EFTA01354813
EFTA01354814 DataSet-10
EFTA01354815

EFTA01354814.pdf

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GLOUSI25 Gerald Ford Exhibit B FOR INDIVIDUALS INVESTOR STATUS The Investor hereby represents and warrants that the answers provided below completely and accurately describe the Investor. The Investor is a natural person whose net worth, either individually or jointly with such person's spouse, at the time of purchase, equals (exclusive of the value of the Investor's primary residence): ❑ Less than $500,000 ❑ $500,000 - $999,999 ❑ $1,000,000 - $4,999,999 ❑ $5,000,000 - $9,999,999 ❑ $10,000,000 or more The Investor is a natural person who had individual income on the amounts specified below, or joint income with that person's spouse in the amount specified below, in the previous two calendar years and reasonably expects to reach the same income level in the current calendar year: 2016 Income: 2017 Income: ❑ $199,999 or less ❑ $199,999 or less ❑ $200,000-$299,999 ❑ $200,000-$299,999 ❑ $300,000-$499,999 ❑ $300,000-$499,999 ❑ $500,000 or greater ❑ $500,000 or greater The above amounts are calculated: ❑ Individually ❑ Together with my spouse The Investor is a natural person (including a person who will hold a joint, community property or similar shared ownership interest in the Partnership with that person's qualified purchaser spouse) who owns investments' worth: ❑ Less than $5,000,000 ❑ $5,000,000 - $10.000,000 ❑ More than $I 0,000,000 8 For definition of "invesunents." see Rule 2a51-1 promulgated under the Investment Company Act. PROPRIETARY AND CONFIDEN71AL B-I CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0039412 CONFIDENTIAL SDNY GM_00185596 EFTA01354814
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EFTA01354814
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DataSet-10
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document
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1

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