EFTA Document EFTA01391214

GL0US139 Third Lake Capital Exhibit D FOR ENTITIES (PARTNERSHIPS, TRUSTS, CORPORATIONS, ETC.) Any investor subscribing as an individual should skip this section. INVESTMENT COMPANY ACT REPRESENTATIONS A. The Investor is a "qualified purchaser" as defined in Section 2(aX51)(A) of the Investment Company Act as a result of (I) (Please Check All That Apply) The Investor is a company' that (i) owns not less than $5,000,000 in investments,2 (ii) is owned directly or indirectly by or for two