Name *

First Name

Last Name

Phone

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Are you an Accredited Investor? *

In the United States, the legal definition of an accredited investor is outlined in Rule 501 of Regulation D under the Securities Act of 1933. It typically includes individuals with an annual income exceeding $200,000 (or $300,000 jointly with a spouse) for the past two years and a reasonable expectation of the same income level in the current year, or individuals with a net worth exceeding $1 million, either individually or jointly with a spouse, excluding the value of their primary residence. Additionally, certain entities such as corporations, partnerships, and trusts with assets exceeding $5 million may also qualify as accredited investors.

Yes, I am an Accredited Investor as defined above.

I do NOT qualify as an Accredited Investor as defined above.

I am not sure how to answer this question at this time.

Investment Restrictions

Are you (individually, or through the party you represent) currently subject to any sanctions imposed by the U.S. Department of the Treasury's Office of Foreign Assets Control (OFAC), or stemming from the U.S. Patriot Act, or any other government restriction or limitation on investment activity in the U.S.?

Yes - I understand that I may be unable to invest at this time.

No - This does not apply to me.