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efta-01452242DOJ Data Set 10Other

EFTA01452242

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DOJ Data Set 10
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efta-01452242
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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 3(b). If the Investor checked 'go" to question 2, please check all boxes that describe the Investor or the entity that the Investor is acting on behalf of: K an "employee benefit plan" within the meaning of Section 3(3) of ERISA that is not subject to Title I of ERISA or Section 4975 of the Code (e.g., a privately sponsored or government sponsored foreign employee benefit plan). K a "governmental plan" within the meaning of Section 3(32) of ERISA. K none of the above. 4. If the Investor, or the entity for which the Investor is acting, is either (i) an insurance company acting on behalf of its general account or (ii) an entity or fund whose underlying assets include -plan assets" by reason of a plan's investment in such entity, the Investor hereby covenants to notify the Onshore Feeder Fund if, after its initial acquisition of the Interest, at any time, the percentage of its assets (as reasonably determined by the Investor) that constitute -plan assets" for purposes of the Plan Asset Provisions or Section 4975 of the Code exceeds the maximum percentage limit set forth above in question 3(a). 5. If the Investor is or the entity for which the Investor is acting is an "employee benefit plan" within the meaning of Section 3(3) of ERISA that is not subject to Title I of ERISA or Section 4975 of the Code or is a "governmental plan" within the meaning of Section 3(32) of ERISA, the Investor hereby covenants that (i) there is no federal, state or local or foreign law, rule, regulation, or constitutional provision applicable to the Investor that could in any respect affect the operation of the Onshore Feeder Fund or prohibit any action contemplated by the operational documents and related disclosure of the Onshore Feeder Fund, including, without limitation, investments which may be made pursuant to the Onshore Feeder Fund's investment strategies, and (ii) the Investor's investment in the Onshore Feeder Fund will not conflict with or violate any federal, state or local or foreign law, rule, regulation, or constitutional provision applicable to the "employee benefit plan". VII. Source of Funds. Please summarize the sources of funds used to make this investment (for example, business profits (if so, state type of business), investment income, savings, etc.): Investor Questionnaire - 10 Confidential CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0109159 CONFIDENTIAL SDNY_GM_00255343 EFTA01452242

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