SUBSCRIPTION AGREEMENT
in relation to
MIP:DIRECT WL IX COÖPERATIEF U.A.
DATED ____________________________
INDEX
Clause
1 NOTES FOR COMPLETION OF SUBSCRIPTION AGREEMENT
2 CAPITAL COMMITMENT
3 DETAILS OF APPLICANT
4 INFORMATION ABOUT THE APPLICANT
5 WARRANTIES
6 TAX
7 DATA PROTECTION LAWS
8 MISCELLANEOUS
SCHEDULES
Schedule 1 General Representations and Warranties
{{#if (equalsTo chooseType 'legalPerson')}}Schedule 2 Anti-Money Laundering Information for Entities
{{/if}} {{#if (equalsTo chooseType 'naturalPerson')}}Schedule 2 Anti-Money Laundering Information for Natural Persons
{{/if}}Schedule 3 General Data Protection Statement of the Fund
Schedule 4 FATCA/CRS Forms
Please complete the details of the Applicant in Clause 3 (Details of the Applicant) and tick the applicable boxes in Clauses 4.1.1 and 4.1.3 (Information about the Applicant).
Please sign this Subscription Agreement on page 8 (please also insert the full legal name of the Applicant).
Please complete Schedule 2A (Anti-Money Laundering Information for Entities) if you invest as a legal entity and Schedule 2B (Anti-Money Laundering Information for Natural Persons) if you invest as a natural person and ensure that the relevant documents requested therein are submitted with this Subscription Agreement. If applicable, please also complete and sign the Declaration Ultimate Beneficial Owner attached as annex to Schedule 2A.
Please complete the U.S. Foreign Account Tax Compliance Act (the FATCA) and the Common Reporting Standard (the CRS) forms that were provided to you by the Manager as separate documents.
| NAME OF APPLICANT: |
{{#unless (equalsTo chooseType 'naturalPerson')}} {{#if MID_LP_Name}} {{MID_LP_Name}} {{/if}} {{/unless}} {{#if (equalsTo chooseType 'naturalPerson')}} {{#if firstNameOfInvestor}} {{firstNameOfInvestor}} {{else}} {{#if MID_NP_First}} {{MID_NP_First}} {{else}} {{#if constantData.MID_NP_First}} {{constantData.MID_NP_First}} {{/if}} {{/if}} {{/if}} {{#if lastNameOfInvestor}} {{lastNameOfInvestor}} {{else}} {{#if MID_NP_Last}} {{MID_NP_Last}} {{else}} {{#if constantData.MID_NP_Last}} {{constantData.MID_NP_Last}} {{/if}} {{/if}} {{/if}} {{/if}} |
|---|---|
| E-MAIL: |
{{#if emailAddress}}{{emailAddress}}{{else}}{{#if MID_NP_Email}}{{MID_NP_Email}}{{/if}}{{/if}}{{#if emailLP}}{{emailLP}}{{/if}} |
| ADDRESS: |
{{#if (equalsTo chooseType 'legalPerson')}} {{#if (equalsTo legalentityadd.mode 'manual')}} {{address1}}, {{address2}}, {{zip}} {{city}}, {{state}}, {{country}} {{else}} {{#if legalentityadd}} {{legalentityadd.address.formatted_address}} {{/if}} {{/if}} {{/if}} {{#if (equalsTo chooseType 'naturalPerson')}} {{#if MID_NP_Address}} {{MID_NP_Address}} {{/if}} {{#if naturalPersonAddress2}} {{naturalPersonAddress2}} {{/if}}, {{#if MID_NP_Postalcode}} {{MID_NP_Postalcode}} {{/if}} {{#if MID_NP_Address_City}} {{MID_NP_Address_City}} {{/if}}, {{#if MID_NP_Address_Country}} {{MID_NP_Address_Country}} {{/if}} {{/if}} |
| TELEPHONE: |
{{#if (equalsTo chooseType 'legalPerson')}} {{#if phoneNumber}}{{phoneNumber}}{{/if}} {{/if}} {{#if (equalsTo chooseType 'naturalPerson')}} {{#if telephoneNumber}}{{telephoneNumber}}{{/if}} {{/if}} |
| CONTACT PERSON (if legal entity): |
{{#if contactPersonName}}{{contactPersonName}}{{/if}} |
|---|---|
| E-MAIL: |
{{#if contactPersonEmail}}{{contactPersonEmail}}{{/if}} |
| TELEPHONE: |
{{#if contactPersonPhoneNumber}}{{contactPersonPhoneNumber}}{{/if}} |
| WITH COPY OF ALL COMMUNICATIONS TO: | {{#if additionalName}}{{additionalName}}{{/if}} |
|---|---|
| E-MAIL: |
{{#if additionalEmail}}{{additionalEmail}}{{/if}} |
| CAPITAL COMMITMENT (in numbers) |
EUR {{#if totalCommitment}}{{totalCommitment}}{{/if}} |
| CLASS OF MEMBERSHIP: |
|
||
|---|---|---|---|
| LEGAL STATUS: |
|
||
| TAX STATUS (if legal entity): |
|
||
| VBI STATUS:1 (if legal entity) |
|
||
| COUNTRY OF TAX RESIDENCE: | {{#if (equalsTo chooseType 'legalPerson')}} {{#if MID_LP_Country_Of_Registration}}{{MID_LP_Country_Of_Registration}}{{else}}There was an issue retrieving this information{{/if}} {{/if}} {{#if (equalsTo chooseType 'naturalPerson')}} {{#if primaryCountryOfResidenceForTaxPurposes}}{{primaryCountryOfResidenceForTaxPurposes}}{{else}}There was an issue retrieving this information{{/if}} {{/if}} | ||
| TAXPAYER ID NUMBER: | {{#if (equalsTo chooseType 'legalPerson')}} {{#if MID_LP_Tax_Number}}{{MID_LP_Tax_Number}}{{else}}There was an issue retrieving this information{{/if}} {{/if}} {{#if (equalsTo chooseType 'naturalPerson')}} {{#if MID_NP_Tax_ID_Number}}{{MID_NP_Tax_ID_Number}}{{else}}{{reasonNoTIN}}{{/if}} {{/if}} | ||
| BANK ACCOUNT DETAILS: | Bank Name: {{#if nameOfBank}}{{nameOfBank}}{{else}}There was an issue retrieving this information{{/if}} IBAN: {{#if accountNumber}}{{accountNumber}}{{else}}There was an issue retrieving this information{{/if}} Account Holder: {{#if accountName}}{{accountName}}{{else}}There was an issue retrieving this information{{/if}} |
____________________________
1VBI (vrijgestelde beleggingsinstelling) status: for Dutch resident NV (naamloze vennootschap) and FGR (fonds voor gemene rekening) (or foreign comparable legal forms) investors who filed a request for VBI status with the Dutch tax authorities.
OR
Name of Beneficial Holder(s): {{#if beneficialHolderName}}{{beneficialHolderName}}{{/if}}
Address: {{#if addressOfStrongBeneficialHolder}}{{addressOfStrongBeneficialHolder}}{{/if}}
Agreement and in Schedule 1 to this Subscription Agreement are given both on behalf of itself and also separately on behalf of each Beneficial Holder. Consequently references to the Applicant in this Subscription Agreement shall be read as references to each of the Beneficial Holders.
OR
____________________________
For purposes of the ATAD 2 provisions, two (direct or indirect) investors are in particular usually considered to act together if (i) they are members of the same family, (ii) one regularly acts in accordance with the wishes of the other, (iii) they have entered into an arrangement which has a material impact on the value or control of the rights of one of them with respect to the investment, or (iv) they are managed or controlled by the same entity.
This Subscription Agreement may be executed in two or more counterparts, all of which taken together shall constitute one and the same agreement.
This Subscription Agreement, the Fund Agreement and any side letter entered into by the Applicant constitute the entire and only agreement between the parties hereto in relation to the subject matter thereof.
No party hereto may assign this Subscription Agreement (contractsoverneming), or assign (cederen) or encumber (bezwaren) any of its rights hereunder, except in accordance with the Fund Agreement.
This Subscription Agreement (including Clause 8.6) and the rights and obligations of the parties hereto in relation thereto and any non-contractual obligations arising out of or in connection with it shall be governed by Dutch law.
The courts (rechtbank) of Amsterdam, the Netherlands have exclusive jurisdiction to settle any dispute arising out of or in connection with this Subscription Agreement (including a dispute regarding the existence, validity or termination of this Subscription Agreement) subject to the right to review (cassatie) with the supreme court in The Hague.
IN WITNESS WHEREOF, this Subscription Agreement has been executed, by:
The Applicant
| Name Applicant3: {{#unless (equalsTo chooseType 'naturalPerson')}} {{#if MID_LP_Name}} {{MID_LP_Name}} {{/if}} {{/unless}} {{#if (equalsTo chooseType 'naturalPerson')}} {{#if firstNameOfInvestor}} {{firstNameOfInvestor}} {{else}} {{#if MID_NP_First}} {{MID_NP_First}} {{else}} {{#if constantData.MID_NP_First}} {{constantData.MID_NP_First}} {{/if}} {{/if}} {{/if}} {{#if lastNameOfInvestor}} {{lastNameOfInvestor}} {{else}} {{#if MID_NP_Last}} {{MID_NP_Last}} {{else}} {{#if constantData.MID_NP_Last}} {{constantData.MID_NP_Last}} {{/if}} {{/if}} {{/if}} {{/if}} | |
|
Electronically signed |
{{#if (equalsTo chooseType 'legalPerson')}}
_______________________________ |
{{/if}}
| Date: {{#if signedOn}}{{signedOn}}{{else}} The date will be automatically filled in during signing {{/if}} | |
For acceptance
Signed by the Manager
|
We hereby accept the Applicant’s application either (a) for the Capital Commitment set out below or (b) if the Capital Commitment below is left blank, for the Applicant’s requested Capital Commitment as set forth in Clause 3 (Details of Applicant) of this Subscription Agreement behind “Capital Commitment”. Capital Commitment Accepted: ______________________________________________ Signed by Marktlink Investment Partners Management B.V., acting on behalf of the Fund,
Date: _____________ |
|||
______________________________________________
3 Please insert full legal name of the Applicant.
GENERAL REPRESENTATIONS AND WARRANTIES
The Applicant hereby declares, represents, acknowledges and warrants that:
SCHEDULE 2A
ANTI-MONEY LAUNDERING INFORMATION FOR ENTITIES
(IDENTIFICATION REQUIREMENTS)
In respect of the anti-money laundering and terrorist financing provisions as they apply in the Netherlands, based on the Dutch Act on the prevention of money laundering and terrorist financing (Wet ter voorkoming van witwassen en financieren van terrorisme, the Dutch AML Act) we have set out below an overview of our client acceptance requirements.
The initial information you are required to provide to the Manager to conduct its client acceptance procedure depends on how you wish to participate in the Fund (i.e. as natural person or as an entity).
Please also provide the information set forth in Annex I (Declaration Ultimate Beneficial Owner).
If any Ultimate Beneficial Owner qualifies as a PEP (as defined in Annex III to this Schedule 2) please complete Annex I (PEP statement).
Finally, please provide the information set forth in Annex II (Declaration source of wealth and/or funds).
Please see Annex III for the definitions of certain terms used in this Schedule 2.
Please note that following the submission of the required information, it may be necessary for us to request additional information and/or documentation from investors.
If anything changes in the documentation or information provided, you agree to notify the Manager thereof as soon as possible.
ANNEX I
DECLARATION ULTIMATE BENEFICIAL OWNER
| Name Applicant | : {{#if MID_LP_Name}}{{MID_LP_Name}}{{/if}} |
| The undersigned: | |
| Given name(s) | : {{#if MID_NP_First}}{{MID_NP_First}}{{/if}} |
| Surname | : {{#if MID_NP_Last}}{{MID_NP_Last}}{{/if}} |
| Working at | : {{#if workingAt}}{{workingAt}}{{/if}} |
UBO 1 / PSEUDO UBO
Given name(s): {{#if firstNameOfUbo1}}{{firstNameOfUbo1}}{{/if}}
Surname: {{#if surnameOfUbo1}}{{surnameOfUbo1}}{{/if}}
Date of Birth: {{#if dobOfUbo1}}{{formatDate dobOfUbo1}}{{/if}}
Address: {{#if add1UBO1}}{{add1UBO1}}{{/if}}{{#if add2UBO1}}, {{add2UBO1}}{{/if}}
Zip code and city: {{#if zipUBO1}}{{zipUBO1}}{{/if}}{{#if cityUBO1}}, {{cityUBO1}}{{/if}}
Country: {{#if countryUBO1}}{{countryUBO1}}{{/if}}
Qualifies as PEP
UBO 2 / PSEUDO UBO
Given name(s): {{#if firstNameOfUbo2}}{{firstNameOfUbo2}}{{/if}}
Surname: {{#if surnameOfUbo2}}{{surnameOfUbo2}}{{/if}}
Date of Birth: {{#if dobOfUbo2}}{{formatDate dobOfUbo2}}{{/if}}
Address: {{#if add1UBO2}}{{add1UBO2}}{{/if}}{{#if add2UBO2}}, {{add2UBO2}}{{/if}}
Zip code and city: {{#if zipUBO2}}{{zipUBO2}}{{/if}}{{#if cityUBO2}}, {{cityUBO2}}{{/if}}
Country: {{#if countryUBO2}}{{countryUBO2}}{{/if}}
Qualifies as PEP
Date of signature: {{#if signedOn}}{{signedOn}}{{else}} The date will be automatically filled in during signing {{/if}}
{{#if (equalsTo isPEPUBO1 'yes')}}PEP Statement for UBO 1
| Name Applicant | : {{#if MID_LP_Name}}{{MID_LP_Name}}{{/if}} |
| The undersigned: | |
| Given name(s) | : {{#if MID_NP_First}}{{MID_NP_First}}{{/if}} |
| Surname | : {{#if MID_NP_Last}}{{MID_NP_Last}}{{/if}} |
| Working at | : {{#if workingAt}}{{workingAt}}{{/if}} |
hereby declare that the UBO/Pseudo-UBO qualifies as a PEP because the following natural person holds a politically exposed position:
| Position PEP | : {{#if positionPepUBO1}}{{positionPepUBO1}}{{/if}} |
| Given name(s) | : {{#if firstNameOfPepUBO1}}{{firstNameOfPepUBO1}}{{/if}} |
| Surname | : {{#if lastNameOfPepUBO1}}{{lastNameOfPepUBO1}}{{/if}} |
| Date of Birth | : {{#if dobPEPUBO1}}{{formatDate dobPEPUBO1}}{{/if}} |
| Nationality | : {{#if nationalityCitizenshipPEPUBO1}}{{nationalityCitizenshipPEPUBO1}}{{/if}} |
| Date | : {{#if signedOn}}{{signedOn}}{{else}} The date will be automatically filled in during signing {{/if}} |
| City | : {{#if signingPlace}}{{signingPlace}}{{/if}} |
PEP Statement for UBO 1
| Name Applicant | : {{#if MID_LP_Name}}{{MID_LP_Name}}{{/if}} |
| The undersigned: | |
| Given name(s) | : {{#if MID_NP_First}}{{MID_NP_First}}{{/if}} |
| Surname | : {{#if MID_NP_Last}}{{MID_NP_Last}}{{/if}} |
| Working at | : {{#if workingAt}}{{workingAt}}{{/if}} |
hereby declare that the UBO/Pseudo-UBO qualifies as a PEP because the following natural person holds a politically exposed position:
| Position PEP | : {{#if positionPepUBO2}}{{positionPepUBO2}}{{/if}} |
| Given name(s) | : {{#if firstNameOfPepUBO2}}{{firstNameOfPepUBO2}}{{/if}} |
| Surname | : {{#if lastNameOfPepUBO2}}{{lastNameOfPepUBO2}}{{/if}} |
| Date of Birth | : {{#if dobPEPUBO2}}{{formatDate dobPEPUBO2}}{{/if}} |
| Nationality | : {{#if nationalityCitizenshipPEPUBO2}}{{nationalityCitizenshipPEPUBO2}}{{/if}} |
| Date | : {{#if signedOn}}{{signedOn}}{{else}} The date will be automatically filled in during signing {{/if}} |
| City | : {{#if signingPlace}}{{signingPlace}}{{/if}} |
ANNEX II
DECLARATION SOURCE OF WEALTH AND/OR FUNDS
In compliance with the Dutch Act on Prevention of Money Laundering and Financing of Terrorism ('Wwft'), Trustmoore Fund Services Netherlands B.V. ('Trustmoore') is required to investigate the source of wealth and funds of its clients. In this respect, Trustmoore requests the undersigned to complete this form, tick any applicable box, duly execute the document, and return it to us by e-mail. Please note that we may have additional questions following the information provided by the undersigned.
The undersigned:
Name: {{#if MID_NP_First}}{{MID_NP_First}}{{/if}} {{#if MID_NP_Last}}{{MID_NP_Last}}{{/if}}
acting on behalf of: {{#if MID_LP_Name}}{{MID_LP_Name}}{{/if}} [name company]
hereby declares to Trustmoore that his/her wealth is derived from:
The total value of my wealth is:
I declare that my wealth is not derived from money laundering or any other illegitimate or unlawful activities as defined by the laws of my country of citizenship/residence.
I declare that the information stated herein are correct and complete, and undertake to notify you immediately in case any change in circumstances occurs which causes any of the information contained in this form to be incorrect and/or incomplete.
I understand that the information submitted by means of this form and any other documents provided will solely be used to verify the source of my wealth and funds in accordance with the Wwft.
Date of signature: {{#if signedOn}}{{signedOn}}{{else}} The date will be automatically filled in during signing {{/if}}
Privacy
We collect your personal data in order to perform our tasks and duties. In our general data protection statement we explain why and how we collect your personal data, which personal data we collect, how we use your personal data and how long your personal data are stored.
ANNEX III
DEFINITIONS
Bank means a party whose business it is to obtain the disposal of callable funds from others than professional market parties beyond a restricted circle, and to extend loans at its own expense.
Financial Institution means a party, not being a credit institution, that has as its main business the performance of one or more of the activities referred to under 2-12 of annex I to the Recast Banking Directive, or the acquisition or holding of units.
Financial Institution means:
Listed Company shall mean a public limited company (naamloze vennootschap) or private limited liability company (besloten vennootschap met beperkte aansprakelijkheid) or comparable non-Dutch entities that are subject to transparency obligations as referred to in Transparency Directive (2004/109/EU) or comparable international transparency obligations.
PEP shall mean a Person qualifying as Politically Exposed Person, being:
provided that middle-ranking or more junior officials do not qualify a Politically Exposed Person under item (a) up to and including (h) above.
Professional Investor means any of the following entities that qualify as a professional investor (professionele investeerder) within the meaning of section 1:1 AFS:
SCHEDULE 2B
ANTI-MONEY LAUNDERING INFORMATION FOR NATURAL PERSONS
(IDENTIFICATION REQUIREMENTS)
In respect of the anti-money laundering and terrorist financing provisions as they apply in the Netherlands, based on the Dutch Act on the prevention of money laundering and terrorist financing (Wet ter voorkoming van witwassen en financieren van terrorisme, the Dutch AML Act) we have set out below an overview of our client acceptance requirements.
The initial information you are required to provide for the Manager to conduct its client acceptance procedure depends on how you wish to participate in the Fund (i.e. as natural person or as an entity).
If you qualify as PEP (as defined in Annex III to this Schedule 2) please complete Annex I (Declaration of status as politically exposed person and PEP statement).
Finally, please provide the information set forth in Annex II (Declaration source of wealth and/or funds).
Please see Annex III for the definitions of certain terms used in this Schedule 2.
Please note that following the submission of the information set forth in the relevant Table, it may be necessary for us to request additional information and/or documentation from investors.
If anything changes in the documentation or information provided, you agree to notify the Manager thereof as soon as possible.
ANNEX I
DECLARATION OF STATUS AS POLITICALLY EXPOSED PERSON
I, the undersigned,
Name Applicant : {{#if firstNameOfInvestor}} {{firstNameOfInvestor}} {{else}} {{#if MID_NP_First}} {{MID_NP_First}} {{else}} {{#if constantData.MID_NP_First}} {{constantData.MID_NP_First}} {{/if}} {{/if}} {{/if}} {{#if lastNameOfInvestor}} {{lastNameOfInvestor}} {{else}} {{#if MID_NP_Last}} {{MID_NP_Last}} {{else}} {{#if constantData.MID_NP_Last}} {{constantData.MID_NP_Last}} {{/if}} {{/if}} {{/if}}
Date of signature: {{#if signedOn}}{{signedOn}}{{else}} The date will be automatically filled in during signing {{/if}}
_________________________________
7See Annex III (Definitions) for an explanation of this term.
PEP Statement
| Name Applicant | : {{#if firstNameOfInvestor}} {{firstNameOfInvestor}} {{else}} {{#if MID_NP_First}} {{MID_NP_First}} {{else}} {{#if constantData.MID_NP_First}} {{constantData.MID_NP_First}} {{/if}} {{/if}} {{/if}} {{#if lastNameOfInvestor}} {{lastNameOfInvestor}} {{else}} {{#if MID_NP_Last}} {{MID_NP_Last}} {{else}} {{#if constantData.MID_NP_Last}} {{constantData.MID_NP_Last}} {{/if}} {{/if}} {{/if}} |
| The undersigned: | |
| Given name(s) | : {{#if firstNameOfInvestor}}{{firstNameOfInvestor}}{{else}}{{#if MID_NP_First}}{{MID_NP_First}}{{/if}}{{/if}} |
| Surname | : {{#if lastNameOfInvestor}}{{lastNameOfInvestor}}{{else}}{{#if MID_NP_Last}}{{MID_NP_Last}}{{/if}}{{/if}} |
| Date of birth | : {{#if MID_NP_DOB}}{{formatDate MID_NP_DOB}}{{/if}} |
hereby declare that I (the Applicant) qualify as a PEP because the following natural person holds a politically exposed position:
| Position PEP | : {{#if positionPep}}{{positionPep}}{{/if}} |
| Given name(s) | : {{#if firstNameOfPep}}{{firstNameOfPep}}{{else}}{{#if firstNameOfInvestor}}{{firstNameOfInvestor}}{{else}}{{#if MID_NP_First}}{{MID_NP_First}}{{/if}}{{/if}}{{/if}} |
| Surname | : {{#if lastNameOfPep}}{{lastNameOfPep}}{{else}}{{#if lastNameOfInvestor}}{{lastNameOfInvestor}}{{else}}{{#if MID_NP_Last}}{{MID_NP_Last}}{{/if}}{{/if}}{{/if}} |
| Date of Birth | : {{#if dobPEP}}{{formatDate dobPEP}}{{else}}{{#if MID_NP_DOB}}{{formatDate MID_NP_DOB}}{{/if}}{{/if}} |
| Nationality | : {{#if nationalityCitizenshipPEP}}{{nationalityCitizenshipPEP}}{{else}}{{#if MID_NP_Nationality}}{{MID_NP_Nationality}}{{/if}}{{/if}} |
| Date signed | : {{#if signedOn}}{{signedOn}}{{else}} The date will be automatically filled in during signing {{/if}} |
ANNEX II
DECLARATION SOURCE OF WEALTH AND/OR FUNDS
In compliance with the Dutch Act on Prevention of Money Laundering and Financing of Terrorism ('Wwft'), Trustmoore Fund Services Netherlands B.V. ('Trustmoore') is required to investigate the source of wealth and funds of its clients. In this respect, Trustmoore requests the undersigned to complete this form and tick any applicable box. Please note that we may have additional questions following the information provided by the undersigned.
The undersigned:
Name: {{#if firstNameOfInvestor}} {{firstNameOfInvestor}} {{else}} {{#if MID_NP_First}} {{MID_NP_First}} {{else}} {{#if constantData.MID_NP_First}} {{constantData.MID_NP_First}} {{/if}} {{/if}} {{/if}} {{#if lastNameOfInvestor}} {{lastNameOfInvestor}} {{else}} {{#if MID_NP_Last}} {{MID_NP_Last}} {{else}} {{#if constantData.MID_NP_Last}} {{constantData.MID_NP_Last}} {{/if}} {{/if}} {{/if}}
hereby declares to Trustmoore that his/her wealth is derived from:
The total value of my wealth is:
I declare that my wealth is not derived from money laundering or any other illegitimate or unlawful activities as defined by the laws of my country of citizenship/residence.
I declare that the information stated herein are correct and complete, and undertake to notify you immediately in case any change in circumstances occurs which causes any of the information contained in this form to be incorrect and/or incomplete.
I understand that the information submitted by means of this form and any other documents provided will solely be used to verify the source of my wealth and funds in accordance with the Wwft.
Date of signature: {{#if signedOn}}{{signedOn}}{{else}} The date will be automatically filled in during signing {{/if}}
Privacy
We collect your personal data in order to perform our tasks and duties. In our general data protection statement we explain why and how we collect your personal data, which personal data we collect, how we use your personal data and how long your personal data are stored.
ANNEX III
DEFINITIONS
Bank means a party whose business it is to obtain the disposal of callable funds from others than professional market parties beyond a restricted circle, and to extend loans at its own expense.
Financial Institution means a party, not being a credit institution, that has as its main business the performance of one or more of the activities referred to under 2-12 of annex I to the Recast Banking Directive, or the acquisition or holding of units.
Financial Institution means:
Listed Company shall mean a public limited company (naamloze vennootschap) or private limited liability company (besloten vennootschap met beperkte aansprakelijkheid) or comparable non-Dutch entities that are subject to transparency obligations as referred to in Transparency Directive (2004/109/EU) or comparable international transparency obligations.
PEP shall mean a Person qualifying as Politically Exposed Person, being:
provided that middle-ranking or more junior officials do not qualify a Politically Exposed Person under item (a) up to and including (h) above.
Professional Investor means any of the following entities that qualify as a professional investor (professionele investeerder) within the meaning of section 1:1 AFS:
SCHEDULE 3
General Data Protection Statement
Introduction
This document outlines our data protection obligations and your data protection rights as they relate to your investment in the Fund under the Regulation (EUR) 2016/679 of the European Parliament and of the Council dated 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (the GDPR), as implemented or complemented by the applicable national law (together with the GDPR, the Data Protection Laws).
In this document, "we", "us" and "our" refer to the Fund, the Manager and/or its affiliates and delegates. The terms “personal data”, “controller”, “processor”, “processing” and other data protection terms in this document are to be understood as defined in the GDPR.
Your personal data
You understand that by virtue of making an investment in the Fund and your associated interactions with us (including this application, and including the recording of electronic communications or phone calls where applicable) or by virtue of you otherwise providing us with personal information on individuals connected with you as an investor (for example, directors, trustees, employees, representatives, shareholders, investors, clients, beneficial owners or agents), you will provide us with certain personal information which constitutes personal data. This includes, but is not restricted to, data such as your name, residential address, email address, place of birth, date of birth, bank account details and details relating to your investment activity. In our use of this personal data, we will be characterised as a "data controller" under the GDPR. Our affiliates and delegates, including but not limited to the administrator of the Fund, may act as "data processors" under the GDPR.
Why we may use your personal data
You understand that we may collect, store and use this data for lawful purposes including, in particular:
It is noted that the GDPR states that the use of personal data for direct marketing purposes (that is, providing you with information on products and services that may be of interest) may be regarded as being for the purposes of a legitimate interest. Analysing personal data for quality control, business and statistical analysis, tracking fees and costs, training and related purposes are also legitimate interests for using your personal data.
Accordingly, you understand that we may use your personal data for such purposes as described above, provided that we are acting in a fair, transparent and accountable manner and have taken appropriate steps to prevent such activity having any unwarranted impact on you and also noting your right to object to such use, as discussed below.
Given the specific purposes for which we envisage using your personal data, under the provisions of the GDPR, we do not anticipate being required to obtain your consent to do so. Should we wish to use your personal data for other specific purposes that require your consent, we will contact you to request this.
Why we may transmit your personal data
You understand that in certain circumstances we and/or our authorised delegates may be legally obliged to share your data and other financial information with respect to your interest in the Fund with the Dutch tax authorities and they, in turn, may exchange this information with foreign tax authorities including tax authorities located outside the European Economic Area (the EEA).
We anticipate disclosing your personal data to the administrator of the Fund and their affiliates and this may include certain entities located outside the EEA.
The data protection measures we take
Any transmission of personal data by us or our duly authorised delegates outside the EEA shall be in accordance with the conditions in the GDPR.
We and our duly authorised delegates shall apply appropriate information security measures designed to protect data in our/our delegates' possession from unauthorised access by third parties or any form of computer corruption.
We shall notify you of any personal data breach affecting you that is likely to result in a high risk to your rights and freedoms.
Your data protection rights
You understand that you have certain rights regarding our use of your personal data such as:
You also have the right to object to the processing of your data where we have considered this to be necessary for the purposes of our legitimate interests.
Please note that the right for your data to be erased (the "right to be forgotten") that applies in some contexts under the GDPR is not likely to be applicable to most, if not all, of the personal data you provide to us, given the specific nature of the purposes for which we use the data, as described above.
Our retention of your personal data
We or our duly authorised delegates may retain your personal data for a period of up to seven years following your disinvestment from the Fund.
Getting in touch
As we do not process personal data on a large scale, we are not required to designate a data protection officer. However, should you have any queries or wish to discuss your data protection rights with us, please contact: Bastiaan van Slobbe, e-mail: Bastiaan.van.slobbe@marktlinkinvestmentpartners.nl.
SCHEDULE 4
| Name | {{else}}Name (the Entity) | {{/if}}{{#unless (equalsTo chooseType 'naturalPerson')}} {{#if MID_LP_Name}} {{MID_LP_Name}} {{/if}} {{/unless}} {{#if (equalsTo chooseType 'naturalPerson')}} {{#if firstNameOfInvestor}} {{firstNameOfInvestor}} {{else}} {{#if MID_NP_First}} {{MID_NP_First}} {{else}} {{#if constantData.MID_NP_First}} {{constantData.MID_NP_First}} {{/if}} {{/if}} {{/if}} {{#if lastNameOfInvestor}} {{lastNameOfInvestor}} {{else}} {{#if MID_NP_Last}} {{MID_NP_Last}} {{else}} {{#if constantData.MID_NP_Last}} {{constantData.MID_NP_Last}} {{/if}} {{/if}} {{/if}} {{/if}} |
| Country of Incorporation or Organisation | {{MID_LP_Country_Of_Registration}} | |
| Registered Address | ||
| Address | {{#if MID_NP_Address}} {{MID_NP_Address}} {{/if}} {{#if naturalPersonAddress2}} {{naturalPersonAddress2}} {{/if}} | |
| City | {{#if MID_NP_Address_City}} {{MID_NP_Address_City}} {{/if}} | |
| Postal Code | {{#if MID_NP_Postalcode}} {{MID_NP_Postalcode}} {{/if}} | |
| Country | {{#if MID_NP_Address_Country}} {{MID_NP_Address_Country}} {{/if}} | |
| Address | {{#if legalentityadd}} {{#if (equalsTo legalentityadd.mode 'manual')}} | |
| Address | {{#if legalentityadd.address.address1}} {{legalentityadd.address.address1}} {{/if}} {{#if legalentityadd.address.address2}} {{legalentityadd.address.address2}} {{/if}} | |
| City | {{#if legalentityadd.address.city}} {{legalentityadd.address.city}} {{/if}} | |
| Postal Code | {{#if legalentityadd.address.zip}} {{legalentityadd.address.zip}} {{/if}} | |
| Country | {{#if legalentityadd.address.country}} {{legalentityadd.address.country}} {{/if}} | |
| Mailing address (if different from above) | ||
| Address | {{#if naturalPersonAddress1}} {{naturalPersonAddress1}} {{/if}} | |
| City | {{#if naturalPersonCity1}} {{naturalPersonCity1}} {{/if}} | |
| Postal Code | {{#if naturalPersonZipCode1}} {{naturalPersonZipCode1}} {{/if}} | |
| Country | {{#if naturalPersonCountry1}} {{naturalPersonCountry1}} {{/if}} | |
| Mailing address (if different from above) | ||
| Address | {{#if legalPersonAddress4}} {{legalPersonAddress4}} {{/if}} | |
| City | {{#if legalPersonCity2}} {{legalPersonCity2}} {{/if}} | |
| Postal Code | {{#if legalPersonZipCode2}} {{legalPersonZipCode2}} {{/if}} | |
| Country | {{#if legalPersonCountry2}} {{legalPersonCountry2}} {{/if}} | |
| Country of Tax Residency | Tax Identification Number1 |
| {{#if countryOfTaxResidence}}{{countryOfTaxResidence}}{{else}}N/A{{/if}} | {{#if taxIdentificationNumber}}{{taxIdentificationNumber}}{{else}}{{#if reasonTaxNumberNotApplicable}}{{reasonTaxNumberNotApplicable}}{{else}}N/A{{/if}}{{/if}} |
| {{#if countryOfTaxResidence1}}{{countryOfTaxResidence1}}{{else}}N/A{{/if}} | {{#if taxIdentificationNumber1}}{{taxIdentificationNumber1}}{{else}}{{#if reasonTaxNumberNotApplicable1}}{{reasonTaxNumberNotApplicable1}}{{else}}N/A{{/if}}{{/if}} |
| {{#if countryOfTaxResidence2}}{{countryOfTaxResidence2}}{{else}}N/A{{/if}} | {{#if taxIdentificationNumber2}}{{taxIdentificationNumber2}}{{else}}{{#if reasonTaxNumberNotApplicable2}}{{reasonTaxNumberNotApplicable2}}{{else}}N/A{{/if}}{{/if}} |
| {{countryOfTaxResidence6}} | {{#if taxIdentificationNumber6}}{{taxIdentificationNumber6}}{{else}}{{#if reasonTaxNumberNotApplicable6}}{{reasonTaxNumberNotApplicable6}}{{else}}N/A{{/if}}{{/if}} |
| {{countryOfTaxResidence7}} | {{#if taxIdentificationNumber7}}{{taxIdentificationNumber7}}{{else}}{{#if reasonTaxNumberNotApplicable7}}{{reasonTaxNumberNotApplicable7}}{{else}}N/A{{/if}}{{/if}} |
| {{countryOfTaxResidence8}} | {{#if taxIdentificationNumber8}}{{taxIdentificationNumber8}}{{else}}{{#if reasonTaxNumberNotApplicable8}}{{reasonTaxNumberNotApplicable8}}{{else}}N/A{{/if}}{{/if}} |
Please refer to Section 3 above. The FATCA and CRS entity classification apply to both Section 3 and Section 5.
UBO 1 is a Controlling Person
Given name(s): {{#if firstNameOfUbo1}}{{firstNameOfUbo1}}{{/if}}
Surname: {{#if surnameOfUbo1}}{{surnameOfUbo1}}{{/if}}
{{/if}} {{#if isUBO2Controlling}}UBO 2 is a Controlling Person
Given name(s): {{#if firstNameOfUbo2}}{{firstNameOfUbo2}}{{/if}}
Surname: {{#if surnameOfUbo2}}{{surnameOfUbo2}}{{/if}}
{{/if}} {{#if First_CP1}} {{/if}} {{#if First_CP1}}First name(s): {{First_CP1}}
Family Name or Surname(s): {{Last_CP1}}
Place of birth: {{cityOfBirth_CP1}}
Date of birth: {{dob_CP1}}
Country of birth: {{countryOfBirth_CP1}}
Residential Address:
Address 1: {{address1_CP1}}
Address 2: {{address2_CP1}}
City: {{city_CP1}}
Zip code: {{zip_CP1}}
Country: {{country_CP1}}
{{#if (equalsTo mailingAddressDifferent_CP1 'yes')}}Mailing Address:
Address 1: {{mailingaddress1_CP1}}
Address 2: {{mailingaddress2_CP1}}
City: {{mailingcity_CP1}}
Zip code: {{mailingzip_CP1}}
Country: {{mailingcountry_CP1}}
{{/if}}Relevant legal entities:
Legal entity: {{#if legalEntity1_CP1}}{{legalEntity1_CP1}}{{/if}}
Type of controller for entity: {{#if typeOfControllingPersonForEntity1_CP1}}{{typeOfControllingPersonForEntity1_CP1}}{{/if}}
Confirmation of US tax status - Please tick as appropriate:
{{#if (equalsTo confirmUSTax_CP1 'yes')}} {{else}} {{/if}} I confirm that I am a US citizen or resident in the US for tax purposes (green card holder or resident under the substantial presence test){{#if ssnitin_CP1}}, with (I)TIN: {{ssnitin_CP1}}{{/if}}
{{#if (equalsTo confirmUSTax_CP1 'no')}} {{else}} {{/if}} I confirm that I am not a US person for US tax purposes. I am not a US citizen or green card holder, and I am not a resident in the US for tax purposes.
{{#if (equalsTo confirmUSTax_CP1 'surrender')}} {{else}} {{/if}} I confirm that I was born in the US (or a US territory) but am no longer a US citizen as I have voluntary surrendered my citizenship as evidenced by the attached documents.
{{#if countryOfTaxResidence1_CP1}}Tax payer country 1: {{countryOfTaxResidence1_CP1}}
TIN or Reason: {{taxIdentificationNumber3}} {{reasonTaxNumberNotApplicable1_CP1}}
{{/if}} {{#if countryOfTaxResidence2_CP1}}Tax payer country 2: {{countryOfTaxResidence2_CP1}}
TIN or Reason: {{taxIdentificationNumber2_CP1}} {{reasonTaxNumberNotApplicable2_CP1}}
{{/if}} {{#if countryOfTaxResidence3_CP1}}Tax payer country 3: {{countryOfTaxResidence3_CP1}}
TIN or Reason: {{taxIdentificationNumber5}} {{reasonTaxNumberNotApplicable3_CP1}}
{{/if}} {{/if}} {{#if First_CP2}} {{/if}} {{#if First_CP2}}First name(s): {{First_CP2}}
Family Name or Surname(s): {{Last_CP2}}
Place of birth: {{cityOfBirth_CP2}}
Date of birth: {{dob_CP2}}
Country of birth: {{countryOfBirth_CP2}}
Residential Address:
Address 1: {{address1_CP2}}
Address 2: {{address2_CP2}}
City: {{city_CP2}}
Zip code: {{zip_CP2}}
Country: {{country_CP2}}
{{#if (equalsTo mailingAddressDifferent_CP2 'yes')}}Mailing Address:
Address 1: {{mailingaddress1_CP2}}
Address 2: {{mailingaddress2_CP2}}
City: {{mailingcity_CP2}}
Zip code: {{mailingzip_CP2}}
Country: {{mailingcountry_CP2}}
{{/if}}Relevant legal entities:
Legal entity: {{#if legalEntity1_CP2}}{{legalEntity1_CP2}}{{/if}}
Type of controller for entity: {{#if typeOfControllingPersonForEntity1_CP2}}{{typeOfControllingPersonForEntity1_CP2}}{{/if}}
Confirmation of US tax status - Please tick as appropriate:
{{#if (equalsTo confirmUSTax_CP2 'yes')}} {{else}} {{/if}} I confirm that I am a US citizen or resident in the US for tax purposes (green card holder or resident under the substantial presence test){{#if ssnitin_CP2}}, with (I)TIN: {{ssnitin_CP2}}{{/if}}
{{#if (equalsTo confirmUSTax_CP2 'no')}} {{else}} {{/if}} I confirm that I am not a US person for US tax purposes. I am not a US citizen or green card holder, and I am not a resident in the US for tax purposes.
{{#if (equalsTo confirmUSTax_CP2 'surrender')}} {{else}} {{/if}} I confirm that I was born in the US (or a US territory) but am no longer a US citizen as I have voluntary surrendered my citizenship as evidenced by the attached documents.
{{#if countryOfTaxResidence1_CP2}}Tax payer country 1: {{countryOfTaxResidence1_CP2}}
TIN or Reason: {{taxIdentificationNumber4}} {{reasonTaxNumberNotApplicable1_CP2}}
{{/if}} {{#if countryOfTaxResidence2_CP2}}Tax payer country 2: {{countryOfTaxResidence2_CP2}}
TIN or Reason: {{taxIdentificationNumber2_CP2}} {{reasonTaxNumberNotApplicable2_CP2}}
{{/if}} {{#if countryOfTaxResidence3_CP2}}Tax payer country 3: {{countryOfTaxResidence3_CP2}}
TIN or Reason: {{taxIdentificationNumber9}} {{reasonTaxNumberNotApplicable3_CP2}}
{{/if}} {{/if}} {{#if First_CP3}} {{/if}} {{#if First_CP3}}First name(s): {{First_CP3}}
Family Name or Surname(s): {{Last_CP3}}
Place of birth: {{cityOfBirth_CP3}}
Date of birth: {{dob_CP3}}
Country of birth: {{countryOfBirth_CP3}}
Residential Address:
Address 1: {{address1_CP3}}
Address 2: {{address2_CP3}}
City: {{city_CP3}}
Zip code: {{zip_CP3}}
Country: {{country_CP3}}
{{#if (equalsTo mailingAddressDifferent_CP3 'yes')}}Mailing Address:
Address 1: {{mailingaddress1_CP3}}
Address 2: {{mailingaddress2_CP3}}
City: {{mailingcity_CP3}}
Zip code: {{mailingzip_CP3}}
Country: {{mailingcountry_CP3}}
{{/if}}Relevant legal entities:
Legal entity: {{#if legalEntity1_CP3}}{{legalEntity1_CP3}}{{/if}}
Type of controller for entity: {{#if typeOfControllingPersonForEntity1_CP3}}{{typeOfControllingPersonForEntity1_CP3}}{{/if}}
Confirmation of US tax status - Please tick as appropriate:
{{#if (equalsTo confirmUSTax_CP3 'yes')}} {{else}} {{/if}} I confirm that I am a US citizen or resident in the US for tax purposes (green card holder or resident under the substantial presence test){{#if ssnitin_CP3}}, with (I)TIN: {{ssnitin_CP3}}{{/if}}
{{#if (equalsTo confirmUSTax_CP3 'no')}} {{else}} {{/if}} I confirm that I am not a US person for US tax purposes. I am not a US citizen or green card holder, and I am not a resident in the US for tax purposes.
{{#if (equalsTo confirmUSTax_CP3 'surrender')}} {{else}} {{/if}} I confirm that I was born in the US (or a US territory) but am no longer a US citizen as I have voluntary surrendered my citizenship as evidenced by the attached documents.
{{#if countryOfTaxResidence1_CP3}}Tax payer country 1: {{countryOfTaxResidence1_CP3}}
TIN or Reason: {{taxIdentificationNumber10}} {{reasonTaxNumberNotApplicable1_CP3}}
{{/if}} {{#if countryOfTaxResidence2_CP3}}Tax payer country 2: {{countryOfTaxResidence2_CP3}}
TIN or Reason: {{taxIdentificationNumber2_CP3}} {{reasonTaxNumberNotApplicable2_CP3}}
{{/if}} {{#if countryOfTaxResidence3_CP3}}Tax payer country 3: {{countryOfTaxResidence3_CP3}}
TIN or Reason: {{taxIdentificationNumber11}} {{reasonTaxNumberNotApplicable3_CP3}}
{{/if}} {{/if}} {{#if firstNameCP1}}| Family Name or Surname(s): | {{lastNameCP1}} |
| First or Given Name: | {{firstNameCP1}} |
| Middle Name(s): | {{middleNameCP1}} |
| Street: | {{street1CP1}} |
| Postal/Zip Code: | {{postcodeCP1}} |
| City: | {{cityCP1}} |
| Country: | {{countryCP1}} |
| Street: | {{Mailstreet1CP1}} |
| Postal/Zip Code: | {{MailpostcodeCP1}} |
| City: | {{MailcityCP1}} |
| Country: | {{MailcountryCP1}} |
| Town or city of birth: | {{cityOfBirthCP1}} |
| Country of birth: | {{countryOfBirthCP1}} |
| Date of birth: | {{formatDate dateofbirthCP1}} |
| Legal Entity {{increment @index}}: | {{this}} |
| Family Name or Surname(s): | {{lastNameCP2}} |
| First or Given Name: | {{firstNameCP2}} |
| Middle Name(s): | {{middleNameCP2}} |
| Street: | {{street1CP2}} |
| Postal/Zip Code: | {{postcodeCP2}} |
| City: | {{cityCP2}} |
| Country: | {{countryCP2}} |
| Street: | {{Mailstreet1CP2}} |
| Postal/Zip Code: | {{MailpostcodeCP2}} |
| City: | {{MailcityCP2}} |
| Country: | {{MailcountryCP2}} |
| Town or city of birth: | {{cityOfBirthCP2}} |
| Country of birth: | {{countryOfBirthCP2}} |
| Date of birth: | {{formatDate dateofbirthCP2}} |
| Legal Entity {{increment @index}}: | {{this}} |
| Family Name or Surname(s): | {{lastNameCP3}} |
| First or Given Name: | {{firstNameCP3}} |
| Middle Name(s): | {{middleNameCP3}} |
| Street: | {{street1CP3}} |
| Postal/Zip Code: | {{postcodeCP3}} |
| City: | {{cityCP3}} |
| Country: | {{countryCP3}} |
| Street: | {{Mailstreet1CP3}} |
| Postal/Zip Code: | {{MailpostcodeCP3}} |
| City: | {{MailcityCP3}} |
| Country: | {{MailcountryCP3}} |
| Town or city of birth: | {{cityOfBirthCP3}} |
| Country of birth: | {{countryOfBirthCP3}} |
| Date of birth: | {{formatDate dateofbirthCP3}} |
| Legal Entity {{increment @index}}: | {{this}} |
| Family Name or Surname(s): | {{lastNameCP4}} |
| First or Given Name: | {{firstNameCP4}} |
| Middle Name(s): | {{middleNameCP4}} |
| Street: | {{street1CP4}} |
| Postal/Zip Code: | {{postcodeCP4}} |
| City: | {{cityCP4}} |
| Country: | {{countryCP4}} |
| Street: | {{Mailstreet1CP4}} |
| Postal/Zip Code: | {{MailpostcodeCP4}} |
| City: | {{MailcityCP4}} |
| Country: | {{MailcountryCP4}} |
| Town or city of birth: | {{cityOfBirthCP4}} |
| Country of birth: | {{countryOfBirthCP4}} |
| Date of birth: | {{formatDate dateofbirthCP4}} |
| Legal Entity {{increment @index}}: | {{this}} |
| Family Name or Surname(s): | {{lastNameCP5}} |
| First or Given Name: | {{firstNameCP5}} |
| Middle Name(s): | {{middleNameCP5}} |
| Street: | {{street1CP5}} |
| Postal/Zip Code: | {{postcodeCP5}} |
| City: | {{cityCP5}} |
| Country: | {{countryCP5}} |
| Street: | {{Mailstreet1CP5}} |
| Postal/Zip Code: | {{MailpostcodeCP5}} |
| City: | {{MailcityCP5}} |
| Country: | {{MailcountryCP5}} |
| Town or city of birth: | {{cityOfBirthCP5}} |
| Country of birth: | {{countryOfBirthCP5}} |
| Date of birth: | {{formatDate dateofbirthCP5}} |
| Legal Entity {{increment @index}}: | {{this}} |