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This short form tells us who you are and where you stand. Our team will follow up directly with next steps and full investor documents.


Participation is limited to people with a pre-existing relationship with our team. This records who made the introduction.


Yes means one of the following:
Your income is over $200,000 individually, or $300,000 with a spouse or spousal equivalent, in each of the last two years, and a reasonable expectation of the same in the current year.
Your net worth is over $1,000,000 excluding primary residence. Mortgage debt exceeding the home's value counts as a liability. Any increase in that debt within 60 days before investing (other than to buy the home) counts as a liability.
You have one of the following professional credentials: (i) Series 7, 65, or 82 in good standing; (ii) family offices over $5M AUM and their family clients; (iii) certain trusts and entities over $5M; (iv) entities whose equity owners are all accredited; or (v) as otherwise noted in 17 C.F.R. § 230.501(a).


This determines who the note is issued to. Entities, trusts, and IRAs must invest in the entity's name — not the individual's.

This flows directly onto the note and subscription documents — use the exact legal address for whoever is actually investing.


Submitting the form creates no obligation and doesn't commit you to invest. Participation limited to persons with a pre-existing substantive relationship with the founders. Securities are unregistered, restricted, and cannot be freely resold. All investments carry risk including total loss.