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efta-01452229DOJ Data Set 10Other

EFTA01452229

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DOJ Data Set 10
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efta-01452229
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
SOF III - 1081 Southern Financial LLC Subscription Agreement Signature Pale INVESTOR NAME: SOCIAL SECURITY OR TAX IDENTIFICATION NUMBER (if applicable): IN WITNESS WHEREOF, the undersigned Investor has executed this Subscription Agreement on the date set forth below. Capital Commitment to Secondary Opportunities Fund 111 Private Client Feeder Fund (U.S.), L.P.: Placement Fee:* Up to 2.5% ENTITY INVESTOR SIGN HERE: INDIVIDUAL INVESTOR SIGN HERE:— (Print Name of Entity) (Print Name) By: (Signature) (Signature) (Print Name and Title) (Date) (Date) Deutsche Bank Representative or other Witness signature (required): Country in which this Agreement was signed: The placement fee is a one-time stiles charge in addition and apart from the Capital Commitment. calculated and payable upon closing (e.g.. a Sin= Commitment will result in a 525,000 placement fee). If the Investor is investing through an account at Deutsthe Dank over which Deutsthe Bank or one of its affiliates (including Dinit he Bank Trust Company Americas and the Deubthe Bank Ala. Brown division of Deutsche Bank Securities Inc.) exercises investment discretion or authority, the Investor in whose name the account is held, and not the Deitsche Bank account manager, must execute this Subscription Agreement. By executing this Subscription Agreement, such Investor hereby provides its consent to the subscription described herein in accordance with Section 206 of the Investment Advisers Act of 1940, as amended. Subscription Agreement - 18 Confidential CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0109144 CONFIDENTIAL SDNY_GM_00255328 EFTA01452229

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