(M) An entity, including a grantor trust, in which all of the equity owners are
“accredited investors” as determined under any of the paragraphs (A)
through (K) above (for this purpose, a beneficiary of a trust is not an equity
owner, but the grantor of a grantor trust is an equity owner) or in which all
of the equity owners meet one of the following tests: (i) 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, excluding the value of the
primary residence of such natural person, calculated by subtracting from the
estimated fair market value of the property the amount of debt secured by
the property, up to the estimated fair market value of the property or (ii) a
natural person with individual income (without including any income of the
Investor’s spouse) in excess of $200,000, or joint income with spouse of
$300,000, in each of the two most recent years and who reasonably expects
to reach the same income level in the current year.
(N) None of the above.
2. Verification. The Investor understands that this Offering is being conducted under Rule
506(c) of Regulation D of the Securities Act of 1933. Therefore, you understand that your status
as an accredited investor will be verified by the General Partner or a third party.
C. Qualified Client Representations
The undersigned hereby represents and warrants that the undersigned is a Qualified Client under
Rule 205-3 of the Investment Advisers Act of 1940 promulgated by the Securities and Exchange
Commission, and that the undersigned qualifies as such because the undersigned is (check
applicable box):
A company that will make a capital commitment to the Fund of at least
$1,000,000.
A company that either:
Each and every owner has a net worth of more than $2,100,000; or
Is a qualified purchaser as defined in Section 2(a)(51)(A) of the 1940 Act.
None of the above
D. Supplemental Data for Entities
1. Furnish the following supplemental data:
Legal form of entity (trust, corporation, partnership, etc.):
If a trust, is it an irrevocable trust?
Yes No
314466783.3 Investor Questionnaire, page 4
If the answer to the above question is “Yes,” please contact the General Partner for
additional information that may be required.
Jurisdiction of organization:
2. Was the Investor organized for the specific purpose of acquiring Interests?
Yes No
If the answer to the above question is “Yes,” please contact the General Partner for
additional information that may be required.
3. Are shareholders, partners or other holders of equity or beneficial interests in the Investor
able to decide individually whether to participate, or the extent of their participation, in the
Investor’s investment in the Partnership (i.e., can shareholders, partners or other holders of
equity or beneficial interests in the Investor determine whether their capital will form part of the
capital invested by the Investor in the Partnership)?
Yes No
If the answer to the above question is “Yes,” please contact the General Partner for
additional information that will be required.
4. (a) Please indicate whether or not the Investor is, or is acting on behalf of, an
employee benefit plan within the meaning of Section 3(3) of ERISA, that is subject to Part 4 of
Subtitle B of Title I of ERISA (an “ERISA Plan”) or a voluntary, participant-directed, defined
contribution plan.
Yes No
(b) Please indicate whether or not the investor is, or is acting on behalf of, a plan that
is not an ERISA Plan, but that is described in Section 4975(e)(1) of the Code (a “4975 Plan”).
For example, a Keogh plan covering no common-law employees and an individual retirement
account are 4975 Plans that are not ERISA Plans.
Yes No
314466783.3 Investor Questionnaire, page 5
(c) Please indicate whether or not the Investor is, or is acting on behalf of, an entity,
some or all of the underlying assets of which are considered “plan assets” of one or more ERISA
Plans and/or 4975 Plans.
Yes No
(d) If the Investor answered “Yes” to question 4.(c), please indicate what percentage
of the Investor’s assets invested in the Partnership is considered “plan assets” of one or more
ERISA Plans and/or 4975 Plans. ___________.
(e) Please indicate whether or not the Investor is, or is acting on behalf of, a
governmental plan within the meaning of Section 3(32) of ERISA.
Yes No
5. Does the amount of the Investor’s subscription for Interests in the Partnership exceed
40% of the total assets (on a consolidated basis with its subsidiaries) of the Investor?
Yes No
If the question above was answered “Yes,” please contact the General Partner for
additional information that will be required.
6. (a) Is the Investor a private investment company which is not registered under the
Investment Company Act of 1940, as amended (the “Investment Company Act”), in reliance on
Section 3(c)(1) or Section 3(c)(7) thereof?
Yes No
(b) Is the Investor an investment company registered under the Investment Company
Act of 1940?
Yes No
If either question set forth in (a) and (b) above was answered “Yes,” please contact the
General Partner for additional information that will be required.
314466783.3 Investor Questionnaire, page 6
7. (a) Is the Investor a grantor trust, a partnership or an S-Corporation for U.S. federal
income tax purposes?
Yes No
(b) If the question above was answered “Yes,” please indicate whether or not:
(i) more than 50 percent of the value of the ownership interest of any beneficial owner in
the Investor is (or may at any time during the term of the Partnership be) attributable to
the Investor’s (direct or indirect) interest in the Partnership; or
Yes No
(ii) it is a principal purpose of the Investor’s participation in the Partnership to permit the
Partnership to satisfy the 100 partner limitation contained in U.S. Treasury Regulation
Section 1.7704-1(h)(3).
Yes No
If either question above was answered “Yes,” please contact the General Partner for
additional information that will be required.
8. If the Investor’s tax year ends on a date other than December 31, please indicate such
date below:
(Date)
314466783.3 Investor Questionnaire, page 7
E. Related Parties:
1. To the best of the Investor’s knowledge, does the Investor control, or is the Investor
controlled by or under common control with, any other investor in the Partnership?
Yes No
If the question above was answered “Yes”, please identify such related investor(s) below.
Name(s) of related investor(s):
2. Will any other person or persons have a beneficial interest in the Interests to be acquired
hereunder (other than as a shareholder, partner or other beneficial owner of equity interests in the
Investor)?
Yes No
If either question above was answered “Yes”, please contact the General Partner for
additional information that will be required.
[Remainder of page intentionally left blank]
314466783.3 Investor Questionnaire, page 8
ACKNOWLEDGEMENT FORM
The Investor understands that the foregoing information will be relied upon by the
Partnership for the purpose of determining the eligibility of the Investor to purchase and own
Interests in the Partnership. The Investor agrees to notify the General Partner immediately if any
representation or warranty contained in this Subscription Agreement, including this Investor
Questionnaire, becomes untrue at any time. The Investor agrees to provide, if requested, any
additional information that may reasonably be required to substantiate the Investor’s status as an
accredited investor and qualified purchaser, or to otherwise determine the eligibility of the
Investor to purchase Interests in the Partnership. The Investor agrees to indemnify and hold
harmless the Partnership, the General Partner and its members, and each Limited Partner of the
Partnership from and against any loss, damage or liability due to or arising out of a breach of any
representation, warranty or agreement of the Investor contained herein.
Signature:
INVESTOR:
(Signature)
(Print Name)
314466783.3
EXHIBIT A
“BAD ACTOR” DISQUALIFICATION
Rule 506(d) of Regulation D promulgated by the Securities and Exchange Commission states:
(d) “Bad Actor” disqualification. (1) No exemption under this section shall be available for a sale of securities
if the issuer; any predecessor of the issuer; any affiliated issuer; any director, executive officer, other officer
participating in the offering, general partner or managing member of the issuer; any beneficial owner of 20% or
more of the issuer's outstanding voting equity securities, calculated on the basis of voting power; any promoter
connected with the issuer in any capacity at the time of such sale; any investment manager of an issuer that is a
pooled investment fund; any person that has been or will be paid (directly or indirectly) remuneration for solicitation
of purchasers in connection with such sale of securities; any general partner or managing member of any such
investment manager or solicitor; or any director, executive officer or other officer participating in the offering of any
such investment manager or solicitor or general partner or managing member of such investment manager or
solicitor:
(i) Has been convicted, within ten years before such sale (or five years, in the case of issuers, their
predecessors and affiliated issuers), of any felony or misdemeanor:
(A) In connection with the purchase or sale of any security;
(B) Involving the making of any false filing with the Commission; or
(C) Arising out of the conduct of the business of an underwriter, broker, dealer, municipal securities dealer,
investment adviser or paid solicitor of purchasers of securities;
(ii) Is subject to any order, judgment or decree of any court of competent jurisdiction, entered within five years
before such sale, that, at the time of such sale, restrains or enjoins such person from engaging or continuing to
engage in any conduct or practice:
(A) In connection with the purchase or sale of any security;
(B) Involving the making of any false filing with the Commission; or
(C) Arising out of the conduct of the business of an underwriter, broker, dealer, municipal securities dealer,
investment adviser or paid solicitor of purchasers of securities;
(iii) Is subject to a final order of a state securities commission (or an agency or officer of a state performing
like functions); a state authority that supervises or examines banks, savings associations, or credit unions; a state
insurance commission (or an agency or officer of a state performing like functions); an appropriate federal banking
agency; the U.S. Commodity Futures Trading Commission; or the National Credit Union Administration that:
(A) At the time of such sale, bars the person from:
( 1 ) Association with an entity regulated by such commission, authority, agency, or officer;
( 2 ) Engaging in the business of securities, insurance or banking; or
( 3 ) Engaging in savings association or credit union activities; or
314466783.3 A-1
(B) Constitutes a final order based on a violation of any law or regulation that prohibits fraudulent,
manipulative, or deceptive conduct entered within ten years before such sale;
(iv) Is subject to an order of the Commission entered pursuant to section 15(b) or 15B(c) of the Securities
Exchange Act of 1934 (15 U.S.C. 78 o (b) or 78 o -4(c)) or section 203(e) or (f) of the Investment Advisers Act of
1940 (15 U.S.C. 80b-3(e) or (f)) that, at the time of such sale:
(A) Suspends or revokes such person's registration as a broker, dealer, municipal securities dealer or
investment adviser;
(B) Places limitations on the activities, functions or operations of such person; or
(C) Bars such person from being associated with any entity or from participating in the offering of any penny
stock;
(v) Is subject to any order of the Commission entered within five years before such sale that, at the time of
such sale, orders the person to cease and desist from committing or causing a violation or future violation of:
(A) Any scienter-based anti-fraud provision of the federal securities laws, including without limitation section
17(a)(1) of the Securities Act of 1933 (15 U.S.C. 77q(a)(1)), section 10(b) of the Securities Exchange Act of 1934
(15 U.S.C. 78j(b)) and 17 CFR 240.10b-5, section 15(c)(1) of the Securities Exchange Act of 1934 (15 U.S.C. 78 o
(c)(1)) and section 206(1) of the Investment Advisers Act of 1940 (15 U.S.C. 80b-6(1)), or any other rule or
regulation thereunder; or
(B) Section 5 of the Securities Act of 1933 (15 U.S.C. 77e).
(vi) Is suspended or expelled from membership in, or suspended or barred from association with a member of,
a registered national securities exchange or a registered national or affiliated securities association for any act or
omission to act constituting conduct inconsistent with just and equitable principles of trade;
(vii) Has filed (as a registrant or issuer), or was or was named as an underwriter in, any registration statement
or Regulation A offering statement filed with the Commission that, within five years before such sale, was the
subject of a refusal order, stop order, or order suspending the Regulation A exemption, or is, at the time of such sale,
the subject of an investigation or proceeding to determine whether a stop order or suspension order should be issued;
or
(viii) Is subject to a United States Postal Service false representation order entered within five years before
such sale, or is, at the time of such sale, subject to a temporary restraining order or preliminary injunction with
respect to conduct alleged by the United States Postal Service to constitute a scheme or device for obtaining money
or property through the mail by means of false representations.
(2) Paragraph (d)(1) of this section shall not apply:
(i) With respect to any conviction, order, judgment, decree, suspension, expulsion or bar that occurred or was
issued before September 23, 2013;
(ii) Upon a showing of good cause and without prejudice to any other action by the Commission, if the
Commission determines that it is not necessary under the circumstances that an exemption be denied;
(iii) If, before the relevant sale, the court or regulatory authority that entered the relevant order, judgment or
decree advises in writing (whether contained in the relevant judgment, order or decree or separately to the
Commission or its staff) that disqualification under paragraph (d)(1) of this section should not arise as a
consequence of such order, judgment or decree; or
314466783.3 A-2
(iv) If the issuer establishes that it did not know and, in the exercise of reasonable care, could not have known
that a disqualification existed under paragraph (d)(1) of this section.
Instruction to paragraph (d)(2)(iv). An issuer will not be able to establish that it has exercised reasonable care
unless it has made, in light of the circumstances, factual inquiry into whether any disqualifications exist. The nature
and scope of the factual inquiry will vary based on the facts and circumstances concerning, among other things, the
issuer and the other offering participants.
(3) For purposes of paragraph (d)(1) of this section, events relating to any affiliated issuer that occurred before
the affiliation arose will be not considered disqualifying if the affiliated entity is not:
(i) In control of the issuer; or
(ii) Under common control with the issuer by a third party that was in control of the affiliated entity at the time of
such events.
[Remainder of page intentionally left blank]
314466783.3 A-3
EXHIBIT B
US CAPITAL GLOBAL BUSINESS CREDIT INCOME FUND, LP
PRIVACY NOTICE
This Privacy Notice explains the manner in which we collect, utilize and maintain nonpublic
personal information about our Limited Partners. This Privacy Notice applies only to Limited
Partners who are individuals.
We are committed to protecting your privacy and maintaining the confidentiality and security of
your personal information. We are sending you this Privacy Notice to help you understand how
we handle the personal information about you that we collect and how we use that information.
Categories of Information We Collect and May Disclose
We use the personal information collected about you in order to provide you with better service
or to comply with law and regulations. We may collect nonpublic personal information about
you from the following sources:
• Investor Questionnaires, Limited Partnership Agreements or other forms (for
example, name, address, Social Security Number, assets and income);
• Ownership records of the fund of which you are a Limited Partner, (such as the
amount of your percentage ownership interest and any capital commitment); and
• Other interactions with us or our affiliates (such as discussions or other contacts
with our staff, via telephone, written correspondence, and electronic media).
We may disclose nonpublic personal information we collect about you to our affiliates (including
those who are involved in the formation, operation, dissolution, administration or management
of, or the sale of interests in the fund of which you are a Limited Partner) and nonaffiliated
service providers, only as permitted by law and regulations. For example, we may share
nonpublic personal information about you in the following situations:
• In connection with the administration and operations of the fund of which you are
a Limited Partner, including disclosure to attorneys, accountants, auditors,
administrators, or companies that assist us with mailing statements or processing
your transactions, or other professionals;
• To broker-dealers, custodians and transfer agents to facilitate in-kind distributions
of portfolio securities;
• To respond to a subpoena or court order, judicial process or regulatory inquiry;
and
314466783.3 B-1
• At your direction or with your consent, including upon your authorization to
disclose such information to persons acting in a fiduciary or representative
capacity on your behalf.
We may also share your personal information with other providers of services necessary or
convenient to the formation, operation or dissolution of the fund of which you are a Limited
Partner. Finally, as required or permitted by the Limited Partnership’s agreement, we may
distribute to all partners in such fund certain personal financial information, such as capital
account information and various schedules to the partnership agreement.
The information of our former Limited Partners is treated in the same manner as the information
of our current Limited Partners.
Confidentiality and Security
We have always considered the protection of sensitive information to be a sound business
practice and a foundation of customer trust. We protect personal information we collect about
you by maintaining physical, electronic and procedural safeguards.
Within our management entities, we restrict access to nonpublic personal information about you
to those employees who need to know that information to provide products or services to you.
Further Information
We reserve the right to change this Privacy Notice at any time. The examples contained within
this notice are illustrations and are not intended to be exclusive. This notice complies with
United States federal law regarding privacy. You may have additional rights under other foreign
or domestic laws that may apply to you.
****
314466783.3 B-2
US Capital Global Investment Management, LLC
555 Montgomery Street, Suite 1501
San Francisco, CA 94111
Securities offered through US Capital Global Securities, LLC, member FINRA, SIPC.
Loans made or arranged pursuant to a California Finance Lenders Law License.
License No. 60DBO 43589
© US Capital Global Investment Management, LLC. All rights reserved.