Accredited Investors, bold fields are required

Type of Accredited Investor 

(i) Is a natural person whose individual net worth, or joint net worth with that person's spouse, at the time of the purchase exceeds $1,000,000; 

YES NO 

(ii) Is a natural person who had individual income exceeding $200,000 in each of the two most recent years or joint income with a spouse exceeding $300,000 in each of those years and has a reasonable expectation of reaching the same level of income in the current year; 

YES NO 

(iii) Is a director, executive officer, or general partners of the company offering or selling the securities; 

NO YES 

(iv) Is a business in which all the equity owners are accredited investors; 

YES NO 

(v) Is any organization with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the securities being offered; 

Yes No 

(vi) Is any trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the securities being offered, whose purchase is directed by a sophisticated person; and 

No Yes 

(vii) Is a non-profit organization with assets in excess of $5,000,000. 

No Yes 

I hereby acknowledge and certify that I am an Accredited Investor as defined in Regulation D, Rule 501 promulgated under the Securities Act of 1933, as amended; that I have knowledge and experience in financial and business matters; and that I am capable of evaluating the merits and risks of private equity investments. For a definition of "Accredited Investor," please click here/or visit the Securities and Exchange Commission's web site at www.sec.gov. (The business opportunities listed in the vcaonline Showcase are suitable only for accredited investors familiar with and willing to accept high risk private investments.)  

By clicking the Submit button, I certify that the information which I have provided, to the best of my knowledge, is true and correct, and I agree to provide additional information as necessary to CFOCapitalPartners.com to verify any of the information included herein.If CFOCapitalPartners.com determines a registered member to be in violation of the Securities Act of 1933, the account will be immediately removed. 

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