EFTA01386249.pdf

AGP LP 519 Alpha Group Capital Paul Barrett (c) For Trusts ❑ An incumbency certificate attesting to the title of the individual executing the Anti-Money Laundering Supplement on behalf of the prospective New Limited Partner (a sample Incumbency Certificate is attached hereto as Annex B). ❑ A copy of the trust or evidence of its formation. ❑ A completed copy of Annex E. ❑ Source of Funds (please complete Annex A). ❑ A bank reference letter from the Wring Bank or a bank or broker-dealer located in a FATF- member country (A sample letter of reference is attached hereto as Annex F). ❑ United States IRS VV8NV9 form (as applicable). Please refer to the official IRS website, www.irs.qov, for the appropriate form. (d) For Privately Held Entities (other than a Fund of Funds, Entity that Invests on Behalf of Third Parties, or Trust) ❑ A copy of the entity's organization or charter documents filed with the jurisdiction of organization. ❑ An incumbency certificate attesting to the title of the individual executing the Anti-Money Laundering Supplement on behalf of the prospective New Limited Partner (a sample Incumbency Certificate is attached hereto as Annex B). ❑ A completed copy of Annex D listing the name of each person who directly, or indirectly through intermediaries, is the beneficial owner of 10% or more of any voting or non-voting class of equity interests of the prospective New Limited Partner, and the names of the entity's directors, general partners, or members, as applicable. (You must complete Annex D regardless of whether there are any 10% beneficial owners.) ❑ Source of Funds (please complete Annex A). ❑ A bank reference letter from the Wring Bank or a bank or broker-dealer located in a FATF- member country (A sample letter of reference is attached hereto as Annex F). ❑ United States IRS WPM form (as applicable). Please refer to the official IRS website, www.irs.qov, for the appropriate form. (e) For Publicly Held Companies ❑ A copy of the entity's organization or charter documents filed with the jurisdiction of organization or the most recent annual report. ❑ An incumbency certificate attesting to the title of the individual executing the Anti-Money Laundering Supplement on behalf of the prospective New Limited Partner (a sample Incumbency Certificate is attached hereto as Annex B). ❑ The name of the exchange on which the entity's shares are listed and the ticker symbol. ❑ United States IRS W8/V19 form (as applicable). Please refer to the official IRS website, www.irssiov, for the appropriate form. Appendix G-3 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0087860 CONFIDENTIAL SDNY_GM_00234044 EFTA01386249