CERTIFICATION FORM FOR ENTITIES THAT
INVEST ON ‘BEHALF OF THIRD PARTIES’
The undersigned, being the of a
Insert Title Insert Name of Entity
organized under the laws of _____ ______ .
Insert Type of Entity Insert Jurisdiction of Organization
(the "Subscriber Entity"), does hereby certify on behalf of the Subscriber Entity that it is aware of the requirements of the USA PATRIOT Act of 2001, the regulations administered by the U.S. Department of Treasury's Office of Foreign Assets Control and the anti-money laundering laws and regulations as established in its jurisdiction of organization (collectively, the "anti-money laundering/OFAC laws"). The Subscriber Entity has anti-money laundering policies and procedures in place reasonably designed to verify the identity of the beneficial owners of the investment in the Partnership and their sources of funds. Such policies and procedures are properly enforced and are consistent with the anti-money laundering/OFAC laws such that the Partnership may rely on this Certification.
The Subscriber Entity hereby represents to the Partnership that, to the best of its knowledge, the beneficial owners of the investment in the Partnership are not individuals, entities or countries that may subject the Partnership to criminal or civil violations of anti-money laundering/OFAC laws. The Subscriber Entity has read the Subscriber's Declarations in the Partnership's Subscription Documents. The Subscriber Entity has taken all reasonable steps to ensure that the owners of the investment in the Partnership are able to certify to such representations. The Subscriber Entity agrees promptly to notify the Partnership should the Subscriber Entity have any questions relating to any of the investors or become aware of any changes in the representation set forth in this Certification.