Resonance Pictures, LPProspective Purchaser QuestionnaireThe information provided herein is being furnished for the purpose of enabling Resonance Pictures, LP. (Issuer) to determine whether an offer and sale of Units of the Issuer, as described in the Confidential Memorandum dated March 10 , 2004, (Securities), may be made to the undersigned prospective purchaser (Prospective Purchaser) in compliance with certain exemptions from the registration requirements of the Securities Act of 1933 (Securities Act) and with certain exemptions from the qualification or registration requirements of applicable state securities laws (Blue Sky Laws). All prospective Purchasers must complete the questions designated by " All Investors" in Part I. In addition, individuals must complete the questions designated by "individuals", in part I and each of the questions in Part II, and organizations (e.g., corporations, partnerships or trusts) must complete the questions designated by "organizations" in Part I and each of the questions in Part III. Please answer each question, indicating, as applicable, "none" or " not applicable" where no affirmative response is appropriate. If necessary, attach additional pages in answering any question. All answers should be printed or typed. THE INFORMATlON SET FORTH HEREIN WILL BE KEPT CONFIDENTIAL. Name of prospective purchaser: _______________________________ ________________________
1. Name of Prospective Purchaser (All Investors). Provide the full legal name of the Prospective Purchaser(s). _______________________ __________________ _______________________ __________________ _______________________ __________________ 2. Revocable Trust (Organizations).
Yes___ No____ If the answer to this question is yes, the remaining information in 3. Residence Address and Telephone Number (Individuals). Please indicate your residence address and telephone number. _______________________ __________________ _______________________ __________________ _______________________ __________________ _______________________ __________________ 4. Length of Residence (Individuals). How long have you lived at your present residence? _______________________ __________________ _______________________ __________________ _______________________ __________________ 2 If you have lived at your present address for less than one year, _______________________ __________________ _______________________ __________________ _______________________ __________________
5. Business Address and Telephone Number (All Investors). Please indicate your business address and telephone number. _______________________ __________________ _______________________ __________________ _______________________ __________________
Where is your principal place of business / executive office _______________________ __________________ _______________________ __________________ _______________________ __________________ _______________________ __________________
Please select and initial one of the following alternatives: ____ALTERNATIVE ONE: The undersigned has knowledge and 3
List name(s), address(es), and telephone number(s) of Purchaser _______________________ __________________ _______________________ __________________ _______________________ __________________ _______________________ __________________ The undersigned has advised the above-named Purchase The undersigned represents that the undersigned and the above- 8. Accredited Investor Status (All Investors). The undersigned certifies that he 1 she 1 it is an accredited investor ____(a) The Investor (natural persons only) has an individual net worth 4
____(c) A bank as defined in Section 3(a) (2) of the Securities Act or a ____(d) A broker dealer registered pursuant to Section 15 of the Securities Exchange Ad of 1934. ____(e) An insurance company as defined in Section 2(13) of the ____(f) An investment company registered under the Investment ____(g) A business development company as defined in Section 2(a)(48) ____(h) A Small Business Investment Company licensed by the U.S. ____(I) An employee benefit plan within the meaning of Title I of the ____(j) A private business development company as defined in Section ____(k) A tax-exempt organization described in Section 501 (c)(3) of the 5
____(m) A trust, with total assets in excess of $51000,000, not formed for IMPORTANT: The person making the investment decision on behalf ____(n) An entity in which all of its equity owners (limited partners in the NOTE: A trust may not qualify as an accredited investor under IMPORTANT: All organizations which initial paragraph (n) above ____(o) A revocable trust which may be amended or revoked at any time IMPORTANT: All organizations which initial paragraph (0) above Names of Grantors: _______________________ __________________ _______________________ __________________ _______________________ __________________ _______________________ __________________
(This item must be completed by any organization which is an accredited 6
_______________________ __________________ IMPORTANT: All organizations required to complete this item must PART II -TO BE FILLED OUT BY INDIVIDUALS ONLY 1. Date of Birth: __________________ 2. Social Security No. : __________________ 3. Driver's License No. : __________________ 4. Motor Vehicles: What type of motor vehicles do you own? ____________________________________ ____________________________________ ____________________________________
____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ 7
____________________________________
(a) In what state did you file a Resident State Income Tax Return ____________________________________
(b) In what state do you intend file your Resident State Income Tax ____________________________________
7. Business. (a) Please indicate your present business affiliation and your present ____________________________________
____________________________________ 8
____________________________________
Please describe any education following high school, including ____________________________________ 9. Prior Investment Experience. (a) Please indicate how frequently you invest in marketable securities (___ ) often ( ___) occasionally ( ___) seldom ( ___) never (b) Please indicate how frequently you invest in unmarketable ( ___) often ( ___) occasionally ( ___) seldom ( ___) never (c) Please briefly describe the nature of your investment experience (d) Do you make your own investment decisions with respect to the Yes ___ No ___
First hand experience Broker(s) ___Attorney(s) ___Financial publications ___Investment Adviser(s) ___Accountant(s) 10. References. Banking References (provide names and telephone numbers): ____________________________________ Personal References (provide names and telephone numbers ): ____________________________________ 11. Income. (note: to calculate ''income'' for purposes herein, please use (a ) My income in 2002 was. greater than $100,000 ____Yes ____No (a2) My income plus my spouse's income in 2002 was greater than $200,000 ____Yes ____No greater than $300,000 ____Yes ____No (b) My income in 2003 was: greater than $100,000 ____Yes ____No (b2) My income plus spouse's income in 2003 was: greater than $200,000 ____Yes ____No greater than $300,000 ____Yes ____No (c) I reasonably expect that my income greater than $200,000 ____Yes ____No greater than $300,000 ____Yes ____No (c2) I reasonably expect that my income plus my greater than $100,000 ____Yes ____No (d) I expect that over the next five years, ____ increase ____decrease ____remain the same (d2) I expect that, over the next five years, my 2003 level of income plus my spouse's 2003 level of income will: ____increase _____decrease _____remain the same 10 12. Net Worth. Is the undersigned's net worth (or joint net worth with his or her 13. Financial Statements. (You may attach financial statements in lieu of filling in the following Assets: Total Assets: $ __________________
Notes and Loans Payable $ __________________ Total Liabilities: $ __________________ 11
1. Organization. Provide the following information: (a) Date organization was formed: __________________ (b) Was the organization formed for the specific purpose of entering ______________________________________________________ (c) Describe the type of business conducted by the organization. ______________________________________________________ (d) Type of organization (e.g., corporation, partnership, trust, etc.): ______________________________________________________ (e) State of organization: __________________ __________________ (f) Tax I.D. No.(s): __________________ 12 2. Total Assets. Are the total assets of the undersigned organization in excess of 3. References. Banking References (provide names and telephone numbers): 4. Assets: Total Assets: $ __________________ Liabilities: Total Liabilities: $ __________________ 13 PART IV - SIGNATURE The undersigned understands that the Issuer will be relying on the (a) The answers to the above questions are complete and correct and (b) The undersigned will notify the Issuer immediately of any material (c) The undersigned will provide such additional information about the Dated: _______, 2004. Prospective Purchaser (Individuals} (Signature)____________________________________ (Printed Name)____________________________________ *(Signature)____________________________________ *(Printed Name)____________________________________ *(joint ownership)____________________________________ Prospective Purchaser (Organizations} (Name of Entity)____________________________________ (Type of Entity)____________________________________ (State of Organization)____________________________________ (Signature of Officer)____________________________________ (Printed Name and Title of Signing Officer)____________________________________
|
Copyright 2001-2022, QuickSummer Entertainment, LLC. All rights reserved. info@quicksummer.com Mobile: +372 56908043