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1470 Tobias Gadson Blvd. Suite 202 Charleston, SC 29407
Phone: (843) 508-8278
Email: contact@urbancoreadvisors.com
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Accredited Investor Questionnaire
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Name of Accredited Investor
IF YOU ARE INVESTING THROUGH AN ENTITY RATHER THAN AN INDIVIDUAL, THEN PLEASE SUBMIT PROOF OF ENTITY EXISTENCE IN STATE OF FORMATION AND A CERTIFICATE OF EXISTENCE DATED WITHIN THE LAST SIXTY (60) DAYS.
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Check the box or boxes below, which are next to the categories, under which the prospective investor qualifies as an Accredited Investor. You must check at least one box below in order to complete this questionnaire.
For Individuals:
A natural person with individual net worth (or joint net worth with spouse) in excess of $1 million, excluding primary residence. For purposes of this item, "net worth" means the excess of total assets at fair market value, home furnishings and automobiles (and including property owned by a spouse), over total liabilities.
A natural person with individual income (without including any income of the Investor's spouse) in excess of $200,000, or joint income with 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.
For Entities:
An entity in which all of the equity owners are Accredited Investors.
A corporation, partnership, business trust, limited liability company or Section 501(c)(3) organization with total assets in excess of $5 million that was not formed for the specific purpose of investing in a fund offered by UCA Syndicate Carriage Lane, LLC.
A trust with total assets in excess of $5 million, which is not formed for the specific purpose of investing in UCA Syndicate Carriage Lane, LLC, whose purpose is directed by a person who has such knowledge and experience in financial and business matters that he is capable of evaluating the merits and risks of this prospective investment.
A director, executive officer or shareholder of UCA Syndicate Carriage Lane, LLC or any director, executive officer or general partner of a shareholder of UCA Syndicate Carriage Lane, LLC.
A broker-dealer registered pursuant to Section 15 of the Securities Exchange Act of 1934. A bank or savings and loan association as defined in Section 3(a) of the Securities Act of 1933, whether acting in its individual or fiduciary capacity.
An insurance company as defined in section 2(13) of the Securities Act of 1933.
An investment company registered under the Investment Company Act of 1940 or a business development company as defined in section 2(a)(48) of that Act not formed for the specific purpose of investing in a fund offered by UCA Syndicate Carriage Lane, LLC.
A private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940.
An employee benefit plan within the meaning of ERISA, provided, that the investment decision is made by a plan fiduciary, as defined in section 3(21) of such Act, which is a bank, savings and loan association, insurance company or registered investment advisor, or that the employee benefit plan has total assets in excess of $5 million; or, if the plan is self-directed, with investment decisions made solely by persons that are Accredited Investors.
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