• ACCREDITED INVESTOR QUESTIONNAIRE

  • As an Accredited Investor, you recognize this as an SEC Model Accredited Investor Exemption (MAIE) offering. You realize that the SEC rules require that in order to see the Private Placement Memorandum for MKG Enterprises Corp, a California Corporation, and Florida Foreign Corporation you must gain access via a secure User ID and Password. The prescribed SEC procedure for having the Company issue a User ID and Password to you is: (1) you complete and submit the Accredited Investor Questionnaire below, and (2) the Company evaluates the information presented. If in the company's sole opinion you qualify under the SEC guidelines as an Accredited Investor, you will promptly be assigned a User ID and Password via email or via phone. The purpose of this Questionnaire is to determine whether you meet the standards for participation in a non public offering under Section 4(2) of the Securities Act of 1933, as amended ("Act"), and under the laws of the various States All information contained in this Investor Questionnaire will be treated confidentially. However, you agree that the Company may present this questionnaire to parties deemed appropriate if called on to establish that the proposed offer and sale of the Shares is exempt from registration and/or qualification under the Securities Act of 1933, as amended (the “Act”), or any other state securities laws (collectively, “Blue Sky Laws

    1. “Accredited Investor” Conditions

    I certify that I meet one of the “Accredited Investor” conditions (as described in Rule 501 under the Securities Act) set forth below by checking the applicable box below: (1) A natural person whose individual net worth, or joint net worth with his or her spouse, at the time of his or her purchase exceeds $1,000,000 (For this purpose, “net worth” means the excess of total assets at fair market value, (including home furnishing, and automobiles) over total liabilities; excluding personal

    spouse in excess of $300,000, in each of the two most recent years and has a reasonable expectation of reaching the same income level in the current year;

  • if the investment decision is made by a plan fiduciary, as defined in section 3(21) thereof, which is either a bank, savings and loan association, insurance company or registered investment adviser;

  • 1. “Accredited Investor” Conditions

  • (15) An entity in which all the equity owners are accredited investors. Please list such equity owners and indicate which of the category or categories in this Attachment A apply to each (attach additional pages if necessary):

    If this Questionnaire is being completed to identify a natural person as the Accredited Investor: (i) Please indicate the State in which the person is registered to vote. (ii) Please indicate the State in which the person holds a valid Driver's License. (iii) Please indicate the State of residence that the person identifies on their personal income tax return.

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  • 4. Representations & Warranties.

    I understand that the Company will be relying on the accuracy and completeness of the responses to the foregoing questions and I represent and warrant to the Officers of the Company as follows: (i) The answers to the above questions are complete and correct and may be relied on by the the Company in determining whether the offer of the Shares in connection with which I have executed this questionnaire are exempt from registration and/or qualification under the Securities Act of 1933, as amended and applicable state securities laws.

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  • Clear
  • Please FAX the completed questionnaire to the following private/confidential number:

  • (609) 756-3933

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