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efta-efta01389903DOJ Data Set 10CorrespondenceEFTA Document EFTA01389903
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DOJ Data Set 10
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efta-efta01389903
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GLDUS132 EverWatch Financial
Exhibit B
FOR INDIVIDUALS
INVESTOR STATUS
The Investor hereby represents and warrants that the answers provided below completely and accurately
describe the Investor.
The Investor is a natural person whose net worth, either individually or jointly with such person's spouse,
at the time of purchase, equals (exclusive of the value of the Investor's primary residence):
D
Less than $500,000
O
$500,000 - $999,999
O
$1,000,000 - $4,999,999
D
$5,000,000 - $9,999,999
O
$10,000,000 or more
The Investor is a natural person who had individual income on the amounts specified below, or joint income
with that person's spouse in the amount specified below, in the previous two calendar years and reasonably
expects to reach the same income level in the current calendar year:
2016 Income:
2017 Income:
O
$199,999 or less
K
$199,999 or less
O
$200,000-$299,999
O
$200,000-$299,999
O
$300,000-$499,999
O
$300,000-$499,999
K
$500,000 or greater
0
$500,000 or greater
The above amounts are calculated:
O
Individually
K
Together with my spouse
The Investor is a natural person (including a person who will hold a joint, community property or similar
shared ownership interest in the Partnership with that person's qualified purchaser spouse) who owns
investments' worth:
D
Less than $5,000,000
O
$5,000,000 - $ I 0.000,000
O
More than $ I 0,000,000
8
For definition of "invesunents." see Rule 2a51-1 promulgated under the Investment Company Act.
PROPRIETARY AND CONFIDEN77AL
B-I
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0094269
CONFIDENTIAL
SDNY_GM_00240453
EFTA01389903
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