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2. Required: Please select one or more of the fields below.

I hereby certify that I am an accredited investor in the accordance with Rule 501(a) of Regulation D of the U.S. Securities Act of 1933, in that (please check all that apply):

For Natural Persons*:

I am a natural person whose individual net worth, or joint net worth with my spouse, exceeds $1,000,000, excluding the value of my primary residence.1
I am a natural person with individual income (without including any income of my spouse) in excess of $200,000 or joint income with my spouse of $300,000, in each of the two most recent years and I reasonably expect to reach the same income level in the current year.
I am an individual retirement account or a grantor trust and the owner of the individual retirement account or the grantor of the grantor trust is a natural person that meets one of the requirements described above.
  1An individual need not deduct from his or her net worth the amount of mortgage debt secured by an excluded primary residence, except to the extent that the amount of the mortgage liability exceeds the fair value of the residence.

For Entities*:

I represent an entity with total assets in excess of $5,000,000 that was not formed for the purpose of investing in any particular securities which is one of the following:
 
a corporation;
a partnership;
a limited liability company;
a business trust; or
a tax-exempt organization described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended.
I represent a personal (non business) trust, other than an employee benefit trust, with total assets in excess of $5,000,000 that was not formed for the purpose of investing in any particular securities whose investment decisions are 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 investments.
I represent an employee benefit plan within the meaning of Title I of the Employee Retirement Income Security Act of 1974, as amended, (including an individual retirement account), which satisfies at least one of the following conditions:
 
it has total assets in excess of $5,000,000;
the investment decisions of the employee benefit plan are made by a plan fiduciary that 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 investment decisions are made by those participants, and each such participant qualifies as an accredited investor.
I represent 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 that has total assets in excess of $5,000,000.
I represent an entity that is licensed, or subject to supervision, by federal or state examining authorities such 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 acts in a fiduciary capacity.
I represent an entity that is registered with the 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, as amended, or Section 202(a)(22) of the Investment Advisers Act of 1940, as amended).
I represent an entity in which all of the equity owners are persons described above.

3. Required*: The field below must be checked to proceed.

I HAVE CHECKED AT LEAST ONE OF THE FIELDS IN PART 2 ABOVE AND ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE FULL CONTENTS OF THE DISCLAIMER PAGE IN THIS WEBSITE.

ONCE ALL 3 PARTS ABOVE ARE COMPLETED, PRESS THE 'SUBMIT INFORMATION' BUTTON.

 

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