Accredited Investor Questionnaire

 Regulation D Accredited Investor Questionnaire
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The information contained in this Questionnaire is being furnished by a potential investor in order to determine whether the prospective investor qualifies as an accredited investor as defined in Regulation D of the Securities Act of 1933.

Regulation D creates an exemption that permits sales of securities without registration with the U.S. Security and Exchange Commission. However, Sellers are required to file a Form D informational statement about the sale. The definition of accredited investor is important regarding this exemption as far as a limitation on the number of shareholders allowed (i.e., 35). Accredited investors do not have to be counted as far as the 35 limitation is concerned. An accredited investor includes any investor who at the time of the sale falls into any of the following categories: " a private business development firm; " directors, officers, and general partners of issuer; " banks; " purchasers of $150,000 or more of the securities; " natural persons with a net worth greater than $1,000,000; or " persons with an income of greater than or equal to $200,000 per year.

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