Case File
efta-efta01197222DOJ Data Set 9OtherBOOTHBAY MULTI-STRATEGY FUND, LP
Date
Unknown
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DOJ Data Set 9
Reference
efta-efta01197222
Pages
27
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0
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BOOTHBAY MULTI-STRATEGY FUND, LP
SUBSCRIPTION AGREEMENT FOR LIMITED PARTNERSHIP INTEREST
INSTRUCTIONS FOR THE SUBSCRIBER
The following instructions are provided to assist you in the process of subscribing
for a limited partnership interest in Boothbay Multi-Strategy Fund, LP (the "Fund").
A.
Read the Fund's Confidential Private Offering Memorandum, the Limited
Partnership Agreement and this Subscription Agreement carefully so that you
fully understand all of the provisions.
B.
With respect to this Subscription Agreement:
1.
Initial
and/or
complete
the
GENERAL
ELIGIBILITY
REPRESENTATIONS.
2.
Complete the SUBSCRIBER SIGNATURE PAGE OF SUBSCRIPTION
AGREEMENT, including the following:
(i)
K
fill in the subscription amount,
(ii)
K
date and sign where and as indicated; and
(iii)
K
insert your name and address and your social security or
taxpayer identification number.
3.
Complete the SIGNATURE PAGE OF THE LIMITED PARTNERSHIP
AGREEMENT, which is attached hereto, including the following:
(i)
(ii)
K
K
sign where and as indicated; and
insert your name and address and your social security or
taxpayer identification number.
C.
Send your completed and signed Subscription Agreement to the Fund at: do
Boothbay Hybrid, GP, LLC, 810 7'h Avenue, 4'h Floor, New York, New York
10019.
D.
At such time as may be agreed to by the Fund, wire your subscription to the Fund
in accordance with the wire instructions provided to you by the Fund's general
partner or administrator.
EWAGNEN218412.1 - 12/11/12
EFTA01197222
SUBSCRIPTION AGREEMENT
This Subscription Agreement is made and entered into by and between Boothbay Multi-Strategy
Fund, LP (the "Fund"), a Delaware limited partnership, and the person named on the Subscriber
Signature Page of Subscription Agreement below (the "Subscriber").
TERMS OF SUBSCRIPTION
A.
The Subscriber, tendering U.S. dollars, hereby subscribes for a limited partnership
interest in the Fund (an "Interest") in the amount shown on the signature page hereof.
By executing this Subscription Agreement, to induce the Fund to sell the Interest
subscribed for herein to the Subscriber, the Subscriber:
1. Understands that this subscription is subject to allocation and acceptance or rejection
by the Fund's general partner (the "General Partner"), in whole or in part, in its sole
discretion; and agrees that, if the General Partner accepts this subscription, the
Subscriber shall be bound by each and every provision of the Fund's Agreement of
Limited Partnership, as amended and restated from time to time (the "Limited
Partnership Agreement").
2. (a) Acknowledges and agrees that the Interest subscribed for hereunder has not been
registered with the U.S. Securities and Exchange Commission (the "SEC") under the
U.S. Securities Act of 1933, as amended (the "Act") or under any state or foreign
securities laws or regulations, and the offering of the Interest has not been reviewed
or approved by any securities regulatory authority; (b) agrees that the Subscriber is
purchasing the Interest for the Subscriber's own account and for investment purposes
only and not with a view to resale or redistribution; and (c) agrees that the Interest,
and any legal, equitable or economic interest therein (such as any economic
participation or derivatives based on its return), may not be transferred or resold by
the Subscriber unless (i) the Interest or interests therein is transferred or resold
pursuant to (A) registration under the Act and any other applicable state or foreign
securities laws or (B) an available exemption from such registration requirement(s),
and (ii) the Subscriber has received the prior written consent of the General Partner.
3. Acknowledges that (a) the Subscriber has received, read and understood the
provisions of the Fund's Confidential Private Offering Memorandum (the "Offering
Memorandum") and Limited Partnership Agreement and is familiar therewith, and
all documents, records and books pertaining to the proposed investment in the Fund
requested by the Subscriber have been made available to the Subscriber; (b) the
Subscriber and its representatives and advisors have had an opportunity to ask
questions of and receive answers from the General Partner (or its agents) concerning
the terms and conditions of this investment; (c) all such questions have been
answered to the full satisfaction of the Subscriber and its representatives and
advisors; (d) the Subscriber is not relying upon any information or representations
other than as expressly contained in the Limited Partnership Agreement and the
Offering Memorandum provided to the Subscriber by the General Partner (or its
agents); (e) historical performance of the Fund, or of accounts managed by the
General Partner or its affiliates, may not be indicative of and does not constitute a
guarantee of future performance; and (f) the Subscriber is not subscribing for an
Interest as a result of or subsequent to any advertisement, article, notice or other
communication published in any newspaper, magazine or similar media or broadcast
EWAGNEN218412.1 - 12/11/12
EFTA01197223
over television or radio, or presented at any seminar or meeting accessible to the
public, or any solicitation of a subscription by a person not previously known to the
Subscriber in connection with investments in securities generally.
4. Represents that the Subscriber, together with the Subscriber's representatives and
advisors: (a) has sufficient knowledge and experience in financial, legal and tax
matters to be capable of evaluating the merits and risks of an investment in the Fund
and to make an informed investment decision with respect thereto; and (b) has
conducted its own independent analysis of the financial, legal and tax risks involved
in or resulting from an investment in the Fund.
5. Represents that the Subscriber has adequate means of providing for all its current
needs and possible contingencies, has the financial ability to bear the economic risk
of losing its entire investment in the Fund and has no need for liquidity with respect
to this investment beyond that provided in the Limited Partnership Agreement.
6. Represents that, if the Subscriber is an entity (a) the Subscriber was not formed for
the specific purpose of acquiring securities offered by the Fund or principally for the
purpose of satisfying the 100-partner limitation under IRS regulations relating to
"publicly traded partnerships" and (b) not more than 40% of the assets of the
Subscriber are being or will be invested in the Fund.
7. Agrees to indemnify and hold harmless the Fund, the General Partner, the Fund's
investment manager (the "Investment Manager") and the Administrator, and their
respective officers and agents from and against any loss, liability, cost or expense
(including attorneys' fees, taxes and penalties) which may result, directly or
indirectly, from any misrepresentation or breach of any warranty, condition, covenant
or agreement set forth herein or in any other document delivered by the Subscriber to
the Fund, the General Partner, the Investment Manager or the Administrator.
8. Hereby constitutes and appoints the General Partner with full power of substitution
and resubstitution, the Subscriber's true and lawful agent, in the Subscriber's name,
place and stead: (i) to execute and deliver amendments to the Limited Partnership
Agreement adopted in accordance therewith and (ii) to execute, certify, acknowledge,
deliver, file and/or record amendments to the Fund's Certificate of Limited
Partnership or restatements of such Certificate, and any other certificates, instruments
or documents which may be required of the Fund or its Limited Partners under the
laws of the State of Delaware or any other jurisdiction or by any governmental
agency or which the General Partner deems necessary or advisable.
9. Agrees that if any of the statements, representations, warranties or covenants made
herein by the Subscriber become untrue or inaccurate, the Subscriber shall
immediately notify the General Partner in writing.
10. Agrees that if the Subscriber subscribes for an additional Interest, all of the
statements and representations contained herein shall be deemed to be restated as of
the date of each such additional subscription, unless the Subscriber notifies the
General Partner in writing to the contrary.
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EWAGNEN218412.1 - 12/11/12
EFTA01197224
II. Agrees that the Subscriber's representations, warranties and covenants contained
herein shall survive the closing of the purchase and sale of the Interest subscribed for
pursuant to this Subscription Agreement.
12. Consents that the Fund and the General Partner may use e-mail as a means of
providing reports and other notices to the Subscriber (unless the Subscriber notifies
the General Partner in writing that it withdraws such consent).
13. Acknowledges that this Subscription Agreement is not transferable or assignable and
cannot be altered, amended or modified by the Subscriber except as may be agreed to
in writing by the Fund and the Subscriber.
B.
I. This Subscription Agreement in all respects shall be governed by and construed
in accordance with the laws of the State of New York (USA), without giving effect to
the principles of conflicts of laws thereof.
2. The Subscriber represents and warrants that all consents required to be obtained and
all legal requirements necessary to be complied with or observed in order for this
Subscription Agreement or the issuance of the Interest subscribed for hereunder to be
lawful and valid under any jurisdiction to which the Subscriber is subject have been
obtained, complied with or observed.
3. This Subscription Agreement shall be binding upon and inure to the benefit of the
parties' successors and permitted assigns.
4. The terms "its" and "it," when used herein with respect to the Subscriber, depending
upon the nature of the Subscriber, shall be deemed to mean "his," "her or "its," or,
as the case may be, "he," "she" or "it."
5. The headings of the paragraphs of this Subscription Agreement are inserted for
convenience only and shall not be deemed to constitute a part hereof and shall not
affect the construction or interpretation of this Subscription Agreement.
IN MAKING AN INVESTMENT DECISION INVESTORS MUST RELY ON THEIR OWN
EXAMINATION OF THE FUND AND THE TERMS OF THE OFFERING, INCLUDING THE
RISKS INVOLVED. THESE SECURITIES HAVE NOT BEEN RECOMMENDED BY ANY
U.S. FEDERAL OR STATE SECURITIES COMMISSION OR REGULATORY AUTHORITY.
FURTHERMORE, THE FOREGOING AUTHORITIES HAVE NOT CONFIRMED THE
ACCURACY OR
DETERMINED THE
ADEQUACY
OF THIS
SUBSCRIPTION
AGREEMENT OR THE OFFERING MEMORANDUM. ANY REPRESENTATION TO THE
CONTRARY IS A CRIMINAL OFFENSE.
THESE SECURITIES ARE SUBJECT TO RESTRICTIONS ON TRANSFERABILITY AND
RESALE, AND THESE SECURITIES AND INTERESTS THEREIN MAY NOT BE
TRANSFERRED OR RESOLD EXCEPT AS PERMITTED UNDER THE U.S. SECURITIES
ACT OF 1933, AS AMENDED, AND APPLICABLE STATE SECURITIES LAWS,
PURSUANT TO REGISTRATION OR EXEMPTION THEREFROM, AND THEN ONLY
WITH THE CONSENT OF THE GENERAL PARTNER. INVESTORS SHOULD BE AWARE
THAT THEY MAY BE REQUIRED TO BEAR THE FINANCIAL RISKS OF THIS
INVESTMENT FOR AN INDEFINITE PERIOD OF TIME.
-4-
EWAGNEN218412.1 - 12/11/12
EFTA01197225
GENERAL ELIGIBILITY REPRESENTATIONS
U.S. Person Status
The Subscriber represents that it is a "U.S. Person" because at the time of the sale of the Interest to
the Subscriber, it is (please initial one or more categories if and as applicable):
Initial
1.
2.
3.
_
Initial
_
4.
Initial
5.
Initial
6.
Initial
7.
Initial
8.
Initial
9.
Initial
A natural person resident in the United States;
A partnership, limited liability company or corporation organized or incorporated
under the laws of the United States, its territories or possessions, any State, or the
District of Columbia;
An estate of which any executor or administrator is a U.S. Person;
A trust of which any trustee is a U.S. Person;
An agency or branch of a foreign entity located in the United States;
A non-discretionary account or similar account (other than an estate or trust) held
by a dealer or other fiduciary for the benefit or account of a U.S. Person;
A discretionary account or similar account (other than an estate or trust) held by a
dealer or other fiduciary organized, incorporated, or (if an individual) resident in
the United States;
A partnership, limited liability company or corporation if: (a) organized or
incorporated under the laws of any foreign jurisdiction; and (b) formed by a U.S.
Person principally for the purpose of investing in securities not registered under
the Securities Act of 1933, as amended (the "Act"), unless it is organized or
incorporated, and owned, by "Accredited Investors" for purposes of the Act (see
definition on the following page) who are not natural persons, estates or trusts; or
The Subscriber is not a "U.S. Person."
-5-
EWAGNEN218412.1 - 12/11/12
EFTA01197226
GENERAL ELIGIBILITY REPRESENTATIONS
ERISA Related Status
A.
The Subscriber represents that it is, or is investing on behalf of (please initial one (and only
one) category):
1.
A plan or trust (an "ERISA Plan") within the meaning of, and subject to the
Initial
provisions of, the Employee Retirement Income Security Act of 1974, as
amended ("ERISA");
2.
A plan subject to Section 4975 of the Code, including a Keogh plan or an
Initial
individual retirement account (an "IRA") which is not subject to ERISA;
3.
An insurance company's general account assets or the assets of an insurance
Initial
company's separate account or bank common or collective trust that has
investors described in one or more of categories 1 and 2 of this paragraph A.
Such investors include (please initial all that apply and indicate the applicable
percentage owned by such investors):
(a) Persons or entities described in category 1 of this paragraph A. Please
Initial
indicate applicable percentage of such investors
96. and/or
(b) Persons or entities described in category 2 of this paragraph A. Please
Initial
indicate applicable percentage of such investors
96.
4.
An entity in which 25% or more of any class of its equity interests is held in
Initial
the aggregate by one or more of the below, excluding from the 25%
computation non-benefit plan interests of any individual or entity (and
affiliates thereof) with discretionary authority or control over the assets of the
Subscriber (please initial all that apply and indicate applicable percentage
owned by such investors):
(a) Persons or entities described in category 1 of this paragraph A. Please
Initial
indicate applicable percentage of such investors
96.
(b) Persons or entities described in category 2 of this paragraph A.
Please
Initial
indicate applicable percentage of such investors
% and/or
(c) Persons or entities described in category 3 of this paragraph A. (If the
Initial
Subscriber checks this category 4(c), please complete category 3 of this
paragraph A for the accounts referred to therein.)
Please indicate
applicable percentage of such investors
96.
5.
A U.S. person or entity that is exempt from U.S. federal income taxation (other
than unrelated business taxable income) such as a private foundation, public
charity or school endowment, a government plan or trust not subject to ERiSA,
or a "pass-through" entity whose investors are all U.S. tax-exempt, in each
case that are not described in categories 1, 2, 3 and 4 of this paragraph A.
-6-
EWAGNEN218412.1 - 12/11/12
EFTA01197227
6.
Initial
None of the above.
If any of the applicable percentages set forth in this paragraph A change, the Subscriber agrees to
promptly notify the General Partner and agrees to update such percentages at such other times as
the General Partner requests.
B.
If and only if the Subscriber initialed categories 1, 3(a) or 4(a) of paragraph A above, the
Subscriber represents all of the following (please initial only if all five ERISA Plan
Representations listed below are true):
ERISA Plan Representations
Initial
I. The fiduciaries of the ERISA Plan have been informed of and understand the Fund's
investment objectives, policies and strategies.
2. The fiduciaries of the ERISA Plan are permitted to invest ERISA Plan assets in the
Fund under applicable ERISA Plan documents.
3. The investment by the fiduciaries is consistent with the provisions of ERISA that
require diversification of ERISA Plan assets and impose other fiduciary
responsibilities.
4. The ERISA Plan fiduciaries have given appropriate consideration to, among other
things, the role that an investment in the Fund plays in the ERISA Plan portfolio,
taking into account whether the investment is designed reasonably to further the
ERISA Plan's purposes, an examination of the risk and return factors, and the ERISA
Plan's liquidity, current return, projected return, and anticipated cash flow needs.
5. The ERISA Plan fiduciaries have consulted with appropriate counsel and have
determined that an investment in the Fund is not a transaction prohibited by ERISA,
such fiduciaries or the Code.
C.
If and only if the Subscriber initialed categories 1, 2, 3 or 4 of section A above the
Subscriber represents all of the following (please initial only if all five Investment
Company Act Representations listed below are true):
Initial
Investment Company Act Representations
1. The decision to invest the assets of the plan in the Fund and the amount and timing of
such investment was, and any withdrawals of interests in the Fund will be, made
solely by plan fiduciaries without direction from or consultation with any plan
participant, other than plan trustees acting in their capacity as fiduciaries.
2. Other than plan trustees acting in their capacity as plan fiduciaries, a plan
participant's investment discretion, if any, is limited to allocating his account among
a number of investment options, each of which has only an identified generic
investment objective.
-7-
EWAGNEN218412.1 - 12/11/12
EFTA01197228
3. No representation is made to plan participants that any specific portion of their
contributions to or account balances under the plan, or any specific portion of the
relevant investment option, will be invested in a fund relying on the exclusion from
the definition of an investment company pursuant to Section 3(c)(1) or Section
3(c)(7) of the Investment Company Act of 1940, as amended (the "1940 Act").
4. Immediately following the plan's investment in the Fund, at least 50% of the relevant
investment option under the plan will consist of securities or property other than
securities issued by any private investment fund not registered under the 1940 Act in
reliance on the exemptions contained in Section 3(c)(1) or Section 3(c)(7) thereof.
5. If the plan delivers information to plan participants that mentions an investment in
the Fund, it is and will continue to be accompanied by a disclaimer to the effect that
no assurances can be given that the investment option will continue to invest its
assets, or the same portion of its assets, in the Fund.
-8-
EWAGNEN218412.1 - 12/11/12
EFTA01197229
2.
Initial
3.
Initial
4.
Initial
5.
Initial
GENERAL ELIGIBILITY REPRESENTATIONS
Accredited Investor Status
The Subscriber represents that it is an "Accredited Investor" because at the time of the sale of
the Interest to the Subscriber, it is (please initial one or more categories if and as applicable):
1.
A bank as defined in Section 3(a)(2) of the Securities Act of 1933, as amended
Initial
(the "Securities Act"), or any savings and loan association or other institution
as defined in Section 3(a)(5)(A) of the Securities Act whether acting in its
individual or fiduciary capacity; a broker or dealer registered pursuant to
Section 15 of the Securities Exchange Act of 1934, as amended (the "Exchange
Act"); an insurance company as defined in Section 2(13) of the Act; an
investment company registered under the 1940 Act or a business development
company as defined in Section 2(a)(48) of the 1940 Act; a Small Business
Investment Company licensed by the U.S. Small Business Administration under
Section 301(c) or (d) of the Small Business Investment Act of 1958; a plan
established and maintained by a state, its political subdivisions or an agency or
instrumentality of a state or its political subdivisions for the benefit of its
employees, if such plan has total assets in excess of $5,000,000; an employee
benefit plan within the meaning of ERISA, if the investment decision is made
by a plan fiduciary, as defined in Section 3(21) of ERISA, which is either a
bank, savings and loan association, insurance company, or registered investment
adviser, or if the employee benefit plan has total assets in excess of $5,000,000
or, if a self-directed plan, with investment decisions made solely by persons that
are Accredited Investors;
A private business development company as defined in Section 202(a)(22) of
the Investment Advisers Act of 1940, as amended (the "Advisers Act");
An organization described in Section 501(c)(3) of the Code, a limited liability
company, a corporation, Massachusetts or similar business trust, or a
partnership, not formed for the specific purpose of acquiring the securities
offered, with total assets in excess of $5,000,000;
A director, executive officer, managing member or general partner of the issuer
of the securities being offered or sold, or any director, executive officer,
managing member or general partner of a general partner of that issuer;
Any natural person whose individual net worth, or joint net worth with that
person's spouse, at the time of his purchase exceeds $1,000,000. For this
purpose:
(i)
one's primary residence should not be included as an asset;
(ii)
indebtedness that is secured by one's primary residence, up to
the estimated fair market value of the primary residence at the time of
the sale of securities, should not be included as a liability (except that if
the amount of such indebtedness outstanding at the time of the sale of
securities exceeds the amount outstanding 60 days before such time,
other than as a result of the acquisition of the primary residence, the
-9-
EWAGNEN218412.1 - 12/11/12
EFTA01197230
amount of such excess should be included as a liability); and
(iii)
indebtedness that is secured by the person's primary residence
in excess of the estimated fair market value of the primary residence
should be included as a liability;
6.
Initial
7.
Initial
8
Initial
9.
Initial
A natural person who had an individual income in excess of $200,000 in each of
the two most recent years, or joint income with that person's spouse in excess of
$300,000 in each of those years, and has a reasonable expectation of reaching
the same income level in the current year;
A trust, with total assets in excess of $5,000,000, not formed for the specific
purpose of acquiring the securities offered, whose purchase is directed by a
sophisticated person as described in Rule 506(b)(2)(ii) under the Act;
A revocable trust that may be revoked by the grantor at any time and whose
grantors are all Accredited Investors; or
An entity in which all of the equity owners are Accredited Investors.
-10-
EWAGNEN218412.1 - 12/11/12
EFTA01197231
2.
Initial
3.
Initial
4.
Initial
5.
GENERAL ELIGIBILITY REPRESENTATIONS
Qualified Purchaser Status
A.
The Subscriber represents that it is a "Qualified Purchaser" because, at the time of the
sale of the limited partnership interest to it, it is (please initial one or more categories if
and as applicable):
A natural person (including a person who holds a joint, community property, or
Initial
other similar shared ownership interest in an issuer that is excepted under Section
(3)(c)(7) of the U.S. Investment Company Act of 1940, as amended (the "1940
Act"), with that person's Qualified Purchaser spouse) who owns not less than
$5,000,000 in investments, as defined by the SEC;
A company that owns not less than $5,000,000 in investments, that was not formed
for the specific purpose of acquiring the securities offered, and that is owned
directly or indirectly by or for two or more natural persons who are related as
siblings or spouse (including former spouses), or direct lineal descendants by birth
or adoption, spouses of such persons, the estates of such persons, or foundations,
charitable organizations, or trusts established by or for the benefit of such persons;
A trust that is not covered by Item 2 of this Paragraph A and that was not formed
for the specific purpose of acquiring the securities offered, as to which the trustee
or other person authorized to make decisions with respect to the trust, and each
settlor or other person who has contributed to the trust, is a Qualified Purchaser;
A person, acting for its own account or the accounts of other Qualified Purchasers,
who in the aggregate owns and invests on a discretionary basis, not less than
$25,000,000 in investments and that was not formed for the specific purpose of
acquiring the securities offered; or
An entity that is not a trust and that is beneficially owned exclusively by Qualified
Initial
Purchasers, even if such entity was formed for the specific purpose of acquiring the
securities offered.
B.
If the Subscriber is a company that (a) was formed prior to April 30, 1996 and (b) would
be an investment company under the 1940 Act but for the exception provided in Section
3(c)(1) or Section 3(c)(7) thereof (an "excepted investment company"), it represents
that (please initial the following statement if applicable):
All beneficial owners of its outstanding securities (other than short-term paper),
Initial
determined in accordance with Section 3(c)(1)(A) of the 1940 Act, that acquired
such securities on or before April 30, 1996 ("pre-amendment beneficial owners"),
and all pre-amendment beneficial owners of the outstanding securities (other than
short-term paper) of any excepted investment company that, directly or indirectly,
owns any outstanding securities of such excepted investment company, have
consented to its treatment as a Qualified Purchaser.
-11-
EWAGNEN218412.1 - 12/11/12
EFTA01197232
GENERAL ELIGIBILITY REPRESENTATIONS
Investment Company Status
A.
The Subscriber (please initial one or more categories as applicable):
1.
Is or holds itself out as being engaged primarily, or proposes to engage
Initial
primarily, in the business of investing, reinvesting, or trading in securities;
-
2.
Is engaged or proposes to engage in the business of issuing face-amount
Initial
certificates of the installment type, or has been engaged in such business and
has any such certificate outstanding;
-
3.
Is engaged or proposes to engage in the business of investing, reinvesting,
Initial
owning, holding, or trading in securities, and owns or proposes to acquire
investment securities having a value exceeding 40% of the value of such
issuer's total assets (exclusive of government securities and cash items) on an
unconsolidated basis; or
4.
None of the above.
Initial
B.
If the Subscriber initialed category (1), (2) or (3) in section A above, the Subscriber
represents that:
The Subscriber is (i) a registered Investment Company (as defined in the U.S.
Initial
Investment Company Act of 1940, as amended (the "1940 Act")), or (ii) exempt from
registration as an Investment Company (as defined in the 1940 Act) in reliance on
Section 3(c)(1) or Section 3(c)(7) of the 1940 Act.
C.
If the Subscriber initialed category (1), (2) or (3) in section A above, but did not initial
section B above, the Subscriber represents that it is exempt from registration as, or
excepted from being deemed, an Investment Company (as defined in the 1940 Act)
because (please specify the basis for the exemption):
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EWAGNEN218412.1 - 12/11/12
EFTA01197233
GENERAL ELIGIBILITY REPRESENTATIONS
Allocations of New Issues
A.
No Allocations of New Issues
The Subscriber does not wish to participate in the Fund's "new issues" profits and losses,
Initial
regardless of its eligibility to receive such profits and losses. If the Subscriber initials this
Item A, it can skip the remainder of this Allocations of New Issues section and will not
participate in any new issues profits and losses.
B.
Exempted Entity Status The Subscriber (please initial one (and only one) of the
following):
I.
Is an "Exempted Entity" because it is one of the following:
Initial
(a)
An investment company registered under the Investment Company Act of
1940, as amended;
(b)
A publicly traded entity (other than a broker-dealer or an affiliate of a broker-
dealer where such broker-dealer is authorized to engage in the public offering
of new issues either as a selling group member or underwriter) that:
is listed on a national securities exchange; or
(ii)
is a foreign issuer whose securities meet the quantitative designation
criteria for listing on a national securities exchange;
(c)
An Employee Retirement Income Security Act benefits plan that is qualified
under Section 401(a) of the Internal Revenue Code of 1986, as amended (the
"Code"), provided that such plan is not sponsored solely by a broker-dealer;
(d)
A state or municipal government benefits plan that is subject to state and/or
municipal regulation;
(e)
A tax-exempt charitable organization under Section 501(c)(3) of the Code; or
(f)
A church plan under Section 414(e) of the Code.
2.
Is not an Exempted Entity.
Initial
If the Subscriber is an Exempted Entity, it can skip the remainder of this Allocations of
New Issues section (Items C and D).
If the Subscriber is not an Exempted Entity, it must compete BOTH Item C and Item D
below.
-13-
EWAGNEN218412.1 - 12/11/12
EFTA01197234
C.
Restricted Person Status
1.
The Subscriber represents that (please initial one (and only one) of the following):
(a)
It is exempt from the definition of "Restricted Person" because it is one of the
Initial
following:
(i)
A common trust fund or similar fund as described in Section
3(a)(12)(A)(iii) of the Securities Exchange Act of 1934, as amended
(the "Exchange Act"), provided that:
A.
the fund has investments from 1,000 or more accounts; and
B.
the fund does not limit beneficial interests in the fund
principally to trust accounts of persons listed in Item C.1(b)
below (i.e., Restricted Persons);
(ii)
An insurance company's general, separate or investment account,
provided that:
A.
the account is funded by premiums from 1,000 or more
policyholders, or, if a general account, the insurance company
has 1,000 or more policyholders; and
B.
the insurance company does not limit the policyholders whose
premiums are used to fund the account principally to
Restricted Persons, or, if a general account, the insurance
company does not limit its policyholders principally to
Restricted Persons;
(iii)
An investment company organized under the laws of a foreign
jurisdiction, provided that:
A.
the investment company is listed on a foreign exchange for
sale to the public or authorized for sale to the public by a
foreign regulatory authority; and
B.
no person owning more than 5% of the shares of the
investment company is a Restricted Person;
(b)
It is a "Restricted Person" because he, she or it, or a person having a
Initial
beneficial interest in the Subscriber, is a person listed in clauses (i)-(iii) below.
The Subscriber agrees that it shall participate in new issues profits and losses
of the Fund only to the extent that the Fund deems appropriate in its discretion.
(i)
A.
A Financial Industry Regulatory Authority, Inc. ("FINRA")
member or any other broker-dealer;
B.
An officer, director, general partner, associated person, or
employee of a FINRA member or any other broker-dealer,
other than a "limited business broker-dealer." ("Limited
-14-
EWAGNEN218412.1 - 12/11/12
EFTA01197235
business broker-dealer" means any broker-dealer whose
authorization to engage in the securities business is limited
solely
to
the
purchase
and
sale
of
investment
company/variable contract securities and direct participation
program securities);
C.
An agent of a FINRA member or any other broker-dealer
(other than a limited business broker-dealer) that is engaged in
the investment banking or securities business; or
D.
An "immediate family member" of any person specified in
paragraph B or C above of this clause (i). "Immediate family
member" means a person's parents, mother-in-law or father-
in-law, spouse, brother or sister, brother-in-law or sister-in-
law, son-in-law or daughter-in-law, and children, and any
other individual to whom the person provides "material
support" (as defined in FINRA Rule 5130);'
(ii)
A.
A person who acts as a finder in respect to public offerings or
who acts in a fiduciary capacity to managing underwriters
(including, among others, certain attorneys, accountants and
financial consultants);
B.
A person who has authority to buy or sell securities for a bank,
savings and loan institution, insurance company, investment
company, investment advisor, or Collective Investment
Account. "Collective Investment Account" means any hedge
fund, investment partnership, investment corporation, or any
other collective investment vehicle that is engaged primarily in
the purchase and/or sale of securities, other than a "family
investment vehicle" (Le., a legal entity that is beneficially
owned solely by immediate family members) or an
"investment club" (i.e., a group of friends, neighbors,
business associates, or others that pool their money to invest in
stock or other securities and are collectively responsible for
making investment decisions); or
C.
An immediate family member of a person specified in
paragraph A or B of this clause (ii) if such person materially
supports, or receives material support from, the immediate
family member; or
(iii)
A person, with respect to a broker-dealer (other than a limited business
broker-dealer), that:
A.
Is listed, or required to be listed, in Schedule A or Schedule C
(as to amend Schedule A) of the Uniform Application for
"Material support" means directly or indirectly providing more than 25% of a person's income in the
prior calendar year. For the purposes of this Item C, members of the immediate family living in the same
household are deemed to be providing each other with material support.
-15-
EWAGNE218412.1 - 12/11/12
EFTA01197236
Broker-Dealer Registration ("Form BD"), except persons
identified by an ownership code of less than 10%;
B.
Is listed, or required to be listed, in Schedule B or Schedule C
(as to amend Schedule B) of Form BD, except persons whose
listing on such Schedule relates to an ownership interest in a
person listed on Schedule A or Schedule C (as to amend
Schedule A) of Form BD identified by an ownership code of
less than 10%;
C.
Directly or indirectly owns 10% or more of a public reporting
company listed, or required to be listed, in Schedule A of
Form BD, other than a reporting company that is listed on a
national securities exchange;
D.
Directly or indirectly owns 25% or more of a public reporting
company listed, or required to be listed, in Schedule B of Form
BD, other than a reporting company that is listed on a national
securities exchange; or
E.
Is an immediate family member of any person specified in
paragraph A, B, C or D of this clause (iii).
(c)
Neither of the above statements is correct.
Initial
If the Subscriber is a Restricted Person that is a corporation, partnership, limited liability
company, trust, collective investment vehicle or other entity, it must complete the following
Item C.2.
2.
The Subscriber represents that (please initial one (and only one) of the following):
(a)
None of its beneficial owners are Restricted Persons, and it agrees to notify the
Initial
Fund immediately in writing if any of its beneficial owners are or become
Restricted Persons;
(b)
The Subscriber is not owned solely by Restricted Persons and will not allocate
Initial
to Restricted Persons more than 10% of the new issues profits or losses
allocated to it by the Fund. The Subscriber agrees to notify the Fund
immediately in writing if the foregoing statement becomes untrue or
inaccurate.
(c)
Neither of the above statements is correct.
Initial
-16-
EWAGNEN218412.1 - 12/11/12
EFTA01197237
D.
Covered Person Status
Individuals who are executive officers or directors of a Public Company (as defined in Item
D.1(b) below) or a Covered Non-Public Company (as defined in Item D.1(c) below), or who
are materially supported by an executive officer or director of a Public Company or
Covered Non-Public Company, are referred to below as "Covered Persons."
I.
The Subscriber represents that (please initial and. if applicable. complete one (and only
initial
one) of the following):
(a)
It is one of the following:
A common trust fund or similar fund as described in Section
3(a)(12)(A)(iii) of the Exchange Act, provided that:
A.
the fund has investments from 1,000 or more accounts; and
B.
the fund does not limit beneficial interests in the fund
principally to trust accounts of Covered Persons;
(ii)
An insurance company's general, separate or investment account,
provided that:
A.
the account is funded by premiums from 1,000 or more
policyholders, or, if a general account, the insurance company
has 1,000 or more policyholders; and
B.
the insurance company does not limit the policyholders whose
premiums are used to fund the account principally to Covered
Persons, or, if a general account, the insurance company does
not limit its policyholders principally to Covered Persons;
(iii)
An investment company organized under the laws of a foreign
jurisdiction, provided that:
A.
the investment company is listed on a foreign exchange for
sale to the public or authorized for sale to the public by a
foreign regulatory authority; and
B.
no person owning more than 5% of the shares of the
investment company is a Covered Person;
(b)
The Subscriber is, or is "materially supported" (as defined in FINRA Rule
Initial
5131)2 by, an executive officer or director of a company that is registered
under Section 12 of the Exchange Act or that files periodic reports pursuant to
Section 15(d) of the Exchange Act (a "Public Company"). The Subscriber
agrees that the Fund may, in its discretion, fully or partially restrict the
Subscriber's participation in the Fund's new issues profits and losses, even if
Material support" means directly or indirectly providing more than 25% of a person's income in the
prior calendar year. For the purposes of this Item D, persons living in the same household are deemed to
be providing each other with material support.
-17-
EWAGNE218412.1 - 12/11/12
EFTA01197238
such restriction is not required by FINRA rules.
Please provide (i) the full legal name of each Public Company of which the
Subscriber or a person who provides material support to the Subscriber is an
executive officer or director and (ii) each such Public Company's Ticker
Symbol or ISIN, as applicable:
(c)
The Subscriber is, or is materially supported by, an executive officer or director
Initial
of a company (other than a Public Company) that has: (i) income of at least $1
million in the last fiscal year or in two of the last three fiscal years and
shareholders' equity of at least $15 million; (ii) shareholders' equity of at least
$30 million and a two-year operating history; or (iii) total assets and total revenue
of at least $75 million in the latest fiscal year or in two of the last three fiscal
years (a "Covered Non-Public Company"). The Subscriber agrees that the
Fund may, in its discretion, fully or partially restrict the Subscriber's
participation in the Fund's new issues profits and losses, even if such restriction
is not required by FINRA rules.
Please provide (i) the full legal name of each Covered Non-Public Company of
which the Subscriber or a person who provides material support to the Subscriber
is an executive officer or director and (ii) each such Covered Non-Public
Company's Tax Identification Number:
(d)
The Subscriber is a corporation, partnership, limited liability company, trust,
Initial
collective investment vehicle or other entity, in which one or more Covered
Persons have a direct or indirect beneficial interest. The Subscriber agrees that
the Fund may, in its discretion, fully or partially restrict the Subscriber's
participation in the Fund's new issues profits and losses, even if such
restriction is not required by FINRA rules. If the Subscriber initials this Item
D.1(d), it should continue to Item D.2 below.
(e)
None of the above statements is correct. If the Subscriber initials this Item
Initial
D.1(e), it can skip the remainder of this Item D.
2.
The Subscriber represents that (please initial and, if applicable, complete one (and only
one) of the following):
(a)
Covered Persons with beneficial interests in the Subscriber are not permitted to
Initial
participate in new issues profits or losses allocated to it by the Fund. The
Subscriber agrees to notify the Fund immediately in writing if this
statement ceases to be true at any time.
Initial
(b)
(i)
Covered Persons with beneficial interests in the Subscriber are
permitted to participate in new issues profits or losses allocated to it by
-18-
EWAGNEN218412.1 - 12/11/12
EFTA01197239
the Fund, and
(ii)
The following is a list of (A) the full legal name of all Public
Companies and Covered Non-Public Companies of which the
Subscriber's Covered Persons or individuals who materially support
them are executive officers or directors, (B) each such Public
Company's Ticker Symbol or ISIN and each such Covered Non-Public
Company Tax Identification Number, as applicable, and (C) the
aggregate percentage share of the Subscriber's new issues profits or
losses to be received by its Covered Persons that have such a
relationship to that Public Company or Covered Non-Public Company
(please include additional pages if needed):
Ticker Symbol, ISIN or
Aggregate Percentage
Full Legal Name of Company
Tax Identification Number
Share of Profits or Losses
Note:
If the Subscriber fails to fully complete this Allocations of New Issues section, its
participation in new issues profits may be limited, or in the Fund's discretion, it may
not be permitted to participate in new issues profits at all.
-19-
EWAGNEN218412.1 - 12/11/12
EFTA01197240
GENERAL ELIGIBILITY REPRESENTATIONS
Anti-Money Laundering Representations
A.
The Subscriber represents, warrants and covenants that the Subscriber (please initial one
(and only one) category):
-
1.
(a) Is subscribing for a limited partnership interest in the Fund for its own
Initial
account, own risk and own beneficial interest, (b) is not acting as an agent,
representative, intermediary, nominee or in a similar capacity for any other
person or entity, nominee account or beneficial owner, whether a person or
entity (each such person or entity, an "Underlying Beneficial Owner"), and no
Underlying Beneficial Owner will have a beneficial or economic interest in the
limited partnership interest being purchased pursuant hereto, (c) if the
Subscriber is an entity subscriber (including, without limitation, a fund-of-funds
or trust) (each, an "Entity"), has carried out thorough due diligence as to and
established the identities of such Entity's investors, directors, officers,
beneficiaries and grantors (to the extent applicable), holds the evidence of such
identities, will maintain all such evidence for at least five years from the date of
the Subscriber's complete redemption of its interest in the Fund, and will make
such information available to the Fund upon its request, and (d) does not have
the intention or obligation to sell, distribute, assign or transfer all or a portion of
the Subscriber's interests in the Fund to any Underlying Beneficial Owner; or
-
2.
(a) Is subscribing for a limited partnership interest in the Fund as a record owner
Initial
and will not have a beneficial ownership interest in such limited partnership
interest, (b) is acting as an agent, representative, intermediary, nominee or in a
similar capacity for one or more Underlying Beneficial Owners, and the
Subscriber understands and acknowledges that the representations, warranties
and agreements made in this Subscription Agreement are made by the
Subscriber with respect to both the Subscriber and the Underlying Beneficial
Owner(s), and (c) has all requisite power and authority from the Underlying
Beneficial Owners (and, if an Underlying Beneficial Owner is not an individual,
has the identities of such Underlying Beneficial Owner's investors, directors,
officers, beneficiaries and grantors (to the extent applicable)), holds the
evidence of such identities, will maintain all such evidence for at least five years
from the date of the Subscriber's complete redemption of the Subscriber's
interests in the Fund, and will make such information available to the Fund
upon the Fund's request.
B.
The Subscriber (please initial each representation and agreement):
-
1
Understands and agrees that the Fund prohibits the investment of funds in the
Initial
Fund by any persons or entities that are acting, whether directly or indirectly, (i)
in contravention of any U.S. anti-money laundering regulations or (ii) on behalf
of terrorists or terrorist organizations, including those persons or entities that are
included on any relevant lists maintained by the U.S. Office of Foreign Assets
Control ("OFAC"), the SEC, U.S. Federal Bureau of Investigation, U.S. Central
Intelligence Agency, or the IRS, all as may be amended from time to time, and
those persons or entities who are based or reside in any country or jurisdiction
that is on the list of sanctioned countries and jurisdictions maintained by OFAC,
as such list may be updated from time to time (investments by any such persons
-20-
EWAGNEN218412.1 - 12/11/12
EFTA01197241
or entities being "Prohibited Investments"). The Subscriber represents and
warrants that the Subscriber's proposed investment in the Fund that is being
made on the Subscriber's own behalf or on behalf of an Underlying Beneficial
Owner (as applicable) is not a Prohibited Investment and that the Subscriber
will promptly notify the Fund of (x) any change in the Subscriber's status or the
status of any Underlying Beneficial Owner and/or (y) if the Subscriber has
reason to believe that such investment is or was a Prohibited Investment;
2.
Understands and agrees that, notwithstanding anything to the contrary contained
in any document (including any side letters or similar agreements), if, following
the Subscriber's investment in the Fund, it is discovered that the investment is a
Prohibited Investment, such investment, at the sole option of the General
Partner, may immediately be redeemed by the Fund or frozen by the Fund
pending directions from appropriate U.S. government agencies or officials, and
the Subscriber shall have no claim against the Fund, the General Partner or any
of their respective agents, employees, officers, directors, members, managers or
shareholders for any damages as a result of such actions; and
3.
Initial
Represents and warrants that neither the Subscriber nor any Underlying
Beneficial Owner (as applicable) is a senior official in the executive, legislative,
administrative, military or judicial branches of a non-U.S. government or of a
major non-U.S. political party or government-owned corporation or any entity
formed by such a political figure or a member of the immediate family of such a
political figure or a person widely and publicly known to maintain an unusually
close relationship with such a political figure.
-21-
EWAGNEN218412.1 - 12/11/12
EFTA01197242
Authorized Signatories
Set forth below are the names of persons authorized by the Limited Partner to give and receive
instructions between the Fund and/or the Administrator and the Subscriber, 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. (Please attach additional pages if needed.)
Name
Signature
Standing Wire Instructions
Until further written notice to the Administrator signed by one or more of the persons listed above, funds
may be wired to the Limited Partner (for instance, upon withdrawals) using the following instructions:
Bank Name:
Bank Address:
ABA Number:
Swift Code:
Account Name:
Account Number:
Reference:
Type of Investor (please check one):
K Individual
K Tenants in Common
K
Joint Tenants (with Rights of Survivorship)
K Partnership
K Limited Liability Company
K
Registered Investment Company
K Corporation K Trust
K
Other — Specify:
Additional Contact for Notices and Communications (optional)
Name:
Mailing Address:
Telephone:
Fax:
E-mail:
-22-
EWAGNEN218412.1 - 12/11/12
EFTA01197243
SUBSCRIBER SIGNATURE PAGE OF SUBSCRIPTION AGREEMENT
SUBSCRIPTION AMOUNT:
US$
Please do not send in your subscription amount prior to
receiving approval from the Fund.
DELIVERED HEREWITH ARE:
(a) This executed Subscription Agreement.
(b) An executed and acknowledged SIGNATURE PAGE FOR LIMITED
PARTNERSHIP AGREEMENT.
Dated this
day of
20
.
INDIVIDUAL:
PARTNERSHIP, CORPORATION, LIMITED
LIABILITY COMPANY OR TRUST:
(Signature)
(Name of Entity)
(Print Name)
(Signature of Authorized Person)
(Print Name and Title of Authorized Person)
(Address)
(Address of Entity)
(Social Security Number)
(Taxpayer M. Number)
(Telephone Number)
(Telephone Number of Authorized Person)
(E-Mail Address)
(E-Mail Address)
-23-
EWAGNEN218412.1 - 12/11/12
EFTA01197244
ACCEPTANCE OF SUBSCRIPTION
To:
(Name of Subscriber)
The above is hereby agreed, and a subscription for a limited partnership interest in Boothbay
Multi-Strategy Fund, LP in the amount of
U.S.
DOLLARS (US$
) is hereby accepted, as of
, 20 .
BOOTHBAY MULTI-STRATEGY FUND, LP
By: Boothbay Hybrid GP, LW, as General Partner
By:
(Name and Title)
-24-
EWAGNEN218412.1 - 12/11/12
EFTA01197245
BOOTHBAY MULTI-STRATEGY FUND, LP
SIGNATURE PAGE FOR LIMITED PARTNERSHIP AGREEMENT
IN WITNESS WHEREOF, the undersigned have executed this Limited Partnership
Agreement as of the day and year first above written.
GENERAL PARTNER:
BOOTHBAY HYBRID GP, LLC
By:
Name: Ari Glass
Title: Managing Member
LIMITED PARTNER:
INDIVIDUAL:
PARTNERSHIP, CORPORATION, LIMITED
LIABILITY COMPANY OR TRUST:
(Signature)
(Name of Entity)
(Print Name)
(Signature of Authorized Person)
(Print Name and Title of Authorized Person)
(Address)
(Address of Entity)
(Social Security Number)
(Taxpayer M. Number)
-25-
EWAGNEN218412.1 - 12/11/12
EFTA01197246
EXHIBIT A
Privacy Notice
MI
- WHAT DOES BOOTHBAY FUND MANAGEMENT, LLC ("BOOTHBAY") DO
WITH YOUR PERSONAL INFORMATION?
Financial companies choose how they share your personal information. Federal law gives consumers the
right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and
protect your personal information. Please read this notice carefully to understand what we do.
The types of personal information we collect and share depend on the product or service you have with
us. This information can include:
•
Social Security number
Income
•
Account balances
Investment experience
•
Transaction history
•
Wire Transfer Instructions
•
Name, address and any other additional information disclosed to us in a Subscription Agreement
When you are no longer our customer, we continue to share your information as described in this notice.
All financial companies need to share customer's personal information to run their everyday business.
In the section below, we list the reasons financial companies can share their customer's personal
information; the reasons Boothbay chooses to share: and whether you can limit this sharing.
RtaSalls we can shaft your personal information
Dill" Billahha) share?
Can )1111 limit this sharing?
No
For our everyday business purposes—
such as to process your transactions, maintain
your account(s) or respond to court orders and legal
investigations
Yes
For our everyday business purposes—
to report to credit bureaus
No
We don't share
For our marketing purposes—
to offer our products and services to you
No
We don't share
For joint marketing with other financial companies
No
We don't share
For our affiliates' everyday business purposes—
information about your transactions and experiences
Yes
No
For our affiliates' everyday business purposes—
information about your creditworthiness
No
We don't share
For non-affiliates to market to you
No
We don't share
Call 212-332-2679
-26-
EWAGNEN218412.1 - 12/11/12
EFTA01197247
U TA ils1.14-J
Who is providing this notice?
Boothbay Fund Management. LLC
How does Boothbay protect my personal
information?
To protect your personal information from unauthorized access and use.
we use security measures that comply with federal law. These measures
include computer safeguards and secured files and buildings.
How does Boothbay collect my personal
information?
We collect your personal information, for example, when you
• Open an account
• Give us your income information
• Give us your contact information
• Make deposits or withdrawals from your account
• Fill out and return a Subscription Agreement
Why can't I limit all sharing?
Federal law gives you the right to limit only
•
sharing for affiliates' everyday business purposes - information
about your creditworthiness
•
affiliates from using your information to market to you
•
sharing for non-affiliates to market to you
State laws and individual companies may give you additional rights to
limit sharing.
^Ea
Affiliates
Companies related by common ownership or control. They can be
financial and nonfinancial companies.
•
Boothbay Hybrid GP, LLC is an affiliated financial company that
serves as the general partner of Boothbay Multi-Strategy Fund, LP
and Boothbay Hybrid Fund, LP
Non-affiliates
Companies not related by common ownership or control. They can be
financial and nonfinancial companies.
• Boothbay does not share with non-affiliates so that they can market to
you.
Joint marketing
A formal agreement between non-affiliated financial companies that
together market financial products or services to you.
• Boothbay does not jointly market.
er important information
As described above, we may disclose information we collect from you in connection with our everyday business purposes.
Examples of our everyday business purposes include but are not limited to: account opening with a broker or custodian,
processing transactions, auditing purposes and responding to any regulatory authorities, court orders or legal
investigations.
-27-
EWAGNEN218412.1 - 12/11/12
EFTA01197248
Technical Artifacts (9)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Phone
212-332-2679SWIFT/BIC
CONTRARYSWIFT/BIC
CRIMINALSWIFT/BIC
TRANSFERREDWire Ref
ReferenceWire Ref
TRANSFERABILITYWire Ref
Wire InstructionsWire Ref
Wire TransferWire Ref
wire instructionsForum Discussions
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