Guest Login — Accredited Investor Form

Balter Capital Management, LLC

Please submit your informatin using the form below.

1. What description would best suit you?

Individual Investor
Institutional Investor
Investment Manager
Service Provider
Academic
Other

2. If you’re an investor, please fill in the following fields.

a. Investor Class
Endowment/Foundation
Family Office
Plan Sponsor
Fund of Funds
Hedge Fund
Individual
Non-Us Person
b. Portfolio Size
$100k - $1 million
$1-5 million
$5-50 million
$50-100 million
Over $100 million
c. Percentage allocated to alternative investments
1% - 5%
5% - 10%
10% - 15%
15% - 25%
Above 25%
d. Which of the following investments do you currently own?
(Check All that Apply)
Hedge Funds
Managed Futures
Private Equity
Venture Capital
Real Estate
Other
e. Years of investment experience
Less than 1
Less than 5
5-10
10-15
More than 15

3. I hereby certify that I am an accredited investor in accordance with rule 501(a) of Regulation D, in that, (please select all that apply) Definition of Investments

The Registered User is a natural person whose individual net worth, or joint net worth with that person's spouse, at the time of purchase exceeds $1,000,000.
The Registered User is a natural person who had an individual income in excess of $200,000 in each of the last two calendar years, or joint income with that person's spouse, in excess of $300,000 in each of those years, and has a reasonable expectation of reaching the same income level in this calendar year.

The Registered User is an entity with total assets in excess of $5,000,000 which was not formed for the purpose of investing in any of the Funds and which is one of the following:

  • A corporation; or
  • A partnership; or
  • A limited liability company; or
  • A business trust; or a tax-exempt organization described in Section 501(c) (3) of the Internal Revenue Code of 1986, as amended (the "Code").
The Registered User is a personal (non-business) trust with total assets in excess of $5,000,000 which was not formed for the purpose of investing in any of the Funds and whose decisions to invest in the Funds will be directed by a person who has such knowledge and experience in financial and business matters that he is capable of evaluating the merits and risks of an investment in the Funds.

The Registered User is an employee benefit plan within the meaning of Title I of the Employee Retirement Income Security Act of 1974 (including an Individual Retirement Plan and KEOGH) which satisfies at least one of the following conditions:

  • it has total assets in excess of $5,000,000; or
  • the investment decision is made by a plan fiduciary which is a bank, savings and loan association, insurance company or registered investment adviser; or
  • it is a self-directed plan (i.e., a tax-qualified defined contribution plan in which a participant may exercise control over the investment of assets credited to his or her account) and the decision to invest is made by those participants investing, and each such participant qualifies as an accredited investor.
The Registered User is an employee benefit plan established and maintained by a state, its political subdivisions or any agency or instrumentality of a state or its political subdivisions, which has total assets in excess of $5,000,000.
The Registered User is licensed, or subject to supervision, by U.S. Federal or state examining authorities as a "bank," "savings and loan association," "insurance company," or "small business investment company" (as such terms are used and defined in 17 CFR §230.501 (a)) or is an account for which a bank or savings and loan association is subscribing in a fiduciary capacity and over which such fiduciary exercises investment discretion.
The Registered User is registered with the United States Securities and Exchange Commission as a broker or dealer or an investment company; or has elected to be treated or qualifies as a "business development company" (within the meaning of Section 2(a) (48) of the Investment Company Act of 1940 or Section 202(a) (22) of the Investment Advisers Act of 1940).

4. How did you find out about BCM Discovery Fund, LP?

5. Contact Information (Text Entry Fields)

*Required Field  
First Name*
Last Name*
Occupation
Title
Organization/Company
Address*
Address 2
City*
State/Province*
Zip/Postal Code*
Country*
Phone*
Fax
Email*
Web Site

By selecting "I Agree" below and submitting this form, I represent and certify that (i) the foregoing information is true and accurate and that I will promptly notify Balter Capital Management, LLC of any material changes in the foregoing information and (ii) I acknowledge and agree with the Terms of Use and Disclaimer.

I Agree
I Disagree
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