune= Agnan: re n -rote eie Aret cotan of radera, n descnbid ara, to tauctions on the LØS roba an t cert'y rine manade rounds es ben Inat Pet cam n quitta nei tire Fund In a00edu e a attal FrlarN å AelOr, Mye* and salure de eades d re Wth tee.< las on errera mettants. to- rem sitt tre apptcabe *Chi conrpr. Net, the *One estas to comtxt rem ocra ber«, fl ow«, tordent TX à hm, illmeael orna-stand ah Pen compte CONFIDENTIAL UBSTERRAMAR00002525 EFTA00238081