INDIVIDUAL SUBSCRIBER INFORMATION

Participation
Capital Commitment*
$100,000 minimum investment required
The minimum investment in the BrainPower Trading Series Fund is $100,000. For more information about participation, or to discuss additional options, please reach out to vincent@brainpowertrading.com.
Are you an Accredited Investor*

YesNoUncertain
ABOUT ACCREDITED INVESTORS

BrainPower Trading is permitted by the SEC to engage with accredited investors deemed able to bear the risk of participation. An accredited investor is an individual or a business allowed to buy and sell securities not registered with financial authorities, such as shares in new businesses that have not yet gone public.

Accredited Investors are defined by the SEC as qualified to invest in complex or sophisticated types of securities that are not closely regulated. Accredited Investors are recognized by satisfying ONE OR MORE of the requirements listed below:
- an average yearly income over $200,000 ($300,000 with a spouse or domestic partner) or working in the financial industry.
- personal net worth of $1,000,000 or more (not including your primary residence.)
- general partners, executive officers, or directors of a company issuing unregistered securities.
- a private business development company or an organization with assets exceeding $5 million
- an entity consisting of equity owners who are accredited investors. (An organization cannot be formed with the sole purpose of purchasing specific securities.)
- professional knowledge, experience, designations, or certifications
Investors can self-attest or provide evidence of being an Accreditor Investor in one of the three ways listed below.
VERIFICATION OF "ACCREDITED INVESTOR" STATUS

For you to be an investor in this fund, you must be an Accredited Investor and must be able to securely verify your net income or net worth in one of the ways listed below. The information provided is used exclusively for the purpose of the verification of your status. If relying on joint income or net worth with a spouse, documentation for the spouse must also be provided.
How would you prefer to verify your Accredited Investor Status? (Select One)

Upload written confirmation from a Registered Broker-Dealer, Registered Investment Advisor, Licensed Attorney or CPA. See below to upload the Letter of Attestation or for a sample form. This options does not require the submission of any financial documents as evidence of qualification. Rather, it relies upon the confirmation of personal trusted advisors.Complete the General Eligibility Representation form that includes uploading a variety of documents to confirm net worth, income, assets, liabilities, etc.Your status as an “Accredited Investor” can be independently verified by accessing a secure and private third-party verification web page. You will be required to provide financial documentation from the past 3 months to confirm net worth, income, assets, liabilities, etc. All information is secure, private and is not disclosed to the management or the administrator of BRAINPOWER TRADING SERIES FUND LLC. The only information provided to the management or administrator is the confirmation of your status as an Accredited Investor.
Click HERE for a sample Letter of Attestation.
Click HERE to complete the General Eligibility Representation form.
To link to the third-party verification site, please click HERE.
Please upload a Letter of Attestation from your Advisor documenting you meet the requirements for being an Accredited Investor.

Cancelof

Primary Subscriber Details All fields are required
Name of Individual Subscriber*

First NameMiddle NameLast Name
Subscriber SSN*
Social Security Number (no dashes, please)
Subscriber DOB*

MonthDayYear
Date of Birth
Subscriber Place of Birth*
CIty, State
Subscriber Country of Birth*
Subscriber Country of Citizenship*
Subscriber Current Residence*

Street Address

Street Address Line 2

CityState

Zip Code
Subscriber Mailing Address (if different than residence)

Street Address

Street Address Line 2

CityState

Zip Code
Subscriber Prior Residence*

Street Address

Street Address Line 2

CityState

Zip Code
Subscriber Home Number
Home Number
Subscriber Work Number
Work Number
Subscriber Mobile Number*
Mobile Number
Subscriber Personal Email*

Confirmation EmailPersonal Email
Is the Subscriber currently employed?
Subscriber Employer*
Company Name
Subscriber Position*
Title/Position
Subscriber Date of Employment*

MonthDayYear
Date Started
Subscriber Business Address*

Street Address

Street Address Line 2

CityState

Zip Code
Subscriber Work Email*
Work Email Address
Is there a Co-Subscriber for this investment? *

Co-Subscriber Details All fields are required for Co-Subscriber
Name of Individual Co-Subscriber*

First NameMiddle NameLast Name
Co-Subscriber SSN*
Social Security Number (no dashes, please)
MonthDayYear
Date of Birth
Co-Subscriber Place of Birth*
CIty, State
Co-Subscriber Country of Birth*
Co-Subscriber Country of Citizenship*
Co-Subscriber Current Residence*

Street Address

Street Address Line 2

CityState

Zip Code
Co-Subscriber Mailing Address (if different than residence)

Street Address

Street Address Line 2

CityState

Zip Code
Co-Subscriber Prior Residence*

Street Address

Street Address Line 2

CityState

Zip Code
Co-Subscriber Home Number
Home Number
Co-Subscriber Work Number
Work Number
Co-Subscriber Mobile Nunber*
Mobile Number
Co-Subscriber Personal Email*

Confirmation EmailPersonal Email
Is the Co-Subscriber Employed?*
Co-Subscriber Employer*
Company Name
Co-Subscriber Title/Role*
Title/Position
Co-Subscriber Date of Employment*

MonthDayYear
Date Started
Co-Subscriber Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-Subscriber Work Email*
Work Email Address

Authorization of Representative(s)/Agent(s)
Set forth below are the names of persons authorized by the Investor to give and receive instructions and information between the Fund and the Investor, together with their respective signatures and e-mail addresses. Such persons are the only persons so authorized until further notice to the Fund.
Does the Investor/Subscriber have Authorized Representative/Agents as described above?*
Representative/Agent 1*

First NameLast Name
Role of Representative or Agent 1*
Company Name for Representative or Agent 1*
Address of Authorized Represenatative/Agent (No PO Boxes, Please)*

Street Address

Street Address Line 2

CityState

Zip Code
Representative 1 Phone*
Please enter a valid phone number.
Representative 1 Fax Number
Please enter a valid fax number.
Representative 1 Email*
example@example.com
Signature of Authorized Agent 1*

Powered by Jotform SignClear
Does the Investor/Subscriber have a second Authorized Representative/Agents as described above?*

Additional Authorized Representative/Agent 2
Representative/Agent 2*

First NameLast Name
Role of Representative or Agent 2*
Company Name for Representative or Agent 2*
Address of Authorized Represenatative/Agent 2 (No PO Boxes, Please)*

Street Address

Street Address Line 2

CityState

Zip Code
Representative 2 Phone*
Please enter a valid phone number.
Representative 2 Fax Number
Please enter a valid fax number.
Representative 2 Email*
example@example.com
Signature of Authorized Agent 2*

Powered by Jotform SignClear
Does the Investor/Subscriber have a third Authorized Representative/Agents as described above?*

Additional Authorized Representative/Agent 3
Representative/Agent 3*

First NameLast Name
Representative/Agent 3 Company Name*
Role of Representative and/or Agent 3*
Representative/Agent 3 Phone*
Please enter a valid phone number.
Representative/Agent 3 Fax
Please enter a valid fax number.
Representative/Agent 3 Email*
example@example.com
Represenative/Agent 3 Address (No PO Box, Please)*

Street Address

Street Address Line 2

CityState

Zip Code
Representative/Agent 3 Signature*

Powered by Jotform SignClear
Does the Investor/Subscriber have a fourth Authorized Representative/Agents as described above?*

Additional Authorized Representative/Agent 4
Representative/Agent 4*

First NameLast Name
Representative/Agent 4 Company Name*
Role of Representative and/or Agent 4*
Representative/Agent 4 Phone*
Please enter a valid phone number.
Representative/Agent 4 Fax
Please enter a valid fax number.
Representative/Agent 4 Email*
example@example.com
Represenative/Agent 4 Address (No PO Box, Please)*

Street Address

Street Address Line 2

CityState

Zip Code
Representative/Agent 4 Signature*

Powered by Jotform SignClear

Subscriber Wiring Instructions

Until further written notice to the Fund, funds may be wired to the Investor using the following:
Subscriber Bank Name*
Subscriber Bank Address*

Street Address Line 1

Street Address Line 2

CityState

Zip Code
Subscriber Bank Account Name*
Subscriber Bank Account Number*
ABA or CHIPS Number*
For further credit:

Consents & Compliance
CONSENT TO ELECTRONIC COMMUNICATIONS

The Investor hereby provides its informed consent to the electronic delivery of Account Communications by the Fund, the Investment Manager and/or the Administrator. If the Investor has signed below, Account Communications will be delivered via physical delivery (e.g., first class mail or similar delivery method).

Covered Documents

“Account Communications” means all current and future account statements; Fund Documents (including all supplements and amendments thereto); notices (including privacy notices); letters to investors; annual audited financial statements; regulatory communications and other information, documents, data and records regarding the Investor's investment in the Fund.

Medium of Delivery

The Fund, the General Partner, the Investment Manager and/or the Administrator may deliver Account Communications electronically via e-mail or any secure Internet site. It is the Investor's affirmative obligation to notify the Fund in writing if the e-mail address of the Investor or any authorized representative of the Investor changes. If an Internet site is used for electronic delivery, the Investor will receive an e-mail notification when a new document is posted to the site and the Investor will be required to login with its e-mail address and a unique password. In order to access, view, print, and save documents, the Investor must have access to the Internet and software that enables it to view a PDF document.

Duration of Consent

This consent will be valid until it is revoked. The Investor may revoke or restrict its consent to electronic delivery of Account Communications at any time upon written notice to the Administrator.

Costs and Risks of Electronic Delivery

The Fund, the General Partner, the Investment Manager and the Administrator will not be liable for any interception of Account Communications. Investors should note that no additional charge for electronic delivery will be assessed, but the Investor may incur charges from its Internet service provider or other Internet access provider. In addition, there are risks, such as systems outages, that are associated with electronic delivery.
Acceptance of the Consent to Electronic Communications*

Powered by Jotform SignClear

Anti-Money Laudering Information
This Subscription Agreement will not be deemed complete, and the Investor will not be deemed a limited partner of the Fund, regardless of whether it has already wired funds, until all of the required documentation listed below is received by the General Partner. For additional information, please contact BRAINPOWER TRADING SERIES FUND LLC, BRAINPOWER TRADING, MANAGEMENT LLC, 16605 Lake Circle Drive, Unit 346, Fort Myers, FL 33908, 646.345.5212.
Payment Information*

First Name of InvestorMiddle NameLast Name of Investor
Wiring Bank*
Name of bank from which the Investor's payment to fund is being wired.
Address of Wiring Bank (No PO Box, Please)*

Street Address for Wiring Bank

Street Address Line 2

CityState

Zip Code
Is the Wiring Bank located in an Approved FATF Country?*
See note below for FATF Countries
Is the the Investor a customer of the Wiring Bank?*
If yes, you are not required to provide the additional information below.
For Anti-Money laundering purposes, please describe specifically:
What is the source of the money/wealth/income used for this investment:*
Occupation of the Investor*
Purpose of the Investment*
Expected Frequency of Transactions*
The Investor must wire the payment from an account in the Investor's name.
As of the date hereof, approved countries that are members of the Financial Action Task Force on Money Laundering (each, an “Approved FATF Country”) are: Argentina, Australia, Austria, Belgium, Brazil, Canada, Denmark, Finland, France, Germany, Greece, Hong Kong, Iceland, Ireland, Italy, Japan, Luxembourg, Mexico, Kingdom of the Netherlands, New Zealand, Norway, Portugal, Singapore, South Africa, Spain, Sweden, Switzerland, Turkey, United Kingdom and the United States.

Additional Anti Money Laundry Information

Verification of Identify
Individuals (Including Individual Retirement Accounts (“IRA”), SEP IRAs and 401(k)s):
Full Name*

First NameLast Name
Legal Address*

Street Address

Street Address Line 2

CityState

Zip Code
Tax ID or SSN*
Please upload a copy of a current driver's license and/or passport for each individual subscriber.*

Cancelof
General Eligibility Representations
If the beneficial ownership of the Investor is held by an Individual (for example, through an Individual Retirement Account, Keogh Plan, or other self-directed defined contribution fund), such individual is of legal age and is a resident of State*.
Signature*
If the Investor is an employee benefit plan, an endowment, a foundation, a corporation, a partnership, a limited liability company, a trust, or other legal entity, it is organized under the laws ofState* has its principal place of business in City* State* and was formed as of Date* .
Signature*
B. Was the Investor referred to the Fund by a placement agent?*
If yes, name of the placement agent.

First NameLast Name
C. Is the Investor a government entity?*
D. If the Investor is acting as agent or nominee that for a beneficial owner that is a government entity, please provide the name of the entity.*
E. If the Investor is an entity substantially owned by a government entity (e.g., a single investor vehicle) and the investment decisions of such entity are made or directed by such government entity, please provide the name of the government entity:
Please note that if the Investor enters the name of a government entity above, the Fund will treat the Investor as if it were the government entity for purposes of Rule 206(4)-5 (the "Pay to Play Rule") promulgated under the Investment Advisers Act of 1940, as amended (the "Advisers Act").)
F. If the Investor is (i) a government entity, (ii) acting as an agent or nominee for a beneficial owner that is a government entity, or (iii) an entity described in Item (E), the Investor certifies that other than the Pay to Play Rule, no "pay to play" or other similar compliance obligations would be imposed on the Fund, the General Partner, the Investment Manager, or their affiliates in connection with the Investor's subscription.
Signature*

Powered by Jotform SignClear
If the Investor cannot make such certification, indicate in the space below all other “pay to play” laws, rules or guidelines, or lobbyist disclosure laws or rules, the Fund, the General Partner, the Investment Manager or their affiliates, employees, or third-party placement agents would be subject to in connection with the Investor's subscription:
G. Is the Investor registered as an investment company under the Company Act (a "Registered Fund")*
H. Is the Investor an affiliated person of a Registered Fund?*
If the Investor is an affiliate person of Registered Fund, please provide the name of the Registered Fund.
I. Is the Investor (i) a “bank holding company” (as defined in Section 2(a) of the U.S. Bank Holding Company Act of 1956, as amended (the “BHCA”)), (ii) an entity that is subject to the BHCA pursuant to the U.S. International Banking Act of 1978, as amended, or (iii) an “affiliate”(as defined in Section 2(k) of the BHCA) of either of the foregoing. The Fund may request information regarding the bank holding company status of the Investor or any affiliate of the Investor.*
J. Is the Investor a “banking entity” (as defined in Regulation VV of the Board of Governors of the U.S.Federal Reserve System (the “Volcker Rule”)).*
K. Is the Investor a “covered fund” (as defined in the “Volcker Rule”).*
If the Investor is a "covered fund", please complete each of the following:
1. Is the Investor a "covered fund" (i) for which a “banking entity” serves as “sponsor”, investment manager, investment adviser, commodity trading advisor, or (ii) that was otherwise“organized and offered” by a “banking entity” (each as defined in the Volcker Rule).
2. Is the Investor "controlled" (as defined by the Volcker Rule) by a second "covering fund" described in clause (i) or (ii) above?
For these purposes, the term “government entity” means any U.S. state (including any U.S. state, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, or any other possession of the United States) or political subdivision of a state, including:
(i) any agency, authority, or instrumentality of the state or political subdivision;
(ii) a pool of assets sponsored or established by the state or political subdivision or any agency, authority, or instrumentality thereof, including, but not limited to a “defined benefit plan”, as defined in section 414(j) of the Internal Revenue Code, or a state general fund;
(iii) a plan or program of a government entity; and
(iv) officers, agents, or employees of the state or political subdivision or any agency, authority or instrumentality thereof, acting in their official capacity. (Note that any such officers, agents, or employees will not be considered a government entity if they are making an investment in the Fund not in their official capacity.)

For purposes of this item, the term “affiliated person” of another person means:
(i) any person directly or indirectly owning, controlling, or holding with power to vote, 5% or more of the outstanding voting securities of such other person;
(ii) any person 5% or more of whose outstanding voting securities are directly or indirectly owned, controlled, or held with power to vote, by such other person;
(iii) any person directly or indirectly controlling, controlled by, or under common control with, such other person;
(iv) any officer, director, partner, co-partner, or employee of such other person;
(v) if such other person is an investment company, any investment adviser thereof, or any member of an advisory board thereof; and
(vi) if such other person is an unincorporated investment company not having a board of directors, the depositor thereof.

For this purpose, “control” means the power to exercise a controlling influence over the management or policies of a company, whether by stock ownership, contract, or otherwise, unless such power is solely the result of an official position with such company. Any person who owns beneficially, either directly or through one or more controlled companies, more than 25% of the voting securities of a company is presumed to control the company. Entities that may be deemed to be under “common control” are those that (a) are directly or indirectly controlled by the same person or (b) have substantially the same officers and directors or managers or the same investment adviser.

SUBSCRIPTION AGREEMENT SIGNATURE PAGES
ALL INVESTORS MUST COMPLETE THIS SECTION

1. The undersigned represents and warrants that the undersigned has carefully read and is familiar with the Subscription Agreement and the Private Placement Memorandum (PPM);

2. The undersigned represents and warrants that the information contained herein is complete and accurate and may be relied upon; and

3. The undersigned agrees that the execution of this signature page constitutes the execution and receipt of the Subscription Agreement.

4. The undersigned has executed the foregoing agreements as of the date first set forth below and further that the undersigned hereby affirms that (he/she/they) executed the subscriptions and signature pages as (his/her/their) free and voluntary act and deed and swears and affirms under the pains and penalties of perjury that the information provided is true in substance and in fact.
IN WITNESS WHEREOF, the undersigned has executed this Subscription Agreement onDate* .
Subscriber Signature*

Powered by Jotform SignClear
Subscriber Name*

First NameLast Name
Co-Subscriber Signature

Powered by Jotform SignClear
Co-Subscriber Name

First NameLast Name
Should be Empty:

Subscriber Information

Authorization of Representative(s)/Agent(s)

Additional Authorized Representative/Agent 2

Additional Authorized Representative/Agent 3

Additional Authorized Representative/Agent 4

Subscriber Wiring Instructions

Consents & Compliance

Anti-Money Laudering Information

Additional Anti Money Laundry Information

General Eligibility Representations