NOTE: Unexpired Photo Government Identification should be provided for all nonresident aliens, along with an IRS Form W-8BEN

NOTE: Unexpired Photo Government Identification should be provided for all nonresident aliens, along with an IRS Form W-8BEN

Please review your information above and the Subscription Agreement in its entirety, and sign below. THE UNDERSIGNED REPRESENTS AND WARRANTS THAT THE INFORMATION PROVIDED IN THIS INVESTOR INFORMATION FORM IS TRUE, COMPLETE AND ACCURATE.

The legal address MUST be a street address. A post office box is not acceptable for a legal address. A legal address is the person’s permanent residence address or, in the case of an entity, the place where it maintains a physical presence. For those investments by nonresident aliens and foreign entities, the legal address must be the same as the permanent residence address listed on IRS Form W-8BEN. NOTE: To help the government fight the funding of terrorism and money laundering activities, federal law requires certain “financial institutions” to obtain, verify, and record information that identifies each investor. When you invest, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask you to provide a copy of your driver’s license or other identifying documents. The information you provide in this form may be used to perform a credit check and verify your identity by using internal sources and third-party vendors. If additional space is needed, please attach a separate sheet.