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Fund Manager Roundtable Management System

Acknowledgement & Release Form

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The purpose of these events for hedge fund investors ("Events") is to introduce attendees to hedge funds and other investment partnerships. Events include (without limitation) fund manager round tables, single manager events, one-on-one meetings and referrals. Because of the introductory purpose of these Events, no participant at the Events may bring any placement or subscription documents to the Events.
I agree

By submitting this form, you confirm that (1) you will participate in the Events, (2) you will not bring any placement or subscription documents to the Events, and that, while at the Events, you will not solicit or accept any investment or other subscription in your fund(s), (3) you acknowledge and agree with the information given to attendees found under the heading "Terms and Conditions" at www.bvrgi.com by clicking "INVESTOR Sign-up", (4) any written material made available for attendees by you in connection with the Events (material outside or at the back of the presentation room) will contain a statement that such written material is neither an offer to sell nor a solicitation of an offer to buy any security, (5) you will not at any time use the Belvedere Global Investors name or that of any affiliates or logo or make any oral or written representation that Belvedere Global Investors of any affiliate recommends or endorses you or the fund(s) you manage and (6) you have taken into consideration and have complied with all applicable securities laws with respect to your participation at the Events, including those regarding risk disclosure. You are encouraged to consult independent counsel with respect to your participation in the Events.
I agree You agree to indemnify and hold harmless Belvedere Global Investors or any affiliate thereof and its controlling persons (as defined in Section 15 of the Securities Act of 1933 or Section 20 of the Securities Exchange Act of 1934), officers, directors, employees and agents (each an "Indemnitee") from and against any and all losses, claims, damages, liabilities (joint or several), expenses (including, without limitation, legal and other professionals fees and disbursements of counsel incurred by an Indemnitee in any action or proceeding between you and an Indemnitee or between an Indemnitee and any third party or otherwise), judgments, fines, settlements, and other amounts arising from any and all claims, demands, actions, suits or proceedings (civil, criminal, administrative or investigative), actual or threatened, in which an Indemnitee may be involved, as a party or otherwise, by reason of your participation in the Events.
I agree

By reviewing or otherwise using these materials and/or attending an event you agree and acknowledge on behalf of yourself or, if applicable, the entity you represent (the "Investor"):

1. Investor Qualifications and Investment Experience. The Investor is all of the following: (a) an institutional “accredited investor” as defined under Regulation D of the U.S. Securities Act of 1933, (b) a “qualified purchaser” as defined under the U.S. Investment Company Act of 1940, (c) a self-directed, sophisticated investor, (d) experienced in investing in private investment funds, (e) if the investor is located within the United Kingdom, the investor is an intermediate customer or market counterparty as defined in the rules of the Financial Services Authority of the UK, (f) if the investor is located in Switzerland, the investor is (i) an "institutional investor" or (ii) an investment advisor or family office who have in place written advisory agreements of unlimited term with their clients and where such clients have a minimum amount of CHF 5 million to dispose of in financial investments, in each of case (i) and (ii) as such concepts are defined in the Swiss Federal Banking Commission Circular No. 03/1 dated May 28, 2003, as amended, (g) if the investor is located in Sweden, a regulated entity as defined in the Finansinspektionen’s rules and (h) if the investor is located in The Netherlands, the investor is a professional investor and a qualified investor as defined in the Financial Supervision Act (the “WFT”). The Investor understands that private investment funds (and often their managers) may not be subject to U.S. federal or state securities registration or regulation, and their disclosures generally are not reviewed by any U.S. federal or state securities regulator or self-regulatory organization.

2. Investor’s Responsibility for Investment Decision. The Investor is solely responsible for reviewing any private investment fund (a “fund”), its private placement memorandum or other offering documents and any statements made by a fund or its manager and for performing such due diligence as the Investor may deem appropriate, including consulting the Investor’s own legal and tax or other advisors. Any information provided or made available by Belvedere Global Investors together with its affiliates and/or its officers, directors, agents or employees, collectively “Belvedere Global Investors”) shall not form any basis of any investment decision by the Investor.

3. Fund Information Not Verified. Any information about a fund and its manager is solely the responsibility of the fund and its manager, including any “profile” of the fund and its manager compiled by Belvedere Global Investors. Any written material, oral presentation or other information concerning a fund and its manager provided by a fund or its manager has been prepared and issued by the fund or its manager, except that Belvedere Global Investors may compile a “profile” of a fund and its manager for the convenience of recipients based solely on information provided by the fund, its manager or independent third parties. Belvedere Global Investors does not review or verify such information for its adequacy, accuracy or completeness. Investors should conduct their own investigation of any investment in a fund and its manager and should carefully review the private placement memorandum or offering circular of a fund to assess the investment strategies, past performance and risks of the fund. Funds may be speculative, involve a high degree of risk, be illiquid and/or highly leveraged and their performance can be volatile, and investors can lose all or a substantial amount of any investment in a fund.

4. No Recommendation or Representation. Belvedere Global Investors does not make any warranty, express or implied, as to such information, the suitability of the fund as an investment of any kind whatsoever or assume any responsibility for the adequacy, or accuracy or completeness of, any such information or the use of such information. The distribution of any such information by Belvedere Global Investors should not be construed as (a) an endorsement or recommendation by Belvedere Global Investors of any fund, security or manager or of any information provided by the fund and/or manager, (b) advice given by Belvedere Global Investors about the merits of investing in a fund or the legal, regulatory, tax or financial consequences of an investment in a fund or (c) an offer or solicitation to acquire or dispose of any interest in a fund.

5. No Agency or Fiduciary Relationships Related to the Introduction Program. In making an introduction or performing any other services in our introduction program, no agency or fiduciary relationship, joint enterprise or partnership is established between the Investor and Belvedere Global Investors, regardless of whether the Investor ultimately chooses to make an investment in any of the funds participating in our program. The Investor will not have any contractual, client or other legal relationship with Belvedere Global Investors with respect to any introduction. If the Investor has an existing relationship with Belvedere Global Investors, any introduction falls outside of that relationship.

6. Other Belvedere Global Investors Conflicts and Relationships. Belvedere Global Investors may act as placement agent for any fund and may receive any finder’s fee or transaction-based compensation specifically related to any investment by the Investor in a fund. Belvedere Global Investors (a) has or may develop other business relationships with any fund and/or its manager and, as a result, may earn fees, commissions and other revenues from a fund and/or the manager and (b) may have an investment in a fund or in a separate account managed by the manager or may make the same investments (in securities, loans or otherwise) as the fund or the manager. In the event that Belvedere Global Investors has a relationship with the Investor (for example, the Investor is an investor in a fund client of Belvedere Global Investors), that relationship may give rise to a conflict of interest to the extent that the Investor is considering making an investment in a fund. In addition, unless expressly agreed to the contrary, Belvedere Global Investors shall be under no obligation to provide the Investor with any advice or recommendations in connection with any material provided or any further information or material relating to any particular fund or manager referenced therein.

7. No Responsibility to Provide Information. Through Belvedere Global Investors’s relationship with a fund or manager, it may possess information about such fund or manager that may be inconsistent with or in addition to any information provided or made available by Belvedere Global Investors or by the fund and/or manager to the Investor. Even if it has such information, Belvedere Global Investors has no responsibility to, and will not, disclose that information to the Investor - whether negative or positive - and will not provide any advice or recommendations to the Investor based on that information.

8. No Belvedere Global Investors Responsibility or Liability. Neither Belvedere Global Investors, its affiliates, nor its or their officers, directors, employees or agents shall have any liability whatsoever (whether in negligence or otherwise) for, any losses, damages, costs or expenses, of any kind or description, relating to (i) the adequacy, or accuracy or completeness of, any such information or the use of such information or for any investment decision made by the Investor relating to the fund and/or manager or (ii) any information provided or anything said or done by any fund, the manager thereof or any person representing either of them whether or not introduced by Belvedere Global Investors.

Belvedere Global Investors, member FINRA/SIPC