Investor Questionnaire Llc

Document Sample
Investor Questionnaire Llc Powered By Docstoc
					                               ADVANCED BIOENERGY, LLC
                          Accredited Investor Questionnaire (Individual)

Complete this Questionnaire if you are a NATURAL PERSON.

Please check all applicable criteria:

                  (1)   Individual income in excess of $200,000 in each of the two most recent years
                        and a reasonable expectation of reaching the same income level in the
                        current year.
                  (2)   Joint income (with your spouse) in excess of $300,000 in each of the two
                        most recent years and a reasonable expectation of reaching the same income
                        level in the current year.
                  (3)   Individual net worth, or joint net worth (with your spouse), of $1,000,000 or
                        more.
                  (4)   None of the above.

I certify that the foregoing information is true and correct as of the date given below.


                                                           Signature


                                                           Name


                                                           Date




If you checked (2) or (3) because of your spouse’s income or net worth, please have your spouse
sign below to certify that the foregoing information is true and correct as of the date given below.


                                                           Spouse’s Signature


                                                           Spouse’s Name


                                                           Date



Return form to:

Investor Relations
Advanced BioEnergy
10201 Wayzata Blvd, Suite 250
Minneapolis, MN 55305

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:17
posted:2/25/2011
language:English
pages:1
Description: Investor Questionnaire Llc document sample