Article

Status Form


VERIFICATION OF STATUS

VERIFICATION OF STATUS AS “QUALIFIED PURCHASER”

You represent and warrant that the Interest purchased by you shall be deemed to be beneficially owned by one person (or such greater number as you have separately disclosed in writing to the General Partner) within the meaning of Section 3(c)(1) of the Investment Company Act and you have answered “Yes” to the applicable statements below.

1. You are an entity:

  • which is acting for its own account or the accounts of other Qualified Purchasers; AND
  • which in the aggregate owns and/or invests on a discretionary basis not less than $25,000,000 in “investments.”

YESNO

VERIFICATION OF STATUS AS AN “INSURANCE COMPANY”

You represent and warrant that you are an “Insurance Company” within the meaning of the Investment Company Act and have answered “Yes” to the applicable statements below pursuant to which you so qualify.

1. You are a company:

  • which is organized as an insurance company, whose primary and predominant business activity is the writing of insurance or the reinsuring of risks underwritten by insurance companies; AND
  • which is subject to supervision similar official or agency of a State.

YESNO

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