| clientID |
yes |
string |
Transact API's Client ID |
| developerAPIKey |
yes |
string |
Transact API's developer API Key |
| accountId |
yes |
string |
Account ID |
| aiDetail |
no |
string |
Accredited Investor Detail |
| qpStatus |
no |
string |
QP |
| qpDetail |
no |
string |
QP Detail |
| qp2a51 |
no |
string |
QP 2a51-2 selection |
| qibStatus |
no |
string |
QIB |
| qibDetail |
no |
string |
QIB Detail |
| eligible |
no |
string |
Eligibility |
| newIssue |
no |
string |
New Issue Eligibility |
| newIssueDetail |
no |
string |
New Issue Eligibility Detail |
| field1 |
no |
string |
XYZ placeholder (more questions) |
| k1consent |
no |
string |
K-1 Consent |
| k2optOut |
no |
string |
K2_Opt_Out |
| k2optoutAll |
no |
string |
K2_Opt_Out_All |
| k2optoutAccount |
no |
string |
K2_Opt_out_account |
| bPInvestor |
no |
string |
Benefit Plan Investor (yes/no) |
| bPexemption |
no |
string |
Exemption from limits? (if BFI) (yes/no) |
| bPexemptionNotes |
no |
string |
Notes on Exemption from limits (e.g specify exemption) |
| bPPlanAssets |
no |
string |
Plan Assets Entity |
| EmployerName |
no |
string |
Name of employer |
| EmployerAddress |
no |
string |
Address of employer |
| SelfEmployeedRetired |
no |
string |
Self employed/Retired |
| BrokerDealerInvAdv |
no |
string |
Check here if employed by a broker dealer or investment advisor |
| EmployeePosition |
no |
string |
Position with Employer |
| PlaceofBirth |
no |
string |
Place of Birth |
| PassportNumExpDate |
no |
string |
Passport Number and expiration date |
| OtherBrokerAC |
no |
string |
Financial Institutions with Brokerage and/or Other Investment Accounts |
| BankReferences |
no |
string |
References at Bank(s)/Financial Institutions |
| Referral |
no |
string |
Source of Referral/Introduction |
| BkgdCheckFelony |
no |
string |
Been convicted of, or pled guilty or nolo contendere to, any felony (or similar offense) in any jurisdiction or country? |
| BkgdCheckCharged |
no |
string |
Been charged with any felony (or similar offense)? |
| BkgdCheckSanctioned |
no |
string |
Been disciplined and/or sanctioned by a regulatory authority in any jurisdiction or country? |
| BkgdCheckBankruptcy |
no |
string |
Filed for bankruptcy in any jurisdiction or country? |
| BkgdCheckLicense |
no |
string |
Been denied for, or had suspended or revoked, any license or permit to engage in any business or profession in any jurisdiction or country |
| OtherOccupations |
no |
string |
Please list other occupations or duties during the past five years: |
| GenSolicitation |
no |
string |
General Solicitation |
| InvBkgdYrs |
no |
string |
Approximate number of years the Investor has been investing |
| InvBkgdValue |
no |
string |
Approximate current investment portfolio value US$ |
| InvBkgdRE |
no |
string |
Real estate, other than principal residence (directly or through partnerships or other entities managed by others) |
| InvBkgdTaxShelter |
no |
string |
Tax shelter programs (real estate, leasing, oil and gas, cattle breeding) |
| InvBkgdSecurities |
no |
string |
Marketable securities (stocks, bonds, debentures, notes, excluding mutual funds) |
| InvBkgdCommodities |
no |
string |
Commodity futures |
| InvBkgdSpeculative |
no |
string |
Speculative or venture capital investments |
| InvBkgdPrivateInv |
no |
string |
Other private investment funds, including hedge funds and commodity pools |
| TaxBracket |
no |
string |
U.S. Persons Only - Tax bracket of Investor (or, if applicable, its beneficial owner), pursuant to its most recent federal income tax return |
| InvestmentObjectives |
no |
string |
Investment Objectives (select all that apply): |
| SourceofFunds |
no |
string |
Were the funds for this investment generated by the business of the entity investing in the Fund/your occupation? |
| FATFbank |
no |
string |
Is the Wiring Bank located in a FATF Country |
| FATFbankcustomer |
no |
string |
Are you a customer of the Wiring Bank |
| USTE |
no |
string |
U.S. Tax Exempt |
| QualifedClient |
no |
string |
Qualifed Client |
| 40pctSubscriberAssets |
no |
string |
Assuming the complete acceptance of the subscription attached hereto, does the aggregate amount of Subscriber’s investment in the Company exceed 40% of the total assets of Subscriber? |
| BankHoldingCo |
no |
string |
Is subscriber a “bank holding company” as such term is defined in the U.S. Bank Holding Company Act of 1956, as amended? |
| PublicDisclosure |
no |
string |
Is the Subscriber directly or indirectly subject to any U.S. or non-U.S. federal, state or local public disclosure law, including Section 552(a) of Title 5, United States Code (commonly known as the “Freedom of Information Act”)? |
| Trading_Exchange_Disclosure |
no |
string |
Is the Subscriber subject, by regulation, contract or otherwise, to disclose information concerning the Company to a U.S. or non-U.S. trading exchange or other market where interests in such person are sold or traded? |
| Trading_Exchange_Disclosure_Agent |
no |
string |
Is the Subscriber an agent, nominee, fiduciary, custodian or trustee for any person described in the preceding questions D(3) and D(4) where information concerning the Company provided or to be disclosed to such agent, nominee, fiduciary, custodian or trustee by the Company or the Manager is provided or could at any time become available to such person described in the preceding question D(3) or D(4)? |
| Corp_USTax |
no |
string |
Is the Subscriber treated as a “corporation” for U.S. federal income tax purposes? |
| USTE_detail |
no |
string |
Is the Subscriber exempt from U.S. federal income tax? - If yes, please state the basis for such exemption: |
| Disregarded |
no |
string |
Is the Subscriber treated as a disregarded entity or a trust any portion of which is treated as owned by another Person for purposes of U.S. federal income tax? |
| Disregarded_owner |
no |
string |
If yes, please specify the owner of the Subscriber for tax purposes and submit answers to all questions set forth in Annex 1 for such Person: |
| nonUS_Gov |
no |
string |
Is the Subscriber a non-U.S. government or an agency or instrumentality of a non-U.S. government or any plan investor other than a Benefit Plan Investor? |
| nonUS_Gov_detail |
no |
string |
If yes, please describe: |
| Subchapter_S |
no |
string |
Is Subscriber a grantor trust, a partnership or a corporation formed under Subchapter S of the Code for U.S. federal income tax purposes? |
| Subchapter_S_detail |
no |
string |
If yes, please indicate: |
| 50pctBOinterest |
no |
string |
Is more than fifty percent (50%) of the value of the ownership interest of any beneficial owner in the Subscriber (or may at any time during the existence of the Company be) attributable to the Subscriber’s (direct or indirect) interest in the Company? |
| 100partnerlimitation |
no |
string |
Is it a principal purpose of the Subscriber’s participation in the Company to permit the Company to satisfy the 100 partner limitation contained in Regulation Section 1.7704-1(h) (3)? |
| UBTI |
no |
string |
Is Subscriber (A) subject to U.S. federal income tax on any unrelated business taxable income (“UBTI”) or (B) investing assets of a pension plan, IRA or other tax-exempt entity that is subject to federal income tax on any UBTI? |
| Nominee |
no |
string |
Is the Subscriber holding the Subscribed Shares as a nominee or agent for another natural person or entity? |
| Nominee_detail |
no |
string |
If you answered “Yes” above, please identify the person on whose behalf the Subscriber is acting as nominee or agent and who will be subject to U.S. tax on the income of the Company |
| TaxTreaty |
no |
string |
Is the Subscriber entitled to the benefits of an income tax treaty with respect to U.S. tax imposed on any distributions that might made by the Company? |
| TaxTreaty_detail |
no |
string |
If yes, please identify the applicable tax treaty and applicable withholding rate: |
| Greater2pctInterest |
no |
string |
Is the Subscriber aware of any natural person or entity, or group of related natural persons or entities, who own, actually or constructively through one or more upper-tier entities, 2% or more of the Subscriber’s outstanding shares or other ownership interests (or, if the Subscriber is a trust (including a pension trust), is there any individual beneficiary or group of related individual beneficiaries who have an interest in the trust in excess of 2%)? |
| Greater2pctInterest_detail |
no |
string |
If yes, please describe: |
| RelatedSubscriber |
no |
string |
Is the Subscriber aware of any natural person or entity who owns an interest (directly or constructively) in the Subscriber that is related to another Subscriber, or to the direct or indirect owners of another Subscriber? |
| RelatedSubscriber_details |
no |
string |
If yes, please describe: |
| OtherSubscriberControl |
no |
string |
To the best of the Subscriber’s knowledge, does the Subscriber control, or is the Subscriber controlled by or under common control with, any other investor in the Company? |
| OtherSubscriberControl_details |
no |
string |
If yes, please indicate the name of such other investor: |
| 98pctOwner |
no |
string |
Will any natural person or entity be treated as owning, actually or constructively, more than 9.8% of the Shares as a result of the Subscriber’s acquisition of the Subscribed Shares? |
| 98pctOwner_details |
no |
string |
If yes, please describe: |
| ControlledForeignCorp |
no |
string |
Is Subscriber, or any direct or indirect owner of Subscriber, a “Controlled Foreign Corporation” for purposes of US federal income tax? |
| SubscriberIsaBank |
no |
string |
Is Subscriber a “bank” within the meaning of Section 881(c)(3)(A) of the Code? |
| InsuranceCo |
no |
string |
Is Subscriber (or the entity, plan or account on whose behalf the Subscriber is acting) an insurance company purchasing Shares with assets of its general account (or the assets of a wholly owned subsidiary of its general account)? |
| InsuranceCo_detail |
no |
string |
If yes, please describe |
| bp_EBP |
no |
string |
an “employee benefit plan” (as defined in Section 3(3) of ERISA) that is subject to Part 4 of Subtitle B of Title I of ERISA |
| bp_Plan |
no |
string |
a “plan” to which Section 4975 of the Code applies |
| bp_entity_ERISA_assets |
no |
string |
an entity whose underlying assets include the assets of any such “employee benefit plan” or “plan” by reason of ERISA or the Plan Assets Regulation |
| bp_ERISA_BPI |
no |
string |
a “benefit plan investor” as such term is otherwise defined in any regulations promulgated by the U.S. Department of Labor under Section 3(42) of ERISA (each, a “Benefit Plan Investor”) |
| bp_details |
no |
string |
If any box above is checked, please describe: |
| bp_nonUS |
no |
string |
Is the Subscriber a plan which is established and maintained outside of the United States primarily for the benefit of individuals substantially all of whom are nonresident aliens |
| bp_plan_other |
no |
string |
Is Subscriber (or the entity, plan or account on whose behalf the Subscriber is acting) a governmental, church, non-U.S. or other plan subject to any federal, state, local, non-U.S. or other law or regulation that contains one or more provisions that are (i) similar to Title I of ERISA or the prohibited transaction provisions contained in Section 4975 of the Code and/or (ii) similar to the provisions of the Plan Assets Regulation or that would otherwise provide that the assets of the Company could be deemed to include “plan assets” under such law or regulation? |
| bp_plan_other_details |
no |
string |
If yes, please describe: |
| ControllingPerson |
no |
string |
Is Subscriber a person (other than a Benefit Plan Investor) who has discretionary authority or control with respect to the assets of the Company or provides investment advice for a fee (direct or indirect) with respect to such assets, or any “affiliate” (as defined below) of such a person (each such person, a “Controlling Person”)? |
| Fiduciary |
no |
string |
If the Subscriber (or the entity, plan or account on whose behalf the Subscriber is acting) is a Benefit Plan Investor, was the decision to commit assets of the Benefit Plan Investor for investment in the Company made by an authorized fiduciary who is independent of any Covered Person (a “Fiduciary”)? |
