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Investor Qualification
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First Name
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Last Name
*
Phone
*
Email
*
I’m an “Accredited Investor”
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*An individual will be considered an
accredited investor
if he or she: earned income that exceeded $200,000 (or $300,000 together with a spouse) in each of the prior two years, and reasonably expects the same for the current year, OR has a net worth over $1 million, either alone or together with a spouse (excluding the value of the person’s primary residence and any loans secured by the residence (up to the value of the residence)). See other
qualifying rules
.
Yes
No
Investor Type
Individual
Family Office
Institutional
I have invested in: (check all that apply)
Stocks
Bonds
Real Estate (not including primary residence)
Hedge Funds
Private Equity
Venture Capital
My prospective investment level is:
less than $100,000
$100,000 to $499,999
$500,000 to $999,999
$1,000,000 to $4,999,999
more than $5,000,000
Legal Acknowledgement
*
I understand that this is not an investment offering. Investment offerings are only made to qualified investors via a confidential private placement memorandum
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