The securities that may be periodically offered to [YOUR COMPANY] are open to “accredited or sophisticated investors” only, through offerings made in accordance with Regulation D, Rule 506(b) or Rule 506(c) of the Securities Act of 1933, as amended. In purchasing securities through a Maverick offering, we are obligated to verify any participating investor’s financial qualifications in accordance with Rule 501 of Regulation D. Before we can allow access to certain information relating to our offerings, you should know that U.S. securities laws limit the types of investors who can invest with us. This questionnaire will help us determine whether you meet suitability requirements for future investments. Any information you provide here will be kept in strict confidence, but we reserve the right to present your completed questionnaire to parties that we, in our sole discretion, deem necessary in order to complete an investment in which you are participating or, if requested by a lender, governmental or legal authority or required by any laws applicable to us.”
