LIST OF DOCUMENTS ATTACHED - LEGAL ENTITIES 
THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR 
...
INVESTOR PROFILE – SECTION 1. 
ALL INVESTORS MUST COMPLETE THIS SECTION. 
THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL...
INVESTOR PROFILE – SECTION 2. 
Name of Fund 
Investor 
Investor Contact Details 
Usual Place of Business (if different tha...
INVESTOR PROFILE – SECTION 3 
Name of Fund 
Investor 
INVESTOR BANK DETAILS – ALL INVESTORS MUST COMPLETE THIS SECTION 
Na...
SUBSCRIPTION AGREEMENT 
ALL INVESTORS MUST COMPLETE THIS AGREEMENT AND ACCEPT THE TERMS AND CONDITIONS 
THE INVESTOR HEREB...
7. I understand the Partnership has no obligation to distribute Partnership income to investors other than upon realizing ...
16 I agree that the law governing my investment in the Partnerhsip shall be the law of the State of Delaware. In the case ...
ANTI-MONEY LAUNDERING SUPPLEMENT 
ALL INVESTORS MUST COMPLETE THIS ANTI-MONEY LAUNDERING SUPPLMENT 
You (the "Investor") m...
ANTI MONEY LAUNDERING AGREEMENT – SIGNATURE PAGE 
Name of Fund 
Investor 
My signature and/or my electronic submission of ...
W-8 – TAX DECLARATION FOR NON-US INVESTORS 
ALL NON-US INVESTORS MUST COMPLETE THIS DOCUMENT IN ORDER TO CERTIFY THEIR 
ST...
W-9 – TAX CERTIFICATION FOR US INVESTORS 
ALL US INVESTORS MUST COMPLETE THIS DOCUMENT 
Name of Fund 
Investor 
1. The Inv...
CERTIFICATION OF AUTHORITY 
ALL LEGAL ENTITIES MUST COMPLETE THIS CERTIFICATION OF AUTHORITY 
You (the "Investor") must co...
CERTIFICATION OF AUTHORITY 217,18(' 
ALL LEGAL ENTITIES MUST COMPLETE THIS CERTIFICATION OF AUTHORITY 
You (the Investor) ...
BENEFICIAL OWNERSHIP INFORMATION 
To Be Completed By Entity Investors That Are Privately Held Entities 
Instructions: Plea...
TRUST OWNERSHIP INFORMATION 
To Be Completed By Entity Investors That Are Trusts 
Instructions: Please complete and return...
CERTIFICATION FORM FOR FUND OF FUNDS OR ENTITIES THAT INVEST ON BEHALF OF THIRD 
PARTIES THAT ARE NOT LOCATED IN A FATF CO...
FORM LETTER OF REFERENCE 
[LETTERHEAD OF LOCAL OFFICE OF FATF MEMBER BANKING INSTITUTION 
OR BROKERAGE FIRM] 
Date: ______...
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Symfonie Subscription docs - legal entities

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Subscription documents for legal entities wishing to invest in Symfonie managed partnerships. Funds include Symfonie Angel Ventures, Symfonie P2P Lending Fund, Symfonie Credit Opportunity.

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Symfonie Subscription docs - legal entities

  1. 1. LIST OF DOCUMENTS ATTACHED - LEGAL ENTITIES THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS OF THE SHARE PURCHASE AGREEMENT. Name of Fund / Partnership Investor I/We (hereafter, “I”) wish to purchase shares as referenced in the Share Purchase Agreement signed by myself and accepted by the Company. I understand the risks of investing in the Company and I certify that I am qualified to invest in the Company according to all applicable law. Copy of identification document for all signatories Certificate of Incorporation, in original language and with English translation Anti-money laundering agreement Certificate of Incumbancy identifying the authorised signatories Certificate of Authority signed by the authorised signatories List of Beneficial Owners Certification for Entities and / or Funds investment for the benefit of underlying investors AML reference letter for investors from non-FATF countries Symfonie Data Protection Policy Your privacy is very important to us. This Privacy Notice sets forth the policies of Symfonie P2P Ltd (the "Company") with respect to non-public personal information of its investors, prospective investors and former investors. These policies apply to individuals and to legal entities and may be changed at any time, provided a notice of such change is given to you. You may, from time to time, provide us with personal information, such as your address, social security number, assets and/or income information: (i) in the Share Purchase Agreement and related documents; (ii) in correspondence and conversations with the Company's representatives; and (iii) through transactions with the Company. We do not disclose any of this personal information about our investors, prospective investors or former investors to anyone, other than to our affiliates, and except as permitted by law, such as to our attorneys, auditors, brokers, regulators and certain service providers, in such case, only as necessary to facilitate the acceptance and management of your investment. Thus, it may be necessary, under anti-money laundering and similar laws, to disclose information about the Company's investors. We will also release information about you if you direct us to do so, if compelled to do so by law, or in connection with any government or self-regulatory organization request or investigation. We seek to carefully safeguard your private information and, to that end, restrict access to non-public personal information about you to those employees and other persons who need to know the information to enable the Company to provide services to you. We maintain physical, electronic and procedural safeguards to protect your non-public personal information.
  2. 2. INVESTOR PROFILE – SECTION 1. ALL INVESTORS MUST COMPLETE THIS SECTION. THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP. Investment Details Name of investment fund Class of interests Account type Currency class Hedging preference Amount of investment Amount in words Income distribution preference Capital gain distribution preference Principal distribution preference Was the investor referred by a placement agent? Name of placement agent (if applicable) Investor Identification Name of Entity Type of Entity Country of Formation Company ID number Registered Office Line 1 Registered Office Line 2 Registered Office City Registered Office Post Code Registered Office Country
  3. 3. INVESTOR PROFILE – SECTION 2. Name of Fund Investor Investor Contact Details Usual Place of Business (if different than registered office) Street and house number Address line 2 Post code City State Country Communications Telephone number Mobile number Fax number E-mail address Preferred communication method THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP.
  4. 4. INVESTOR PROFILE – SECTION 3 Name of Fund Investor INVESTOR BANK DETAILS – ALL INVESTORS MUST COMPLETE THIS SECTION Name of bank City Country Bank code (i.e. ABA, Sort-code, etc.) SWIFT Code Name on account Account number IBAN Individuals Authorised to Receive and Transmit Information and Instructions Individual 1 Individual 2 Name Street address Address line 2 Post code City State Country Telephone number Mobile number Fax number E-mail address Preferred method of communication THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP.
  5. 5. SUBSCRIPTION AGREEMENT ALL INVESTORS MUST COMPLETE THIS AGREEMENT AND ACCEPT THE TERMS AND CONDITIONS THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP. Name of Fund Investor I/We, the undersigned (collectively,"I"), wish to become a limited partner of the the Partnership, a Delaware limited partnership, and to purchase a limited partnership interest (an "Interest") in the Partnership upon the terms and conditions set forth herein, in the Private Placement Information Memorandum of the Partnership, as the same may be updated or modified from time to time (the "Memorandum"), and in the Limited Partnership Agreement of the Partnership, as the same may be amended from time to time (the "Partnership Agreement"). Capitalised terms used herein but not defined herein shall have the meanings assigned to them in the Partnership Agreement. 1. I agree to make a capital contribution (a "Capital Contribution") to the Partnership. I have or will remit funds by bank wire. I agree that a Subscription Processing fee of 1% of the value of the Investment, up to a maximum of US$1,000 or foreign exchange equivalent thereof will be deducted from the my remittance. 2. I understand this Partnership is a private partnership, not offered for sale to the general public, and agree that the General Partner reserves the right to reject this subscription for an Interest for any reason or no reason, in whole or in part, and at any time prior to its acceptance. If the subscription is rejected, the Payment will be returned promptly to the me and this subscription agreement (the "Subscription Agreement") shall have no force or effect. Upon acceptance of this subscription by the Partnership, the I shall become a Partner. 3. I, understand that an investment in the Partnership is risky. I am willing to bear the risks associated with an investment in the Partnership. I understand that an investment in the Partnership can result in the loss of all capital I invest. I am willing and able to bear that risk. I also understand that an investment in the Partnership is not liquid and that I might not be able to realize or receive any return from this investment for an indefinite period of time. 4. I have received and carefully read Partnership Agreement and the Private Placement Information Memorandum (the "Memorandum") other materials relevant to my investment. I understand the investment objectives and the investment program of the Partnership. I understand the Partnership will invest a substantial portion of its capital in equity and debt investments in startup and early stage companies. I understand the risks of the investments the Partnership can make and that the investments the partnership may make can be more risk than other types of investments. I understand the types of expenses the Partnership may incur in the course of making its investments. I've made my decision to invest based on my own knowledge and experience and I have not relied only on the information provided to me by the General Partner or its affiliates. 5. I understand this Partnership is a private partnership and Interests in the Partnership are not registered for public trading. I understand the General Partner has no obligation to register the partnership with any regulatory authority. I understand that I cannot sell or transfer my interest in the Partnership without the consent of the General Partner. I understand the General Partner has no obligation to allow any Partner to transfer its interest. I am investing in the Partnership for my own account, as an investment, and I have no intention to sell or transfer my interest in the Partnership to anyone else. 6. I understand an investment in the Partnership is suitable only for investors who are willing and able to bear the risks of investing in the Partnership and who have sufficient knowledge and experience in financial and business matters to make their own judgment as to the merits and of investing. I also understand that an investment in the Partnership by itself is not a complete investment program and that an investment in the Partnership should represent only a portion of any investor's overall investment portfolio.
  6. 6. 7. I understand the Partnership has no obligation to distribute Partnership income to investors other than upon realizing profits from sales of the investments the Partnership makes. I understand that distributions of capital may be made in cash or in the form of other securities. 8. The General Partner may rely in full on the representations I have made as to my willingness, ability and qualification to invest in the Partnership. My investment in the Partnership will is not being done in violation to any law, regulation or agreement to which I am subject. 9. I understand and agree that although the Partnership, the General Partner and the Administrator will use their reasonable efforts to keep the information provided in the answers to this Subscription Agreement strictly confidential, the Partnership, the General Partner or the Administrator may present this Subscription Agreement and the information provided in answers to it to such parties (e.g., affiliates, attorneys, auditors, administrators, brokers and regulators) as it deems necessary or advisable to facilitate the acceptance and management of the Investor's Capital Contributions including, but not limited to, in connection with anti-money laundering and similar laws, if called upon to establish the availability under any applicable law of an exemption from registration of the Interests, the compliance with applicable law and any relevant exemptions thereto by the Partnership, the General Partner or any of its affiliates, or if the contents thereof are relevant to any issue in any action, suit or proceeding to which the Partnership, the General Partner or its affiliates are a party or by which they are or may be bound. The Partnership, the General Partner or the Administrator may also release information about the me if directed to do so by the me, if compelled to do so by law or in connection with any government or self-regulatory organization request or investigation. 10. I understand that from time to time the General Partner or the Partnership's accountant will provide statements of my investment in the Partnership and that valuations of the Partnership's investments that are the basis for those statements may be based on estimates provided either by the General Partners or an independent third party and that the final result of my investment can only be determined based the realized income and profits the Partnership earns and distributes. 11. I agree to indemnify and hold harmless the Partnership, the General Partner, the Investment Advisor, the Information Agents, Legal Counsel and the Administrator and their respective affiliates,against any and all loss, liability, claim, damage and expense whatsoever (including all expenses reasonably incurred in investigating, preparing or defending against any claim whatsoever) arising out of or based upon (i) any false representation or warranty made by the Investor, or breach or failure by the Investor to comply with any covenant or agreement made by the Investor, in this Subscription Agreement or in any other document furnished by the Investor to any of the foregoing in connection with this transaction or (ii) any action for securities law violations instituted by the Investor which is finally resolved by judgment against the Investor. The Investor also agrees to indemnify the Partnership, the General Partner, the Investment Advisor, the Information Agents the Administrator the Legal Counsel and their respective affiliates and agents for any and all costs, fees and expenses (including legal fees and disbursements) in connection with any damages resulting from the Investor's misrepresentation or misstatement contained herein, or the assertion of lack of proper authorization from the Beneficial Owner to enter into this Subscription Agreement or perform the obligations hereof. 12. If any provision of this Subscription Agreement is invalid or unenforceable under any applicable law, then such provision shall be deemed inoperative to the extent that it may conflict therewith and shall be deemed modified to conform with such applicable law. Any provision hereof which may be held invalid or unenforceable under any applicable law shall not affect the validity or enforceability of any other provisions hereof, and to this extent the provisions hereof shall be severable. 13. The Partnership may request from me such additional information as it may deem necessary to evaluate my eligibility to acquire an Interest, and may request from time to time such information as it may deem necessary to determine my eligibility to hold an Interest or to enable the General Partner to determine the Partnership's or the General Partner's compliance with applicable regulatory requirements or the Partnership's tax status, and the I agree to provide such information as may reasonably be requested. 14. I agree to notify the General Partner promptly in writing if there is any change with respect to any of the information or representations made herein and to provide the General Partner with such further information as the General Partner may reasonably require. 15. This Subscription Agreement may be executed electronically, through the use of separate signature pages or in any number of counterparts. The counterparts shall, for all purposes, constitute one agreement binding on all the parties, notwithstanding that all parties do not execute the same counterpart.
  7. 7. 16 I agree that the law governing my investment in the Partnerhsip shall be the law of the State of Delaware. In the case of disputes arising from my investment I agree to submit to binding arbitration in the jurisdication of the American Arbitration Association. I understand that my agreement to settle disputes through arbitration does not alter any right I may have under the laws of the Investment Advisors’ Act of 1940. REGISTRATION AGREEMENT – SIGNATURE PAGE Name of Fund Investor My signature and/or my electronic submission of this form indicates acceptance of and agreement to the Terms and Conditions stated above, my agreement being dated .. Individual 1 Signature Individual 2 Signature THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP.
  8. 8. ANTI-MONEY LAUNDERING SUPPLEMENT ALL INVESTORS MUST COMPLETE THIS ANTI-MONEY LAUNDERING SUPPLMENT You (the "Investor") must complete this supplement (the "Anti-Money Laundering Supplement") in order to become a limited partner in the Partnership. Your subscription agreement will not be deemed complete, and you will not be deemed a limited partner of the Partnership, regardless of whether you have already wired funds, until all of the required documentation listed below is received by the General Partner or the Fund Administrator (the "Administrator"). For additional information, please contact: Symfonie Capital Advisors, s.r.o. e-mail: LQIRU@symfoniecapital.com. Telephone +420 222 191 008, Fax, +420 222 191 200 Name of Fund Investor 1. The Investor represents that the amounts contributed by it to the Partnership were not and are not directly or indirectly derived from activities that may contravene federal, state or international laws and regulations, including anti-money laundering laws and regulations. 2. The Investor represents and warrants that, to the best of its knowledge, none of: (1) the Investor; (2) any person controlling or controlled by the Investor; (3) if the Investor is a privately held entity, any person having a beneficial interest in the Investor; or (4) any person for whom the Investor is acting as agent or nominee in connection with this investment is not a country, territory, individual or entity named on an OFAC list, nor is a person or entity prohibited under the OFAC Programs. NOTE: Federal regulations and executive orders administered by U.S. Treasury Department's Office of Foreign Assets Control ("OFAC") prohibit, among other things, the engagement in transactions with, and the provision of services to, certain foreign countries, territories, entities and individuals. The lists of OFAC prohibited countries, territories, persons and entities can be found on the OFAC website at <http://www.treas.gov/ofac>. In addition, the programs administered by OFAC ("OFAC Programs") prohibit dealing with individuals or entities in certain countries regardless of whether such individuals or entities appear on the OFAC lists. 3. The Investor agrees to notify the Partnership, the General Partner and the Administrator promptly in writing should the Investor become aware of any change in the information set forth in these representations. The Investor is advised that, by law, the Partnership may be obligated to "freeze the account" of such Investor, either by prohibiting additional investments from the Investor, declining any withdrawal requests and/or segregating the assets in the account in compliance with governmental regulations, and the Partnership may also be required to report such action and to disclose the Investor's identity to OFAC or other applicable governmental and regulatory authorities. The Investor further acknowledges that the General Partner may, by written notice to the Investor, suspend the payment of withdrawal proceeds payable to such Investor if the General Partner reasonably deems it necessary to do so to comply with anti-money laundering regulations applicable to the Partnership, the General partner, the Manager, the Investment Advisor or any of the Partnership's other service providers. 4. The Investor understands and agrees that any withdrawal proceeds paid to it will be paid to the same account from which the Investor's investment in the Partnership was originally remitted, unless the General Partner, in its sole discretion, agrees otherwise. 5. The Investor agrees that, upon the request of the Partnership or the General Partner, it will provide such information as the Partnership or the General Partner require to satisfy applicable anti-money laundering laws and regulations, including, without limitation, the Investor's anti-money laundering policies and procedures, background documentation relating to its directors, trustees, settlors and beneficial owners, and audited financial statements, if any. THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP.
  9. 9. ANTI MONEY LAUNDERING AGREEMENT – SIGNATURE PAGE Name of Fund Investor My signature and/or my electronic submission of this form indicates acceptance of and agreement to the anti-money laundering terms and conditions stated above, my agreement being dated . Individual 1 Signature Individual 2 Signature THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP.
  10. 10. W-8 – TAX DECLARATION FOR NON-US INVESTORS ALL NON-US INVESTORS MUST COMPLETE THIS DOCUMENT IN ORDER TO CERTIFY THEIR STATUS AS NON-US INVESTORS AND BENEFIT FROM APPLICABLE TAX TREATIES Name of Fund Investor 1. I hereby certify the I am the true beneficial owner of the Interests in the Partnership. 2. I hereby certify that I am a resident of _______________________ within the meaning of the income tax treaty between the US and that country 3. THAT I am either the beneficial owner of the Partnership Interests or am duly authorised by the beneficial owner of the Partnership Interests to sign for and on behalf of the beneficial owner and; 4. THAT income I derive from the Partnership is not effectively connected income with the conduct of a trade or business in the United States and;; 5. THAT I authorise this Certification together with any and relevant information in this Application to be provided to any withholding agent that has custody or control over the income that I will receive from the Partnership in order that that withholding agent can disburse to me any and all payments of income which I am entitled to receive My signature and/or my electronic submission of this form confirm all that is stated above, dated . Individual 1 Signature Individual 2 Signature THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP.
  11. 11. W-9 – TAX CERTIFICATION FOR US INVESTORS ALL US INVESTORS MUST COMPLETE THIS DOCUMENT Name of Fund Investor 1. The Investor certifies that it is a U.S. person and that it is NOT (1) a non-resident alien or (2) a foreign corporation, foreign partnership, foreign trust or foreign estate (as those terms are defined in the Internal Revenue Code of 1986, as amended, including income tax regulations) for purposes of U.S. Federal income taxation. The Investor agrees to notify the Partnership within 60 days of the date it becomes a foreign person or entity. The Investor further certifies that its name, U.S. taxpayer identification number, home address (in the case of an individual) and business address (in the case of an entity), as they appear on the Investor Profile Form in this Subscription Agreement, are true and correct. The Investor further certifies that it is NOT subject to backup withholding because either (1) it is exempt from backup withholding, 2. The Investor certifies that it has not been notified by the Internal Revenue Service ("IRS") that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (3) the IRS has notified it that it is no longer subject to backup withholding.* The Investor makes these certifications under penalty of perjury and understands that they may be disclosed to the IRS by the Partnership and that any false statement contained in this paragraph could be punished by fine and/or imprisonment. My signature and/or my electronic submission of this form confirm all that is stated above, dated . Individual Signature Individual Signature THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP.
  12. 12. CERTIFICATION OF AUTHORITY ALL LEGAL ENTITIES MUST COMPLETE THIS CERTIFICATION OF AUTHORITY You (the "Investor") must complete this Certification of Authority (the "COA") in order to purchase shares of the Company. For additional information, please contact: Symfonie P2P. E-mail address is LQIR@symfoniecapital.com. Telephone number is +420 222 191 008, Fax, +420 222 191 200 Investor Name of Legal Entity Address of Registered Office of Legal Entity Registration Number of Legal Entity Country of formation of Legal Entity Name of Authorised Representative Completing this Certificate Date this Certificate is signed I hereby represent and warrant that I am a duly authorized representative of the Legal Entity specified in this Certificate and; that each of the directors, officers and employees of such agents listed below (each, an “Authorised Signatory”) are duly authorised officers and / or directors of the Company and in such capacity may to act by and for Company and in so doing may sign legally binding documents for and on behalf of the Company and; that the signature appearing opposite the name of each Authorized Signatory is such person’s true and genuine signature; the required number of signatures in order to legally bind the Company is ____________; Name of Authorised Signatory Title Specimen Signature Signed and dateG Day Month Year Day Month Year
  13. 13. CERTIFICATION OF AUTHORITY 217,18(' ALL LEGAL ENTITIES MUST COMPLETE THIS CERTIFICATION OF AUTHORITY You (the Investor) must complete this Certification of Authority (the COA) in order to purchase shares of the Company. For additional information, please contact: Symfonie P2P. E-mail address is LQIR@symfoniecapital.com. Telephone number is +420 222 191 008, Fax, +420 222 191 200 Investor Name of Legal Entity Address of Registered Office of Legal Entity Registration Number of Legal Entity Country of formation of Legal Entity Name of Authorised Representative Completing this Certificate Date this Certificate is signed I hereby represent and warrant that I am a duly authorized representative of the Legal Entity specified in this Certificate and; that each of the directors, officers and employees of such agents listed below (each, an “Authorised Signatory”) are duly authorised officers and / or directors of the Company and in such capacity may to act by and for Company and in so doing may sign legally binding documents for and on behalf of the Company and; that the signature appearing opposite the name of each Authorized Signatory is such person’s true and genuine signature; the required number of signatures in order to legally bind the Company is ____________; Name of Authorised Signatory Title Specimen Signature Signed and dateG Day Month Year Day Month Year
  14. 14. BENEFICIAL OWNERSHIP INFORMATION To Be Completed By Entity Investors That Are Privately Held Entities Instructions: Please complete and return this form and provide the name of every person who is directly, or indirectly through intermediaries, the beneficial owner of 25% or more of any voting or non-voting class of equity interests of the Investor. If the intermediary's shareholders or partners are not individuals, continue up the chain of ownership listing their 25% or more equity interest holders until individuals are listed. If there are no 25% beneficial owners, please write None. Name of Legal Entity Full Name Correspondence Address (for legal entities, Registered Office Address) Citizenship (for Individuals) or Country of formation (for entities) THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP.
  15. 15. TRUST OWNERSHIP INFORMATION To Be Completed By Entity Investors That Are Trusts Instructions: Please complete and return this IRUP and provide the name of: i) every current beneficiary that has, directly or indirectly, an interest of 25% or more in the trust; ii) every person who contributed assets to the trust (settlors or grantors); and iii) every trustee. If there are intermediaries that are not individuals, continue up the chain of ownership listing their 25% or more equity interest holders until individuals are listed. Name of Legal Entity Full Name and Address Status (Beneficiary/Settlor/ Trustee) Citizenship THE INVESTOR HEREBY AGREES THAT SYMFONIE CAPITAL, THE PARTNERSHIP AND THEIR AFFILIATES MAY RELY ON THE INFORMATION SUBMITTED ELECTRONCIALLY AS BEING VALID. THE INVESTOR FURTHER AGREES THAT ELECTRONIC SUBMISSION CONSTITUTES THE INVESTOR'S VALID AGREEMENT TO THE TERMS AND CONDITIONS OF THE PARTNERSHIP.
  16. 16. CERTIFICATION FORM FOR FUND OF FUNDS OR ENTITIES THAT INVEST ON BEHALF OF THIRD PARTIES THAT ARE NOT LOCATED IN A FATF COUNTRY The undersigned, being the _______________ of _________________________, a ___________________ organized under the laws of __________________________________ (the Company), does hereby certify on behalf of the Company that it is aware of applicable anti-money laundering laws and regulations, including the requirements of the USA PATRIOT Act of 2001 and the regulations administered by the U.S. Department of Treasury's Office of Foreign Assets Control (collectively, the anti-money laundering/OFAC laws). The Company has anti-money laundering policies and procedures in place reasonably designed to verify the identity of its beneficial holders and / or underlying investors (hereafter, “Investors”) and their sources of funds. Such policies and procedures are properly enforced and are consistent with the anti-money laundering/OFAC laws such that ______________________ (the Partnership) may rely on this Certification. The Company hereby represents to the Partnership that, to the best of its knowledge, the Company's Investors are not individuals, entities or countries that may subject the Partnership to criminal or civil violations of any anti-money laundering/OFAC laws. The Company has read the section entitled Representations and Covenants of the Investor in the Partnership's Anti-Money Laundering Supplement. The Company has taken all reasonable steps to ensure that its Investors are able to certify to such representations. The Company agrees to promptly notify the Partnership in writing should the Company have any questions relating to any of the Investors or become aware of any changes in the representations set forth in this Certification. The Company hereby represents to the Partnership that to the extent the Company is obliged to inform Investors about their investment into the Partnership the Company will or has undertaken to reasonably inform the Investors as to the types of investments the Partnership makes and the risks associated with investing in the Partnership. The Company hereby agrees then when communicating with Investors about the Partnership the Company will present information that is materially accurate and not false or misleading to the best of the Company’s knowledge. The Company may at all time rely on information provided by the Partnership and/or the Partnership’s Investment Advisor and / or the Partnership’s General Partner as being materially accurate and not false or misleading. Date: By: __________________________ Name: Title: Day Month Year
  17. 17. FORM LETTER OF REFERENCE [LETTERHEAD OF LOCAL OFFICE OF FATF MEMBER BANKING INSTITUTION OR BROKERAGE FIRM] Date: _____________, 20__ A letter substantially similar to this must be submitted by a bank located in an FATF country where the investor maintains an account. Under no circumstances can the Partnership accept funds from a bank account not located in an FATF member country. Symfonie Capital Klimentská 1216 / 46 110 00 Praha 1 Czech Republic info@symfoniecapital.com To whom it may concern: I, ______________, the ______________ of ____________________, do hereby Name Title Name of Institution certify that ______________________________ has maintained an account at our institution for Name of Investor ____________ years and, during this period, nothing has occurred that would give our institution Insert Period cause to be concerned regarding the integrity of _______________________. Name of Investor Do not hesitate to contact me at _____________________ if you have any further Insert Telephone No. questions. Very truly yours, ________________________________ Name: Title:

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