SCHEDULE 5STATEMENTS FOR CERTIFIED HIGH NET WORTH INDIVIDUALS AND SELF-CERTIFIED SOPHISTICATED INVESTORS

Articles 48 and 50A

PART ISTATEMENT FOR CERTIFIED HIGH NET WORTH INDIVIDUALS

1

The statement to be signed for the purposes of article 48(2) (definition of high net worth individual) must be in the following form and contain the following content—

          “ Statement for Certified High Net Worth Individual

I declare that I am a certified high net worth individual for the purposes of the Financial Services and Markets Act 2000 (Financial Promotion) Order 2005.

I understand that this means:

a

I can receive financial promotions that may not have been approved by a person authorised by the F1Financial Conduct Authority;

b

the content of such financial promotions may not conform to rules issued by the F1Financial Conduct Authority;

c

by signing this statement I may lose significant rights;

d

I may have no right to complain to either of the following—

i

the F1Financial Conduct Authority; or

ii

the Financial Ombudsman Scheme;

e

I may have no right to seek compensation from the Financial Services Compensation Scheme.

I am a certified high net worth individual because at least one of the following applies—

a

I had, during the financial year immediately preceding the date below, an annual income to the value of £100,000 or more;

b

I held, throughout the financial year immediately preceding the date below, net assets to the value of £250,000 or more. Net assets for these purposes do not include—

i

the property which is my primary residence or any loan secured on that residence;

ii

any rights of mine under a qualifying contract of insurance within the meaning of the Financial Services and Markets Act 2000 (Regulated Activities) Order 2001;

or

iii

any benefits (in the form of pensions or otherwise) which are payable on the termination of my service or on my death or retirement and to which I am (or my dependants are), or may be, entitled.

I accept that I can lose my property and other assets from making investment decisions based on financial promotions.

I am aware that it is open to me to seek advice from someone who specialises in advising on investments.

Signature                               Date”.

PART IISTATEMENT FOR SELF-CERTIFIED SOPHISTICATED INVESTORS

2

The statement to be signed for the purposes of article 50A(1) (definition of self-certified sophisticated investor) must be in the following form and contain the following content—

               “Statement for Self-Certified Sophisticated Investor

I declare that I am a self-certified sophisticated investor for the purposes of the Financial Services and Markets Act (Financial Promotion) Order 2005.

I understand that this means:

a

I can receive financial promotions that may not have been approved by a person authorised by the F1Financial Conduct Authority;

b

the content of such financial promotions may not conform to rules issued by the F1Financial Conduct Authority;

c

by signing this statement I may lose significant rights;

d

I may have no right to complain to either of the following—

i

the F1Financial Conduct Authority; or

ii

the Financial Ombudsman Scheme;

e

I may have no right to seek compensation from the Financial Services Compensation Scheme.

I am a self-certified sophisticated investor because at least one of the following applies—

a

I am a member of a network or syndicate of business angels and have been so for at least the last six months prior to the date below;

b

I have made more than one investment in an unlisted company in the two years prior to the date below;

c

I am working, or have worked in the two years prior to the date below, in a professional capacity in the private equity sector, or in the provision of finance for small and medium enterprises;

d

I am currently, or have been in the two years prior to the date below, a director of a company with an annual turnover of at least £l million.

I accept that I can lose my property and other assets from making investment decisions based on financial promotions.

I am aware that it is open to me to seek advice from someone who specialises in advising on investments.

Signature                                         Date”.