Case File
efta-efta01093444DOJ Data Set 9OtherCRYPTO CURRENCY PARTNERS II, LLC
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DOJ Data Set 9
Reference
efta-efta01093444
Pages
27
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0
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CRYPTO CURRENCY PARTNERS II, LLC
(A Delaware Limited Liability Company)
SUBSCRIPTION APPLICATION
BLOCKCHAIN CAPITAL, LLC
Managing Member
ACTIVE 203796780v.2
EFTA01093444
CRYPTO CURRENCY PARTNERS II, LLC
SUBSCRIPTION INSTRUCTIONS
1.
Please complete, date and sign the Subscription Application. By doing so, the person or entity
identified as the "Subsenbe?" applies to acquire a membership interest ("Interest) and become a limited
partner ("Member") in Crypto Currency Partners II, LLC (the "Compat91, and to make a Capital
Commitment to the Company, on the terms and conditions set forth in the Subscription Application
and the Company's Amended and Restated Limited Company Agreement (the "Company Agreement).
Capitalized terms used, but not defined herein, have the meanings given to them under the Company
Agreement.
2.
Please keep a copy of all completed and signed documents for your records.
3.
Please send the original of your completed, dated, and signed Subscription Application, and direct all
questions to the Company's general partner, Blockchain Capital, LLC (the 'Managing Member').
4.
Upon a request by the Managing Member, please make your initial Capital Contribution by check
payable to "Crypto Currency Partners, LLC" or by wire transfer (wiring instructions to be sent
separately). To ensure proper processing, please contact the Managing Member to confirm your wire
transfer.
5. If this Subscription Application is accepted, Subscriber will be admitted as a Member and will become a
party to (and bound by) the Company Agreement (with the understanding that Subscriber's signature to
the Subscription Application will then serve as his, her or its signature to the Company Agreement).
ACTIVE 203796750v.2
EFTA01093445
THIS PAGE INTENTIONALLY LEFT BLANK.
ACTIVE 203796780v.2
EFTA01093446
CRYPTO CURRENCY PARTNERS II, LLC
SUBSCRIPTION APPLICATION
Unless otherwise noted, please provide information about the person or entity that will be the legal owner
of the Interest ("Subscribe?), and not about someone completing this Subscription Application as a
representative of Subscriber (e.g., a custodian for the account of a minor). If you are acting as a custodian
for an account for the benefit of a minor whose funds will be invested, please so indicate in Section I,
subsection 1(a) below and follow the instructions regarding custodians. If the Interest will be held by more
than one person in joint tenancy or as tenants in common (as opposed to as community property), please
provide all information for each joint Subscriber.
If you have any doubt about the meaning or implication of any of the terminology or the significance of any
of the questions, please contact the Company's general partner, Blockchain Capital, LLC (the "ItIonagiug
Alone?).
If the answer to any question is "None" or "Not Applicable," please so state.
I. SUBSCRIBER INFORMATION
1.
GENERAL INFORMATION
Full Legal Name of Subscriber':
Subscriber's SOCIAL SECURITY NO. or, if an entity, TAXPAYER I.D. NO.:
Please complete ONE of the following subsections
(a) CI Individual (including IRA and similar accounts)
Subscriber is an account for a minor represented by a custodian: K Yes CI No If you have checked
"Yes," please provide information in this subsection 1(a) as to yourself, the custodian.
Address:
Phone:
Fax:
Email:
Date of Birth:
Name of Custodian (if applicable):
I An Interest must he held in the name of a person or legal entity. An Interest held in trust must be registered in the
name(s) of the trustee(s) unless the trust is regarded as a legal entity under the laws of the jurisdiction of its establishment.
ACTIVE 203796750v.2
Crypt° Currency Partners II, LLC.
Subscription An/maim — Page 2
EFTA01093447
(b) K Joint Tenants/Tenants in Common
Address:
Phone:
Fax:
Email:
Date of Birth:
Address:
Phone:
Fax:
Email:
Date of Birth:
Joint subscriber is spouse: K Yes K No
of additional spare if needed, please make a rem of this page.)
(c) Entity (check one):
0 Company; 0 Corporation; K Limited Liability Company; 0 Unit Trust;
K Investment Trust or Business Trust; 0 Employee Benefit Plan or Trust;
K Limited Duration Company; K Endowment; K Private Foundation;
K Public Foundation; 0 Other (specify)
Contact Person:
Address:
Phone:
Fax:
Email:
Date of Formation:
Jurisdiction in Which Formed:
Address of Principal Place of Business:
(d) 0 Trust (other than specified in other items)
Trustee:
Trust Address:
Phone:
Fax:
Email:
ACTIVE 203796750v.2
Crypto Currency Partners
Saban:pion Application — Pate 3
EFTA01093448
2.
EDUCATION.
Provide the following information for Subscriber unless you are completing this
Subscription Application as a representative of Subscriber (e.g., a custodian for the account of a minor).
If you are acting as a representative, provide this information for yourself.
College/University
Degree/Major
Year
3.
EMPLOYMENT.
Provide the following information for Subscriber unless you are completing this
Subscription Application as a representative of Subscriber (e.g., a custodian for the account of a minor).
If you are acting as a representative, provide this information for yourself.
Name of Employer:
Address of Employer:
Nature of Employment:
If Self-Employed, Nature of Business:
4.
U.S. PERSON STATUS. Is Subscriber a U.S. Person?2 K Yes El No
K
If Subscriber is a U.S. Person, Subscriber has included with this Subscription Application a
properly completed IRS Form W-9. IRS Form W-9 and applicable instructions are available at the
Internal Revenue Service's website (www.irs.gov).
0
If Subscriber is a non-U.S. Person, Subscriber has included with this Subscription Application
a properly completed IRS Form W-8BEN or other applicable IRS Form W-8. IRS Form W-8BEN
(and other IRS Forms W-8) and applicable instructions are available at the Internal Revenue Service's
website (www.irs.gov).
Subscriber agrees to promptly notify the Company if, whether because of a change in
circumstances or otherwise, any information provided to the Company by Subscriber on a
Form W-9 or applicable Form W-8 is no longer applicable. ;Wan to submit the applicable litS
Form may rends in bark-up witbbobling being deducted from amounts paid toyou in the future.
2
For individuals, the term "U.S. Person" means any U.S. citizen or U.S. resident (in each case, as set forth in the
Internal Revenue Code of 1986, as amended (the "GAP) and the underlying Treasury Regulations).
For persons other than individuals, "U.S. Person" means, in each of the following cases, as set forth in the
Code and Treasury Regulations:
(a) any domestic partnership or domestic corporation;
(3) any estate other than a foreign estate; or
(c) any trust with respect to which: (i) a court within the United States is able to exercise primary supervision over the
trust's administration; and n one or more U.S. persons have authority to control all substantial decisions of the trust
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Subscription Application — Page 4
EFTA01093449
5.
INVESTOR SUBJECT TO U.S. FEDERAL INCOME TAX. Is Subscriber subject to U.S. federal income
tax (i.e., not tax-exempt)?
CI Yes
CI No (Tax-Exempt)
6.
LEGAL PROCEEDINGS.
Describe briefly any legal actions, including lawsuits, arbitrations and
mediations, involving securities, commodities or other investments, in which you have been involved in
the past 10 years. Attach a separate page if necessary. State the names of the parties to the proceeding,
whether you were a plaintiff or defendant, where the action took place (i.e., name of court, location of
arbitration), a brief description of the dispute and the resolution of the matter. Provide this information for
Subscriber unless you are completing this Subscription Application as a representative of Subscriber (e.g., a custodian for
the account ofa minor). lira are acting as a representative, provide this it formation foryourself and, to the extent ofyour
knowledge, for Subscriber.
7.
"BAD ACTOR" STATUS. Is Subscriber a person or entity described in Rule 506(d) of Regulation D of
the U.S. Securities Act of 1933 (the "1933 Ad), as described in Exhibit A? Please review Exhibit A
and check the box below that accurately describes Subscriber.
CI No, Subscriber is not a person or entity described in Rule 506(d) of Regulation D.
O Yes, Subscriber is a person or entity described in Rule 506(d) of Regulation D.
Subscriber agrees to immediately notify, in writing, the Company upon any change to the foregoing
representations and, upon request, to promptly furnish the Company with whatever information the
Company requests to confirm, amplify, or refine details with respect to the foregoing representations.
8.
DUPLICATE REPORTS. If duplicate reports should be sent to an accountant, business manager, or
other adviser, provide the following information for each person authorized to receive them:
Name:
Address:
Phone:
Fax:
Email:
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EFTA01093450
9.
AUTHORIZED SIGNATORIES. Set forth below are the names of persons authorized by Subscriber to
give and receive instructions between the Company (or its Managing Member) and Subscriber, together
with their respective signatures. Such persons are the only persons so authorized until further written
notice to the Managing Member signed by one or more of such persons.
Name
Signature
(please attach additional pages if needed)
10. STANDING WIRE INSTRUCTIONS. Until further written notice to the Managing Member signed by
one or more of the persons listed above, funds may be wired to Subscriber using the following
instructions:
Bank Name:
Bank Address:
ABA or CHIPS Number:
Account Name:
Account Number:
Reference:
11. ELECTRONIC DELIVERY OF REPORTS AND OTHER COMMUNICATIONS. The Company may
provide notices, reports, and other communications in electronic form, such as by email or by posting
on a website. Do you consent to receive deliveries of those communications (including annual and
other updates of the Company's privacy policies and procedures) exclusively in electronic form without
separate mailing of paper copies?
K Yes
0 No
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EFTA01093451
II. FINANCIAL QUALIFICATIONS
IA.
"ACCREDITED INVESTOR" STATUS
Each Subscriber must be an "Accredited Investor" within the meaning of Regulation D under the U.S.
Securities Act of 1933, as amended (the "1933 An). Please check all boxes below that describe
Subscriber. If Subscriber is a custodian acting for the account of one or more minors, responses below
should apply to each minor, not to the custodian.
1. INDIVIDUALS
E
l
INDIVIDUAL WITH $1 MILLION NET WORTH. A natural person whose individual net worth, or
joint net worth with his or her spouse, excluding the value of his or her primary residence, exceeds $1
million (the (fAl Net Worth Test).
For these purposes, "net worth" means the fair market value of your total assets, minus your total
liabilities, except that: (i) you must exclude from your assets the value of your primary residence, and
(ii) you may exclude from your liabilities the amount of indebtedness secured by your primary
residence other than any portion that: (A) exceeds the fair market value of your primary residence; or
(B) you incurred within the 60 days preceding the subscription date (other than as a result of your
acquisition of the primary residence).
0
INDIVIDUAL WITH QUAI1FYING INCOME. A natural person who: (i) in each of the preceding two
years had individual income in excess of $200,000 or had joint income with his or her spouse in
excess of $300,000; AND (ii) has a reasonable expectation of reaching the same income level in the
current year (the "Income Test).
2. TRUSTS
0
REVOCABLE TRUST. A trust that is revocable by its grantors and each of whose grantors is a natural
person who: (I) satisfies the Al Net Worth Test (described above under "Individuals'); OR (i)
satisfies the Income Test (described above under "Individuals").
0
IRREVOCABLE TRUST. A trust (other than an employee benefit plan) that (i) is not revocable by its
grantor(s); AND (ii) has total assets of more than $5 million; AND (ii) was not formed for the
specific purpose of acquiring an Interest; AND (iv) is directed by a person who has enough
knowledge and experience in financial and business matters to be capable of evaluating the merits and
risks of an investment in the Company.
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Subscription Application — Page 7
EFTA01093452
3. BENEFIT PLANS3
IRA OR SIMILAR BENEFIT PLAN. An IRA, Keogh or similar benefit plan that covers only a natural
person who: (i) satisfies the Al Net Worth Test (described above under "Individuals"); OR (i)
satisfies the Income Test (described above under "Individuals").
PARTICIPANT-DIRECTED EMPLOYEE BENEFIT PLAN ACCOUNT.
A participant-directed
employee benefit plan (e.g., many 401(k) plans), investing at the direction of and for the account of a
natural person who: (i) satisfies the Al Net Worth Test (described above under "Individuals"); OR (ii)
satisfies the Income Test (described above under "Individuals").
OTHER EMPLOYEE BENEFIT PLAN. An employee benefit plan within the meaning of Tide I of
the Employee Retirement Income Security Act of 1974, as amended ("ERISA") (other than a
participant-directed plan) or a plan established and maintained by a state, its political subdivisions, or
any agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, if
such plan: (i) has total assets of more than $5 million; OR (ii) if an ERISA plan (i.t, not a government
plan), the decision to purchase an Interest is being made by a bank, registered investment adviser,
savings and loan association or insurance company.
4. CORPORATIONS AND OTHER ENTITIES
CORPORATIONS OR COMPANYS. A corporation, partnership or similar entity that: (i) has total
assets of more than $5 million; AND (i) was not formed for the specific purpose of acquiring an
Interest.
NON-PROFIT ENTITY& An organization described in Section 501(c)(3) of the Internal Revenue
Code of 1986, as amended (the "Code") that has total assets of more than $5 million (including
endowment, annuity and life income funds), as shown by the organization's most recent audited
financial statements.
ENTITY OWNED ENTIRELY BY ACCREDITED INVESTORS. A corporation, partnership, or similar
entity, all of whose equity owners are accredited investors under one of the standards described in
this Part A.
OTHER ENTITY INVESTOR (cheek one).
K a bank, as defined in Section 3(a)(2) of the 1933 Act (whether K acting for its own account or
K
acting in a fiduciary capacity);
a savings and loan association or similar institution, as defined in Section 3(2)(5)(A) of the 1933
Act (whether acting for its own account or acting in a fiduciary capacity);
a broker-dealer registered under the Securities Exchange Act of 1934, as amended (the
"Exchange Ad);
an insurance company, as defined in Section 2(a)(13) of the 1933 Act;
an investment company registered under the Investment Company Act of 1940, as amended
(the "Investment Compel, Ad);
a "business development company," as defined in Section 2(a)(48) of the Investment
Company Act;
a small business investment company licensed under Section 301(c) or (d) of the Small
Business Investment Act of 1958, as amended; or
K
K
3 An investment in the Company may generate "unrelated business taxable income." Benefit Plans and tax-exempt
entities should consider those and other implications of investing.
4 An investment in the Company may generate "unrelated business taxable income." Benefit Plans and tax-exempt
entities should consider those and other implications of investing.
ACTIVE 203796750v.2
Crypto Currency Partners II, LI.0
Subscription Anima/on — Page 8
EFTA01093453
U
a "private business development company" as defined in Section 202(a)(22) of the Advisers
Act.
B.
"QUALIFIED PURCHASER" STATUS
Each Subscriber must be an "Qualified Purchaser" under the U.S. Investment Company of 1940, as amended
(the "Investment Company Ad), and the rules and regulations promulgated thereunder. Please check all boxes
below that describe Subscriber. If Subscriber is a custodian acting for the account of one or more minors,
responses below should apply to each minor, not to the custodian.
Whether Subscriber is a Qualified Purchaser depends on whether he or she or it owns "investments" worth at
least $5 million or, for certain types of entities, owns or has discretionary authority over "investments" worth
at least $25 million, in each case net of "Acquisition Indebtedness" (as defined below). The definition of
"investments" is technical. Please base your response when checking the following boxes on the information
set forth under the heading "Certain Definitions" following the boxes. Except where otherwise indicated,
investments may be valued at either cost or their market value on the most recent practicable date.
Please check all boxes below that describe Subscriber. If Subscriber is a custodian acting for the account of one or
more minors, responses should apply to each minor, not to the custodian.
1. INDIVIDUALS
INDIVIDUAL WITH $5 MILLION IN INVESTMENTS. A natural person whose "investments,"
including "investments" owned jointly or as community property with Subscriber's spouse, have a
value, net of "Acquisition Indebtedness," of at least $5 million. Note: If married couple is subscribing
to bold Shares in joint tenancy, ooh' one spouse must satisfy the test.
KNOWLEDGEABLE EMPLOYEE ACCOUNT. A "knowledgeable employee" of the Company or
the Investment Manager within the meaning of Rule 3c-5 under the Investment Company Act.
K
TRUST FORMED BY QUALIFIED PURCHASER. A trust not formed for the specific purpose of buying
Shares that was established and funded by persons who meet one of the definitions of "Qualified
Purchaser" in this Part and for which investment decisions are made by persons who meet one of
those definitions. This includes IRAs, Keoghs, and similar retirement planning vehicles that are
owned and directed by Qualified Purchasers, as well as investments by participant-directed
employee benefit plans where the participant is a Qualified Purchaser.
3. CORPORATIONS AND OTHER ENTITIES
K
FAMILY COMPANY WITH $5 MILLION IN INVESTMENTS. A Family Company not formed for the
specific purpose of buying Shares whose "investments" have a value, after subtracting the deductions
described below, of at least $5 million.
ENTITY OWNED ENTIRELY BY QUALIFIED PURCHASERS.
A corporation or partnership
(whether or not formed for the specific purpose of buying Shares) all of whose securities and other
ownership interests are beneficially owned by Qualified Purchasers (Note: no ownership interests
may be held by non-Qualified Purchasers).
ACTIVE 203796750v.2
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Subscroption Application — Page 9
EFTA01093454
3. CORPORATIONS AND OTHER ENTITIll
ENTITY OWNED ENTIRELY BY KNOWLEDGEABLE EMPLOYEES.
A corporation or
partnership (whether or not formed for the specific purpose of buying Shares) all of whose
securities and other ownership interests are beneficially owned by Knowledgeable Employees
(Note: no ownership interests may be held by or for the benefit of any person other than a
Knowledgeable Employee or his or her estate).
ENTITY WITH $25 MILLION IN INVESTMENTS.
Any corporation, partnership, or other
business entity, other than one described above, that: (I) was not formed for the specific purpose of buying
Shatrr, and (i) owns or has investment discretion over "investments" with a value, net of
Acquisition Indebtedness, of at least $25 million. Such corporation, partnership or other business
entity is subscribing:
For itself; or
For a person or entity that is a "Qualified Purchaser" as defined above.
ADDITIONAL INFORMATION ABOUT CERTAIN INVESTMENT FUNDS. If Subscriber is a "private
investment company" that is exempt from registration as an investment company under the Investment
Company Act by virtue of Section 3(c)(1) or Section 3(c)(7) of that Act, and was relying on Section 3(c)(1)
on October 11, 1996, check the following box if Subscriber has obtained the consent of all of its beneficial
owners (if any) that had invested before April 30, 1996, as contemplated in Section 2(a)(51)(C) of the
Investment Company Act and Rule 2a51-2(c)(3) under that Act:
Yes, Subscriber has obtained such consent.
For purposes of determining whether Subscriber is a "Qualified Purchaser," the following terms have the
following meanings:
"Investments" means the following types of assets:
Seanitits. All securities, including stocks, bonds, notes, limited partnership interests, etc., but excluding
securities of any company Subscriber controls, is controlled by, or is under common control with, unless that
company is a registered investment company, privately offered investment fund, broker-dealer, bank,
insurance company, finance company, commodity pool, company that files periodic reports with the SEC,
company listed on a "designated offshore securities market" (within the meaning of Regulation 5), or
company with shareholders' equity of at least $50 million.
Real Estate held for investment proms— i.e., not used by Subscriber or any "Related Person" (as defined
below) of Subscriber for personal purposes (e.g., as a personal residence), as a place of business, or in
connection with the conduct of a business of Subscriber or any Related Person of Subscriber. Residential real
estate is not used for personal purposes if deductions as to it are allowable under the Code.
Commodity Intense (futures contracts, options on futures contracts, options on physical commodities
traded on or subject to contract market regulation, "swaps" and other financial contracts), and physical
commodities held for investment purposes. The value of a Commodity Interest is the value of the initial
margin or option premium deposited in connection with the Commodity Interest.
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Suierription Application — Page 10
EFTA01093455
Cash and Cash Equivalents (including certificates of deposit, bankers acceptances and similar instruments,
and the cash surrender value of insurance policies) held for investment purposes. This excludes cash used by
Subscriber to meet its day-to-day expenses or for working capital.
"Acquisition Indebtedness" means outstanding indebtedness incurred by Subscriber to acquire any of the
investments counted above. If Subscriber is a Family Company (see definition below), include indebtedness
incurred by owners of Subscriber to acquire Subscriber's investments.
"Family Company" means a company that is owned, directly or indirectly, by or for two or more natural
persons related as siblings or spouses (including former spouses) or as direct lineal descendants by birth or
adoption, spouses or estates of such persons, or foundations, charitable organizations, or trusts established
for the benefit of such persons.
"Related Person" means a person related to Subscriber as a sibling, spouse or former spouse, or who is a
direct lineal descendant or ancestor by birth or adoption of Subscriber or is a spouse of such descendant or
ancestor. Related Persons of a Family Company include each owner of that Family Company and his or her
Related Persons.
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Subscription Application — Page 1
EFTA01093456
III. INFORMATION ABOUT CERTAIN REGULATED ENTITIES
Please check the appropriate box for each of the following questions below to indicate whether Subscriber is
subject to certain regulations or could subject the Company to regulatory consequences.
❑Yes
No
0
Yes 0 No
Is Subscriber a "benefit plan investor"? A "benefit plan investor" is (i) any "employee
benefit plan" as defined in, and subject to the fiduciary responsibility provisions of,
ERISA, (ii) any "plan" as defined in and subject to Section 4975 of the Code, and (iii)
any entity ("P/tor Assets Endo") deemed for any purpose of ERISA or Section 4975 of
the Code to hold assets of any such employee benefit plan or plan due to investments
made in such entity by already described benefit plan investors. Benefit plan investors
include, but are not limited to, corporate pension and profit sharing plans, "simplified
employee pension plans," Keogh plans for self-employed individuals (including
partners), individual retirement accounts, medical benefit plans, life insurance plans,
church plans that have elected to be subject to ERISA, bank commingled trust funds,
or insurance company separate accounts, for such plans and accounts, and under
certain circumstances, all or a portion of the general account of an insurance company.
If yogi checked ryes" above, yogi must provide additional information on a
"Supplement for Benefit Plan investors" that is available from the Managing
Member.
Is Subscriber (i) an investment company5 under the Investment Company Act, or
(ii) a private investment company — i.e., an entity that would be an investment
company but for an exclusion under either Section 3(c)(1) or Section 3(c)(7) of that
Act'?
If "Yes," Subscriber represents and warrants that set forth in the blank below is the
number of persons who "beneficially own" outstanding securities of Subscriber (other
than its short term paper) within the meaning of Section 3(c)(1) of the Investment
Company Act. Subscriber agrees to advise the Company as soon as practicable
after becoming aware of any change in that number.
Number of Beneficial Owners:
5
An "investment company" is any entity that (i) is or holds itself out as being engaged primarily, or proposes to
engage primarily, in the business of investing, reinvesting, or trading in securities; or (ii) is engaged or proposes to engage in the
business of issuing face-amount certificates of the installment type, or has been engaged in such business and has any such
certificate outstanding; or (ii) is engaged or proposes to engage in the business of investing, reinvesting, owning, holding, or
trading in securities, and owns or proposes to acquire investment securities (i.e., any securities other than government securities,
securities issued by any employee securities company and securities issued by any majority owned subsidiary of the entity that is
not itself an investment company or a private investment company) with a value of more than 40 percent of the entity's total
assets (excluding government securities and cash items) on an unconsolidated basis.
6 Those sections generally exclude a company that is not making (or presently proposing to make) a public offering of
its securities, and (Section 3(c)(1)) whose outstanding securities (other than its short-term paper) are beneficially owned by not
more than 100 persons or (Section 3(c)(?)) whose outstanding securities are owned exclusively by persons who, at the time of
the purchase, are "qualified purchasers" as defined in Section 2(2)(51) of the Investment Company Act — generally individuals
who own at least $5 million in "investments" and entities that own at least $25 million in "investments."
ACTIVE 203796750v.2
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EFTA01093457
❑Yes
No
❑Yes
No
Is Subscriber (i) a non-U.S. investment company (i.e., a non-U.S. entity that is an
investment company, within the meaning set forth below, some of whose securities are
held by U.S. persons) or (ii) a non-U.S. private investment company (i.e., a non-
U.S. investment entity some of whose securities are held by U.S. Persons in reliance on
exemptions from regulation as an "investment company" under the Investment
Company Act, based on the exclusions under Section 3(c)(1) or 3(c)(7) of that Act)?
If "Yes," Subscriber represents and warrants that set forth in the blank below is the
number of persons who "beneficially own" outstanding securities of Subscriber (other
than its short term paper) within the meaning of Section 3(c)(1) of the Investment
Company Act. Subscriber agrees to advise the Company as soon as practicable
after becoming aware of any change in that number.
Number of Beneficial Owners:
Ifyox answered "Yes" to either of the two preceding questions:
Is Subscriber required to be "integrated" with any other private investment company
for purposes of determining the number of persons who beneficially own its
outstanding securities?
If "Yes": (1) Subscriber represents and warrants that the number set forth in the blank in the relevant
preceding question includes the number of beneficial owners of that (those) other entity(ies), and (2) please
give the name(s) of that (those) entity(ies) below:
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EFTA01093458
IV. TERMS AND CONDITIONS
The following provisions, together with the Company Agreement, the representations, warranties, and
undertakings made above, and the Supplement for Benefit Plan Investors (if applicable), are the terms and
conditions on which Subscriber subscribes for an Interest and applies to become a Member in the
Company. By signing the signature page to this Subscription Application, Subscriber accepts these terms
and conditions.
1.
Application to Subscribe. Subscriber, or if Subscriber is an account for the benefit of a
minor, the custodian on behalf of Subscriber, offers to acquire an Interest in the Company by making a
Capital Commitment to the Company in the amount set forth on the signature page to this Subscription
Application. Subscriber agrees that: (a) the Company may reject Subscriber's offer for any reason; (b) as of
the date designated by the Managing Member when (if at all) the Company accepts this Subscription
Application, Subscriber shall become obligated under the terms and conditions of this document and of the
Company Agreement as a Member; and (c) by executing the signature page of this Subscription Application,
Subscriber agrees to be bound by those terms and conditions, including the obligation to make Capital
Contributions to the Company in response to Capital Calls delivered by the Managing Member on behalf of
the Company from time to time as contemplated under the Company Agreement.
2.
Revocability of Offer. Subscriber may revoke this offer by giving written notice to the
Company at any time before the Company accepts the subscription.
3.
Representations, Warranties, and Covenants. Subscriber hereby represents, warrants, and
covenants as follows, with the understanding that the Company will rely on the accuracy of these
representations to establish the eligibility of this offering for certain registration exemptions under federal and
state securities laws, and to enable the Company to comply with certain other laws and regulations.
(a) Interests Not Registered. Subscriber or Subscriber's representative understands that the
Company's offer and its sale to Subscriber of an Interest have not been registered under the 1933 Act, or
registered or qualified under state securities laws, on the ground, among others, that Interests are being
offered and sold in a transaction that does not involve any public offering within the meaning of Section
4(a)(2) of the 1933 Act and Rule 506 of Regulation D thereunder. Subscriber or Subscriber's representative
understands that no federal or state agency has passed on the merits or fairness of this investment.
(b) Subscriber Eligibility. Subscriber is an "accredited investor" as that term is defined in
Rule 501(a) of the Securities and Exchange Commission Regulation D. Subscriber is a "Qualified Purchaser"
within the meaning of Section 2(a)(51) of the Investment Company Act.
(c) Interest Acquired for Investment. Subscriber is acquiring the Interest with Subscriber's
own funds and for Subscriber's own account (or for a designated custodial or trust account, if Subscriber is a
custodian or trustee) for investment and not with a view to the distribution of any interest therein. No other
person will own any part of Subscriber's Interest or have any right to acquire such a part.
(d) Subscriber Able to Bear Risks and Protect Own Interests. Subscriber or Subscriber's
representative has such knowledge and experience in financial and business matters that he or she can
evaluate the merits and risks of an investment in an Interest, make an informed decision, and otherwise
protect Subscriber's interests in connection with such an investment. Subscriber is able to bear the economic
ACTIVE 203796750v.2
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Subsen-ption Application — Page 14
EFTA01093459
risks associated with this investment, including the likelihood that this investment will not generate current
income or distributions even if the Company is successful, and the possibility that some or all of the amount
invested will be lost if the Company is not successful.
(e) Review of Company Agreement and Independent Advice. Subscriber or Subscriber's
representative has carefully reviewed the Company Agreement, this Subscription Agreement (including
Exhibit B attached hereto, which describes some of the risks associated with investment in the Company)
and has discussed with Company representatives all questions Subscriber or Subscriber's representative may
have had as to such materials or the Company or the business, operations or financial condition of the
Company or the Managing Member. Subscriber (or, if applicable, Subscriber's representative) understands
the investment objectives and range and nature of the strategies that may be pursued by the Company, the
risks of this investment, including risks relating to the valuation of the Company's assets and the conflicts of
interest to which the Managing Member will be subject. Subscriber or Subscriber's representative has
consulted with Subscriber's own legal, accounting, tax, investment and other advisers in connection with this
investment, to the extent that Subscriber has deemed necessary.
(f) Offer Made Privately. The Company's offer of Interests was privately communicated to
Subscriber or Subscriber's representative. At no time has Subscriber or Subscriber's representative received
information concerning this offering or the Company or the Managing Member from any newspaper,
magazine, television or radio broadcast, generally available internee site, broadcast electronic mail, leaflet or
other advertisement, public promotional meeting or any other form of general advertising or general
solicitation.
(g) Change in Benefit Plan Investor Status. If not a benefit plan investor7 on the date this
Subscription Application is signed, Subscriber shall notify the Managing Member immediately if Subscriber
becomes a benefit plan investor.
(h) No "Look Through" of Entity Subscribers. Subscriber acknowledges that () the
Company will rely on certain provisions of the Investment Company Act to avoid registration as an
"investment company" and may rely on certain Treasury Regulations to establish that it should not be
considered a "publicly traded partnership" for U.S. income tax purposes, and (i) the Company's ability to rely
on those provisions and regulations may depend on whether, under those provisions and regulations, the
Company may consider Subscriber to be a single owner of an Interest (rather than having to treat all of
Subscriber's beneficial owners — potentially including indirect beneficial owners — as separate owners of
Interests). If Subscriber is not a natural person, to establish its status as a single owner Subscriber represents
that:
(1)
it was not formed for the purpose of investing in the Company, and its
shareholders, partners, members, beneficiaries, equity owners, grantors, beneficiaries or other natural or legal
constituents, CCoartituents1 did not and will not contribute capital in order to enable Subscriber to meet
Capital Calls;
7 A "benefit plan investor" is (i) any "employee benefit plan" as defined in, and subject to the fiduciary responsibility
provisions of, ERISA, (ii) any "plan" as defined in and subject to Section 4975 of the Code, and (ii) any entity ("Plan Ands
Emily) deemed for any purpose of ERISA or Section 4975 of die Code to hold assets of any such employee benefit plan or
plan due to investments made in such entity by already described benefit plan investors. Benefit plan investors include, but are
not limited to, corporate pension and profit sharing plans, "simplified employee pension plans," Keogh plans for self-
employed individuals (including partners), individual retirement accounts, medical benefit plans, life insurance plans, church
plans that have elected to be subject to ERISA, bank commingled trust funds, or insurance company separate accounts, for
such plans and accounts, and under certain circumstances, all or a portion of the general account of an insurance company.
ACTIVE 203796750v.2
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Subscription Application — Page 15
EFTA01093460
(2)
its investment in the Company will not be allocated to the accounts of fewer than all
of Subscriber's Constituents or allocated among Subscriber's Constituents other than in proportion to their
investments in Subscriber generally, in each case except to the extent required by law or regulation;
(3)
it is not aware of any facts or circumstances presently existing or contemplated that,
under U.S. federal or state law relating to securities, investment companies or investment advisers, would
result in any Constituent of Subscriber being treated as an offeree or purchaser of an investment in the
Company;
(4)
its proposed investment in the Company, together with all amounts previously
invested in the Company, constitutes less than 40% of Subscriber's total assets;
(5)
neither its organization nor its investment in the Company has, or will have, as a
principal purpose permitting the Company to satisfy the exception for private placements set forth in
Treasury Regulation Section 1.7704-1(h); and
(6)
no more than 70% of the value of any person's beneficial ownership in Subscriber
(whether directly as a Constituent or indirectly through one or more entities) will be attributable to
Subscriber's investment in the Company.
(i) Authority. Subscriber or Subscriber's representative is duly authorized to enter into this
Subscription Application (including the power of attorney granted herein), and the person signing this
Subscription Application on behalf of Subscriber is authorized to do so, under all applicable governing
documents (e.g., partnership agreement, trust instrument, pension plan, certificate of incorporation, bylaws,
operating agreement). Each individual who may participate in Subscriber's investment decision is over
twenty-one years of age (or the age of majority in that individual's state of residence). This Subscription
Application constitutes a legal, valid and binding agreement of Subscriber enforceable against Subscriber in
accordance with its terms.
(j) Information Regarding Withholding.
Subscriber shall: (1) provide any form,
certification or other information reasonably requested by and acceptable to the Company that is necessary
for the Company to prevent withholding or qualify for a reduced rate of withholding or backup withholding
in any jurisdiction from or through which the Company receives payments, or to satisfy, reporting or other
obligations under the Code and the Treasury Regulations; (2) update or replace such form or certification in
accordance with its terms or subsequent amendments; (3) otherwise comply with any reporting obligations
imposed by the United States or any other jurisdiction, including reporting obligations that may be imposed
by future legislation; and (4) notify the Company promptly if, whether because of a change in circumstance or
otherwise, any information provided to the Company by Subscriber on a Form W-9 is no longer accurate.
(k) Waiver of Participation in Tax Proceedings.
In connection with Subscriber's
investment in the Company, pursuant to Section 6224(b) of the Code, Subscriber hereby waives any right
granted by the Code to participate in any administrative proceeding of the Company for any taxable year in
which Subscriber is a partner in the Company for federal income tax purposes. Subscriber hereby further
waives any right granted in connection with the tax laws of any state or local jurisdiction to participate in any
administrative proceeding of the Company for any taxable year in which Subscriber is a partner in the
Company for purposes of the tax laws of such state or local jurisdiction. Upon request by the Managing
Member, Subscriber shall provide any additional information or documentation, execute any forms or other
documents, and take any other action required by law to effect such a waiver. Subscriber acknowledges that
this Subscription Application may be fled with the Internal Revenue Service or any state or local taxing
authority upon the commencement of any administrative proceeding of the Company.
4. Transfer and Withdrawal Restrictions. Subscriber understands that, if admitted to the
Company as a Member, Subscriber may not withdraw capital from the Company, that Subscriber must hold
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Suierription Application — Page 16
EFTA01093461
the Interest until the Company is liquidated after expiration of its Term, that no market is ever likely to
develop for the Interests, and that transfers of Interests are subject to further restrictions under the Company
Agreement. Subscriber agrees that (1) Subscriber will not attempt to transfer the Interest in violation of these
transfer restrictions; (2) the Company may note these transfer restrictions in its records and refuse to
recognize any transfer that violates these transfer restrictions, or any proposed transfer for which the
Company has not received an acceptable opinion of counsel stating that the proposed transfer will not violate
these transfer restrictions; and (3) if the Company ever issues a certificate evidencing the Interest, one or
more legends required under federal and/or applicable state securities laws and regulations may be imprinted
thereon. One of such legends shall read substantially as follows:
"THESE SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT
OF 1933, AS AMENDED AND MAY NOT BE SOLD OR OFFERED FOR SALE IN THE
ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT UNDER SAID ACT OR AN
OPINION OR OTHER EVIDENCE SATISFACTORY TO THE GENERAL PARTNER THAT
SUCH REGISTRATION IS NOT REQUIRED."
5. Additional Subscriptions. All offers to acquire Interests that Subscriber may make after
becoming a Member will be deemed to have been made subject to all of the terms and conditions of this
Subscription Application, and, if Subscriber subscribes for additional Interests (it, if Subscriber increases his,
her or its Capital Commitment at any future Closing), Subscriber will be deemed at the time of the relevant
Closing to have reaffirmed for the benefit of the Company and the Managing Member all of the
representations, warranties and covenants contained herein.
6. Authorization as to Instructions. Subscriber hereby authorizes the Managing Member and
the Company to accept and execute any instructions in respect of the Interest given by Subscriber's
authorized signatories in written form (including email) or by facsimile. If instructions are given by facsimile
or email, Subscriber shall send the original letter of instructions to the Company as promptly as practicable.
The Managing Member and the Company may rely conclusively upon and shall incur no liability in respect of
any action taken upon any notice, consent, request, instructions or other instrument believed in good faith to
be genuine or to be signed by properly authorized persons.
7.
Indemnification. Subscriber agrees to indemnify and hold harmless the Company and the
Managing Member, and each of their employees, agents, and attorneys, from and against any and all loss,
liability, claim, damage, and expense (including any expense reasonably incurred in investigating, preparing or
defending against any litigation commenced or threatened or any claim whatsoever, and any taxes and
penalties levied against any such indemnitee) related to any false representation, omission of material fact or
warranty or any breach of agreement by Subscriber contained herein or in any other document furnished by
Subscriber to the Company or the Managing Member in connection with this transaction. Subscriber further
acknowledges that, pursuant to the Company Agreement, the Managing Member is entitled to be indemnified
out of the assets of the Company against all expenses (including legal fees and disbursements) or costs arising
in connection with its activities involving the Company or its relationship to the Company, in the absence of
circumstances specified in that Company Agreement.
8.
Power of Attorney. Subscriber hereby irrevocably constitutes and appoints the Managing
Member, Subscriber's true and lawful attorney-in-fact, with full power and authority in Subscriber's name,
place and stead to (a) execute, deliver, certify, acknowledge, swear to, file, record and publish all documents
and other instruments described in the section of the Company Agreement entitled "Power of Attorney,"
which is hereby incorporated in this paragraph by this reference, and (b) execute and deliver the Company
Agreement on behalf of Subscriber.
9. Application Binding on Subscriber's Successors. The representations, warranties and
agreements in this Subscription Application shall be binding on Subscriber's successors, assigns, heirs and
ACTIVE 203796750v.2
Crypto Currency Partners II, LLC
Subscription Application — Page 17
EFTA01093462
legal representatives and shall inure to the benefit of the respective successors and assigns of the Company
and the Managing Member.
10. Arbitration. Except as expressly provided in the Company Agreement or this Subscription
Application, any dispute, claim or controversy between or among any of the Members or between any
Member and the Company or the Managing Member arising out of or relating to this Subscription
Application or any subscription by any Member to invest in the Company, or any termination, alleged breach,
enforcement, interpretation or validity of any of those agreements (including the determination of the scope
or applicability of this agreement to arbitrate), or otherwise involving the Company will be determined, upon
the request of any party to any controversy, by arbitration in the county and state in which the Managing
Member maintains its principal office at the time the request for arbitration is made (or, if there is more than
one Managing Member, the county and state in which the Managing Member holding a majority in interest of
the Managing Member interests maintains its principal office at the time such request is made), before a sole
arbitrator, in accordance with the laws of the State of Delaware for agreements made in and to be performed
in the State of Delaware. Such arbitration will be administered by the Judicial Arbitration and Mediation
Services (JAMS) pursuant to its Comprehensive Arbitration Rules and Procedures, and no party to any such
controversy will be entitled to any punitive damages.
Notwithstanding the foregoing, no arbitration
proceeding brought against the Company or the Managing Member will be consolidated with any other
arbitration proceeding brought against the Company or the Managing Member without the Company's and
the Managing Member's consent. Judgment may be entered upon any award granted in any such arbitration
in any court of competent jurisdiction in the county and state in which the Managing Member maintains its
principal office at the time the award is rendered (or, if there is more than one Managing Member, the county
and state in which the Managing Member with a majority in interest of the Managing Member interests
maintains its principal office at the time), or in any other court having jurisdiction. The arbitrator shall, in the
award, allocate all of the costs of the arbitration, including the fees of the arbitrator and the reasonable
attorneys' fees of the prevailing party, against the party who did not prevail. This Section 10 applies to any
dispute, claim or controversy involving Subscriber regardless of whether Subscriber is a Member at the time
the claim is made or the dispute, claim or controversy arises.
NOTICE: By executing this Subscription Application, Subscriber is agreeing to have all
disputes, claims or controversies arising out of or relating to this Subscription Application decided
by neutral binding arbitration, and Subscriber is giving up any rights he or she or it may possess to
have those matters litigated in a court or jury trial. By executing this Subscription Application,
Subscriber is giving up his or her or its judicial rights to discovery and appeal except to the extent
that they are specifically provided for in this Subscription Application. If Subscriber refuses to
submit to arbitration after agreeing to this provision, Subscriber may be compelled to arbitrate under
federal or state law. Subscriber confirms that his or her or its agreement to this arbitration provision
is voluntary.
11. Governing Law. This Subscription Application will be governed by the laws of the State of
Delaware as those laws are applied to agreements that are made in Delaware by Delaware residents and that
are to be performed wholly within Delaware, excluding the conflict-of-laws rules of Delaware; provided that
United States federal law, including the Federal Arbitration Act, will apply to Section 10.
12. Privacy Policy. This Subscription Application contains "nonpublic personal information"
about Subscriber (including financial information showing Subscriber's financial qualifications to subscribe).
The Company and the Managing Member will obtain and develop additional nonpublic personal information
about Subscriber (such as capital account balances and amounts and dates of additional capital contributions
and withdrawals) as a result of the investment contemplated by this Subscription Application. The Company
and the Managing Member generally do not disclose this information to third parties, other than service
providers who must obtain access to that information in order to permit the Company and the Managing
Member to conduct their affairs (e.g., auditors, accountants, attorneys and other consultants). The Company
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Suierription Application — Page 18
EFTA01093463
and the Managing Member restrict access to such information internally to those personnel who need the
information in order to conduct the Company's and the Managing Member's business. The Company and
the Managing Member maintain safeguards at their facilities to provide reasonable protection for the
confidentiality of nonpublic personal information about Members. Subscriber understands that, while the
Managing Member will use reasonable efforts to keep Subscriber's investment in the Company and the
information Subscriber provides the Managing Member confidential, any provision of this Subscription
Application or the Company Agreement to the contrary notwithstanding, (I) there may be circumstances in
which applicable law or regulation relating to combating terrorism or money laundering may require the
release of information provided in this Subscription Application to law enforcement or regulatory officials,
(ii) the Company or Managing Member may present this Subscription Application and the information
provided in it to such regulatory bodies or other parties as may be appropriate to establish the availability of
exemptions from certain securities and similar laws or the compliance of the Company or the Managing
Member with applicable laws and (iii) the Company or Managing Member may disclose this Subscription
Application, the information provided in it or other information relating to Subscriber's investment in the
Company when required by judicial process or, to the extent permitted under applicable privacy laws, to the
extent the Managing Member considers that information relevant to any issue in any action, suit, or
proceeding to which the Company is a party or by which it is or may be bound. If Subscriber has instructed
the Managing Member to send duplicate reports to third parties pursuant to this Subscription Application,
Subscriber may revoke this instruction at any time by sending a written notice to the Managing Member
indicating that a previously authorized third party is no longer authorized to receive Subscriber's reports.
13. Legal Counsel. Subscriber acknowledges that (i) the terms of the Company, including the
Members' and the Managing Member's respective rights, obligations, and liabilities as set forth in the
Company's Company Agreement and this Subscription Application, were determined by the Managing
Member and not through negotiation with any investor or group of investors, and (ii) Sidley Austin LLP,
counsel to the Managing Member, represents only the Managing Member, and not the Company or any
prospective or existing investor in the Company in its capacity as such an investor.
14. Severability. If any provision of this Subscription Application is determined to be invalid or
unenforceable under any applicable law, then such provision shall be deemed inoperative to the extent that it
may conflict with such applicable law and shall be deemed modified to conform with such law. Any
provision of this Subscription Application that may be invalid or unenforceable under any applicable law shall
not affect the validity or enforceability of any other provision of this Subscription Application, and to this
extent the provisions of this Subscription Application shall be severable.
15. Continuous Representations. If Subscriber becomes aware of any fact or circumstance that
may render any of the representations and warranties in this Subscription Application, or any other
information in this Subscription Application relating to Subscriber, inaccurate in any respect, Subscriber shall
immediately notify the Managing Member.
[SIGNATURE PAGE IMMEDIATELY FOLLOWS THIS PAGE.]
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EFTA01093464
CAPITAL COMMITMENT: Subscriber hereby agrees to make a Capital Commitment to the Company, in
accordance with the Company Agreement, in the following amount:
$
Subscriber represents and warrants that the information provided above is true and correct in all material
respects. By signing below, Subscriber agrees to become a Member of Crypto Currency Partners II, LLC
under the terms and conditions of the Company Agreement (as amended through the date Subscriber
executes this Subscription Application). Subscriber has received and read such Company Agreement and this
Subscription Application. In addition, Subscriber agrees to deliver to the Managing Member, if requested, a
copy of any documentation necessary to establish the authority of the person signing this document on behalf
of Subscriber (e.g., corporate articles of incorporation, bylaws, and authorizing resolutions; partnership
agreement; operating agreement; declaration of trust). Each person signing below represents and warrants
that he or she has all requisite power and authority to execute this Subscription Application and the Company
Agreement on behalf of Subscriber.
SIGNATURE FOR INDIVIDUAL
SUBSCRIBER
SIGNATURE FOR PARTNERSHIP,
CORPORATION, TRUST OR OTHER
ENTITY SUBSCRIBER:
(Signature)
(Print Name of Subscriber)
(Print Name)
(Signature)
(Signature of Joint Subscriber, if any)
(Print Name of Person Signing)
(Print Name of Joint Subscriber, if any)
(Print Title of Person Signing)
Dated:
Dated:
ACCEPTED:
By: BLOCKCHAIN CAPITAL, LLC
Managing Member
By:
Dated:
Its:
SIGNATURE
ACTIVE 203796750v.2
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Subscription Application — Page 20
EFTA01093465
Exhibit A
"BAD ACTOR" STATUS
Rule 506 of Regulation D under the Securities Act of 1933, as amended (the "Securities Ad'), has been
amended to include "bad actor" disqualification requirements in Rule 506(d). Under new Rule 506(d), the
Company will not be permitted to rely on the Rule 506 exemption from Securities Act registration if the
Company or any other person covered by the rule experiences a "disqualifying event." In order to fulfill the
Company's obligations, it requires certain acknowledgements, representations, warranties and undertakings
from certain Subscribers that they are not "bad actors" before the Company will issue securities. A
Subscriber is considered a "bad actor" if Subscriber:
(a)
(b)
has within the last ten (10) years, been convicted of a felony or misdemeanor, in the United States, (i)
in connection with the purchase or sale of any security, (i) involving the making of any false filing
with the Securities and Exchange Commission (the "SEC) or (ii) arising out of the conduct of the
business of an underwriter, broker, dealer, municipal securities dealer, investment adviser or paid
solicitor of purchasers of securities;
is currently subject to any order, judgment or decree of any court of competent jurisdiction, entered
in the last five (5) years, that restrains or enjoins Subscriber from engaging in any conduct or practice
(i) in connection with the purchase or sale of any security, (ii) involving the making of a false filing
with the SEC or (ii) arising out of the conduct of the business of an underwriter, broker, dealer,
municipal securities dealer, investment adviser or paid solicitor of purchasers of securities;
(c) is currently subject to a final orders of a State securities commission (or an agency or officer of a
State performing like functions), a State authority that supervises or examines banks, savings
associations, or credit unions, a State insurance commission (or an agency or officer of a State
performing like functions), an appropriate Federal banking agency, the National Credit Union
Administration, or the Commodity Futures Trading Commission, that —
(i) bars Subscriber from —
(A) association with an entity regulated by such commission, authority, agency, or
officer;
(B) engaging in the business of securities, insurance, or banking; or
(C) engaging in savings association or credit union activities; or
(ii) constitutes a final order based on a violation of any law or regulation that prohibits
fraudulent, manipulative, or deceptive conduct within the last ten (10) years;
(d) is currently subject to an order of the SEC pursuant to Section 15(b) or 15B(c) of the Securities
Exchange Act of 1934, as amended (the "Exchange Ad) or Section 203(e) or (f) of the Investment
Advisers Act of 1940 (the "Advisers Ad) that (i) suspends or revokes Subscriber's registration as a
broker, dealer, municipal securities dealer or investment adviser, (ii) places limitations on Subscriber's
activities, functions or operations, or (iii) bars Subscriber from being associated with any entity or
from participating in the offering of any penny stock;
The term "final order" means a written directive or declaratory statement issued be a federal or State agency pursuant
to applicable statutory authority and procedures, that constitutes a final disposition or action by that federal or State agency.
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EFTA01093466
(e) is currently subject to any order of the SEC, entered in the last five (5) years, that orders Subscriber
to cease and desist from committing or causing a violation or future violation of (i) any scienter-
based anti-fraud provision of the federal securities laws (including without limitation Section 17(a)(1)
of the Securities Act, Section 10(b) of the Exchange Act and Rule 10b-5 thereunder, Section 15(c)(1)
of the Exchange Act and Section 206(1) of the Advisers Act, or any other rule or regulation
thereunder) or (ii) Section 5 of the Securities Act;
(f) is currently suspended or expelled from membership in, or suspended or barred from association
with a member of, a securities self-regulatory organization9 for any act or omission to act constituting
conduct inconsistent with just and equitable principles of trade;
(g) has fled as a registrant or issuer, or has been named as an underwriter in, a registration statement or
Regulation A offering statement filed with the SEC that, within the last five (5) years, (i) was the
subject of a refusal order, stop order, or order suspending the Regulation A exemption or (ii) is
currently the subject of an investigation or a proceeding to determine whether such a stop order or
suspension order should be issued; or
is subject to (i) a United States Postal Service false representation order entered into within the last five (5)
years, or (it) a temporary restraining order or preliminary injunction with respect to conduct alleged by the
United States Postal Service to constitute a scheme or device for obtaining money or property through the
mail by means of false representations.
9 The teen "self-regulatory organization" means a registered national securities exchange or registered national or
affiliated securities association.
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Exhibit B
Certain Risk Factors and Conflicts of Interest
Potential investors should be aware that an investment in the Company involves a significant degree of risk. Outlined
below are certain of the major risk factors and conflicts of interest which potential investors should carefully consider in deriding
whether to invert in the Compaty. The following risk factor and ronfids of interest outline does not purport to be comprehensive
or complete. Potential investors should consult their own legal, tax, and financial advisers before investing in the Company.
I. CERTAIN RISK FACTORS
General
Venture Capital Investing In General Venture capital investing involves a high degree of business and financial
risk that can result in substantial losses. In order for the Company's investment program to succeed, the
Principals must be able to accurately identify successful business enterprises — a process which is difficult
even for those with extensive experience in the venture capital field or a past record of success. An
investment in the Company is highly speculative, involves a high degree of risk and could result in the loss of
part or all of a Member's Capital Contributions. Therefore, no person should commit to invest in the
Company unless he, she, or it can bear such a loss. An investment in the Company is suitable only for
sophisticated investors with other sufficient assets who are capable of making an informed independent
decision as to the risks involved in an investment in the Company.
Competition for Investments. The business of identifying and structuring investments of the types contemplated
by the Company is competitive and involves a high degree of uncertainty. The Company may encounter
intense competition from other investment funds and strategic investors having investment objectives similar
to that of the Company. In particular, the Company expects to compete for investment opportunities with
other venture capital funds, venture capital affiliates of large industrial companies and high net-worth
individuals ("angel" investors), as well as industrial and financial companies investing directly, rather than
through investment funds. Particularly in light of the competitive landscape, there can be no assurance that
the Company will succeed in finding and completing investments on similar or favorable terms.
Instabiliy of Tatget Companies. Many of the companies in which the Company invests are expected to be
unseasoned or historically unprofitable. These companies may also lack technical, marketing, financial and
other resources or may be dependent upon the success of one or a small number of products or services or
the unique effectiveness of a single manager or small management team. The failure of any one element of
such a company's business, such as the loss of a key executive or the failure of a particular product or service,
may have a materially adverse impact on such a company. Furthermore, these companies may be more
vulnerable to competition and to overall economic conditions than larger, more established entities.
Reliance on the Managing Member and its Principals. The Company's success depends on the ability of the
Managing Member and its Principals to identify and invest in promising portfolio companies. Members have
no right or power to take part in the management of the Company. The Company's investment performance
could be materially adversely affected if any Principal of the Managing Member were to die, become ill or
disabled, or otherwise cease to be actively involved in the management of the Company's portfolio.
No Past Performance. The Company is newly formed and has no performance history.
General Economic and Market Conditions. The success of the Company's investments may be adversely affected
by global, national, and local economic and market conditions, particularly if those conditions inhibit the
ability of companies in which the Company invests to achieve liquidity by "going public" through the initial
public offering (IPO) process or by being acquired by larger companies or financial buyers at attractive
valuations.
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EFTA01093468
fixation. The Company expects to be deemed to be a partnership, and that the Members will be treated as
partners, for U.S. tax purposes. The taxation of partners is complex. Prospective investors should consult
their own tax advisors with respect to their own tax situations and the effect of an investment in the
Company.
Investment Risks
All investing and trading activities risk the loss of rapitaL The following discussion sets forth some of the mom significant risks
associated with the Company's proposed portfolio activities.
An Undiversifitd Portfolio. The Company has a selective strategy focused on a single industry sector, "crypto
currencies" (as broadly defined), which means that the Company will not be as diversified as other investment
vehicles with broader investment mandates. While the Managing Member will attempt to identify portfolio
companies that present limited "downside" risk relative to "upside" opportunity, prospective investors must
be prepared for the possibility of substantial losses that may not be mitigated by countervailing gains.
No Assurances as to Selection Criteria for the Company's Portfolio Companies.
In selecting potential portfolio
companies, there can be no assurance as to what factors the Managing Member or its Principals will consider.
Poor selection could result in material losses for the Company, particularly given the precarious financial
condition of many of the Company's portfolio companies.
Possible Ina,* to Deploy Capital No assurance can be given that the Managing Member will be able to
identify suitable investment opportunities in which to deploy all available capital or make successful portfolio
company investments. No assurance can be given that the Managing Member will be successful in doing so.
Penalty for Failure to Make Capital Contributions Failure of a Member to meet a capital call could have materially
adverse consequences, including, without limitation, forfeiture of all or a portion of the defaulting Member's
Interest in the Company, of the or forced sale of that Interest.
Indemeattim, etc. The Company has an obligation to indemnify the Managing Member and its members,
employees, officers, agents, representatives and affiliates (collectively, "Covered Persons") for actions or
omissions not constituting fraud, willful violation of law that was related to the Company, or gross
negligence. Covered Persons are expected to become active participants in management of certain portfolio
companies. If any Covered Persons (including any of the Managing Member's Principals), participate in
management on behalf of the Company, the Company may be exposed to liability if any duties owed by such
persons to portfolio companies are breached. Additionally, parties could seek damages based on allegations
of wrongdoing in the course of exercising such influence and control. Amounts distributed to each Member
will be subject to recall to fund indemnity payments to the extent of any distributions received.
Risks of Certain Dispositions of Assets. In connection with the disposition of an investment in a company in
which the Company invests, the Company may be required to make representations about the business and
financial affairs of the company typical of those made in connection with the sale of any business. It may also
be required to indemnify the purchasers of such investment to the extent that any such representations turn
out to be inaccurate. These arrangements may result in contingent liabilities, which might ultimately have to
be funded by the Members to the extent of their Capital Commitment to the Company or previous
distributions made to them.
ACTIVE 203796750v.2
Crypt° Currency Partners II, LW.
Subscription Application — Page 24
EFTA01093469
Timing of Gains and Losses. Some of the Company's investments will be in illiquid securities that the Company
must hold for significant periods before the success, or failure, of the investment becomes apparent or any
gains can be realized. It may take longer for successful investments to realize their potential than for
unsuccessful ones to reveal their weaknesses.
Illiquid Company Investments. All of the securities that the Company expects to acquire will be issued by early
stage, privately held companies. As a result, there will be no readily available secondary market for the
Company's securities in those companies, and those securities will be subject to strict restrictions on sale and
transfer. Accordingly, the Company may be unable to realize liquidity for such investments (for example,
through an IPO or acquisition) for significant periods of time (if at all). Even after a successful IPO, the
Company may be precluded from selling its shares in portfolio companies that have gone public for some
time (often 6 months after the IPO), during which time the price of a company's securities could decline
precipitously.
Distributions of Assets Other Than Cash. The Managing Member may distribute certain of the Company's
investments in securities or other non-cash property. Distributions in kind, particularly on dissolution of the
Company, may result in the receipt by Members of highly illiquid unregistered securities. A Member who
receives assets other than cash from the Company may incur substantial costs and delays in converting those
assets to cash.
No Separate Representation. The Managing Member has been represented as to matters of law by its own
counsel in connection with the incorporation of the Company. That counsel has not acted on behalf of the
Company or any Member in connection with its investment in the Company nor has it advised on the laws of
any other jurisdiction.
Not a Complete Investment Program. The Company may be deemed a speculative investment and is not intended
as a complete investment program. It is designed only for sophisticated and experienced investors who are
able to bear the risk of loss of their entire investment.
II. POTENTIAL CONFLICTS OF INTEREST
In the conduct of the Company's business, conflicts may arise between the interests of the Managing Member and its Principals
and those of Members or the Compatg. By signing the Subscription Application, each Member acknowledges and consents to the
Managing Member's and its Principal's good faith exercise of discretion in handling the Company' business, including when the
Managing Member or its Principals have a conflict of interest.
Other Business Relationships and Activities; Establishment of Other Funds. The Managing Member and its Principals
will devote only so much of their time and resources to the activities of the Company as they deem necessary
and appropriate. The Managing Member and the Principals also manage the Parallel Fund and may organize
a new investment fund similar to the Company, after certain benchmarks have been achieved and upon the
occurrence of certain other events. Any such fund may compete with the Company for investment
opportunities, or may make investments in companies in which the Company has already invested that dilute
the Company's investments. There is no assurance that Members in the Company will be offered the
opportunity to participate in any subsequent funds.
ACTIVE 203796750v.2
Crypto Currency Partners II, U.C.
Subscription Application — Page 25
EFTA01093470
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