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INVESTOR CERTIFICATION
Interests will be sold only to investors who are “accredited investors” (as defined in Rule 501(a) of Regulation D promulgated by the SEC under the Securities Act) and who are “qualified clients” (as defined in Rule 205-3(d)(1) promulgated by the SEC under the Advisers Act).

Please indicate the basis of “accredited investor” status of Subscriber by checking the applicable statement or statements. Subscriber is:
 
A bank, as defined in Section 3(a)(2) of the Securities Act, acting in its individual or fiduciary capacity.
A savings and loan association or other institution as defined in Section 3(a)(5)(A) of the Securities Act, acting in its individual or fiduciary capacity.
A broker or dealer registered pursuant to Section 15 of the U.S. Securities Exchange Act of 1934, as amended.
An insurance company as defined in Section 2(13) of the Securities Act.
An investment company registered under the Investment Company Act, or a business development company as defined in Section 2(a)(48) of the Investment Company Act.
A small business investment company licensed by the U.S. Small Business Administration under Section 301(c) or (d) of the U.S. Small Business Investment Act of 1958, as amended.
A plan which has total assets in excess of US$5,000,000 and which is established and maintained by a state, its political subdivisions, or any agency or instrumentality of a state or its political subdivisions for the benefit of its employees.
An employee benefit plan within the meaning of ERISA which satisfies one of the following conditions: (i) the investment decision is being made by a plan fiduciary, as defined in Section 3(21) of ERISA, which is either a bank, savings and loan association, insurance company, or registered investment adviser, (ii) it has total assets in excess of US$5,000,000 or (iii) it is a self directed plan, with investment decisions made solely by the participants investing, and each such participant is an accredited investor.
A private business development company as defined in Section 202(a)(22) of the Advisers Act.
A corporation, a Massachusetts or similar business trust, a partnership, a limited liability company, or an organization described in Section 501(c)(3) of the Code, which has total assets in excess of US$5,000,000 and which was not formed for the specific purpose of acquiring an Interest.
A natural person whose individual net worth, or joint net worth with his or her spouse, at the time of purchase of an Interest, exceeds US$1,000,000.
A natural person who had an individual income in excess of US$200,000 in each of the two most recent years or joint income with his or her spouse in excess of US$300,000 in each of those years, and who has a reasonable expectation of reaching the same income level in the current year.
A trust with total assets in excess of US$5,000,000 which was not formed for the specific purpose of acquiring an Interest and whose purchase of an Interest was directed by a Person who has such knowledge and experience in financial and business matters that he is capable of evaluating the merits and risks of the investment.
An entity in which all of the equity owners are accredited investors.
If Subscriber’s accreditation is based upon this item, each equity owner of Subscriber must complete a copy of this Annex A and make representations to the General Partner relating to the accreditation of such equity owner.
None of the above applies.


Please indicate the basis of “qualified client” status of Subscriber by checking the applicable statement or statements. Subscriber is:
 
A natural person whose individual net worth, or joint net worth with his or her spouse, at the time of purchase of an Interest, exceeds US$1,500,000.
A natural person who, immediately after being admitted to the Partnership, will have at least $750,000 under the management of Rock Maple Funds L.L.C., whether under the Partnership Agreement or otherwise.
An entity other than an investment company (either registered or exempt pursuant to the Investment Company Act) or a private business development company (as defined in Section 202(a) of the Advisers Act) that has a net worth in excess of US$1,500,000.
An entity other than an investment company (either registered or exempt pursuant to the Investment Company Act) or a private business development company (as defined in Section 202(a) of the Advisers Act) that, immediately after being admitted to the Partnership, will have at least $750,000 under the management of Rock Maple Funds L.L.C., whether under the Partnership Agreement or otherwise.
A natural person or an entity that is a “qualified purchaser” as defined in Section 2(a)(51)(A) of the Investment Company Act.

 

User Agreement

 

  

 

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