Eklektikos Capital Management
Investor Qualification Questionnaire
This form is used to determine your eligibility as a prospective investor for any of the Funds currently offered by Eklektikos Capital Management, LP (ECM). Investors who wish to invest in private investment funds must realize these types of investments involve a high degree of risk and are only suitable for persons of substantial financial means, who can bear the loss of their investment, and who have no need for liquidity.

In order to receive information on Eklektikos Funds, potential investors must pre-qualify by completing this form. Upon approval of this questionnaire, you will receive a log on and password to our website, www.eklektikoscapital.com, where you will be able to access additional information on our current offerings. All information provided by ECM is for the sole use of the potential investor who completed the questionnaire and must not be distributed to other individuals/entities.

You may call our offices at 512-493-3500 between 8:30am - 5:30pm CST Monday - Friday if you have any questions.

General Information













Yes   No











Yes   No

Yes   No

Joint Ownership / Community Property
General Partnership
Limited Partnership
Foundation
Limited Liability Corporation
Non-ERISA Benefit Plan
( foreign plan, church plan, government plan)
Individual
Corporation
Trust
Endowment
IRA/Keogh Plan
ERISA Plan

 

Investment History













 

Qualification

Please check off all the statements that describes you or your firm's qualifications.
Accredited Investor under Rule 506 under the Securities Act of 1933
  • An individual with income in excess of $200,000 or joint income with that person's spouse of $300,000 in each of the two most recent years and who reasonably expects to reach the same income level in the current year.
  • An individual who has a net worth of at least $1,000,000.
  • An entity (corporation, partnership, association, trust, or fund) that has Total Assets of at least $5,000,000.
Qualified Client under Rule 205-3 of the Investment Advisers Act
  • An individual or entity that has at least $750,000 under management with the adviser (ECM).
  • An Individual or entity that has a net worth in excess of $1.5 million.
  • An individual or entity that qualifies as a Qualified Purchaser (see definition below).
  • An individual who is highly knowledgeable employee of the adviser.
Qualified Purchaser under Section (a)(51)(A) of the Investment Company Act
  • An individual who owns at least $5,000,000 in Investments.
  • A family-owned trust or company that has at least $5,000,000 in Investments.
  • An entity (corporation, partnership, association, trust, or fund) that owns at least $25,000,000 in Investments.



 

Definitions

Current Net Worth/Total Assets

  • For individuals, indicate "Net Worth", which means total assets net of total liabilities and indebtedness. For this purpose, a principal residence must be valued either at (i) cost, including the cost of improvements, net of current encumbrances upon the property, or (ii) the appraised value of the property as determined upon a written appraisal used by an institutional lender making a loan to the individual secured by the property, including the cost of subsequent improvements, net of current encumbrances upon the property. If prospect is married, may include joint Net Worth with spouse.
  • For non-individuals (companies, trusts, foundations, etc.), indicate "Total Assets", which means the gross total value of all assets held.

Investments

  • Securities, excluding securities of an issuer that controls, is controlled by or is under common control with, Subscriber (unless the securities represent a controlling ownership interest in (i) an investment company or other issuer excepted from the definition of investment company by Sections 3(c)(1) through 3(c)(9) of the Investment Company Act or a commodity pool, (ii) a public company that files reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 or a company whose securities are listed on a designated offshore securities exchange, or (iii) a company with shareholders' equity of not less than $50 million (for purposes of this definition, "control" means the power to exercise a controlling influence over the management or policies of a company, unless such power is solely the result of an official position with such company; control is presumed to exist if a person holds more than 25% of the voting power of a company));
  • Real estate held for investment purposes (i.e., not property held for residential or business related use);
  • Contracts for the purchase or sale of a commodity for future delivery held for investment purposes to the extent of the initial margin and option premium deposited with a futures commission merchant, including swaps and similar financial contracts and physical commodities, but excluding commodities that are used as part of a trade or business; and
  • Cash and cash equivalents held for investment purposes, such as bank deposits, certificates of deposit and bankers' acceptances.

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