Partner Equity

							                                               Membership Application 2010
I (full name),                                                         , hereby apply on behalf of my
organization, to become a member of the Institutional Limited Partners Association. (Please attached separate
list for additional staff names).

EMPLOYMENT INFORMATION


Title

Organization

Address
                                                  /                                   /
City                                              State/Province                      Zip/Postal code
                                                  /
Country                                           Website
                                         /                                   /
Telephone                                Fax                                 Email

I have been referred to the ILPA by current ILPA member:

                                                  ,
Name                                              Organization


MY ORGANIZATION MAY BE APPROPRIATELY DEFINED AS

   Corporate Pension                                  Family Office                      Endowment & Foundation
   Public Pension                                     Insurance Company                  Investment Company
   Other (please specify)


MEMBERSHIP CRITERIA & RULES
Membership in the ILPA is based on specific criteria and rules set out in the ILPA bylaws and guidelines
adapted by the Board of Directors from time to time. The criteria used by the Membership Committee
include (but are not limited to) the following:

          1.   Active Investor Test. A member must be actively investing or intend to invest in private
               equity.
          2.   Limited Partner Investor Test. A member must predominantly invest/allocate private equity
               capital as a limited partner rather than a general partner.
          3.   Active ILPA Member Test. A member must actively participate in ILPA events to the extent
               practical
          4.   Source of Capital Test. A member must satisfy one of the following two tests with respect to
               its source of capital for investing/allocating private equity capital:
                     a. Minimum Percentage Method. A member must be investing/allocating private equity
                         capital primarily (at least 75%) for its or its affiliated companies’ account.
                    OR
                    b.      Facts and Circumstances Method. The ILPA Membership Committee in its sole
                            discretion may grant membership to an entity after considering the following factors:
                                  i. Whether the entity’s private equity capital is finite or permanent;
                                 ii. Whether the entity raises private equity capital with a private placement
                                     memorandum or similar marketing materials;
                                iii. Whether the entity manages private equity capital for current or other
                                     potential ILPA members; and
                                iv. Whether the entity manages private equity capital for multiple third parties.

PLEASE RETURN TO: Christina Gyore, Membership & Events Manager, Institutional Limited Partners Association,
55 Yonge Street, Suite 1201, Toronto Ontario, M5E 1J4
Tel +1 (416) 941-9393 Fax +1 (416) 941-9307 Email cgyore@ilpa.org www.ilpa.org
                                          Membership Application 2010
A potential member should note the following when considering whether to seek application to
membership:

          1.   Each member must sign a confidentiality agreement and agree to abide by the ILPA Code of
               Conduct that states, among other things, that it will not market or otherwise conduct
               marketing activities at ILPA conferences or other ILPA events.
          2.   Any member that satisfies the Source of Capital Test through the Facts and Circumstances
               Method acknowledges that these criteria could be reviewed at any time to determine
               continued membership eligibility
          3.   Any member whose eligibility is under review will have the opportunity to discuss its
               circumstances with the Membership Committee. Each member must be prepared to accept the
               decision of the ILPA Membership Committee regarding its membership status.
          4.   Any member that is managing private equity capital for third parties may be restricted from
               accessing detailed portfolio information of other ILPA members unless access is explicitly
               permitted by such other ILPA members.
          5.   Each member must immediately inform the ILPA Executive Director (or in the ED’s absence,
               the Chairman of the ILPA) of any changes to its organization’s status as a member.

Membership may be terminated by the Board of Directors if a member fails at any time to meet all of the
criteria or has failed in a material degree to observe this Code of Conduct, or has engaged in conduct
materially prejudicial to the purposes and interests of the ILPA. The ILPA will periodically request that
Members confirm their continuing eligibility under the membership criteria and the Code of Conduct.

I confirm that my organization complies with, and agrees to abide by, all of the membership criteria and
rules stated above and the ILPA Bylaws and Code of Conduct, copies of which are available on the ILPA
website.
Signed:                                                                  Date:


MEMBERSHIP DUES

US $2500 (Annual)           US $1675 (Pro-rated after June 30th)          US $825 (Pro-rated after Sept 30th)

Payment of $__________ by (please select one):

  VISA*
  MasterCard*
  Wire Transfer*
  Check enclosed (payable to Institutional Limited Partners Association)




*Please note the following service fees: $5.00 per credit card transaction/$10.00 per wire transfer




PLEASE RETURN TO: Christina Gyore, Membership & Events Manager, Institutional Limited Partners Association,
55 Yonge Street, Suite 1201, Toronto Ontario, M5E 1J4
Tel +1 (416) 941-9393 Fax +1 (416) 941-9307 Email cgyore@ilpa.org www.ilpa.org
                                                   Membership Application 2010
Organization
Total Assets under Management $NAV (US)
PE Asset under Management (% of above)

Total Assets allocated to Private Equity

Committed Amount $NAV (US)                                                               As at (MM/YY)

Invested Amount $NAV (US)                                                                As at (MM/YY)
Sector Allocation (=100%)
Buyout          %       Venture           %   Distressed            % Mezzanine/Sub-debt               %    Secondary            %
Fund-of-funds            %        Other        %     Other (type)
Geographic Allocation (=100%)
USA                 %     Europe                 %     Asia                 %     Canada                   % Other                %

Commitments (%) to Private Equity in each of the prior three years
                                                2009                            2008                             2007

Buyouts                                                             /                              /
Venture                                                             /                              /
Mezzanine/Sub-debt                                                  /                              /
Distressed                                                          /                              /
Secondary                                                           /                              /
Fund-of-Funds                                                       /                              /
Other                                                               /                              /
                                               2009                             2008                             2007

Total US                                                            /                              /
Total Non-US                                                        /                              /

Sources of capital (% amount) used for private equity investments:

Your own pension                    %          Your own corporate                    %             Third Party*                   %
Is your organization a subsidiary or affiliated corporation of another entity who provides investment advice
or services to third parties investing in private equity?           Yes              No
If yes, list the name of the organization
           Entity
*Third Party refers to funds other than those belonging directly to your organization. It includes fund-of-funds, investment advisory
services provided to other pension funds, any money invested by you on behalf of anyone else.

List all ownership interests held as a GP or Special Limited Partner. (% equity ownership and monetary
commitment made to the fund in limited partnerships, LLCs, or LLPs.)




PLEASE RETURN TO: Christina Gyore, Membership & Events Manager, Institutional Limited Partners Association,
55 Yonge Street, Suite 1201, Toronto Ontario, M5E 1J4
Tel +1 (416) 941-9393 Fax +1 (416) 941-9307 Email cgyore@ilpa.org www.ilpa.org