Prahsys — Accredited Investor Questionnaire

Section 1 of 5
Personal Information

Please provide your legal contact information. All information is kept strictly confidential.
Full Legal Name*
As it appears on legal documents
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
Email Address*
Investment Amount (USD)*

Section 2 of 5
Accredited Investor Status

Select every category under which you qualify. At least one selection is required. All seven checkboxes below map to the qualifying categories under Rule 501 of Regulation D, Securities Act of 1933.
Individual Income Threshold: My individual income exceeded $200,000 in each of the past two calendar years, and I reasonably expect my income to reach the same level in the current year.Joint Income Threshold: My joint income with my spouse or spousal equivalent exceeded $300,000 in each of the past two calendar years, and I reasonably expect our joint income to reach the same level in the current year.Net Worth (Individual or Joint): My individual or joint net worth with my spouse or spousal equivalent exceeds $1,000,000, excluding the value of my primary residence.Professional License (Series 7, 65, or 82): I hold in good standing a Series 7, Series 65, or Series 82 license, or other credentials as designated by the SEC.Entity — Total Assets Exceed $5 Million: The entity has total assets in excess of $5,000,000 and was not formed for the specific purpose of acquiring the securities being offered.Entity — Registered Broker-Dealer or Investment Company: The entity is a registered broker-dealer, investment company, business development company, or a bank or savings and loan association.Entity — All Equity Owners Are Accredited Investors: The entity consists solely of accredited investors, each of whom individually satisfies Rule 501 qualification criteria.

Section 3 of 5
Supporting Documentation

Please indicate the form of documentation you intend to provide to substantiate your accredited investor status. Documentation will be requested separately by Prahsys or its counsel.
Tax Returns (Prior Two Years): Federal income tax returns (Form 1040 or equivalent) demonstrating income qualification for the applicable years.Financial Statements or Bank Statements: Personal or entity financial statements reflecting net worth or total asset qualification.Third-Party Confirmation — Licensed CPA: Written verification from a licensed certified public accountant confirming accredited investor status.Third-Party Confirmation — Licensed Attorney: Written verification from a licensed attorney, in good standing, confirming accredited investor status.Third-Party Confirmation — Registered Investment Advisor: Written verification from a registered investment advisor confirming accredited investor status.Other Supporting Documentation: Brokerage statements, W-2s, or other documentation sufficient to establish qualification. Details will be confirmed with Prahsys counsel.

Section 4 of 5
I, the undersigned, hereby certify under penalty of perjury that all information provided in this Accredited Investor Questionnaire is true, accurate, and complete to the best of my knowledge. I understand that Prahsys Inc. and its counsel will rely on this certification in connection with my proposed investment. I acknowledge that this questionnaire does not constitute an offer to sell or a solicitation of an offer to purchase any securities, and that any investment will be made only pursuant to definitive subscription documentation. This questionnaire is intended solely for the recipient and may not be relied upon by any third party. I further acknowledge that I am executing this questionnaire electronically in accordance with the Electronic Signatures in Global and National Commerce Act (E-SIGN Act), 15 U.S.C. § 7001 et seq.
I agree

Section 5 of 5
Electronic Signature

Please print your full legal name, enter today’s date, and provide your electronic signature to complete this questionnaire.
Printed Full Name*
Date*

MonthDayYear
Electronic Signature*

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Section 1 of 5

Personal Information

Section 2 of 5

Accredited Investor Status

Section 3 of 5

Supporting Documentation

Section 4 of 5

Section 5 of 5

Electronic Signature