EFTA01451778.pdf

DataSet-10 1 page 349 words document
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SOF III - 1081 Southern Financial LLC D. Authorized Signatories. Set forth below arc the names of persons authorized by the Investor to give and receive instructions between the Onshore Feeder Fund (or the Administrator or the Investment Manager) and the Investor, together with their respective signatures. Such persons are the only persons so authorized until further written notice to the Administrator signed by one or more of such persons is received by the Administrator. (please attach additional pages if needed) Name Signatures 11. Verification of Status as an "Accredited Investor" under Regulation D. The Investor represents and warrants that it is an "accredited investor" within the meaning of Regulation D under the Securities Act and that it has initialed the applicable statements below pursuant to which the Investor so qualifies. PLEASE INITIAL ALL APPIJCABLE STATEMENTS BELOW 1. The Investor's own net worth, taken together with the net worth of the Investor's spouse, if applicable, exceeds $1,000,000.1 2. The Investor had a gross individual income in excess of $200,000 (or joint income with the Investor's spouse in excess of $300,000) in each of the two previous years and reasonably expects a gross individual income in excess of $200,000 (or joint income with the Investor's spouse in excess of $300,000) this year. III. Verification of Status as a "Qualified Purchaser" under the Investment Company Act of 1940. The Investor represents and warrants that it is a "Qualified Purchaser" within the meaning given to such term under the Investment Company Act of 1940 and it has initialed the applicable statements below pursuant to which the Investor so qualifies. PLEASE INITIAL APPLICABLE STATEMENT BELOW I. The Investor is a natural person who beneficially owns not less than 55,000,000 in "investments" either separately or jointly or as community property with his or her spouse. Net worth for thk purpose means total east (including personal property and other assets. but excluding the value of the primary residence of the Investor) in excess of total liabilities. Investor Questionnaire - 2 Confidential CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0108585 CONFIDENTIAL SDNY GM_00254769 EFTA01451778
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EFTA01451778
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DataSet-10
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document
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1

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