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Subscription/Suitability Documents - Superfund

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<strong>Superfund</strong> Green, L.P.<br />

New Account Questionnaire<br />

USEN390/0512<br />

DETAILS <br />

Name<br />

Investor<br />

Name<br />

<br />

Name<br />

Address Street<br />

City, State, ZIP-Code<br />

Employer<br />

, <br />

Position<br />

Joint Investor (if any)<br />

INVESTMENT <br />

OBJECTIVES<br />

Income Preservation of Capital Growth Aggressive Growth Speculation<br />

Income: Focus is on the preservation of principal and income (Very Conservative).<br />

Preservation of Capital: Focus is generating current income and/or long-term growth (Conservative).<br />

Growth: Focus is on current income and/or generating long-term growth of capital (Conservative/Moderate).<br />

Aggressive Growth: Focus is on generating growth and/or income with a willingness to assume a high level of risk (Aggressive).<br />

Speculation: Focus is on generating highest potential growth and/or income with a willingness to assume highest level of risk (Very Aggressive).<br />

RISK TOLERANCE<br />

Risk Adverse Below Average Average Above Average Aggressive<br />

INVESTMENT <br />

HORIZON<br />

Less than 1 year 1–3 years 3–5 years 5–10 years More than 10 years<br />

INVESTMENT <br />

EXPERIENCE (PLEASE CHECK ALL THAT APPLY)<br />

Years of Investment Experience <br />

Equities/Stocks Mutual Funds Real Estate Corporate Bonds<br />

Municipal Bonds Options Insurance Products Commodities<br />

Exchange Traded Funds (ETF) Private Placements REIT (Real Estate Investment Trusts)<br />

US PATRIOT ACT REQUIREMENTS: TYPE OF ID<br />

Driver’s License Passport US Govt / Military ID<br />

Investor: State/Gov Issuer<br />

Joint Investor: State/Gov Issuer<br />

ID# Expiration Date <br />

MMD D Y Y Y Y<br />

ID# Expiration Date <br />

MMD D Y Y Y Y<br />

Signature of Investor Date Signature of Joint Investor Date<br />

Registered Rep or Investment Advisor Signature Date Principal Signature Date<br />

SM<br />

D-1<br />

New Account Questionnaire<strong>Superfund</strong> Green, L.P. – page 1/1

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