Ready to Start Receiving a Consistent Passive Income?

The first step is to complete the Accredited Investor Application. This is not a contract or commitment; it is an SEC-required form that we are obligated to maintain on file.

First Name *

Last Name *

Email *

Phone *

The undersigned has read the definition of "Accredited Investor" from Rule 501 of Regulation D, and certifies that either (check options under either A or B):

Option A

A: The undersigned is an "Accredited Investor" for one or more of the following reasons:

Choose all that apply:

1. The undersigned is an individual (not a partnership, corporation, etc.) whose individual net worth, or joint net worth with his or her spouse, presently exceeds One Million Dollars ($1,000,000), excluding the equity in the investor's primary residence;

2. The undersigned is an individual (not a partnership, corporation, etc.) who had an income in excess of Two Hundred Thousand Dollars ($200,000) in each of the two most recent years, or joint income with their spouse in excess of Three Hundred Thousand Dollars ($300,000) in each of those years and has a reasonable expectation of reaching the same income level in the current year.

Option B

B: The undersigned is not an "Accredited Investor," but has such knowledge and experience in financial and business matters that he/she is capable of evaluating the merits and risks of the prospective investment. The undersigned further represents and warrants the following:

i. The undersigned is an individual whose individual net worth, or joint net worth with his or her spouse, if applicable, is approximately: *

ii. The approximate income of the undersigned in the prior year: *

And in the current year, has a reasonable expectation of earning an annual income of approximately: *

iii. Choose True or False: The undersigned has personally invested in investments sold by means of private placements within the past five years. *

True

False

iv. The undersigned has made the following investments during the past five years (include dates, nature and amounts of investment): *

v. The undersigned possesses such knowledge and experience in financial and business matters to enable undersigned to evaluate the merits and risks of investment in the Company. As basis for my answer, here are examples of my financial and business experience (e.g. investment or business experience, profession, past review of other investment offerings, etc.) *

The address of the undersigned is:

Address *

City *

State *

Postal code *

Date *

Signature *

Clear