Language selection


1. PERSONAL INFORMATION
First Name:
Last Name:
Current Residence Address:
Country:
Home Telephone:
Email Address:

Residences maintained in the last three years and corresponding dates of residency:
Residence: Date:
Residence:
Date:
Residence:
Date:

2. BUSINESS INFORMATION

Occupation:
Number of Years:
Present Employer:
Position/Title:
Business Address :
Business Telephone:
Business Facsimile:

3. INVESTOR ELIGIBILITY
Please answer ALL of the questions below:

1. I certify that I am not a "U.S. Person" as defined in Rule 902 of Regulation S under the Securities Act of 1933, as amended (the "Act"), and agree to resell the securities of the Company received in connection herewith only in accordance with the provisions of Regulation S, pursuant to registration under the Act or pursuant to an available exemption from registration, and agree not to engage in hedging transactions with regard to the securities unless in compliance with the Act.
2A.I am an "accredited investor" as defined in Rule 501 of Regulation D under the Act because I have a net worth (or joint net worth with my spouse) in excess of US$1,000,000. For purposes of this question, "net worth" means the excess of total assets (excluding value of primary residence ) over total liabilities.
OR
2B.I am an "accredited investor" as defined in Rule 501 of Regulation D under the Act because I have had individual income in excess of US$200,000 (excluding my spouse) in each of the two most recent years (or joint income with my spouse in excess of US$300,000 in each of those years), and have a reasonable expectation of reaching the same income level in the current year.

(If YES, please complete lines to the right.)
3A.I have the capacity to evaluate the merits and risks of the prospective investment and to otherwise protect my own interests in connection with the prospective investment by reason of my own business and/or financial experience. If I answered "YES" to this question, I support my reply with the following education and/or business and/or financial experience:
(Please provide as much detail as possible)
OR

(If YES, please complete lines to the right.)
3B.Or… I have hired a professional advisor, and by reason of the business and/or financial experience of such professional advisor, I have the capacity to evaluate the merits and risks of the prospective investment and to otherwise protect my own interests in connection with the prospective investment. I understand that the professional advisor will be required to fill out and certify a questionnaire. My professional advisor is:
Name: Occupation:
Firm: Contact:

(If NO, please complete lines to the right.)
4. I am purchasing the securities offered for my own account and for investment purposes only. If I answered "NO" to this question, the following is the person for whose account I am purchasing the offered securities and/or the reason for investing:
(Please provide as much detail as possible)

(If YES, please complete lines to the right.)
5.I have a pre-existing personal or business relationship with the Company or any of its officers, directors, or controlling persons. If I answered "YES" to this question, I explain my reply with the following description of my affiliation with that person or those persons:
(Please provide as much detail as possible)

This questionnaire is NOT an offer to sell or a sale of securities. Each prospective investor that is interested in reviewing EB-5 project offering materials needs to complete this questionnaire and return it via online submission, e-mail, standard mail, or fax to the General Partner, Education Fund of America, LLC, an Arizona limited liability corporation (the "Company"). The Company will use the responses to this questionnaire to qualify prospective investors for purposes of federal and state securities laws.

The prospective investor will be given access to information upon determination of investor eligibility based upon the facts disclosed in this questionnaire and any other facts about the prospective investor known by the Company.

You agree that the Company may present this questionnaire to such parties as the Company deems appropriate to establish the availability of exemptions from registration under federal and state securities laws or to otherwise comply with governmental or regulatory authorities. You represent that the information furnished in this questionnaire is true and correct of your own knowledge, and you acknowledge that the Company and its counsel are relying on the truth and accuracy of such information to comply with federal and state securities laws. You agree to notify the Company promptly of any changes in the information you provide that may occur prior to an actual investment with the Company.

INDIVIDUAL(S) SIGN HERE:
IF INDIVIDUAL INVESTOR:

Name:
Signature:
Today's Date:


Along with a copy of this signed document, please attach a copy of your passport.


Please verify that all of your information is correct. Once you submit this form, you will not be able to go back and edit it.
Submit