Investor Application Form (continued) ‘Please initial the appropriate statement. The Underugned has wehaled those statements below which amply fo «tor, ¢ the Undersgned sa *. Sorporaton, partnership, trust or other entity, which apply to any person having 4 Beneficial interest in the Underugred = The investor is any of the following: — & AHNRA member tiem o other broker dealer —_ Di Anciticer, director, general partner, assacisted person or employee of o NTA member fier or other Covered Broker Deater — ) Anagent of 4 Covered Broker Desier if the agent & engaged im the investment banking o securities buuness, ——_ (G) An lnemediate Farnily Meenber cf a person specified in (b) or (c} above, te} A fieder or other person acting in a fiduciary capacity to 4 Covered Broker Dealer, including attoeneys, accountants and Furvacwcial Consuftants, (Hh A person who has the authority to buy or sell weazities for 2 bank, savings and loan institution, insurance campany. invesiMent Company, cwesiment adviser ov Collective invesimenn Account, (3) An immediate Family Member of 3 person specified m1 be) oF if above who receives from or provides to such person Material Support . th) A person kested for required to be Sstedi in Schedule A or Schedule C to Form SD as avenmng 10% oF more of a Covered Broker Deake a & person listed (or required to be sted! in Schedule 8 or Schedule € of Faren 8D whose ownership interest s in 4 person inted in thy, Aperson that owns directly or exdirectiy 10% of more of 4 public reporting Company isted ior required to be listed} in Schedule A of Form 8D with respect to a Covered Broker Dealer, other than a public company that is lated on a national securities exchange, {A person that owns directly o mutirectly 25% of mone of a public reporting company that is 4 person inted in () above other than a public company that is listed on 2 nabonal securities exchange, (9 An immediate family Membe: of 2 person bxted in Pe theough ik} above who receives froen oF provides to such person Maternal Support. —.—Ss (M)_—s-An account liwchuching a corporaton, partnersiap, imnited bability Company, trust or other ensity) in whech any of the persons tefered to in (a) through (] above has 2 Beneficial interest (any person im {a} Hwough im), a “5130 Restacted Person”) Tie tewestor 5 mone of the above For Entities only: If you initialed any of items (a) through (m) above, you may still be eligible to participate in “new issues” if you satisty one of the exemptions listed under “New issues Exemptions” at the back of the Subscription Agreement. If so, please specify the exemption number (1 through 10) here (exemption 1(b) is not available} NOTE: Exemptions are not applicable for individual retirement accounts, individual or joint accounts, UGMA of UTMA accounts, which are treated as natural persons for this purpose. CONFIDENTIAL UBSTERRAMAR00001524 EFTA00237169

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Investor Application Form (continued) G. Certification Regarding initial Public Equity Offerings (cont'd): os Rule 5131 “Covered Persons” :) Please initial below if applicable o if the evestor is 2 Comporaton, pertnersinp, trust or other entity. whech apply to any person having Beneficial interest in the investor The Investor oF any person having 4 Beneficial interest in the investor, is (i) an executive office ce Geector of a Public Company of 3 Covered Non-Pubic Company, or {9 a person secewing Material Support by an executive officer or director of a Public Company o a Covered Non Public Compary (any person in @) or 5, a “S131 Covered Person”) 2) if you inwtaled statement (1) above, you must name each relewartt Public Company anuifor Covered Non-Puntic Company: (3) if you watigied statement (1) above, please invtia! the following only if such apphcable Publc Company or Covered Non-Putsic Company (& & Currently a Clem, recening Investment Banking Senvces prowded by # FINRA member, or has pad compensstion to a FINRA onemiber tor investment Banking Services in the past 12 months: ) expects to retam 3 FINRA member tor inwestment Banking Sereces withe the neat 2 months, o: i} has entered into an express of impbed obligation, directly o incivectly twough its executive officers oF Girectors, to retain a FINRA merpber fox the performance of future investment Banking Services if you initiated any of items () through (c) above, you may still be eligible to partidpate in “new issues™ if you satisty one of the ‘exemptions listed under “New tssues Exemptions’ at the back of the Subscription Agreement. If 0, please specify the exemption number here (exemption 1(a) is not available}: if the investor has represented that he, she or it is not « “Restricted Person” or « “Covered Person”, the investor further represents that he. she or it understands that this certificate expires after one year and agrees promptly to notify the Fund should the account become a “Restricted Person” or “Covered Person”. H. Government Entity Status Gh tre kwestor a Government Fonty? 0 Yes Ls GR if fe testo is acting a5 agent, representative or nominee fot one Of mone InWESION, 6 any Of such investors a Government Entity? O Yes ho (@% if the answer to question @) & “Yes”, please indicate the names of any such iewestor CONFIDENTIAL UBSTERRAMAR00001525 EFTA00237170

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Investor Application Form (continued) . NFA Bylaw 1101 Certification (Please initial as appropriate.) individual, IRA and Foundation Investors: The investor represents and wertants that it is an individual IRA or a foundation and that it 6 not requited fo be + member of the Nahona! Futures Association (° NFA") or to be registered wvith the Commodity Futures Trading Commission (*CFTC"} in any capacity. Please continue on to Section }. levestor Acknowledgement) All Other Entity investors: ih The lewestor (or, f the investor & a Commodity pool, the operator thereof) represents andi warrants it is Not required to be @ member of the NFA or to be registered with the CFTC in any capacty (Please note. while not always the case, generally, certain private investment vehicles such as sengle member limited lability companies and certain bmited partnerships comprised of family members, among others, should initial this section and below it applicable.) if the trwestor is @ fund of another vestment entity and mitisied item (b) abowe, please complete the followng The lewestor o 4 farmaly inwestnent vetecke whose partopants wnchide only spouses, children, m-laws, grandparents and cousins, or the investor is a family office and has fled 2 notice with the CFIC under No-Action Letter 12-37 The Investor relies upon an exemption from regestration under CFIC Rule 4 13 and has fled 2 notice claming ths exemption with the NEA. The Investor relies upon an exctusion from the definibon of the teem “commodity pool operator” under CFIC Rule 4S and has filed 2 notice Claming this exempton att the NFA The Investor 6 a noncontributory plan, 4 Contributory defined benefit plan’. 4 governmental plan, an employee weltare anatase benefit plan, or a church plan Covered under the Employee Retirement income Secunty Act of 1974. The investor relies upon another exemption or othecwrse % mot sequined to register wath the CFIC (pleate mcd ate Orlow the appicabie exemoton upon whch the investor rebes or indicate the Gass upon which the investor has deterred that regstation or an exemption 6 not required) oR Entities that are NFA Members and/or those required to register with the CFTC: G The trwesioe for, if the investor is a commodity pool, the operator thereof} represents and warrants that 4 1 a meminer of cnsteniemmenemntt the NFA and « registered wath the CFTC Please wxficate below the capacity in whech the Investor (or the operator thereof) 6 regstered icorrenodity pool operator, commodity tracing advaor, futures commisgan merchant, introducng broker, or retail foreign exchange dealer) 7 with, £10 any.suct plan to which a0 employee may voluntatily Coninbute, no portion of an employee's contribution 1 Comrmdtied a} margin wires io *rurtso gptone cot ais Private and Confidential ww CONFIDENTIAL UBSTERRAMAR00001526 EFTA00237171

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Investor Application Form (continued) J. Investor Acknowledgement: Tre Undlersigned should consult is own US tax adwsor if it 6 uncertain a5 to whether it ts a “United States person” tos purposes of US. federal ee Quees 10 bel The Undersigned represents that he, she or it is @ “United States person” (as such term is defined in the Code) for purposes of U.S. federal income taxation and has provided to USS a valid and duly completed form W-9, or successor form thereto, signed under penalties of perjury by such Undersigned. The Undersigned certifies under penalties of perjury that (A) its U.S. taxpayer identification number, as it appears in the investor Application Form in this Subscription Booklet, is CONFIDENTIAL true and correct and (8) it is NOT subject to backup withholding because either (1) it is exempt from backup withholding, (2) it has not been notified by the U.S. internal Revenue Service (“IRS™) that it is Underngned has reviewed and confirmed a8 of the information in the Investor Appikcation and confirms that af of the informatbor that is required to be provided by the Undersigned in thes investor Appbcation is trae, accurate and complete in a8 respects. Of successor form thereto, signed under penalties of perjury by such Underugned now tot wenergs, bor) “ay be reQured to cus * iey The Undersgned represents that he. she or @¢ has received, carefully read anc will be bound by the Agreements, including the pre~dapute attetation clause which appears in the Subscripton Agreement and the Fund Agreement, and agrees that sigrung below constitutes the enecunON and receipt of the Agreements (di The Undersigned represents thet he, she or & has received a copy of the Memorandum, has read it and understands it, and the Undersgned is aware of the Fund's limited provaions on transtecability and withdrawal he, she o @ understands that an investment ip the Fund wolves conthcts of interest, inciuding thet the Placement Agent and its affitates wil recewe payments trom the investors, the Fund and/or the: affibates based upon the aggeegate ammount of capital contributons to the Fund fe) The Underngned confirms that the investment objective and risk protie apphc able to the awestment in this Fund are respectively, “capital appreciabor” and ‘aggressive ~ This otyective and nsk profile 6 applicable only to thes ewesiment and may differ trom the investment goals and vk tolerance for the overall portfolo and the Drokerage account it which thes onwestment is Heid (fh The Undersigned understands that an unvertiment in the Fund may mmpact the Underagned’s tutune quidity (ether long or short-term) and represents that the Undersgned’s investment goats are Conystent with the bme frame of the iwestment (g) The Undersigned hereby authonzes the detst of funds for the Capstal Contribubon, plus any apphcable Placement fee, and any applicable amount required to satisfy a tax obtgation of the Fund. (he The Undersigned understands that UBSFA may in its sole and absolute discretion accept as your Capital Contribution an amount iess than the Capilal Continmuton apphed for herem. . hee 7 somrh Tetates DOT aay De eQutes te etek * mie of sant tenaett, DORM may De tered to nine The Undersignes certifies that the United States is fat, her or its country of residence of prnopal place of business if Undersgned cannct make this certification, please talk to your Financial Adesor abot whether you may eves! in the Fund.) The Uncersiqned acknowledges that a Placement Fee of 2% of the Capital Contribution will be changed @ the Underugned mwests through 2 brokerage account However, in frnited cucumnstances the Placement fee may be wawed by the Placement Agent Tins Placement fee is in addition to, and wil not reduce, the Undersigned’s Capita! Contribution. if the Placement fee os reduced by agresment Detween the Placement Agent and the Undersgned, then the reduced Facement Fee to which the Undersigned has agreed will be reflected on the UBS trade confernaton The Undersgred confiems that the Placement fee has been dicussed woth heshetAts Financial Advisor and any additional questions wil be addressed if requested No Placement Fee is changed if this ewestment a made through a UBS advmory program "W UBSTERRAMAR00001527 EFTA00237172

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Investor Application Form (continued) J. Investor Acknowledgement (cont'd): ik) FOR GRANTOR TRUSTS ONLY: If the Undersigned is 4 grantor trust, the Undetugned acknowledges that any and all grantors of the trust are US. persons for US federal income tax pusposes (please note: grantor trusts with non-US. persons as grantors may not invest in thes Fund) K. Investor Signatures: Please sgh below. Please nate thal sqning below Comstitutes your sgnature to the investor Applicaton Form, the Subscription Agreement and the Fund Aggeacrent it accordance with their terres Wrnetrs Dee ee ee eee ee ee oe Ghisiaing Maywen - MAKE SURE YOU HAVE COMPLETED ALL APPLICABLE SECTIONS OF THIS INVESTOR APPLICATION FORM. CONFIDENTIAL UBSTERRAMAR00001528 EFTA00237173

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.- W-9 Request for Taxpayer Give Form to the Seompnctogbenee Identification Number and Certification pon ca one tree Revere Service * 1 Name las shown On your income Lax fetury. Name i requred of tus ine: do not leave thus ine tian Gri Maxwell a 2 nae ceregarced entity name td fom adore i 2 Check appropriate bos tor federal tax ciammiicanan check only one oF the folowing sever Doxee 4 Exeenptions (codes aaply oniy to £2) meetetrte pongstes or CD Ccomormion [) SCorporation [] Partnership 0 Yruatestte Semusteanen poet - & (D) Lertes nawiity company Enter the tax classAcaman (C-C comporation. $5 conporanen. P=partrarsnp: P Seemps payee cone Ha, Mote. For the ‘ on ky | Saeinption tom FATCA teperting 3 Note. For a ungie-membe LLC that i araparded, do ret check ULC: check the appropriate bon in the ine above for paresis E (_} Other isee instructions) & Arias 8 meme memarnarant exstitn te if %) j 5 Address umber, street. and apt. of suite no) ‘Ss name and address (opronat © Cay. state. anc BP code § New York, NY 10065 List account numbers) here optional TIN on page 3. Note. # the account is in more than ane name, see the instructions for line | and the chart on page 4 for Quidelines on whose number to enter Under penaines of perjury, | certify that: : 1. The number shown on this form is my correct taxpayer identification number (or | am waiting for a number to be sued to mek: and 2 | am not subject fo backup Enter your TIN in the appropriate box. The TIN provided must match the name given on fine 1 to avoid tL. : backup withholding For individuals, this is generaity your social security number (SSN). However. for a — _— resident aien, sole proprietor, or disregarded entity, see the Part | instructions on page 3. For other entities, it is your employer iGentification number (EIN). f you do not have a number, see How fo get # because (a)! am exempt from Dackup withholding. of ib} | have not been nobtied by the internas Revenue witnhotang Serwce (RS) that | arn sudyect to backup withholding as a result of a tallure to report all interest or dividends. oF (c} the IRS has notified me that | am NO ‘longer subject to Dackup withholding: and 3. }am aS. citizen or other U.S. person (defined below); and 4 The FATCA codes) entered on this form ff any) indicating that | am exempt trom FATCA reporting is correct Certification instructions. You must cross out iten 2 above # you Nave been notified by the IRS that you ere currently sutyect to backup withholding because you nave tated to report ail interest and Gvidends on your tax return. For reai estate transactions, ‘ten 2 Coes not apply. For morgage interes? paid, acquisition of abandonment of secures property. cancellation of Gett. contributions to an indimdual retirement arrangement (RA), and Sector reterences are to the intema Reverse Code uniess othermese noted: Future developments informaton about Grvelopments attectng Fort ¥i-9 (suc 2&4 legitiation enacted ater we retmane @) 6 at www tt GowitwS. Purpose of Form An ncevchual of entey (Form W-9 requester) ano 1s required to te an mformancn eter eth the |RS must obtain your correct taxpayer iGentiicatson number (TIN) wheon ony be your s0cual security number (SSNI indwichar taxpayer Gentificabon umber WN) adoption taapayer Wenttcaton nuToe (TING of empioyer Sertécabon number (EN), to report on an informaton return the amount pac to yOu. oF uther amnount reportable on an eformanon retum Examgies of mtorrnation FOhens chude. Dut are not kered 10. the fofowing: © Form 10S84NT (nterest earned or pad) © Form 1OR8-Olv (dewkdands. inckuding those trom stocks or mutual fects) © Form 1080-MESC Wvarmus types of mcome praes. awards. oF gross proceeds) + Foren 1090-8 inock oF pratum (ond sales and ceran other rangactons by brouser + Form 1099-S (proceeds trom rea! estate transacwons) + Form 1089 (merchant card anc thed party network transactiona) Qe erady, payments offer than interest anc cividends. you are not required to sign the certification, but you must provide your correct TIN. See the 3 © Form 1038 (home morigage interest), 1088-£ jstudect joan eterest) 1058-T Cuore © Form 109%-C icanceted dett) * Form 1080-4 @cquation of abandonment of secured groperty} Un om WO ont 8 ses aee US, Person inching 2 readert aier) to provide your Comect Hf you do not seturn Form W-9 to one requester with TIM. pou mught be sudpect > Deckup withholding See Wheat + backup antraking? on page 7 By sagneng the ted-cut form you: 1. Cortiy that the TIN you are ging @ correct for you are sailing for o nurnter fo De SSS 2 Cartity hat you are not sAyect to backup withholding. or it you are a U.S. exempt payee. ¢ apphcabie you are aso Cemtying hat person, your allocatte share of ay parinersmip moome from a U.S. trace or business 0 not sutyect to Ihe wtnhoiding tax on toregn partners share of etectwely commectad income, and 4 Carty mat FATCA codelsy entered on thie form ( any) mdicating thal you are exernpt fom the FATCA reporting. « comet. See Wher 9 FATCA reporting? on page 2 tor Sather atormanon Cat. No. 10238 FomW-9 12-2074) CONFIDENTIAL UBSTERRAMAR00001529 EFTA00237174