Case File
efta-01452237DOJ Data Set 10OtherEFTA01452237
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01452237
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
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SOF III - 1081 Southern Financial LLC
INVESTOR QUESTIONNAIRE FOR ENTITIES
ENTITIES (non-individuals): Please complete Parts I through VIII of this Questionnaire and then
proceed to "Form PF."
1.
General Information.
A.
Investor Contact Information (all fields required).
I) Print Full Legal Name of Investor.
2) Legal Form (corporation, partnership, trust, etc.):
3) Primary Contact for All Correspondence:
Address:
4) Telephone Number:
5) Facsimile Number:
6) E-mail Address (required):
7) Permanent Address:
(if different from above)
8) Tax Identification Number (required):
B.
Additional Interested Party.
In addition to the Primary Contact listed above, correspondence from the Onshore Feeder Fund will also
be sent, at the Investor's option, to one additional interested patty (e.g., Investor's financial advisor,
accountant, attorney, etc.). Please note that correspondence will only be sent via the online reporting tool.
Please provide relevant information listed below if applicable:
Name of Interested Party:
Telephone Number:
E-mail Address:
C.
Authorized Signatories.
Set forth below are the names, titles and roles within the Investor of persons authorized by the Investor to
give and receive instructions between the Onshore Feeder Fund (or the Administrator or the Investment
Manager) and the Investor, together with their respective signatures. Such persons are the only persons so
authorized until further written notice to the Administrator signed by one or more of such persons is
received by the Administrator. (Deutsche Bank reserves the right to request other names such as board
members, senior management and principals.)
Investor Questionnaire - 4
Confidential
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0109153
CONFIDENTIAL
SDNY_GM_00255337
EFTA01452237
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