Income exceeding $200,000 (or $300,000 with spouse) in prior two years, with same expectation for current year.
Net worth exceeding $1,000,000, individually or jointly, excluding primary residence.

Certification & Acknowledgment

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Important Disclaimers – Read Carefully

  1. PRELIMINARY SCREENING ONLY: Completion of this questionnaire provides conditional, non-binding access to review the Private Placement Memorandum ("PPM") of the Issuer. This does NOT constitute an offer to sell securities or acceptance of any investment commitment.

  2. FULL VERIFICATION REQUIRED: Issuer MUST verify accredited status using third-party documentation (tax returns ≤90 days, W-2s, financial statements, CPA letter) BEFORE accepting funds. Self-certification alone is insufficient.

  3. NO INVESTMENT GUARANTEE: Issuer reserves absolute right to reject any investment for any reason, including but not limited to suitability, verification failure, or capacity limits.

  4. HIGH RISK: This speculative investment involves substantial risk of loss, including total loss of principal. Past performance does not predict future results.

  5. 506 COMPLIANCE: This offering is intended to rely on Rule 506(c) of Regulation D. The issuer may publicly market the offering; however, the Issuer will accept investments only from investors whose accredited status has been independently verified.

  6. FALSE REPRESENTATIONS: Knowingly providing false information constitutes securities fraud, may disqualify participation, and subjects you to civil/criminal penalties under federal and state law.

  7. CONFIDENTIAL: PPM materials are proprietary and confidential. Redistribution prohibited. Access may be revoked anytime.

  8. NO ADVICE: This is not tax, legal, or financial advice. Consult your professional advisors.