Investor Suitability Questionnaire

Confidential Private Placement Memorandum • Regulation D Rule 506 • E.F.S. International

To: Prospective purchasers of Preferred Stock Shares offered by E.F.S. International (the “Company”).

The Purpose of this Questionnaire is to obtain certain information regarding your financial status to determine whether you are an “Accredited Investor,” as defined under applicable federal and state securities laws, and otherwise meet the suitability criteria established by the Company for purchasing Shares. This questionnaire is not an offer to sell securities.

Your answers will be kept as confidential as possible. You agree, however, that this Questionnaire may be shown to such persons as the Company deems appropriate to determine your eligibility as an Accredited Investor or to ascertain your general suitability for investing in the Shares.

Please answer all questions completely and execute the signature page

A. PERSONAL:

Name*

Email*

Address of Principal Residence*

Street Address Address Line 2 City State ZIP Code

County*

Mailing Address (Complete only if different from residence)

Street Address Address Line 2 City State ZIP Code

Residence Telephone*

Where are you registered to vote?*

Your driver’s license is issued by the following state*

Other Residences or Contacts: Please identify any other state where you own a residence, are registered to vote, pay income taxes, hold a driver’s license or have any other contacts, and describe your connection with such state

Please send all correspondence to*

Residence Address (as set forth in item A)
Business Address (as set forth in item B)

Date of Birth*

Citizenship*

Social Security or Tax I.D. #*

B. OCCUPATIONS AND INCOME:

Name of Employer*

Occupation*

Business Address*

Street Address Address Line 2 City State ZIP Code

Business Telephone Number*

Facsimile*

Gross income during each of the last two years exceeded*

$25,000
$50,000
$100,000
$200,000

Joint gross income with spouse during each of the last two years exceeded $300,000*

Yes
No

Estimated gross income during current year exceeds*

$25,000
$50,000
$100,000
$200,000

Estimated joint gross income with spouse during current year exceeds $300,000*

Yes
No

Upload Driver's License*

Drop files here or

Upload 2 Year's Tax Return*

Drop files here or

C. NET WORTH:

Current net worth or joint net worth with spouse (note that “net worth” includes all of the assets owned by you and your spouse in excess of total liabilities, excluding the value of your primary residence.)*

Current value of liquid assets (cash, freely marketable securities, cash surrender value of life insurance policies, and other items easily convertible into cash) is sufficient to provide for current needs and possible personal contingencies*

Yes
No

D. AFFILIATION WITH THE COMPANY:

Are you a director or executive officer of the Company?*

Yes
No

E. INVESTMENT PERCENTAGE OF NET WORTH:

If you expect to invest at least $150,000 in Shares, does your total purchase price exceed 10% of your net worth at the time of sale, or joint net worth with your spouse.*

Yes
No

F. CONSISTENT INVESTMENT STRATEGY:

Is this investment consistent with your overall investment strategy?*

Yes
No

G. ACCOUNTANT INFORMATION:

Your accountant will be copied on financial information provided and asked to confirmed this information.

Accountant First Name*

Accountant Last Name*

Email*

Phone*

H. PROSPECTIVE INVESTOR’S REPRESENTATION’S:

The information contained in this Questionnaire is true and complete and, under penalty of perjury the undersigned understands that the Company and its counsel will rely on such information for the purpose of complying with all applicable securities laws as discussed above. The undersigned agrees to notify the Company promptly of any change in the foregoing information which may occur prior to any purchase by the undersigned of securities from the Company.