THE RAMA FUND, LLC - Rama Capital Partners, LLC
THE RAMA FUND, LLC - Rama Capital Partners, LLC
THE RAMA FUND, LLC - Rama Capital Partners, LLC
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Investor/Member No.: __________________________<br />
INVESTOR QUESTIONNAIRE<br />
for<br />
<strong>THE</strong> <strong>RAMA</strong> <strong>FUND</strong>, <strong>LLC</strong><br />
This confidential Investor Questionnaire will be used for the acquisition of Membership Interests<br />
(“Shares”) in <strong>THE</strong> <strong>RAMA</strong> <strong>FUND</strong>, <strong>LLC</strong>, a California limited liability company (the “<strong>LLC</strong>”). The purpose<br />
of these questions is to elicit certain information to determine whether you qualify as an “Accredited<br />
Investor” and whether you have sufficient investment sophistication and ability to take financial risk to<br />
meet the standards for availability of the private offering exemption from the registration requirements of<br />
the Securities Act of 1933, as amended (the “Act”) and the qualification requirements of any other<br />
applicable securities law.<br />
THIS QUESTIONNAIRE IS NOT AN OFFER TO SELL SECURITIES.<br />
YOUR ANSWERS WILL AT ALL TIMES BE KEPT STRICTLY CONFIDENTIAL. EACH PERSON SIGNING THIS<br />
QUESTIONNAIRE AGREES, HOWEVER, THAT <strong>THE</strong> <strong>LLC</strong> MAY PRESENT THIS QUESTIONNAIRE TO SUCH PARTIES<br />
AS IT DEEMS APPROPRIATE IF CALLED ON TO ESTABLISH <strong>THE</strong> AVAILABILITY OF AN EXEMPTION FROM<br />
REGISTRATION OF <strong>THE</strong> SHARES UNDER <strong>THE</strong> ACT OR ANY O<strong>THE</strong>R SECURITIES LAW.<br />
ENTITY INFORMATION:<br />
If the Investor is an individual (natural person), please begin on page 2 at “Identifying Information.”<br />
If the Investor is an entity, please enter its name below, as it is listed in the Subscription Agreement, then<br />
proceed to page 2.<br />
Name of Entity*: _______________________________________________________<br />
*For the remaining questions labeled “Purchaser” please give information for the officer, general partner,<br />
and/or other person who will participate in the decision to purchase Shares. Also, please provide a separate<br />
Investor Questionnaire for each officer, general partner, and/or other person who will participate in the<br />
decision to purchase the Shares. (Make copies of this Questionnaire as necessary)<br />
Note for Certain Employee Benefit Plans: If you are a self-directed plan that believes it is an<br />
"accredited investor" because investment decisions are made solely by persons that are accredited<br />
investors, please furnish a separate Questionnaire with respect to you and each such person<br />
participating in making the investment decision.<br />
Note for Trusts: If you are a trust that believes it is an "accredited investor", please furnish a separate<br />
Questionnaire with respect to you and each person participating in making the investment decision.<br />
Note for Certain Entities: If you are an entity that believes it is an "accredited investor" by virtue of the<br />
accredited investor status of each equity owner thereof, please furnish a separate Questionnaire with<br />
respect to you and each such equity owner.
INVESTOR QUESTIONNAIRE<br />
IDENTIFYING INFORMATION:<br />
Name of Purchaser: _____________________________________________________________<br />
Social Security No.: __________ - _____ - __________ Date of Birth: ______/______/_______<br />
Name of Spouse: ________________________________________________________________<br />
Social Security No.: __________ - _____ - __________ Date of Birth: ______/______/_______<br />
Residence Address: ______________________________________________________________<br />
Residence Phone Number: ( _______ )_______________________________________________<br />
If applicable, please enter a State for the following:<br />
Residence other than above: __________<br />
Driver’s license: __________<br />
Registered to vote: __________<br />
State Income Taxes: _________<br />
EMPLOYMENT STATUS:<br />
Purchaser:<br />
Full Time ___________ Part Time ___________ Retired ___________<br />
Employer: _____________________________________________________________________<br />
Is this business owned and operated by you? Yes ______ No ______<br />
Current position held: ____________________________________________________________<br />
Employer Address: ______________________________________________________________<br />
______________________________________________________________________________<br />
Employer Phone Number: ( _______ ) ______________________________________________<br />
Length of Employment: ___________<br />
Prior Employment in Last Five Years: (Occupation, Employer, City and State, Length of Time)<br />
_______________________________________________________________________________<br />
_______________________________________________________________________________<br />
_______________________________________________________________________________<br />
_______________________________________________________________________________<br />
_______________________________________________________________________________<br />
2
INVESTOR QUESTIONNAIRE<br />
Other business, governmental or professional positions held and approximate dates of service<br />
(List all professional licenses, directorships and elected positions in government service)<br />
_______________________________________________________________________________<br />
_______________________________________________________________________________<br />
_______________________________________________________________________________<br />
_______________________________________________________________________________<br />
Spouse:<br />
Full Time ___________ Part Time ___________ Retired ___________<br />
Employer: _____________________________________________________________________<br />
Is this business owned and operated by you? Yes ______ No ______<br />
Current position held: ____________________________________________________________<br />
Employer Address: ______________________________________________________________<br />
______________________________________________________________________________<br />
Employer Phone Number: ( _______ ) ______________________________________________<br />
Length of Employment: ___________<br />
Prior Employment in Last Five Years: (Occupation, Employer, City and State, Length of Time)<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
Other business, governmental or professional positions held and approximate dates of service<br />
(List all professional licenses, directorships and elected positions in government service)<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
______________________________________________________________________________<br />
3
INVESTOR QUESTIONNAIRE<br />
INCOME AND NET WORTH:<br />
The <strong>LLC</strong> intends to sell the Shares to up to 500 “Accredited Investors,” and to no more than 35 other<br />
investors. Any investors not deemed “accredited” must supply sufficient information for the <strong>LLC</strong> to<br />
determine that the Purchaser or their financial representative are capable of evaluating risks of a proposed<br />
investment in the Shares.<br />
To determine if you are an "Accredited Investor" as that term is defined in Regulation D under the Act,<br />
please answer the questions below. By answering these questions, you represent that the statement or<br />
statements selected are true and correct in all respects:<br />
1. Does your individual net worth, or joint net worth with your spouse, exceed $1 million? (for<br />
this question you may include your spouses net worth and the fair market value of the equity<br />
in your home, furnishings, and automobiles.)<br />
___Yes<br />
___No<br />
2. Did you have an individual income in excess of $200,000 in each of the two most recent<br />
years or joint income with your spouse in excess of $300,000 in each of the two most recent<br />
years; and reasonably expect to reach the same income level in the current year?<br />
___ Yes<br />
___No<br />
3. If you answered “No” to BOTH questions above, please complete the following:<br />
a. My present net worth exceeds $___________________<br />
b. During the previous tax year I had an annual income in excess of $________________<br />
c. During the present tax year I anticipate an income of $________________<br />
INVESTMENT EXPERIENCE OF PURCHASER<br />
If Purchaser is not an individual, provide the following information about each officer, general partner,<br />
and/or other person who will participate in the decision to purchase the Shares.<br />
Educational background (name of college attended, major, degree obtained, if any, and year);<br />
_________________________________________________________________________________<br />
_________________________________________________________________________________<br />
Investing courses attended (list the name of each, sponsor, and date of attendance);<br />
_________________________________________________________________________________<br />
_________________________________________________________________________________<br />
Any professional licenses or registrations, including bar admissions, accounting certifications, real<br />
estate brokerage licenses, and SEC or state broker/dealer registrations held:<br />
_________________________________________________________________________________<br />
_________________________________________________________________________________<br />
4
INVESTOR QUESTIONNAIRE<br />
Has the Purchaser had the following investment experience. Check all that apply:<br />
_____ Stock Market investing for at least two years in self-managed accounts.<br />
_____ Real Estate investing for at least two years.<br />
_____ Investing in trust deeds for at least two years.<br />
_____ Bond investing in self-managed accounts.<br />
_____ Mutual Fund investing.<br />
INVESTMENT EVALUATION<br />
Purchaser agrees and understands that in making this investment, Purchaser<br />
(i)<br />
(ii)<br />
must have sufficient knowledge and experience in financial and business matters to be<br />
capable of evaluating the merits and risks of a purchase of Shares, OR<br />
must retain the services of a Professional Advisor (who may be an attorney, accountant, or<br />
other financial adviser unaffiliated with, and who is not compensated by, the <strong>LLC</strong> or any<br />
affiliate or selling agent of the <strong>LLC</strong>, directly or indirectly) for the purpose of aiding in the<br />
evaluation of this particular transaction.<br />
Do you intend to have a "Professional Advisor" in order to meet this requirement? (If yes, please furnish<br />
the information indicated below)<br />
Yes ______<br />
No ______<br />
PROFESSIONAL ADVISOR INFORMATION<br />
In accordance with federal and state securities laws, your representative must satisfy the following<br />
conditions:<br />
(1) The representative must have such knowledge and experience in financial and business matters that<br />
he or she is capable of evaluating, alone or together with your other representatives or together with<br />
you, the merits and risks of the prospective investment in the <strong>LLC</strong>; and<br />
(2) He or she may not be an affiliate, director, officer or other employee of the <strong>LLC</strong> or a beneficial owner<br />
of ten percent or more of any class of the equity securities of the <strong>LLC</strong>, except where you are:<br />
(i)<br />
(ii)<br />
(iii)<br />
A relative of the representative by blood, marriage or adoption not more remote than first<br />
cousin;<br />
A trust or estate in which the representative and any persons related to him or her as specified<br />
in clause (i) above or clause (iii) below collectively have more than fifty percent of the<br />
beneficial interest (excluding contingent interest) or of which the representative serves as<br />
trustee or executor or in any similar capacity; or<br />
A corporation or other organization of which the representative and any persons related to<br />
him or her as specified in clause (i) or (ii) above collectively are the beneficial owners of<br />
5
INVESTOR QUESTIONNAIRE<br />
more than fifty percent of the equity securities (excluding directors' qualifying shares) or<br />
equity interests.<br />
Purchaser has relied on the advice of the following Professional Advisor, who is not affiliated with, or<br />
paid by, the <strong>LLC</strong> in evaluating the merits and risks of accepting the Shares described in the<br />
Memorandum, and protecting Purchaser’s interests:<br />
Name of Advisor(s) and Relationship: _________________________________________________<br />
Advisor’s Address and Phone Number: ________________________________________________<br />
Qualifications of the Professional Advisor(s): ___________________________________________<br />
________________________________________________________________________________<br />
REPRESENTATIONS<br />
Purchaser understands that the <strong>LLC</strong> will be relying on the accuracy and completeness of the statements<br />
and responses contained in this Investor Questionnaire. Purchaser represents and warrants to the Manager<br />
and the <strong>LLC</strong> as follows:<br />
1. My Statements and responses contained in this Investor Questionnaire are complete and<br />
correct and may be relied on by the Manager and the <strong>LLC</strong> for the purpose of complying with<br />
all applicable security laws and to determine whether I am a suitable investor.<br />
2. I will notify the Manager and the <strong>LLC</strong> immediately of any material change in any statement<br />
or response made in this Questionnaire prior to acceptance of my Subscription Agreement by<br />
the Manager.<br />
3. I have sufficient knowledge and experience in financial and business matters to evaluate the<br />
merits and risks of the prospective investment, or I have consulted with Professional Advisors<br />
identified above who have sufficient knowledge and experience in financial and business<br />
matters to evaluate the merits and risks of prospective investment.<br />
4. I am able to bear the economic risk of an investment in the Shares for an indefinite period of<br />
time and understand that an investment in the Shares is illiquid and may result in a complete<br />
loss of such investment.<br />
_______________________________________<br />
Purchaser’s Signature<br />
___________________<br />
Date<br />
________________________________________________________________<br />
Print name and title (if applicable) of person signing<br />
6