Text extracted via OCR from the original document. May contain errors from the scanning process.
(n) r
real estate broker or dealer
(o) r
sponsor or syndicator of limited partnerships (or equivalent), excluding pooled investment vehicles
(p) I✓ sponsor, general partner, managing member (or equivalent) of pooled investment vehicles
6. Do you control or are you controlled by the related person?
7. Are you and the related person under common control?
Yes No
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8. (a) Does the related person act as a qualified custodian for your clients in connection with advisory services you provide to clients?
(b) If you are registering or registered with the SEC and you have answered "yes," to question 8(a) above, have you overcome the
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presumption that you are not operationally independent (pursuant to rule 206(4)-(2)(d)(5)) from the related person and thus are not
required to obtain a surprise examination for your clients' funds or securities that are maintained at the related person?
(c) If you have answered "yes" to question 8.(a) above, provide the location of the related person's office responsible for custody of your clients' assets:
Number and Street 1:
Number and Street 2:
City:
State:
Country:
ZIP+4/Postal Code:
If this address is a private residence, check this box: r
9. (a) If the related person is an investment adviser, is it exempt from registration?
(b) If the answer is yes, under what exemption?
Yes No
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10. (a) Is the related person registered with a foreign financial regulatory authority ?
(b) If the answer is yes, list the name and country, in English, of each foreign financial regulatory authority with which the related person is registered.
No Information Filed
11. Do you and the related person share any supervised persons?
12. Do you and the related person share the same physical location?
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1. Legal Name of Related Person:
2. Primary Business Name of Related Person:
3. Related Person's SEC File Number (if any) (e.g., 801-, 8-, 866-, 802-)
or
Other
4. Related Person's CRD Number (if any):
5. Related Person is: (check all that apply)
(a) r
(b) r
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(d) r
(e)
(f)
(g)
(h) r
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(i) r
(k)
co r
(m)
(n) r
(o)
(p)
broker-dealer, municipal securities dealer, or government securities broker or dealer
other investment adviser (including financial planners)
registered municipal advisor
registered security-based swap dealer
major security-based swap participant
commodity pool operator or commodity trading advisor (whether registered or exempt from registration)
futures commission merchant
banking or thrift institution
trust company
accountant or accounting firm
lawyer or law firm
insurance company or agency
pension consultant
real estate broker or dealer
sponsor or syndicator of limited partnerships (or equivalent), excluding pooled investment vehicles
sponsor, general partner, managing member (or equivalent) of pooled investment vehicles
6. Do you control or are you controlled by the related person?
7. Are you and the related person under common control?
8. (a) Does the related person act as a qualified custodian for your clients in connection with advisory services you provide to clients?
Yes No
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0046524
CONFIDENTIAL
SDNY_GM_001 92708
EFTA01358585