A) General
1) Please fill out all fields below:
2) Please select the time-zone closest to you: Select Choice.. Americas Europe Asia/Pacific
3) Do you wish to set-up a Fund? Fund Set-up Select Choice.. Yes No Transfer in from other Administrator Other
3.a) If "Yes" will you utilize Amicorp to set up the Fund and/or Management Company? Select Choice.. Fund and Management Company Fund only Management Company only Not applicable Other If "Other", please explain:
4) Do you seek Fund Administration services? Fund Administration (Investor Services included) Select Choice.. Full Administration NAV calculation only Investor services only No Administration services required 5) Will you utilize Amicorp's Directorship/Management services? Select Choice.. For Fund and Management Company For Fund only For Management Company Only Neither 6) Anticipated Launch date of above-mentioned service(s): 7) Please provide us with the (desired) name of the Fund:
8) And with the (desired) name of the Management Company, if applicable: 9) What is the base currency of the Fund?
11) What is the anticipated amount of assets of the Fund in the chosen base currency? ((In the case of multiple currencies use first mentioned from upper left to lower right in question A. 9)) First Year: Select Choice.. < 5 Million 5 - 10 10 - 20 20 - 50 50 - 100 100 - 250 > 250 Million Third Year: Select Choice.. < 5 Million 5 - 10 10 - 20 20 - 50 50 - 100 100 - 250 > 250 Million 12) Please indicate the investment strateg(ies)(y) of the Fund.
13) Will the Fund's investments be quoted, unquoted or both? Select Choice.. Quoted Unquoted Both 14) Where will these investments primarily be made?
15) Please indicate the average number of Trades and Portfolio positions per month, per security type
15.a) If you checked "Hedge Fund" above will you require custody services through Amicorp? Select Choice.. Yes No More info
16) Will the Fund make use of leverage or hedging? Select Choice.. Yes (please specify degree of of leverage) No If "Yes" please specify degree:
17) Will the Fund invest in 'New Issues'? Select Choice.. Yes No
18) Please indicate number of broker accounts: Select Choice.. 2 or less 2 to 5 6 to 10 10 or more
18.a) Will the broker account(s) be electronically accessible? Select Choice.. Yes No Other If "Other" please explain:
B) Investors
1) Where would you expect your investors to be domiciled?
1.a) If you checked "Europe" please list countries as they may affect the offering. 1.b) If you checked "USA" please specify which type of US investors will be participating in the Fund? Accredited Qualified Purchaser Tax Exempt Other
1.a) If you checked "Europe" please list countries as they may affect the offering.
1.b) If you checked "USA" please specify which type of US investors will be participating in the Fund?
2) What is the minimum initial investment amount that will be accepted from investors? (By multiple currencies use first chosen from upper left to lower right) Select Choice.. 50,000 100,000 250,000 500,000 1,000,000 Other If "Other" please explain:
2.a) What is the minimum investment amount for additional capital contributions? Select Choice.. 50,000 100,000 250,000 500,000 1,000,000 Other If "Other" please explain:
3) What is the anticipated number of investors? First Year: Select Choice.. < 15 15 - 50 50 - 100 100 - 250 > 250 Third Year: Select Choice.. < 15 15 - 50 50 - 100 100 - 250 > 250
4) What is the anticipated number of yearly investor transactions?
5) How often will the Fund accept capital contributions? Select Choice.. Daily Weekly Monthly Quarterly Annually Other If "Other" please explain here:
6) Status of Fund: Select Choice.. Closed-ended Open-ended
6.a) If checked "Open-ended", how often can the investors withdraw (redeem) their capital from the Fund? Select Choice.. Daily Weekly Monthly Quarterly Annually Other If "Other" please explain here:
7) Will there be a lock-up period? Select Choice.. Yes No
8) Will there be a withdrawal penalty? (e.g. penalty for any withdrawal made prior to the first year anniversary of the initial investment) Select Choice.. Yes No
9) What will be reported to the investors? (As administrator we would typically report the NAV and the Capital Balance. Is the intention to report additional information?) Select Choice.. Manager Analysis Reports Rate of Return Other If "Other" Please explain here:
10) How often will the Fund report to all the investors of the Fund? Select Choice.. Daily Weekly Monthly Quarterly Annually Other If "Other" please explain here:
C) Fund Fees - Expenses
1) Who will be paying for the organizational expenses of the Fund? Select Choice.. The sponsor The Fund, amortized over a period of years Other If "Other" please explain here:
2) Do you plan to charge investors performance fees? Select Choice.. Yes No Other If "Other" please explain here:
2.a) If you checked "Yes", please indicate the type of re-allocation method? Aggregate Equalization Partnership Allocation Series Other 2.b) Please indicate the terms of such performance fees Percentage Benchmarks Hurdle rate Other 2.c) What is the payment frequency of these performance fees? Select Choice.. Monthly Quarterly Annually Other If "Other" please explain here:
2.a) If you checked "Yes", please indicate the type of re-allocation method?
2.b) Please indicate the terms of such performance fees
2.c) What is the payment frequency of these performance fees? Select Choice.. Monthly Quarterly Annually Other If "Other" please explain here:
3) Do you plan to charge investors a basic management fee? Select Choice.. Yes No Other If "Other" please explain here:
3.a) If you checked "Yes", please indicate the type of fee Select Choice.. Percentage of net assets Fixed amount Other If "Other" please explain here: 3.b) In addition, please indicate the payment frequency of such management fees Select Choice.. Monthly Quarterly Annually Other If "Other" please explain here: 3.c) When will this fee be paid? Select Choice.. In Advance In Arrears 3.d) Calculation method:
3.a) If you checked "Yes", please indicate the type of fee Select Choice.. Percentage of net assets Fixed amount Other If "Other" please explain here:
3.b) In addition, please indicate the payment frequency of such management fees Select Choice.. Monthly Quarterly Annually Other If "Other" please explain here:
3.c) When will this fee be paid? Select Choice.. In Advance In Arrears
3.d) Calculation method:
D) Fund Structure
1) Please indicate preferred legal structure Select Choice.. Corporation Limited Partnership Unit Trust Other If "Other" please explain here:
2) Please indicate preferred offshore jurisdiction
3) Will the Fund seek a listing on a Stock Exchange? Select Choice.. Yes No Not Known
3.a) If you checked "Yes", please indicate preferred Stock Exchange jurisdiction Select Choice.. Bermuda Cayman Islands Ireland Luxembourg Other If "Other" please explain here:
4) Please indicate preferred Fund structure Select Choice.. Stand-alone Side-by-side Master-feeder Multi-class Umbrella / SPC
6) If the Fund has different share classes, what is the purpose of having such classes?