Register

Lighthouse Partners is permitted under SEC rules to share information on our proprietary fund of fund products only to qualified investors.

Please complete the below questionnaire and you will be notified by a representative from Lighthouse Partners should you qualify as an accredited investor and a qualified purchaser.

*required
*First Name:
*Last Name:
*Company Name:
*Street Address:
*City:
*State/Province:
*Zip/Postal Code:
*Country:

*Work Phone:

*Home Phone:

Fax:
*E-mail Address:

*Do you believe that you have sufficient knowledge and experience in financial and business matters to evaluate the merits and risks of hedge funds and managed accounts?

      Yes
      No

 

*Choose one of the following that best describes you:
       Individual
       I am an employee representative of a qualified institution
       Pension Plan
       Family Office
       Endowment/Foundation
       Bank/Insurance Company
       Consultant
       Financial Intermediary
       Other:

 

     If Financial Intermediary, which of the following are you?
      Independent Registered Investment Advisor 
      Associated with Broker Dealer

                 Firm Name:

 

All Prospective Investors must complete the following:

I. Accredited Investors

Are you an accredited investor in accordance with Rule 501(a) of Regulation D of the Securities Act of 1933?

     Yes
     No

 

     If yes, please check one: 

    You are a natural person who has individual net worth, or joint net worth with your spouse, that exceeds $1 million.

    You are a natural person with your income exceeding $200,000 in each of the two most recent years or joint income with your spouse exceeding $300,000 for years and a reasonable expectation of the same income level in the current year.

    You are a business, not formed to acquire the securities offered, in which all the equity owners are accredited investors.

    You are a bank, insurance company, registered investment company, business development company, or small business investment company.

    You are an employee benefit plan, within the meaning of the Employee Retirement Income Security Act, and a bank, insurance company, or registered investment advisor makes the investment decisions, and the plan has total assets in excess of $5 million.

    You are a charitable organization, corporation, or partnership with assets exceeding $5 million.

    You are a trust with assets in excess of $5 million, not formed to acquire the securities offered, whose purchases a sophisticated person makes.

 

II. Qualified Purchaser

Are you a qualified purchaser in accordance with Section 2(a)(51) of the Investment Company Act of 1940?

     Yes
     No

    If yes, please check one:

    You are a natural person who owns at least $5,000,000 in investments (as defined in Rule 2a51-1 under the investment Company Act of 1940).

    You are a company that (i) owns at least $5,000,000 in investments and (ii) is owned directly or indirectly by or for two or more natural persons who are related as siblings or spouses (including former spouses), or direct lineal descendants by birth or adoption, spouses of such persons, the estates of such persons, or foundations, charitable organizations, or trusts established by or for the benefit of such persons.

    You are a trust that was not formed for the specific purpose of acquiring the securities offered, as to which the trustee or other person authorized to make decisions with respect to the trust, and each settlor or other person who has contributed assets to the trust, is a qualified purchaser described in clauses (i), (ii), or (iv) of section 2(a)(51) of the Investment Company Act of 1940.

    You are a natural person or an entity who/which is acting for its own account or the accounts of other qualified purchasers and who/which in the aggregate owns and invests on a discretionary basis at least $25,000,000 in investments.

    You are a qualified institutional buyer as defined in Rule 144A under the Securities Act of 1933 that is acting for its own account, the account of another qualified institutional buyer, or the account of a qualified purchaser, provided that you are not (1) a dealer described in Rule 144A(a)(1)(ii), that owns and invests on a discretionary basis less than $25,000,000 in securities of issuers that are not affiliated persons of the dealer, or (2) a plan referred to in Rule 144A(1)(i)(D) or (E), or a trust fund referred to in Rule 144A(a)(1)(i)(F) that holds the assets of such a plan, the investment decisions with respect to which are made by the beneficiaries of the plan, unless the investment decisions are made solely by the fiduciary, trustee, or sponsor of such plan.

    You are an entity the outstanding securities of which are beneficially owned solely by qualified purchasers.

HEDGE FUND INVESTMENTS INVOLVE A HIGH DEGREE OF RISK AND ARE SUITABLE ONLY FOR PERSONS OF SUBSTANTIAL FINANCIAL MEANS WHO HAVE NO NEED FOR LIQUIDITY OF THEIR INVESTMENTS AND WHO COULD BEAR THE ENTIRE LOSS OF THEIR INVESTMENT.

Thank you for your time. By pressing the “Submit / I agree” button below, you assert and agree that you have completed this questionnaire completely, truthfully and to the best of your ability and have read and agree to the terms of the User Agreement below, which you should read carefully.

 

 

     

 

 

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