EFTA00238078.pdf

UBS wk,:thn. Revised 2/12 Alternative Investments US - Additional Subscription Form ALPHAKEYS MILLENNIUM FUND LLC Please return this form to I your Financial Advisor The isidenigned hereby wishes to cortnbute additional :spited to the above-named And (the "rune/ Please tndicate amount of addrborut cap at contribubon n USS the undersigned contain that the amount contributed is tavastent with &refund's minimum additional investment requirements The uldlrured edravledgeS (* that the undersigned is making an addle:ear capital contribution on the arms and conditiorts contained in the Confidential tannorardurn of the Fund piercusly recited by the undersigned, the govemerq documents of the Fund as asiently in effect and the Subscription Agreement of Imestor Application prevoudy executed by the undersigned and accepted by the Fund (the 'irwestor AdOkalar and (a) that the relareseltationS and ffkarnbis of the undersigned conteined in the Investor Appir.atean se true and correct in an respects as or the date set lath below n addition. the undersigned acknowiedges that a placement fee of 2% of the capital contribution will be charged d the urderiagned nests though a bickerer account Honest'. in Wad circumstances the placement fee may be wined by UBS Financial Services Ira , as placement agent This placement tee is in addition to. and wal not reduce, the imderagned's teal comnbubon THE UNICIETtSiGNED AGREES TO NOTIFY THE FUNO PROWTIN SHOULD ma BE ANY CHANGE IN ANY OF 11* FOREGOING INFORMATION. the investor hereby aarcallel the debt of funds for the capital contrembon, plus any apphrat* placement 're, grid any applicable amount required to satisfy a tor, "Pupation of the f rd By signing below the undersigned acknowledges, represents and egress that: (a) it hes tarefulty read and is I amita with the Stator Application and the Fwd's governing doownertsntectrvely. the 'Agreement e). including the pm-dispute arbitration clause which appears in the Agreements and a hereby confirms that with to the information worried by UBS F instal Services Inc. regarding the undersigned's portrait heed at UBS Finencial Services Inc.. the WIMInlient objective and ink profile appficeble to the investment in this F tend we respectively. 'capital appreciation' and *aggressive' end that this objective and risk profit is efface,* only to this investment and may differ from the investment goals and risk tolerance for the overall portfolio and the brokerage nowt In sits this lewesement Is held lie elleni Signteca tp x Hin Wares it 3- ti-ts •• arise 1 On Monne era Were *0 e re tort LI c. In Alf rie — 'in a Mean weir For Financial Advisors and Branch Manages I. titan Sultablety Era WA bytes 1101: Att. -era ,c4 re ;neon evertrn of nit etornentreol cent e me Fund, r, as tend Achreor ton C*'L Of Wong becw. certify earthier retired the cant of ae pen nen facet fern; to the halt/ ant transaarabary or re rare. eating to cogition to waintan steward recoecety to awn ongoing carter apes I the rl.ind has a u045 cal structat on polentair ital react end that ea errelemene reW tread It carts *AS host• 2 reachable ;owed to Ware a' the bays or rnannatr Ottered :torn its or ....iv re Orton ape, onweirrnt dopective4 arrant eat fret are. net sot. fire* Sotiatir and need,. Ocher troeslevientt aryl any Oils ortOOnfiKee kits: by i.e. onClur9 7* aide Cao that a are had berg iutaated to 4 nUIDID and approwiss nor Mr cure re, the dont reels M asicatee inns= meet nat relit fried inn rd omw OblInn Valet? camas. c: the dirt can rew.c bone Withdolia 'etc NW re -ad ta beet.A aceleabei Franey fund wed an re *ern swots postal meat mann obircan and ocrdollosertate. • we Cell cies tear me porn rib al to nenvnier n the rune e, to Cnenfi ger an. cannon oat Het tin feast of the areserent and t. !recent wows to Mn an umisrearelrg to esenturnata ran of the Fine irading OW to cant may km ho a her why envestivitia. •. the rear Cons an die Cored) and liaratratrae c0 eee hot. h are hateasound end theiehCalechs Se sparschsr and investment rnenareatt CO re Fug, area V Me tar ccracearces wan resat a an street et to keel 3: °awed a raid a-c raty comae:el Fm w-9 a we as winos. cr sacrum torn threw, sapid 4pciar seas or pier, by to Oro and rhea properly braced um tom a He pursuer . .o enamel cosy. ani Confine& van reason*t due hairy. inclalra my fere d refront anCient iscav icatcn. tad de ones iivinelatceri proadad ir to PICA tray '01 Cinema, ,d agicabie Regarcte, item lib 40001. in the yet teat the curt is in entry, wch as a Part a par.rtetAP Wee don rat ern meet ore ifiner4on OWPSIMEnt reginenenn ' feel a nte: *UM I Kr aSVICSIOCI team de emeoprat parts .s6M a s St dery sti-aree or greet pa tai WW aa of to atm s benefice Oren Meet mere requesernerts Wa ths arestment result in to cart twang more than 30% at ha re teeth at inhoenced al CA I se Arras estimeett, 0 Yes 0 NO M vying ear& dr ore: raged ca ea rawer mat to ate aged 'nowt secs, of healer Oa el knfordge that to I Conetnien OcCufneeds ere ken perws.66 deivenel to to mew. ▪ Inertilor Quire: Won to 0ftitone Fund altering. Wet nave ntermo 'Corey Cuaticatons* append .0 Ye Mitiorarosh a Stars* aerwnwit re on fry apple** ,d'or'mant to eh Dircrandurn a net ton. e the eileroKteit Cal thf as invent, anal OPM‘y Thai Newt Tara 7064•0110 WAY* /10 Ye den 4 greet et re 4•4 Of its catty Of fornne. a &noon Owen. to nn on the had in addax. dead/rag that r run( 4 Arir nerve fro inenancf be eves aye Road aOTR ran sow ec fora a iiternatve hiestments. fa earn °array crafts-Pr the finebni Atop nests to coulan vas border Orrin ad 1 ante (atm tat : haw reamed ~stand and red forroled tor es woltatiesOnt CONFIDENTIAL UBSTERRAMAR00002522 EFTA00238078 Foam any Oseember Orporererr mime W-9 201is al Me Treaty Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Rose Sena na t 3 8 i ti I 1 1 , ol I Nan tor Yawn On YOW nXimIt tlic S14 Ilin a requnal on tha Ina. 6o not So Mr any bin Ghisloine Maxwell 2 Ettamasa nerna~lact fl y norm, Pena Kw Man Own apwoonta be tot ail tax clailicalina Mica OM WS 01 Ma tolomma err bons p fr crooner a 0 3 Cower^ 0 Per O Urinate role-moitter LW bete, Eno S Papertrernsfr s ROM 4 Eyampbona 1606c• WM ray to ~S. not «Wawa its• gas, Star• ~s ale Emma Mee &roar Ø (A not) news u mmna n w eode et RIO O Umattal Fe a anyarmaintat the taPreircaron a Othir (OW nalructtora) company Mr I» classiallon 'Cue as -S ~et on. LIZ mere Oersted. do rat etecit I-lc; Chock the ~Otago bon in the~awake IT. LW Art* kw from FATCA ~two of OWer a «sew nam ...is, tt Adams ~eft ~Tr en5 ~on ~co. frairts. Orwt. ar alit a n03 6 Oly.ille ono ZIP coot 7 Lot account ~MIR hen Mannai rtaiNgror Number (TIN) Ens Your Tri n the 10010pnate box. The TIN proinde0 must mat& Me WA* Wren On rill* avoid bleb» tothholtirs For ~Miele rawer your sots security number r3S21). awe. for a regent air. sole ~St or ranaproso nay. see the Part 1 instructions on pipe 3. For other enetea layout ~We icientificabon ~Ns (EIN) It you do not narre a number. sele lbw byer a TIN on pegs 3. Not. If the account 15 en malt then one name. see the oat/ix-tons Iø unsling the chart on page 4 Ice ~Ones on »ton ~be to sear. Bede' steri niras • Or I Iss5505.1~111115/110n winter II.•• • II Certification Under perelbel of bedunt I certify that 1. The number shown on dros from/ reel taxpayer dentetcatton madet ins lent watthy 101 a %MOW to be Mated to Ma) and 2. I an not *fleet to backup eigtitol6ng biallubt WIWI exempt from backaap withhokfing, or it:Ones not bee' nettred by the internal Revenue StrAC• ~flair subfett to bickup withholding a s net a s faits, to report mg interest ordrifidenils. or to) the IRS has notified me that I am no longer subisct to backup with °Orig. and a ism e U.S. otizen or otter U.S. parson ldiffrect begs), aria 4. The FATCA codes) stand on des tam Ill any) incicabnialhat I arn ~mot from FATCA ricatirmi o comet Cedar bon Inetructions. You must CIIRIS out ern 2 above t yo• mar ben nOti040 by the IRS U.S you are arently sØ to backup wrthholding barrute you have freed to nest all linnet and ~clerks co you tax ram Fa reel estate transactkene earn 2 don not abbey. Fe medgrya interim« Pi" 10:PASAWn a abandoornirt of seared properly. cancegaton of debt, corergiutions to an Stdivetual robremeat arrangement ØRN. and genersIty, payments other dividencle )Cu ere not risairr to sir the oarraiton. Ø you mus ontrade yeas correct TIN. See ens nstructiOna on par 3. J ude aia —3* Oates > 11 - I ti General Instructions Secton minnow we to th• vra.nee Rann Ca was ohm« mein %Sun dinloyermnba intomag+ Stout Ontantrontit anyclang Own WS lauch a ~con neon alas as ranao it) antra nocrn7a. Purpose of Form M ~at a wily Form 1.14-1 nopactw) Wm* Ø 10 att an ~mown ensue aen Ma IRS mat own as coma tiap/Fic denritaton lamt Rae etch mer be your acme torar ~We SM. tfill tearer as, rumba r1147 alcobon ~We antIat,on number t/4704. a enWetot øsetan runty Wink to cat on an ~to naurn tir groan recti vow or other amount ~Octal, On a' ellotnein "Awn Erwin ot enorrnotsxt Muni efla. Out a not wise to, de ~ens • Tono 'Meat (erna Wrert a Ow» • Form I Olge•Cei tamlords. meting dose from stooks or 'utis haw • Er I0011-11•EC MMus types of Ø. omit non a Won Proust • Form 109D-B OWL or enes lit erns WC moan amer trenseeeen by (surmen) • Fenn 10~ bølita tram reel eras transact/OM • Fan, 109124C latechwa Cad WO Or pry network vaniactone • Earn IDA *Nome mormis .terra 109/3-E tauten Iden ~WO 109ST Rumvit • eons hige-C ~am moo • Form ICGO-A lama a seteomen of ØaØ use Finn W-9 onn it you are a U S pawn ativinjo niflt Ww4 ponza you, ccnct Tit • >ou cto rot nem Form 14-9 to VW MILS wan • 73‘ Kw ens« Oa ~et pacisay intivicdchncs Sr 1~ Is ~Sae wenclictinp, on pay 2 By wrap sur ~out tom. yov I Cechy ear Or 7171 you we rap s ocean Ca you an leg bra nu me to be emus& 2 Comfy set you an rot anti to WonoO •enwitang or 3 Cam morction tom ~op d you an sa S wog pew a asOcatde you an abo ~erg met ant., peste. yew Saab* we of am ~wen income from • U.S tritiCelal s not salar to pup "tin% Isr on knew Ina ern of ~vs/ ocorecod nØ. tro 4 Cothfy ett FATCA ozatni SSW On Oa kvm f anytindcatng that you n weep from es FATCA rermo, s Doer Sr YAW is MICA orpoorigv on re 2 tortures Sewn Cat No teem Fem W•11) Sett 12-20141 CONFIDENTIAL UBSTERRAMAR00002523 EFTA00238079 Form W-9 I fkey Decternbar 20144 Clowerara or Ni Treskry sms Rawror Samoa Request for Taxpayer Identiflcation Number and Certification Dån Fonn tO the npulader. DO not Mnd Ut the HIS. a t c ai planbal i i I b 1 It tea ~an DhiSSItle wall ~tea Neo Uta tnt 00 bora arlfinntwa eat mr nare a matta cr, Fea 2 Burns nernetlaregerded raa a art from Sve *fly 3 Chsok apptopren n Indarduelole Coa br heat tim derainceon. ~It Oref ore or tro be:~ »an etsa Chbatrootate l• • Exa/ti:Mfl ~n rna renn Esorra patta Exantriton Cra tr sia. • ..........~.•••• koala KØY ora tO ret ramduara ••• or pc, COde er any1 or • C Corcrabot D s Gene 0 Ostronrw corroirry "C Eau the ta clatericat en IC•C °Sak 5-4 ttetS napenresha Ilt► VM a dringarOeCt cki rot ~Ur LI.C. Sak re ~ne» b» n S dr einøfrfnentior oarar a ~Ny Nels. For • •••91•-neelber Nei tak obertrabon poehe Ør» trearo:banal /re Farta ~na el the lin• rane lo us: 0 lea fl at Mroit *C nO) Reorat• nes and etes loonzad a or sa a Ory. atare are Do coris Lat ~ra ~bene Mr* YobortY0 Town« klontiflcation Nuntius' (TIN) Enter yOur T1N 8/1 9‘11 Wertørial boa. Ule T1N prowded mutt match tt» nevne gan on kne 1 tO avOtti tata) vatraceding For edet*. OS a ptollirailty Mer soar mecurty ~Der (SSP4). Howetrer. fOf • reilant Sr ION prOpnEttOr. Ca Or negIMIKI ontity. Ni» th• Part I instrucbord on paps 3 For otte Sea lt ta your emoloyer tdentidadca not», CEB.6. K YOu d0 ng herra a nurnar. ae Now to art a r/N on gags 3 Natt K the aCCount 4 a more time or» net alls tber ~motett lOr alarm] the Dart cet moe • tOr budeia» on obo» maite 10 entr- P.trt I ,sekelsena mant • Or t arlatmelloarion neabar _ I T Cortification Undir parres ot pertury. I ~tty that 1 Itte fontar Yle" on ^b tomt 1 ray contra tagsyr dstfacn ^Ca tOr i am wattog tora numne lo te ~ad to MOX fl 2. I an not sublect to backup wahholding omosa Wen" snara trom backup ~okt"; or Minere nøt beden rotans, by the internat Reina Serva (AS) etat i am snett to baki» athhokkr» asa nitrat Satset.» ro report ali and or dadenda or (c) the IFIS h» ~rad ren Mat I an no bonger ambar* to backup wethOldeng and 3. larnaUS otten «otre U.S. mnal Samd bisart ard The FATLA code(s) ~reg ce ties Sr. St are indicatna ~tir torlpt trOrn FATLA ~reg 4 CareCt Celatatabon Inetructione. You ~I «ot{ out torn 2 Sous it you bie tan notes, by ro SS mat you are arnwty 'ubedt to backuP tattnnaran2 ~au» Mu hare fatal to mat S fl ens end dedendson yta tas raten. For res state transacoons. item 2 0014 not aptSy. For rnOrtgage ~watt art aaltatiben Or ablendalnent at »curler prOperty. cardelatton d cletat COntrlbuthertS tO Ln naeaS »emment arrangement ORA). and 9erter /tty. panela ottor are ~ords. su ere ret musea to or the ~herd& Out yOu mot prove» your Orid ret Se» the ristnA.-ttonts on pir 3. U t..- U.S. General Instructiona Sera tatincia iss to Na aner Ante Co» une» oren rotta Niks derelogaiments blarnaban atalt dirscaiwn allkop rer W4 oNal ss topeason anno Ster at ne er) • al trnspormat Purposo of Form An wnlvnia Or ~ly Fonn IN41 net obo o nirlurira b ti an traorrnitan natart wert the Æ» near cash your sena tana« ida~on ratar CF" anch my br rat rarel »ora rurror tæ". ~flir ~ene Sa ~or ST« noten ~eg dernesce matte tåra «Ø deineetcriam meda rE1N). to report on an •110nTioPon Sen Ne raud red lo Mo. «Ø arroure ~sta» on en nannatort Mure Esaniee ot Harme renes aka be ar• ra ~Yd 10 kw bleng • Fornt IblikiNt (k.ar.l nare Or park • Fono 1099-Gin ~enda stang Na» *om ~as «maur knee • Tam scee-mc9C krarlou• tRtee ot enn. Ø Stellk «Ø Lata • Form 1090-6 btock or rna» kad sak» ard ~an ore Innuctons by Erobre • Form 1099-S ems% am real ene siyescbsa • Form 1050-K ten/tener* ora rid Ord party neon knee "" 3 -n- i ur • Fant 109e Pan/4s~ reenrs0 1096-E tructera br anm. 10964 Ø • Form 1099-C (C9PC~ dit • Far" 1099.A trockeerhon or ~rave of ~rad Pm:~ Ur» Fant W-9 0«y t paa ert a in »non (skare a rakst arm" to son» tos onn TN fr tat do rot am hon W-9 lo ten regn artar» pm te flis a ~cf lo ~p enthnoldng Ses bra • »Sup atienortanp? on pre 2 Be banna ba t9Fdwl kven. you 1. tatery mer ma ra ro) am arffigacommt la you re maisag ler • rine to be are» 2 Carta the you r• not suter kr backup rall~. 3 Cern ructon *om backup yre ar• • u $ nala arre• »Ørt* mu re sura artaing mr ot • U9 Perla Your rostatre ner ena pertnenrid ncorn• torn a U S Na» or banes a not best to ta abiradre tro on loner penneris rus a acerrety corracked mon .ro • terta mr Farta »date rand an IS Sr ' Yl ren S4 AM narra torn Me FATLA ~eng. a COMK1 Sla att FATCA ang? on sat 2 lor Ass iraormatton C« No 1023111 Form W-. (Ra 12.2014) CONFIDENTIAL UBSTERRAMAR00002524 EFTA00238080 *UBS Weactr marhsorrnerg Alternative Investments US - Additional Subscription Form Revised 2/12 Messe rotten this form to your Financial Advisor ALPHAKEYS MILIÆNNIUM The untlefrigreed hereby meus to contribue «Menai capital to the etevenamerl fursd (the 'furie". Messe indien roue ol adeldenal captai t ontributen n USS Tre uremagned content Nat the amant cOntnbuted n consistent vert the tunes nana-nom addrbone rtrestrnere requeements the undeesseril ailmmerfedgel (0 talt the underugped rs mea; an addtenal capte contribubon on th terms and tonetom Ccntened ra th Confidentiel teemOrandurn of the Fund premously mener by the undersignel, ee raterai) documents of de Fund as «rend! et *11,0 and the Sularepten Agrainent Or infeste Appikation periously ketcuted by the undereigned and accepted by Ne (und !the 'Mirer Apparation':, and (n) flat Ne regeseitations and warrantes of the undervgned contait« in tal rasta Application are eue arid cette e at respects as of the date set tore bec« reddition, I« wileiReed atbeitridediles Nat a placement tee of 2% of Ne captal contribuer ri be (Perd d the undenegned errent througes a bokrage acCOunt Haves. in Fenited ortunntance the placement tee may be raine ty UGS Finance! Sirotes etc., as placement agent. 1M placement tee es tri adepte ro, and will net redut,. Ne eidersignees captal cents belon TIE UNDERSIGNEO AGNUS TO NOM THE FOND PSOSIPTVI SØ /HUE SE AMY CHANGE IN ANY OF THE FOREGOING INFORMATION. the verte hereby authetzes the dete ot lunch for the captai contnbutron. Plus any aistskele Pace/tient h. and any embatte amOunt caudal to satrtfy a tas oblegaten of the F und ei spin tara the undererect acknoveledges. r•ortsants one sors dat w it tus cerefulty nad and is faines with ene livrent°, Application and the lunes goverseng documents (coactively. the Agreements,. ØN the precasputa arbitratlon demi rends webers n th Agreements and (b) t Meer/ confines tlet with respect to the edormation mantained by I1dS Ferret Services He regarding the under 's pandas nedatUITS Financée Services let.. th investment °bectes and rusk profile applicable to the ereestrent n tal aud are repettively. "capital appreciation" and 'aggraves» and Chat the objective are risk profile is apparues arry to tes kweitrerest and may Certes Pen the mentirent goals are rek testante for the oser partielle and Ma tos sa. account n Midi tus Investment is Mn For %& .S »Mors and anones Managers forMobIle on0 OUA OMM 1101: • •tØ to ch rocOild orner or th arementera cent nette I. IN r (*a nèfle 30 the art Or »erg oser canât rat art ?Ponta de dent of ad sentent :ace tan; lo ttr Ispaty and voroberabbry d the ho* tete.; var ottgeon e morue surfant knery to mer aber.; cent cati ro ha he a capa cal Øve' en certain non mea rd Mit the marna mag man de <brin future Icsarty. ne/enter para ici bave m re can d n1'Ø °Para bons the dal ca nocrnri; te danse, marra cacha emmena tanne, are. net Acre, Rural «rem rd rire. crie ornements ard arry artr rems Man orre. rcerg de atterra C Ae ai iN Ne Arden wesebect for n retable end weepree tendent. ttil Ne erra iree al apeure, rneernum «Crne re net tee esses ve ere oncle ktrber SUreare N;) ee CSN Cet otaltriabbr Nere'l edurn9 ah rØ tal ana a appecater en, rie lutta base an ee cents Pourri& Positron, cane assirent opimes rd °cade enslut. (6) ete dall Un trer ee Kehrh the Dr Ine nonne in tar Fure tel uteelene 90/e et (Chah toet et lene erre CI drenteere and Cf, te Cher enanes t hie an tedervano n; d fe filtrent. 'ire te !lit :talong tnif ?e hm mag eh h Cr her ter( internera di te teseetcris ai et trouera an* transfeatety of de kilo. Pur the tançait and readcarn dor rornes, and rennes mannite ai de trid. end le the tatersequerces rem mixe to an meurent e the Fumt, abrita • ad ni chly cirera tam W-9 a ad a, as erece., cr stase toen thro. saga urger pentes of main ty et dent and i ha Parsy date parts ram Catfrefailreent Io mimai et petit. W a. tnnennee Wei nestte &e narv. r&CkN ny Te* 0 I netet «met aohnenutsce. Tat te cura reartsereatons ramas n ter te A Sytan 1101 Certdcaters «ace* Itepartmg certs erre ri kir are de the cent n et regs sue-influe a partnennts, tMt ais rot ad Mie Ire herrum enetere rernblereene Sue it ne Vere e hoe asterened from or aporanate parties futt as th dent*s ivette or genre cette n e al me mes otretoo cumin rire reetameres MM es neurrent fo ces océan met nn 30% ra re m verm as en:rte ce CA1 e Altman matants, D Yes K No ly paner terre Ne ardeurs rr renommes ret re undeveed tross deetry or Meer Mn &rostre* eat nt Ases rames *sont% nar Wen preecue, Stara es ee mes ▪ lait« osollaelke one. nad Ofeangi One I hm ara...este 'Con, Owerceces • entre> k dr larcrafeur or l'aune= Agnan: re n en/ aposeer kepensent po dr reercranam or set luth ri de tauctions on the LØS roba an t cert'y rine manade rounds es ben Inat Pet cam n quitta -rote eie Aret cotan of radera, n descnbid ara, to nei tire Fund In a00edu e a attal FrlarN å AelOr, Mye* and salure de eades d re Wth tee.< las on errera mettants. to- rem conrpr. Net, the *One estas to comtxt rem ocra ber«, fl ow«, tordent TX à hm, illmeael orna-stand ah Pen compte sitt tre apptcabe *Chi CONFIDENTIAL UBSTERRAMAR00002525 EFTA00238081