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sd-10-EFTA01358641Dept. of JusticeOther

EFTA Document EFTA01358641

and CRD Number (if any): (e) Location of the marketer's office used principally by the private fund (city, state and country): City: State: Country: GEORGE TOWN Cayman Islands Yes No (f) Does the marketer market the private fund through one or more websites? (g) If the answer to 28(f) is "yes", list the website address(es): No Information Filed r You must answer "yes" whether the person acts as a placement agent, consultant, finder, introducer, municipal advisor or other solicitor,

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Dept. of Justice
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sd-10-EFTA01358641
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and CRD Number (if any): (e) Location of the marketer's office used principally by the private fund (city, state and country): City: State: Country: GEORGE TOWN Cayman Islands Yes No (f) Does the marketer market the private fund through one or more websites? (g) If the answer to 28(f) is "yes", list the website address(es): No Information Filed r You must answer "yes" whether the person acts as a placement agent, consultant, finder, introducer, municipal advisor or other solicitor,

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
and CRD Number (if any): (e) Location of the marketer's office used principally by the private fund (city, state and country): City: State: Country: GEORGE TOWN Cayman Islands Yes No (f) Does the marketer market the private fund through one or more websites? (g) If the answer to 28(f) is "yes", list the website address(es): No Information Filed r You must answer "yes" whether the person acts as a placement agent, consultant, finder, introducer, municipal advisor or other solicitor, or similar person. If the answer to 28(a) is "yes", respond to questions (b) through (g) below for each such marketer the private fund uses. If the private fund uses more than one marketer you must complete questions (b) through (g) separately for each marketer. (b) Is the marketer a related person of your firm? (c) Name of the marketer: BENJAMIN & JEROLD BROKERAGE I, LLC (d) If the marketer is registered with the SEC, its file number (e.g., 801-, 8-, or 866-): 8 - 44133 and CRD Number (if any): 29110 (e) Location of the marketer's office used principally by the private fund (city, state and country): City: State: Country: NEW YORK New York United States (f) Does the marketer market the private fund through one or more websites? (g) If the answer to 28(f) is "yes", list the website address(es): No Information Filed A. PRIVATE FUND Information About the Private Fund 1. (a) Name of the private fund: GOLDENTREE DISTRESSED MASTER FUND 2014 LTD (b) Private fund identification number: (include the "805-" prefix also) 2. Under the laws of what state or country is the private fund organized: State: Country: Cayman Islands 3. Name(s) of General Partner, Manager, Trustee, or Directors (or persons serving in a similar capacity): Name of General Partner, Manager, Trustee, or Director GOLDENTREE DISTRESSED FUND 2014 GP LLC Yes No r r. Yes No r —1 4. The private fund (check all that apply; you must check at least one): (1) qualifies for the exclusion from the definition of investment company under section 3(c)(1) of the Investment Company Act of 1940 rv- (2) qualifies for the exclusion from the definition of investment company under section 3(c)(7) of the Investment Company Act of 1940 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0046581 CONFIDENTIAL SDNY_GM_00192765 EFTA01358641

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