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Accredited Investor Agreeement


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Investor Suitability Agreement

 

Please fill in the following Accredited Investor Suitability Agreement:

Accredited Investor Status:

I warrant to Traverse angels and their “Presenting Companies” that I am an “Accredited investor,” as that term is defined in Regulation D, Rule 501(a) as promulgated under the United States Securities Act of 1933: Specifically:

A natural person whose net worth, or joint net worth with his/her spouse, exceeds $1,000,000, and either is able to bear the economic risk of investment in shares, the investment that does not exceed 10% of his/her net worth or joint net worth with his/her spouse;

A natural person who had individual income in excess of $200,000 in each of the two most recent years, or joint income with that person’s spouse in excess of $300,000 in each of those years and reasonably expects to reach the same income level in the current year, and is able, either to bear the economic risk of investment in shares, or an investment not to exceed 10% of his/her next worth or joint net worth with his/her spouse;

An organization described in section 501(c)(3) of the Internal Revenue Code of 1986, as amended, (i.e., tax exempt entities), corporation, Massachusetts or similar business trust, or partnership, not formed for the specific purpose of acquiring shares, with the total assets in excess of $5,000,000;

A trust, with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring shares, whose purchase are directly by a sophisticated person described the Rule;

A Bank as defined in section 3(a)(2) of the Securities Act, or a savings and loan association or other institution as defined under section 3(a)(5)(A) of the Securities Act, whether acting in its individual or fiduciary capacity;

A broker or dealer registered pursuant to section 15 of the Securities Act, of 1934;

An Insurance Company as defined in section 2(13) of the Securities Act, and certain other qualified institutional investors.

Further, those desiring to purchase shares hereby, will be required to represent that they are acquiring the shares of their own accounts, for investment, not with a view to resale of distribution or subdivision thereof, and that they meet the above suitability requirements.

Because potential shares will be offered without registration under the Securities act of 1933 in reliance upon an exemption there form, investors will be required to represent that they know and understand that their right to transfer shares will be subject to certain restrictions under the Act or applicable state securities laws. 

The suitability standards set forth above represent minimum suitability requirements for investors, and the satisfaction of such standards by prospective investors does not necessarily mean that the shares or other investments are a suitable investment for them.  Prior to making a decision to acquire the shares, such prospective investors are urged to carefully examine their own financial situations and, where applicable, review their present financial situations with professional advisors in order to determine whether the foregoing criteria are met. 

The shares by any company involve a high degree of risk and only those persons who can afford to sustain a total loss of their investment should consider their purchase.

 I HEREBY deem that the foregoing is true and accurate, and I covenant and agree to INDEMNIFY and hold Traverse Angels, its members, affiliate members and/or any of their presenting companies free and harmless in connection with proposed investments.

 Agreed and Accepted:
 

Signature: _________________________________  Date: ________________ 

 

Print Name: _________________________________

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