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New Mountain Guardian III BDC, L.L.C.
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(Name of Issuer)
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Units of LLC Interest
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(Title of Class of Securities)
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N/A
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(CUSIP Number)
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GHL Investments Limited
c/o Seatankers Management Co. Ltd
P.O. Box 53562
CY-3399 Limassol
Cyprus
Attn: Spyros Episkopou
+1 (357) 25-858-300
with a copy to:
Keith J. Billotti, Esq.
Seward & Kissel LLP
One Battery Park Plaza
New York, New York 10004
(212) 574-1200
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(Name, Address and Telephone Number of Person Authorized to Receive
Notices and Communications)
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September 5th , 2019
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(Date of Event Which Requires Filing of this Statement)
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CUSIP No.
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N/A
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1.
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NAME OF REPORTING PERSONS
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GHL Investments Limited
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a) [X]
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(b) [_]
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3.
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SEC USE ONLY
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4.
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SOURCE OF FUNDS
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WC
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5.
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
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[_]
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6.
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Cyprus
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7.
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SOLE VOTING POWER
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0
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8.
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SHARED VOTING POWER
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2,800,000
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9.
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SOLE DISPOSITIVE POWER
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0
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10.
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SHARED DISPOSITIVE POWER
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2,800,000
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11.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
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PERSON
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2,800,000
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12.
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
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CERTAIN SHARES
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[_]
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13.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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28.4%
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14.
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TYPE OF REPORTING PERSON
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CO
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CUSIP No.
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N/A
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1.
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NAME OF REPORTING PERSONS
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Greenwich Holdings Limited
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a) [X]
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(b) [_]
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3.
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SEC USE ONLY
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4.
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SOURCE OF FUNDS
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WC
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5.
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
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[_]
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6.
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Cyprus
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7.
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SOLE VOTING POWER
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0
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8.
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SHARED VOTING POWER
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2,800,000
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9.
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SOLE DISPOSITIVE POWER
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0
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10.
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SHARED DISPOSITIVE POWER
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2,800,000
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11.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
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PERSON
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2,800,000
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12.
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
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CERTAIN SHARES
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[_]
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13.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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28.4%
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14.
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TYPE OF REPORTING PERSON
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CO
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CUSIP No.
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N/A
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1.
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NAME OF REPORTING PERSONS
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C.K. Limited*
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a) [X]
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(b) [_]
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3.
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SEC USE ONLY
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4.
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SOURCE OF FUNDS
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WC
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5.
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
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[_]
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6.
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Jersey
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7.
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SOLE VOTING POWER
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0
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8.
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SHARED VOTING POWER
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2,800,000
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9.
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SOLE DISPOSITIVE POWER
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0
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10.
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SHARED DISPOSITIVE POWER
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2,800,000
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11.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
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PERSON
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2,800,000
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12.
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
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CERTAIN SHARES
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[_]
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13.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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28.4%
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14.
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TYPE OF REPORTING PERSON
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CO
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*C.K. Limited is the trustee of various trusts established by John Fredriksen for the benefit of his immediate family members (the “Trusts”). The Trusts
indirectly hold all of the shares of Greenwich Holdings Limited and GHL Investments Limited. As such, C.K. Limited may be deemed to beneficially own the Units of LLC Interest that are beneficially owned by Greenwich Holdings Limited and GHL
Investments Limited.
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CUSIP No.
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N/A
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1.
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NAME OF REPORTING PERSONS
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John Fredriksen*
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a) [X]
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(b) [_]
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3.
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SEC USE ONLY
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4.
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SOURCE OF FUNDS
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OO
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5.
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
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[_]
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6.
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Cyprus
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|
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
||
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7.
|
SOLE VOTING POWER
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|
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0
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8.
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SHARED VOTING POWER
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2,800,000
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9.
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SOLE DISPOSITIVE POWER
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0
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10.
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SHARED DISPOSITIVE POWER
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2,800,000
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11.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
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|
PERSON
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2,800,000
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12.
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
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|
|
|
CERTAIN SHARES
|
[_]
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13.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
|
|
|
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28.4%
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14.
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TYPE OF REPORTING PERSON
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IN
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*Mr. Fredriksen may be deemed to beneficially own 2,800,000 Units of LLC Interest through his indirect influence over GHL Investments Limited and Greenwich
Holdings Limited, the shares of which are indirectly held in the Trusts. The beneficiaries of the Trusts are certain members of Mr. Fredriksen’s family. Mr. Fredriksen disclaims beneficial ownership of any Units of LLC Interest beneficially
owned by GHL Investments Limited and Greenwich Holdings Limited, except to the extent of his voting and dispositive interests in such Units of LLC Interest. Mr. Fredriksen has no pecuniary interest in the Units of LLC Interest beneficially
owned by GHL Investments Limited and Greenwich Holdings Limited.
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CUSIP No.
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N/A
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Item 1.
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Security and Issuer.
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This statement on Schedule 13D relates to the Units of LLC Interest of New Mountain Guardian III BDC, L.L.C. The principal executive office of the Issuer
is 787 Seventh Avenue, 48th Floor, New York, New York 10019.
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Item 2.
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Identity and Background.
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This Schedule 13D is being filed on behalf of the following:
(i) GHL
Investments Limited, a Cyprus company (“GHL Investments”);
(ii) Greenwich
Holdings Limited, a Cyprus company (“Greenwich Holdings”);
(iii) C.K.
Limited, a Jersey company; and
(iv) John
Fredriksen (“Mr. Fredriksen”), a citizen of Cyprus.
GHL Investments, Greenwich Holdings, C.K. Limited and Mr. Fredriksen are collectively referred to as the “Reporting Persons.” Greenwich Holdings is the
sole shareholder of GHL Investments. The shares of GHL Investments and Greenwich Holdings are indirectly held in the Trusts, the beneficiaries of which are certain members of Mr. Fredriksen’s family. C.K. Limited indirectly controls GHL
Investments and Greenwich Holdings and is the Trustee of the Trusts.
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(a., b., c. and f.)
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(i) The address of GHL Investments’ principal place of business is P.O. Box 53562, CY3399, Limassol, Cyprus. The principal business of GHL Investments is
acting as an investment holding company. The name, citizenship, present principal occupation of GHL Investments’ directors and the name, principal business and address of any corporation or other organization in which such employment is
conducted is set forth below. GHL Investments does not have any executive officers.
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Spyros Episkopou
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Director
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Mr. Episkopou’s principal business address is Deana Beach Apartments, Block 1, 4th Floor, 33 Promachon Eleftherias Street, Ayios Athanasios, 4103 Limassol, Cyprus.
Mr. Episkopou is a resident of Cyprus.
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Eirini Santhi Theocharous
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Director
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Mrs. Theocharous' principal business address is Deana Beach Apartments, Block 1, 4th Floor, 33 Promachon Eleftherias Street, Ayios Athanasios, 4103 Limassol, Cyprus. Mrs.
Theocharous is a citizen of Cyprus.
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Kyriacos Kazamias
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Director
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Mr. Kazamias’ principal business address is Georgiou Drosini 6, Potamos Germasogeias, 4043 Limassol, Cyprus. Mr. Kazamias is a citizen of Cyprus.
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(ii) The address of Greenwich Holdings’ principal place of business is P.O. Box 53562, CY3399, Limassol, Cyprus. The principal business of Greenwich
Holdings is acting as an investment holding company. The name, citizenship, present principal occupation of Greenwich Holdings’ directors and the name, principal business and address of any corporation or other organization in which such
employment is conducted is set forth below. Greenwich Holdings does not have any executive officers.
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Christophis Koufaris
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Director
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Mr. Koufaris’ principal business address is Iris House 840A, 8 John Kennedy Street, P.O. Box 53510.
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Spyros Episkopou
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Director
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Mr. Episkopou’s principal business address is Deana Beach Apartments, Block 1, 4th Floor, 33 Promachon Eleftherias Street, Ayios Athanasios, 4103 Limassol,
Cyprus. Mr. Episkopou is a resident of Cyprus.
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Eirini Santhi Theocharous
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Director
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Mrs. Theocharous' principal business address is Deana Beach Apartments, Block 1, 4th Floor, 33 Promachon Eleftherias Street, Ayios Athanasios, 4103
Limassol, Cyprus. Mrs. Theocharous is a citizen of Cyprus.
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Kyriacos Kazamias
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Director
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Mr. Kazamias’ principal business address is Georgiou Drosini 6, Potamos Germasogeias, 4043 Limassol, Cyprus. Mr. Kazamias is a citizen of Cyprus.
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(iii) The address of C.K. Limited’s principal place of business is IFC 5, St. Helier, Jersey JE1 1SR. The principal business of C.K. Limited is acting as
trustee of various trusts established by Mr. John Fredriksen for the benefit of his immediate family members. C.K. Limited serves as the trustee for the Trusts that indirectly hold all of the shares of Greenwich Holdings and GHL Investments.
As a result of the foregoing, the total Units of LLC Interest reported as beneficially owned by GHL Investments is reported as beneficially owned by C.K. Limited. The name, citizenship, present principal occupation of C.K. Limited’s directors
and the name, principal business and address of any corporation or other organization in which such employment is conducted is set forth below. C.K Limited does not have any executive officers.
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Spyros Episkopou
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Director
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Mr. Episkopou’s principal business address is Deana Beach Apartments, Block 1, 4th Floor, 33 Promachon Eleftherias Street, Ayios Athanasios, 4103 Limassol,
Cyprus. Mr. Episkopou is a resident of Cyprus.
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Eirini Santhi Theocharous
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Alternate Director to Spyros Episkopou
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Mrs. Theocharous' principal business address is Deana Beach Apartments, Block 1, 4th Floor, 33 Promachon Eleftherias Street, Ayios Athanasios, 4103
Limassol, Cyprus. Mrs. Theocharous is a citizen of Cyprus.
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Philip James Jackman Le Vesconte
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Director
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Mr. Le Vesconte’s principal business address is IFC 5, St. Helier, Jersey, JE1 1ST. Mr. Le Vesconte is a citizen of Jersey.
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Lewis James Glyn Williams
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Director
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Mr. Williams principal business address is IFC 5, St. Helier, Jersey, JE1 1ST. Mr. Williams is a citizen of Jersey.
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(iv) The address of Mr. Fredriksen is c/o Seatankers Consultancy Services (UK) Limited, 15 Sloane Square, London SW1W 8ER, United Kingdom.
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(d. and e.)
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To the best knowledge of the Reporting Persons, none of the entities or persons identified in this Item 2, has, during the past five years, been convicted
of any criminal proceeding (excluding traffic violations or similar misdemeanors), nor been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a result of such proceeding was or is subject to a
judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws.
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Item 3.
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Source and Amount of Funds or Other Consideration.
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The source of funds for the purchase of the 2,800,000 Units of LLC Interest held in the account of GHL Investments was working capital of GHL Investments in the amount of $28,000,000. Additionally, the information contained in Item 6 below is incorporated herein by reference. None of the other persons named in response to Item 2 hold any Units of LLC Interest in their accounts.
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Item 4.
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Purpose of Transaction.
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The information contained in Item 3 above and Item 6 below is incorporated herein by reference.
The acquisition of the Units of LLC Interest as described under Item 3 is solely for investment purposes. The Reporting Persons evaluate their investments
in the Units of LLC Interest on a continual basis. The Reporting Persons have no plans or proposals as of the date of this filing which, other than as expressly set forth in this Schedule 13D, relate to, or would result in, any of the actions
enumerated in Item 4 of the instructions to Schedule 13D.
The Reporting Persons reserve the right to be in contact with members of the Issuer’s management, the members of the Issuer’s Board of Directors, other
significant unitholders and others regarding alternatives that the Issuer could employ to increase unitholder value.
The Reporting Persons reserve the right to effect transactions that would change the number of Units of LLC Interest it may be deemed to beneficially own.
The Reporting Persons further reserve the right to act in concert with any other unitholders of the Issuer, or other persons, for a common purpose should
it determine to do so, and/or to recommend courses of action to the Issuer’s management, the Issuer’s Board of Directors, the Issuer’s unitholders, and others.
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Item 5.
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Interest in Securities of the Issuer.
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|
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|
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(a, b)
|
As of the date of this filing:
GHL Investments may be deemed to be the beneficial owner of 2,800,000 Units of LLC Interest, constituting 28.4% of the Units of LLC Interest outstanding.
GHL Investments has the sole power to vote or direct the vote of 0 Units of LLC Interest and the shared power to vote or to direct the vote of 2,800,000 Units of LLC Interest. GHL Investments has the sole power to dispose or direct the
disposition of 0 Units of LLC Interest and the shared power to dispose or to direct the disposition of 2,800,000 Units of LLC Interest.
Greenwich Holdings, through GHL Investments, may be deemed to be the beneficial owner of 2,800,000 Units of LLC Interest, constituting 28.4% of the Units
of LLC Interest outstanding. Greenwich Holdings has the sole power to vote or direct the vote of 0 Units of LLC Interest and the shared power to vote or to direct the vote of 2,800,000 Units of LLC Interest. Greenwich Holdings has the sole
power to dispose or direct the disposition of 0 Units of LLC Interest and the shared power to dispose or to direct the disposition of 2,800,000 Units of LLC Interest.
C.K. Limited, through Greenwich Holdings, may be deemed to be the beneficial owner of 2,800,000 Units of LLC Interest, constituting 28.4% of the Units of
LLC Interest outstanding. C.K. Limited has the sole power to vote or direct the vote of 0 Units of LLC Interest and the shared power to vote or to direct the vote of 2,800,000 Units of LLC Interest. C.K. Limited has the sole power to dispose
or direct the disposition of 0 Units of LLC Interest and the shared power to dispose or to direct the disposition of 2,800,000 Units of LLC Interest.
As of the date hereof, Mr. Fredriksen may be deemed to beneficially own 2,800,000 Units of LLC Interest through his indirect influence over GHL Investments
and Greenwich Holdings, the shares of which are indirectly held in the Trusts, constituting in the aggregate 28.4% of the outstanding Units of LLC Interest based upon 2,800,000 Units of LLC Interest outstanding. The beneficiaries of the
Trusts are certain members of Mr. Fredriksen’s family. Mr. Fredriksen disclaims beneficial ownership of the 2,800,000 Units of LLC Interest beneficially owned by GHL Investments and Greenwich Holdings, except to the extent of his voting and
dispositive interests in such Units of LLC Interest. Mr. Fredriksen has no pecuniary interest in the 2,800,000 Units of LLC Interest beneficially owned by GHL Investments and Greenwich Holdings.
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(c)
|
Except as disclosed in this Schedule 13D, the Reporting Persons have not effected any transaction in the Units of LLC Interest of the Issuer during the
past 60 days.
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|
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|
|
(d)
|
No other person is known to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, any of the
Units of LLC Interest beneficially owned by the Reporting Persons or the Principals.
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|
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|
|
(e)
|
Not applicable.
|
|
Item 6.
|
Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer.
|
|
|
|
|
|
On July 15, 2019, GHL Investments entered into (1) a Subscription Agreement (the “Subscription Agreement”), (2) an Amended and Restated Limited Liability
Company Agreement (the “Issuer LLC Agreement”) and (3) a Side Letter (the “Side Letter”), each with the Issuer.
Pursuant to the Subscription Agreement, GHL Investments has agreed to purchase Units of LLC Interest from the Issuer for an aggregate purchase price of up
to $70,000,000 (the “Capital Commitment”). On September 5, 2019, GHL Investments was issued 2,800,000 Units of LLC Interest of the Issuer for an aggregate purchase price of $28,000,000. Additional purchases of Units of LLC Interest up to the
Capital Commitment may occur in one or more subsequent closings on dates to be selected by the Issuer in accordance with the Issuer LLC Agreement.
The Side Letter, among other things, provides GHL Investments with the right to designate one representative to the Advisory Committee of the Issuer as
long as GHL Investments remains a unitholder of the Issuer and has not defaulted on any obligation under the Issuer LLC Agreement, Subscription Agreement or any other agreement that may be entered into in connection with the investment of GHL
Investments in the Issuer.
The foregoing descriptions of the Issuer LLC Agreement, Subscription Agreement and Side Letter do not purport to be complete and are qualified in their
entirety by reference to each of the Issuer LLC Agreement, Subscription Agreement and Side Letter, copies or forms of which are attached as Exhibit B, Exhibit C, and Exhibit D, respectively, and are incorporated herein by reference.
Other than as described herein, there are no contracts, arrangements, understandings or relationships (legal or otherwise) between the Reporting Persons
or, to the best of their knowledge, any of the persons named in Item 2 hereto and any other person with respect to any securities of the Issuer, including, but not limited to, transfer or voting of any securities, finder’s fees, joint
ventures, loan or option arrangements, puts or calls, guarantees of profits, division of profits or losses, or the giving or withholding of proxies.
|
|
|
|
|
Item 7.
|
Material to be Filed as Exhibits.
|
|
|
|
|
|
Exhibit A – Joint Filing Agreement
Exhibit B – Form of Amended and Restated Limited Liability Company Agreement of the Issuer (incorporated by reference to Exhibit 3.1 of the Issuer’s Form 10 filed with
the Commission on July 15, 2019).
Exhibit C – Form of Subscription Agreement
Exhibit D – Side Letter, dated July 15, 2019, between the Issuer and GHL Investments.
|
|
Date: September 16, 2019
|
GHL INVESTMENTS LIMITED
|
||
|
|
|
||
|
|
By:
|
/s/ Spyros Episkopou
|
|
|
|
Name:
|
Spyros Episkopou
|
|
|
|
Title:
|
Director
|
|
|
|
|
|
|
|
|
GREENWICH HOLDINGS LIMITED
|
||
|
|
|
||
|
|
By:
|
/s/ Spyros Episkopou
|
|
|
|
Name:
|
Spyros Episkopou
|
|
|
|
Title:
|
Director
|
|
|
C.K. LIMITED
|
|||
|
|
|
||
|
|
By:
|
/s/ Spyros Episkopou
|
|
|
|
Name:
|
Spyros Episkopou
|
|
|
|
Title:
|
Director
|
|
|
|
JOHN FREDRIKSEN*
|
||
|
|
|
||
|
|
/s/ John Fredriksen
|
||
|
|
John Fredriksen*
|
||
|
|
|||
|
|
Attention: Intentional misstatements or omissions of fact constitute Federal criminal violations (see 18 U.S.C. 1001).
|
|
Date: September 16, 2019
|
GHL INVESTMENTS LIMITED
|
|
|
|
|
|
|
|
By:
|
/s/ Spyros Episkopou
|
|
|
Name:
|
Spyros Episkopou
|
|
|
Title:
|
Director
|
|
|
|
|
|
|
GREENWICH HOLDINGS LIMITED
|
|
|
|
|
|
|
|
By:
|
/s/ Spyros Episkopou
|
|
|
Name:
|
Spyros Episkopou
|
|
|
Title:
|
Director
|
|
|
C.K. LIMITED
|
|
|
|
|
|
|
|
By:
|
/s/ Spyros Episkopou
|
|
|
Name:
|
Spyros Episkopou
|
|
|
Title:
|
Director
|
|
|
JOHN FREDRIKSEN
|
|
|
|
|
|
|
|
/s/ John Fredriksen
|
|
|
|
John Fredriksen
|
|
|
|
||
| ◻ |
Subscription Agreement (complete page 13, date and execute).
|
| ◻ |
Investor Questionnaire (complete the applicable sections and execute page 18).
|
| ◻ |
Rule 506(D) Events Questionnaire (included as Exhibit A hereto).
|
| ◻ |
Relevant Internal Revenue Service (“IRS”) tax form (W-8BEN, W-8BEN-E, W-8IMY, W-8ECI or W-8EXP) (available at https://www.irs.gov).
|
| ◻ |
Common Reporting Standard (“CRS”) self-certification form (included as Annex 1 hereto).
|
| ◻ |
Evidence of authorization (see instructions below).
|
| ◻ |
Canadian Investors (as defined herein) should complete Annex 3 to the Subscription Agreement.
|
| ◻ |
Japan Investors (as defined herein) should complete Annex 4 to the Subscription Agreement.
|
| ◻ |
Investors who are domiciled or have a registered office in the European Economic Area should complete Annex 5 to the Subscription Agreement.
|
| ◻ |
Provide a copy of a passport or a driver’s license with photograph and their country of citizenship.
|
| ◻ |
Provide proof of address that corresponds to the address provided in the Subscription Documents and passport or driver’s license.
|
| ◻ |
If an individual Investor is using a third party to act on his/her behalf, provide a copy of the driver’s license or passport of that third party.
|
| ◻ |
If the copy of the passport or driver’s license of the Investor or third party does not contain the individual’s current address, provide an additional government issued identification
document certifying the individual’s name and current address.
|
| ◻ |
Provide a copy of a passport or a driver’s license with photograph and country of citizenship for each signatory.
|
| ◻ |
Submit certified corporate resolutions authorizing the subscription and identifying the corporate officer empowered to sign the Subscription Documents.
|
| ◻ |
Provide a copy of the certificate of incorporation, or other information identifying the place of incorporation.
|
| ◻ |
Provide a copy of a passport or a driver’s license with photograph and country of citizenship for each signatory.
|
| ◻ |
Submit a certified copy of the partnership certificate (in the case of limited partnerships) or partnership agreement identifying the general partner(s).
|
| ◻ |
Provide a copy of a passport or a driver’s license with photograph and country of citizenship for each signatory.
|
| ◻ |
Submit a certified copy of the limited liability company operating agreement or certificate of formation identifying the manager or managing member, as applicable, empowered to sign the
Subscription Documents.
|
| ◻ |
Provide a copy of the certificate of formation, or other information identifying the place of formation or incorporation.
|
| ◻ |
Provide a copy of a passport or a driver’s license with photograph and country of citizenship for each signatory.
|
| ◻ |
Submit a copy of the trust agreement and, if not included in the trust agreement, a document identifying authorized signatories.
|
| ◻ |
Provide a copy of a passport or a driver’s license with photograph and country of citizenship for each signatory.
|
| ◻ |
Submit a certificate or similar documentation of an appropriate officer certifying that the subscription has been authorized and identifying the individual empowered to sign the
Subscription Documents.
|
| ◻ |
Provide a copy of a passport or a driver’s license with photograph and country of citizenship for each signatory.
|
| ◻ |
Submit a certificate or similar documentation of an appropriate officer certifying that the subscription has been authorized and identifying the individual empowered to sign the
Subscription Documents.
|
| i. |
the Subscription Agreement and the Investor Questionnaire,
|
| ii. |
the appropriate completed IRS Form (W-8BEN, W-8BEN-E, W-8IMY, W-8ECI or W-8EXP); and
|
| iii. |
any required evidence of authorization.
|
| (A) |
independent of the New Mountain Entities;
|
| (B) |
capable of evaluating investment risks independently, both in general and with respect to particular transactions and investment strategies;
|
| (C) |
a fiduciary (under ERISA and/or Section 4975 of the Code or Other Plan Laws, as applicable), with respect to the Plan’s investment in the Fund and is responsible for exercising
independent judgment in evaluating the Plan’s investment in the Fund; and
|
| (D) |
aware of and acknowledges that (I) none of the New Mountain Entities are undertaking to provide impartial investment advice, or to give advice in a fiduciary capacity, in connection with
the Plan’s investment in the Fund, (II) the New Mountain Entities have a financial interest in the Plan’s investment in the Fund on account of the fees and other compensation they expect to receive from the Fund and their other
relationships with the Fund, and (III) any such fees and other compensation received by a New Mountain Entity do not constitute fees or other compensation rendered for the provision of investment advice to the Plan;
|
| 1 |
The term “Plan” is defined to include (i) an employee benefit plan (within the meaning of Section 3(3) of ERISA), whether or not such plan is subject to ERISA, (ii) a plan, individual
retirement account or other arrangement that is described in Section 4975 of the Code, whether or not such plan, individual retirement account or other arrangement is subject to Section 4975 of the Code, (iii) a plan, fund or other
similar program that is established or maintained outside the United States which provides for retirement income, a deferral of income in contemplation of retirement or payments to be made upon termination of employment, (iv) an insurance
company using general account assets, if such general account assets are deemed to include the assets of any of the foregoing types of plans, accounts or arrangements, for purposes of Title I of ERISA or Section 4975 of the Code under
Section 401(c)(1)(A) of ERISA or the regulations promulgated thereunder and (v) an entity that is deemed to hold the assets of any of the foregoing described in clauses (i), (ii), (iii) or (iv), pursuant to ERISA or otherwise.
|
| 2 |
A “senior foreign political figure” means a current or former senior official in the executive, legislative, administrative, military or judicial branches of a non-U.S. government (whether
elected or not), a current or former senior official of a major non-U.S. political party or a current or former senior executive of a non-U.S. government-owned commercial enterprise. In addition, a “senior foreign political figure”
includes any corporation, business or other entity that has been formed by, or for the benefit of, a senior foreign political figure. For purposes of this definition, a “senior official” or “senior executive” means an individual with
substantial authority over policy, operations, or the use of government-owned resources.
|
| 3 |
An “immediate family member” of a SFPF means spouses, parents, siblings, children and a spouse's parents and siblings.
|
| 4 |
A “close associate” of a SFPF means a person who is widely and publicly known (or is actually known) to be a close associate of a SFPF.
|
| 5 |
A “politically exposed person” means individuals who are or have been entrusted with prominent public functions domestically or by a foreign country or an international organization.
Examples include, without limitation, a current or former senior official in the executive, legislative, administrative, military or judicial branches of a government (whether elected or not), a senior official of a major political party
or a senior executive of a government-owned corporation. In addition, a “politically exposed person” includes any corporation, business or other entity that has been formed by, or for the benefit of, a political figure.
|
| 6 |
An “immediate family member” of a PEP typically includes the figure’s parents, siblings, spouse, children and in-laws.
|
| 7 |
A “close associate” of a PEP means a person who is widely and publicly known to maintain an unusually close relationship with a PEP, and includes a person who is in a position to conduct
substantial financial transactions on behalf of a PEP.
|
|
Date:
|
Amount of Capital Commitment:
|
|||
|
$
|
||||
|
INDIVIDUAL INVESTOR:
|
||||
|
(Print Full Name)
|
||||
|
(Signature)
|
||||
|
PARTNERSHIP, CORPORATION, LIMITED LIABILITY COMPANY, TRUST, CUSTODIAL ACCOUNT, JOINT ACCOUNT9, OTHER INVESTOR:
|
||||
|
(Print Full Name of Entity)
|
||||
|
By:
|
||||
|
(Signature)
|
||||
|
(Print Full Name and Title)
|
||||
|
Amount of Capital Commitment Accepted:
|
|||
|
$
|
|||
|
By:
|
|||
|
Name:
|
Adam Weinstein
|
||
|
Title:
|
Director, Executive Vice President
|
||
|
Date:
|
|||
|
Individual:
|
Entity:
|
|||
|
First
|
Middle
|
Last
|
Full Name of Entity
|
|
|
Name of Parent Institution Known to New Mountain (if different from Entity name above)
|
||||
|
Beneficial Owner of Investment (optional)
|
||||
|
Permanent Address of Investor:
|
||
|
Entity: To assist the Fund in preparing the its tax and regulatory filings, please check the category into which you fall (please select only one
of the options below):
|
|
◻
|
Individual that is a United States person (including a trust of any such
individual)
|
|
◻
|
Individual that is a not a United States person (including a trust of any such
individual)
|
|
◻
|
Broker-dealer
|
|
◻
|
Insurance company
|
|
◻
|
Investment company registered with the U.S. SEC under the U.S. Investment Company Act
|
|
◻
|
An issuer that would be an investment company as defined in Section 3 of the Investment Company Act but for Section 3(c)(1) or 3(c)(7) thereof
|
|
◻
|
Non-profit organization
|
|
◻
|
Pension plan (excluding governmental pension plans)
|
|
◻
|
Banking or thrift institution (proprietary)
|
|
◻
|
Any state or political subdivision of a state, including (i) any agency, authority or instrumentality of the state or political subdivision; (ii) a plan
or pool of assets controlled by the state or political subdivision or any agency, authority or instrumentality thereof; and (iii) any officer, agent or employee of the state or political subdivision or any agency, authority or instrumentality
thereof, acting in its official capacity (excluding governmental pension plans)
|
|
◻
|
State or municipal governmental pension plan
|
|
◻
|
Sovereign wealth fund or foreign official institution
|
|
◻
|
Other (please specify): _____________________________________________
|
|
2.
|
U.S. Taxpayer Identification Number (if applicable):
|
|||||
|
3.
|
Foreign Tax Identification Number (if applicable):
|
|||||
|
4.
|
Global Intermediary Identification Number (if applicable):
|
|||||
|
5.
|
Medicare Identification Number (if applicable):
|
◻ Not Applicable
|
||||
|
Please provide information on all of the individuals who play a role in the Investor’s investment in the Fund, including
contacts for business relationship matters and investment decision making, receiving financial information and maintaining records, capital call and distribution notices, legal documentation and tax matters.
E-mail addresses will be used to notify the Investor of any notices, reports, requests, demands, consents or other communications that are posted to the Fund’s intranet
website (currently IntraLinks) in accordance with Section 13.1 of the Limited Liability Company Agreement.
|
||||||
|
6.
|
Primary Contact Person for this Account, for business relationship matters and investment decision making:
|
|||||
|
Name:
|
||||||
|
Street Address:
|
||||||
|
Organization:
|
||||||
|
Telephone:
|
||||||
|
E-mail:
|
||||||
|
◻
|
All Information Below
|
|||||
|
◻
|
Financial Statements & Capital Statements
|
|||||
|
◻
|
For Capital Call and Distribution Notices
|
|||||
|
◻
|
For Legal Documentation
|
|||||
|
◻
|
For Tax Matters
|
|||||
|
7.
|
Additional Contact Person
|
|||||
|
◻
|
All Information Below
|
|||||
|
◻
|
Financial Statements & Capital Statements
|
|||||
|
◻
|
For Capital Call and Distribution Notices
|
|||||
|
◻
|
For Legal Documentation
|
|||||
|
◻
|
For Tax Matters
|
|||||
|
Name:
|
||||||
|
Street Address:
|
||||||
|
Organization:
|
||||||
|
Telephone:
|
||||||
|
E-mail:
|
||||||
|
8.
|
Additional Contact Person
|
||
|
◻
|
All Information Below
|
||
|
◻
|
Financial Statements & Capital Statements
|
||
|
◻
|
For Capital Call and Distribution Notices
|
||
|
◻
|
For Legal Documentation
|
||
|
◻
|
For Tax Matters
|
||
|
Name:
|
|||
|
Street Address:
|
|||
|
Organization:
|
|||
|
Telephone:
|
|||
|
E-mail:
|
|||
|
9.
|
Additional Contact Person
|
||
|
◻
|
All Information Below
|
||
|
◻
|
Financial Statements & Capital Statements
|
||
|
◻
|
For Capital Call and Distribution Notices
|
||
|
◻
|
For Legal Documentation
|
||
|
◻
|
For Tax Matters
|
||
|
Name:
|
|||
|
Street Address:
|
|||
|
Organization:
|
|||
|
Telephone:
|
|||
|
E-mail:
|
|||
|
10.
|
Additional Contact Person
|
||
|
◻
|
All Information Below
|
||
|
◻
|
Financial Statements & Capital Statements
|
||
|
◻
|
For Capital Call and Distribution Notices
|
||
|
◻
|
For Legal Documentation
|
||
|
◻
|
For Tax Matters
|
||
|
Name:
|
|||
|
Street Address:
|
|||
|
Organization:
|
|||
|
Telephone:
|
|||
|
E-mail:
|
|||
|
11.
|
Additional Contact Person
|
||
|
◻
|
All Information Below
|
||
|
◻
|
Financial Statements & Capital Statements
|
||
|
◻
|
For Capital Call and Distribution Notices
|
||
|
◻
|
For Legal Documentation
|
||
|
◻
|
For Tax Matters
|
||
|
Name:
|
|||
|
Street Address:
|
|||
|
Organization:
|
|||
|
Telephone:
|
|||
|
E-mail:
|
|||
|
12.
|
Additional Contact Person
|
||
|
◻
|
All Information Below
|
||
|
◻
|
Financial Statements & Capital Statements
|
||
|
◻
|
For Capital Call and Distribution Notices
|
||
|
◻
|
For Legal Documentation
|
||
|
◻
|
For Tax Matters
|
||
|
Name:
|
|||
|
Street Address:
|
|||
|
Organization:
|
|||
|
Telephone:
|
|||
|
E-mail:
|
|||
|
13.
|
For distributions of cash, please wire funds to the following bank account:
|
||
|
Bank Name:
|
|||
|
Bank Address:
|
|||
|
Bank’s ABA or IBAN:
|
|||
|
Account Name:
|
|||
|
Account Number:
|
|||
|
Intermediary Bank Name, if any:
|
|||
|
Intermediary Bank ABA or IBAN, if any:
|
|||
|
For further credit account name, if any:
|
|||
|
For further credit account number, if any:
|
|||
|
Reference:
|
|||
|
SWIFT Code:
|
|||
|
14.
|
For distributions in-kind, please:
|
||
|
Credit securities to my brokerage account at the following firm:
|
|||
|
Firm Name:
|
|||
|
Address:
|
|||
|
Account Name:
|
|||
|
Account Number:
|
|||
|
DTC Number:
|
|||
|
◻
|
(A)
|
A natural person with individual net worth (or joint net worth with spouse) in excess of $1 million. For purposes of this item, “net worth” means the excess of total
assets at fair market value, including automobiles and other personal property but excluding the value of the primary residence of such natural person (and including property owned by a spouse other than the primary residence of the spouse),
over total liabilities. (For this purpose, the amount of any mortgage or other indebtedness secured by an investor’s primary residence should not be included as a “liability,” except to the extent (i) the fair market value of the residence
is less than the amount of such mortgage or other indebtedness or (ii) such indebtedness existing on the date of the acceptance of the Investor’s subscription for Units exceeds the indebtedness that existed 60 days preceding such date and
such indebtedness was not as a result of the acquisition of the Investor’s primary residence).
|
|
◻
|
(B)
|
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 in excess 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.
|
|
FOR ENTITIES:
|
||
|
◻
|
(C)
|
An entity, including a grantor trust, in which all of the equity owners are accredited investors (for this purpose, a beneficiary of a trust is not an equity owner, but
the grantor of a grantor trust may be an equity owner).
|
|
◻
|
(D)
|
A bank as defined in Section 3(a)(2) of the Securities Act, or any savings and loan association or other institution as defined in Section 3(a)(5)(A) of the Securities Act
whether acting in its individual or fiduciary capacity.
|
|
◻
|
(E)
|
An insurance company as defined in Section 2(a)(13) of the Securities Act.
|
|
◻
|
(F)
|
A broker-dealer registered pursuant to Section 15 of the U.S. Exchange Act.
|
|
◻
|
(G)
|
An investment company registered under the Investment Company Act.
|
|
◻
|
(H)
|
A business development company as defined in Section 2(a)(48) of the Investment Company Act.
|
|
◻
|
(I)
|
A small business investment company licensed by the Small Business Administration under Section 301(c) or (d) of the U.S. Small Business Investment Act of 1958, as
amended.
|
|
◻
|
(J)
|
A private business development company as defined in Section 202(a)(22) of the U.S. Advisers Act.
|
|
◻
|
(K)
|
An organization described in Section 501(c)(3) of the Code, a corporation, Massachusetts or similar business trust or partnership, in each case not formed for the specific
purpose of acquiring Units, with total assets in excess of $5 million.
|
|
◻
|
(L)
|
A trust with total assets in excess of $5 million not formed for the specific purpose of acquiring Units, whose purchase is directed by a person with such knowledge and
experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Units.
|
|
◻
|
(M)
|
An employee benefit plan within the meaning of the U.S. Employee Retirement Income Security Act of 1974, as amended (“ERISA”) if the decision to invest in the Units is
made by a plan fiduciary, as defined in Section 3(21) of ERISA, which is either a bank, savings and loan association, insurance company, or registered investment adviser, or if the employee benefit plan has total assets in excess of $5
million or, if a self-directed plan, with investment decisions made solely by persons that are accredited investors.
|
|
◻
|
(N)
|
A plan established and maintained by a state, its political subdivisions or any agency or instrumentality of a state or its political subdivisions for the benefit of its
employees, if the plan has total assets in excess of $5 million.
|
|
C.
|
Supplemental Data for Individuals (Entities may skip this Section of the Investor Questionnaire)
|
||
|
1.
|
Please indicate whether you are investing the assets of any retirement plan, account or arrangement (such as, for example, an individual retirement account or a “Keogh”
plan).
|
||
|
◻ Yes ◻
No
|
|||
|
If the above question was answered “Yes,” please contact Simpson Thacher & Bartlett LLP for additional information that will be required.
|
|||
|
2.
|
Please provide your date of birth:
|
||
|
D.
|
Supplemental Data for Entities (Natural persons may skip this Section of the
Investor Questionnaire)
|
||
|
1.
|
If the Investor is not a natural person, the Investor must furnish the following supplemental data:
|
||
|
Legal form of entity (trust, corporation, partnership, limited liability company, benefit plan, etc.):
|
|||
|
Jurisdiction of organization and location of domicile:
|
|||
|
Location of principal place of business:
|
|||
|
2.a.
|
Was the Investor organized for the specific purpose of acquiring Units?
|
||
|
◻ Yes ◻
No
|
|||
|
2.b.
|
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 Fund (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 Fund)?
|
||
|
◻ Yes ◻
No
|
|||
|
2.c.
|
Does the amount of the Investor’s subscription for Units in the Fund exceed 40% of the total assets (on a consolidated basis with its subsidiaries) of the Investor?
|
|
◻ Yes ◻
No
|
|
|
2.d.
|
Will any other person or persons have a beneficial interest in the Units to be acquired hereunder (other than as a shareholder, partner, policy owner or other beneficial
owner of equity interests in the Investor)? (By way of example, “nominee” Investors or Investors who have entered into swap or other synthetic or derivative instruments or arrangements with regard to the Units
to be acquired herein would check “Yes”).
|
|
◻ Yes ◻
No
|
|
|
If any of questions 2.a., 2.b., 2.c. or 2.d. above were answered “Yes,” please contact Simpson Thacher & Bartlett LLP for additional information that will be required.
|
|
|
3.a.
|
Please indicate whether or not the Investor is, or is acting (directly or indirectly) on behalf of, (i) an employee benefit plan (within the meaning of Section 3(3) of
ERISA), whether or not such plan is subject to ERISA, (ii) a plan, individual retirement account or other arrangement that is described in Section 4975 of the Code, whether or not such plan, individual retirement account or arrangement is
subject to Section 4975 of the Code, (iii) a plan, fund or other similar program that is established or maintained outside the United States which provides for retirement income, a deferral of income in contemplation of retirement or payments
to be made upon termination of employment, (iv) an insurance company using general account assets, if such general account assets are deemed to include the assets of any of the foregoing types of plans, accounts or arrangements for purposes
of Title I of ERISA or Section 4975 of the Code under Section 401(c)(1)(A) of ERISA or the regulations promulgated thereunder, or (v) an entity which is deemed to hold the assets of any of the foregoing types of plans, accounts, funds,
programs or arrangements (each of the foregoing described in clauses (i), (ii), (iii), (iv) and (v) being referred to as a “Plan”).
|
|
◻ Yes ◻
No
|
|
|
3.b.
|
If the Investor is, or is acting (directly or indirectly) on behalf of, such Plan, please indicate whether or not the Plan is subject to Title I of ERISA or Section 4975
of the Code.
|
|
◻ Yes ◻
No
|
|
|
3.c.
|
If question 3.b. above was answered “Yes”, please indicate what percentage of the Plan’s assets invested in the Fund are considered to be the assets of “benefit plan
investors” within the meaning of Section 3(42) of ERISA.
|
|
_______________%
|
|
|
3.d.
|
If the Investor is investing the assets of an insurance company general account, please indicate what percentage of the insurance company general account’s assets invested
in the Fund are the assets of “benefit plan investors” within the meaning of Section 401(c)(1)(A) of ERISA or the regulations promulgated thereunder.
|
|
_______________%
|
|
|
3.e.
|
Please indicate whether the Investor is a Person or entity (other than a “benefit plan investor” within the meaning of Section 3(42) of ERISA) that has discretionary
authority or control with respect to any assets of the Fund, a Person who provides investment advice for a fee (direct or indirect) with respect to any assets of the Fund, or any “affiliate” of any such Person. An “affiliate” of a Person
includes any Person, directly or indirectly, through one or more intermediaries, controlling, controlled by, or under common control with the Person. For purposes of this definition, “control,” with respect to a Person other than an
individual, means the power to exercise a controlling influence over the management or policies of such Person:
|
|
◻ Yes ◻
No
|
|
|
4.a.
|
Is the Investor a private investment company which is not registered under the Investment Company Act in reliance on:
|
|
|
Section 3(c)(1) thereof?
|
◻ Yes ◻
No
|
|
|
Section 3(c)(7) thereof?
|
◻ Yes ◻
No
|
|
|
4.b.
|
Is the Investor an “investment company” registered or required to be registered under the Investment Company Act or an “employee securities company” within the meaning of
Section 2(a)(13) of the Investment Company Act?
|
|
|
◻ Yes ◻
No
|
||
|
4.c.
|
If the answer to question 4.a. or 4.b. is “Yes,” is the Investor structured in a manner to comply with Section 12(d)(1)(E) of the Investment Company Act?
|
|
|
◻ Yes ◻
No
|
||
|
5.
|
If the Investor’s tax year ends on a date other than December 31, please indicate such date.
|
|
|
_______________________________
|
||
|
6.
|
Is the Investor directly or indirectly (a) subject to the U.S. Freedom of Information Act, 5 U.S.C. § 552, (“FOIA”), any state public records access laws, any state or
other jurisdiction’s laws similar in intent or effect to FOIA, or any other similar statutory or regulatory requirement that might result in the disclosure of confidential information relating to the Fund, its Affiliates and/or any Portfolio
Company, or (b) subject, by regulation, contract or otherwise, to disclose information concerning the Fund to a trading exchange or other market where interests in such Investor are sold or traded, whether foreign or domestic?
|
|
|
◻ Yes ◻
No
|
||
|
If the above question was answered “Yes,” please indicate the relevant laws to which the Investor is subject and provide any additional explanatory information.
|
||
|
7.a.
|
For any Investor that is a governmental entity and/or agency, authority, instrumentality or other subdivision of any governmental
authority, including any pension plan or pool of assets controlled by any such governmental authority or part thereof: Are there any applicable laws, rules, regulations and/or policies that limit or restrict the ability of the
Investor and/or the Investor’s employees and/or representatives to participate in activities at meetings or other functions of the Fund and/or to receive items distributed at such meetings and/or functions? (Examples include any prohibitions,
requirements to reimburse the Fund and its affiliates or other similar limits with respect to participation in social or entertainment activities, meals or other gifts or tokens distributed at activities hosted by the Fund and its
affiliates.)
|
|
|
◻ Yes ◻
No
|
||
|
If the question above was answered “Yes,” please indicate the relevant laws, rules, regulations and/or policies to which the Investor is subject and provide additional
explanatory information in the space below:
|
||
|
7.b.
|
If question 7.a. was answered “Yes,” is the Investor entitled to any sovereign or other immunity in respect of itself, its property, or any litigation in any jurisdiction,
court, or venue?
|
|
◻ Yes ◻
No
|
|
|
If question 7.b. was answered “Yes,” please contact Simpson Thacher & Bartlett LLP for additional information that will be required.
|
|
|
Notwithstanding any response to this question 7.b., the Investor hereby confirms that nothing herein shall relieve the Investor of or modify any obligations that the
Investor may have under the Limited Liability Company Agreement or the Subscription Agreement to contribute capital to the Fund in accordance with the terms and conditions of the Limited Liability Company Agreement and the Subscription
Agreement. A lender which provides financing to the Fund or any alternative investment vehicle in accordance with the terms of the Limited Liability Company Agreement may rely on this paragraph.
|
|
|
8.
|
What percentage of the Investor is owned by U.S. Persons?
|
|
_______________%
|
|
|
9.
|
What percentage of the Investor is owned by non-U.S. Persons?
|
|
_______________%
|
|
|
10.
|
Is the Investor (a) a trust any portion of which is treated (under subpart E of part I of subchapter J of chapter 1 of subtitle A of the Code) as owned by a natural person
(e.g., a grantor trust), (b) an entity disregarded for U.S. federal income tax purposes and owned (or treated as owned) by a trust described in clause (a) of this sentence (e.g., a limited liability company with a single member), (c) an
organization described in Section 401(a), Section 501(c)(17) or Section 509(a) of the Code or (d) a trust permanently set aside or to be used for a charitable purpose?
|
|
◻ Yes ◻
No
|
|
|
If the above question was answered “Yes,” please indicate which of the preceding items (a)-(d) applies to the Investor: ___.
|
|
|
E.
|
Discretionary Management
|
|
1.
|
Please check a box below indicating whether any third party has discretion to make such investment in the Fund on your behalf:
|
|
◻ Yes ◻
No
|
|
|
If the above question was answered “Yes,” please list the name of the discretionary manager:
|
|
|
F.
|
Related Parties/Other Beneficial 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 Fund?
|
|
◻ Yes ◻
No
|
|
|
If the above question was answered “Yes,” please indicate the name of such other investor:
|
|
|
If the question above was answered “Yes,” please contact Simpson Thacher & Bartlett LLP for additional information that will be required.
|
|
|
G.
|
Section 892 Investor
|
|
1.
|
Is the Investor eligible for the benefits of Section 892 of the Code (a “Section 892 Investor”)? If so the Investor should provide a
completed IRS Form W-8EXP.
|
|
◻ Yes ◻
No
|
|
|
H.
|
Bank Holding Company Status
|
|
◻ Yes ◻
No
|
|
|
1.
|
Is the Investor a “BHC Investor”10? as such term is defined in the Limited Liability Company Agreement?
|
|
◻ Yes ◻
No
|
|
|
I.
|
Non-U.S. Person Status
|
|
|
1.
|
Is the Investor a “Non-U.S. Person”11?
|
|
|
◻ Yes ◻
No
|
||
|
J.
|
United Kingdom Financial Promotion
|
|
|
1.
|
Is the Investor an “investment professional” as defined for the purposes of Article 19 of the Financial Services and Markets Act 2000 (Financial Promotions) Order 2005, as
amended (“FP Order”) (including, e.g., investment firms and other persons authorized for the purposes of the United Kingdom Financial Services and Markets Act 2000, as amended (“FSMA”), persons exempt
from such authorization requirement in relation to the promotion of the interests, governments, local authorities and any other persons whose ordinary activities involve him investing in securities such as a Unit in the Fund in relation to
the carrying on of a business by him)?
|
|
|
◻ Yes ◻
No
|
||
|
2.
|
Is the Investor a high net worth entity satisfying the requirements of Article 49(2) of the FP Order (including, e.g., (i) any
body corporate which itself has or is grouped with another that has either: (a) called-up share capital or net assets of not less than £5 million; or (b) more than twenty (20) members, or is a subsidiary undertaking of an undertaking which
has more than twenty (20) members, and called-up share capital or net assets of not less than £500,000, (ii) any unincorporated association or partnership with net assets of not less than £5 million, or (iii) the trustee of a trust which has
assets with an aggregate value of cash and investments of £10 million or more (before deducting the amount of its liabilities), or has been £10 million or more at any time during the year immediately preceding the date on which the
Partnership Material was provided to the Investor?
|
|
|
◻ Yes ◻
No
|
||
|
3.
|
Is the Investor a person to whom the Fund Material may otherwise lawfully be communicated in accordance with FSMA or the FP Order?
|
|
|
◻ Yes ◻
No
|
||
|
If the Investor has further questions with respect to the foregoing question, please contact Simpson Thacher & Bartlett LLP.
|
||
|
K.
|
Anti-Money Laundering
|
|
|
1.
|
Please fill out the following table including the name and country of citizenship for:
|
|
|
(i)
|
each individual that is a director and significant12 shareholder if the Investor is a corporation;
|
|
|
(ii)
|
the ultimate owner(s) of the Investor’s general partner(s) and significant13 limited partners if the Investor is a partnership;
|
|
|
(iii)
|
the ultimate owner(s) of the Investor’s managing members and significant13 members if the Investor is a limited liability company; or
|
|
|
(iv)
|
the Investor’s settlor and/or grantor, trustees and beneficiaries if the Investor is a trust.
|
|
|
Name
|
Country of Citizenship
|
Percentage of Ownership
|
|
INDIVIDUAL INVESTOR:
|
||
|
(Print Full Name)
|
||
|
(Signature)
|
||
|
PARTNERSHIP, CORPORATION, LIMITED LIABILITY COMPANY, TRUST, CUSTODIAL ACCOUNT, JOINT ACCOUNT, OTHER INVESTOR:
|
||
|
(Print Full Name of Entity)
|
||
|
By:
|
||
|
(Signature)
|
||
|
(Print Full Name and Title)
|
||
| a) |
Information we receive from you on subscription agreements, investor questionnaires or other forms that you submit to us or contracts that you enter into with us;
|
| b) |
Information related to your transactions with us, our affiliates or others; and
|
| c) |
Information you provide to us directly about your personal finances or personal circumstances, including information obtained from meetings, telephone conversations and electronic
communications with you.
|
| a) |
Providers of services and products, such as broker-dealers, custodians, banks and others used to finance or facilitate transactions by or operations of our private funds; and
|
| b) |
Actual and potential portfolio companies, purchasers thereof and potential co-investors, and each of their respective advisors if requested in connection with an investment or disposition.
|
| c) |
Other service providers to our investment funds, such as those who provide accounting, legal or tax preparation services;
|
| d) |
Other partners and potential investors in our investment funds; and transfer agents, portfolio companies, brokerage firms and the like, in connection with distributions to our limited
partners.
|
| cc: |
Joseph Hartswell
Managing Director & Chief Compliance Officer |
|
Name of Individual Investor:
|
|
|
Name of Fund:
|
|
|
Signature:
|
|
|
Date:
|
|
| 1. |
In this Notice, the following terms have the following meaning:
|
|
“data controller”
|
means the New Mountain entity that decides how and why personal data is processed;
|
|
|
“EEA”
|
means the member states of the European Economic Area;
|
|
|
“personal data”
|
means information from which it is possible to identify a natural person (an individual), or information from which any individual is identifiable;
|
|
|
“processing”
|
means anything that is done with personal data, whether or not by automated means, such as collection, recording, organisation, structuring, storage, adaptation or
alteration, retrieval, consultation, use, disclosure by transmission, dissemination or otherwise making available, alignment or combination, restriction, erasure or destruction.
|
|
|
“processor”
|
means the person or entity that processes personal data on behalf of a data controller.
|
| 2. |
We will only use personal data that you provide to us, or which is otherwise obtained by us in connection with an investment in the Fund, as set out in this Privacy Notice.
|
| 3. |
We may receive personal data about you from the following sources:
|
| a. |
when you provide it to us (e.g., where you contact us via email or telephone, or by any other means);
|
| b. |
when you subscribe to one of our funds and complete a subscription agreement or other fund documents;
|
| c. |
when it is in the public domain, or obtained from searches of public registries, such as court registries or lists maintained by governmental authorities; and
|
| d. |
from third parties who provide it to us, e.g., where we conduct credit reference verification, anti-money laundering checks, or where we receive
your details from financial intermediaries or placement agents fund-raising on our behalf.
|
| 4. |
The categories of personal data that we may process are as follows:
|
| e. |
name(s); date of birth; identification, such as passport; social security number; national ID or insurance number, tax identification number; copy of passport; nationality; signatures;
|
| f. |
address; telephone number; email address; and
|
| g. |
business activities; financial expertise including educational qualifications and investment experience; value of financial portfolio; ability to bear losses; nature of past or current
employment within or outside the financial sector.
|
| 5. |
We may organise the personal data we collect and combine it with other personal data that you provide or that we collect from other sources.
|
| 6. |
We only process information about criminal offences to the extent required by applicable law.
|
| 7. |
The purposes for which we process personal data and the legal bases for doing so are as follows:
|
|
Purpose
|
Legal Basis
|
||
|
a)
|
KYC - confirming your identity and screening against government, supranational bodies or sanctions lists or performing other on-boarding due diligence
|
• The processing is necessary for compliance with a legal obligation;
|
|
|
b)
|
To perform our contract, including managing the assets of the fund, providing periodic and annual reporting, responding to your queries, keeping you apprised of
co-investment opportunities, and any other matters of legitimate interest to investors including other investment opportunities
|
• To perform our contract with you
• We also have a legitimate business interest in carrying out processing
for some of these purposes where we consider that, on balance, our legitimate interests are not overridden by your interests, fundamental rights or freedoms
|
|
|
c)
|
Legal compliance - detecting, investigating and preventing breaches and criminal offences, in accordance with applicable law.
|
• The processing is necessary for compliance with a legal obligation;
or
• We have a legitimate interest in carrying out the processing
|
|
|
d)
|
Legal proceedings.
|
• We have a legitimate interest in carrying out the processing for the
purpose of establishing, exercising or defending our legal rights
|
|
|
e)
|
Improving our products and services,
|
• We have a legitimate interest in carrying out the processing for the
purpose of improving our products or services where we consider that, on balance, our legitimate interests are not overridden by your interests, fundamental rights or freedoms
|
| 8. |
Where it is necessary for the performance of our contract with you, or for our internal business processes, we may share personal data with the Fund in which you are invested, any other
funds in which you invest or apply to invest in and/or the administrator(s) of such funds. In addition, we may disclose your personal data to:
|
| a. |
credit reference agencies;
|
| b. |
anti-fraud services;
|
| c. |
governmental, tax and regulatory, or similar authorities;
|
| d. |
accountants, auditors, financial and tax advisors, lawyers and other outside professional advisors to the Fund or NMC;
|
| e. |
third party processors (such as email and electronic communications retention vendors or fund administrators), located in Canada, Europe and the U.S.A, as applicable;
|
| f. |
any relevant party, enforcement agency or court, to the extent necessary for the establishment, exercise or defence of legal rights;
|
| g. |
for the prevention, investigation or prosecution of criminal offences;
|
| h. |
in connection with AML/KYC requirements; and
|
| i. |
any relevant third party acquirer(s), in the event that we sell or transfer all or any relevant portion of the Fund.
|
| 9. |
Where it is necessary for the performance of our contract with you and you choose not to provide personal data to us or do not want NMC to process this data, it may prevent NMC from
allowing you to invest in the Fund and may adversely affect NMC’s ability otherwise to manage its business relationship with you.
|
| 10. |
Where we engage a third-party processor, the processor will be subject to contractual obligations to: (i) process in accordance with our prior written instructions; and (ii) use measures
to protect the confidentiality and security of the personal data.
|
| 11. |
NMC is based in the U.S.A. The personal data you provide to us will be transferred to and stored on our servers in the U.S.A. We take reasonable steps to protect your personal data from
unauthorised access and against unlawful processing, accidental loss, destruction and damage. Where we receive your personal data directly in the U.S.A. we are not responsible for its transfer outside the EEA. Personal data may be shared
with fund administrators (for certain NMC products) and other service providers (e.g., for email and electronic communications retention) that are located outside of the United States. Otherwise, we do not intend to transfer your
personal data to other countries outside the U.S.A. Where any transfer takes place under a written contract, you have the right to request a copy of that contract and may do so by contacting NMC (see the contact details below).
|
| 12. |
We take reasonable steps designed to ensure that your personal data are accurate and, where necessary, kept up to date. You have the right to ask to see the data we hold about you and to
ask us to: (a) make any changes to ensure that any personal data is accurate and up to date; (b) erase or stop processing any personal data we hold where there is no longer a legal ground for us to process it; and, (c) transfer such data
to a third party (however we do not foresee the applicability of this right in the context of your investment in a fund). To exercise one or more of these rights, or to ask a question about these rights, please contact NMC at the address
below.
|
| 13. |
You have the right to ask us not to process your personal data for marketing purposes. You can exercise this right by checking a box on any communication in which we seek to gather any
personal data from you for such purposes; alternatively, you can exercise the right at any time by contacting us at the address below.
|
| 14. |
The criteria for determining the duration for which we will retain your personal data are as follows:
|
| a. |
in a form that permits identification only for as long as necessary in connection with the lawful purpose for which it is held;
|
| b. |
for the period under applicable law during which any person could bring a legal claim against NMC in relation to a matter in which your personal data may be relevant; and
|
| c. |
if a legal claims were to be brought, for such additional periods as are necessary in connection with that claim.
|
| 15. |
Once these periods have expired, we will permanently delete or destroy the relevant personal data.
|
|
Name of Subscriber
|
||
|
By:
|
||
|
Name of Signatory:
|
||
|
Title (if applicable):
|
| (i) |
the Purchaser is purchasing the Securities as principal, or is deemed to be purchasing as principal in accordance with Applicable Securities Laws of the province in which the Purchaser is
resident, for investment only and not with a view to resale or distribution;
|
| (ii) |
is resident in or is subject to the laws of the province of (check one):
|
|
□ British Columbia
|
□ Alberta
|
□ Saskatchewan
|
|
|
□ Manitoba
|
□ Ontario
|
□ Québec
|
|
|
□ New Brunswick
|
□ Prince Edward Island
|
□ Nova Scotia
|
|
|
□ Newfoundland and Labrador
|
| (iii) |
has not been provided with any offering memorandum as such term is defined in Schedule “A” to this Canadian Certificate in connection with the purchase of the Securities other than the
Memorandum; and
|
| (iv) |
is (A) an “accredited investor” as such term is defined in National Instrument 45-106 Prospectus Exemptions, or, in Ontario, in section 73.3(1) of
the Securities Act (Ontario), and (B) a “permitted client”, other than a natural person, as such term is defined in National Instrument 31-103 Registration
Requirements, Exemptions and Ongoing Registrant Obligations, by virtue of satisfying the indicated criteria in Schedule “A” to this Canadian Certificate.
|
|
Name of Subscriber
|
||
|
By:
|
||
|
Name of Signatory:
|
||
|
Title (if applicable):
|
||
|
Subscriber’s Address (P.O. Boxes are not acceptable)
|
||
|
Telephone No.
|
||
|
Telefax No.
|
||
|
Email Address
|
||
|
□
|
(a)
|
a Canadian financial institution or a Schedule III bank;
|
|
□
|
(b)
|
the Business Development Bank of Canada incorporated under the Business Development Bank of Canada Act (Canada);
|
|
□
|
(c)
|
a subsidiary of any person or company referred to in paragraph (a) or (b), if the person or company owns all of the voting securities of the subsidiary, except the voting securities
required by law to be owned by directors of the subsidiary;
|
|
□
|
(d)
|
a person or company registered under the securities legislation of a jurisdiction of Canada as an adviser, investment dealer, mutual fund dealer or exempt market dealer;
|
|
□
|
(e)
|
a pension fund that is regulated by either the federal Office of the Superintendent of Financial Institutions or a pension commission or similar regulatory authority of a jurisdiction of
Canada or a wholly-owned subsidiary of such a pension fund;
|
|
□
|
(f)
|
an entity organized in a foreign jurisdiction that is analogous to any of the entities referred to in paragraphs (a) to (e);
|
|
□
|
(g)
|
the Government of Canada or a jurisdiction of Canada, or any Crown corporation, agency or wholly-owned entity of the Government of Canada or a jurisdiction of Canada;
|
|
□
|
(h)
|
any national, federal, state, provincial, territorial or municipal government of or in any foreign jurisdiction, or any agency of that government;
|
|
□
|
(i)
|
a municipality, public board or commission in Canada and a metropolitan community, school board, the Comité de gestion de la taxe scolaire de l’île de Montréal or an intermunicipal management
board in Québec;
|
|
□
|
(j)
|
a trust company or trust corporation registered or authorized to carry on business under the Trust and Loan Companies Act (Canada) or under comparable legislation in a jurisdiction of Canada
or a foreign jurisdiction, acting on behalf of a managed account managed by the trust company or trust corporation, as the case may be;
|
|
□
|
(k)
|
a person or company acting on behalf of a managed account managed by the person or company, if the person or company is registered or authorized to carry on business as an adviser or the
equivalent under the securities legislation of a jurisdiction of Canada or a foreign jurisdiction;
|
|
□
|
(l)
|
An investment fund if one or both of the following apply:
(i) the fund is managed by a person or company registered as an investment fund manager under the securities legislation of a jurisdiction of Canada;
(ii) the fund is advised by a person or company authorized to act as an adviser under the legislation of a jurisdiction of Canada;
|
|
□
|
(m)
|
in respect of a dealer, a registered charity under the Income Tax Act (Canada) that obtains advice on the securities to be traded from an eligibility
adviser, as defined in section 1.1 of National Instrument 45-106 Prospectus and Registration Exemptions (“NI 45-106”), or an adviser registered under the securities legislation of the
jurisdiction of the registered charity;
|
|
□
|
(n)
|
in respect of an adviser, a registered charity under the Income Tax Act (Canada) that is advised by an eligibility adviser, as defined in
section 1.1 of NI 45-106, or an adviser registered under the securities legislation of the jurisdiction of the registered charity;
|
|
□
|
(o)
|
An individual who beneficially owns financial assets, as defined in section 1.1 of NI 45-106, having an aggregate realizable value that, before taxes but net of any related
liabilities, exceeds $5 million;
|
|
□
|
(p)
|
a person or company that is entirely owned by an individual or individuals referred to in paragraph (o), who holds the beneficial ownership interest in the person or company directly or
through a trust, the trustee of which is a trust company or trust corporation registered or authorized to carry on business under the Trust and Loan Companies Act (Canada) or under comparable legislation in a jurisdiction of Canada or a
foreign jurisdiction;
|
| (a) |
an association governed by the Cooperative Credit Associations Act (Canada) or a central cooperative credit society for which an order has been
made under section 473(1) of that Act, or
|
| (b) |
a bank, loan corporation, trust company, trust corporation, insurance company, treasury branch, credit union, caisse populaire, financial services cooperative, or league that, in each
case, is authorized by an enactment of Canada or a jurisdiction of Canada to carry on business in Canada or a jurisdiction of Canada.
|
| (c) |
a person that is registered as an investment dealer and authorized to give advice with respect to the type of security being distributed, and
|
| (d) |
in Saskatchewan or Manitoba, also means a lawyer who is a practicing member in good standing with a law society of a jurisdiction of Canada or a public accountant who is a member in good
standing of an institute or association of chartered accountants, certified general accountants or certified management accountants in a jurisdiction of Canada provided that the lawyer or public accountant must not
|
| (i) |
have a professional, business or personal relationship with the issuer, or any of its directors, executive officers, founders, or control persons (as such term is defined in applicable
securities legislation)13, and
|
| (ii) |
have acted for or been retained personally or otherwise as an employee, executive officer, director, associate or partner of a person that has acted for or been retained by the issuer or
any of its directors, executive officers, founders or control persons (as such term is defined in applicable securities legislation) within the previous 12 months.
|
| (e) |
a member of the board of directors of a company or an individual who performs similar functions for a company, and
|
| (f) |
with respect to a person that is not a company, an individual who performs functions similar to those of a director of a company.
|
| (g) |
a chair, vice-chair or president,
|
| (h) |
a vice-president in charge of a principal business unit, division or function including sales, finance or production, or
|
| (i) |
performing a policy-making function in respect of the issuer.
|
| 13 |
The definition of “control person” is set out in the securities legislation of each Canadian province and territory and reference should be made to the definition
applicable in the jurisdiction of the permitted client.
|
| (j) |
acting alone, in conjunction, or in concert with one or more persons, directly or indirectly, takes the initiative in founding, organizing or substantially reorganizing the business of the
issuer, and
|
| (k) |
at the time of the distribution or trade is actively involved in the business of the issuer.
|
| (l) |
an individual,
|
| (m) |
a corporation,
|
| (n) |
a partnership, trust, fund and an association, syndicate, organization or other organized group of persons, whether incorporated or not, and
|
| (o) |
an individual or other person in that person's capacity as a trustee, executor, administrator or personal or other legal representative.
|
| (p) |
cash,
|
| (q) |
securities, or
|
| (r) |
a contract of insurance, a deposit or an evidence of a deposit that is not a security for the purposes of securities legislation.
|
| (s) |
the first person, directly or indirectly, beneficially owns or exercises control or direction over securities of the second person carrying votes which, if exercised, would entitle the
first person to elect a majority of the directors of the second person, unless that first person holds the voting securities only to secure an obligation,
|
| (t) |
the second person is a partnership, other than a limited partnership, and the first person holds more than 50% of the interests of the partnership, or
|
| (u) |
the second person is a limited partnership and the general partner of the limited partnership is the first person.
|
| 1. |
Qualified Institutional Investor Status:
|
| 1.a |
If the Investor is a Japan Investor, then is the Investor a “qualified institutional investor” (tekikaku kikan toshika) as defined in Article 10,
Paragraph 1 of the Cabinet Office Ordinance Concerning Definitions Provided in Article 2 of the Financial Instruments and Exchange Law of Japan (“Qualified Institutional Investor”) as of the date hereof and the date when the Japan
Investor was offered the Units?
|
| 1.b |
If the Japan Investor is a Qualified Institutional Investor and checked “Yes” to the box above, check the category or categories that apply to the Japan Investor:
|
|
◻
|
(1) Financial instruments firm engaged in “Type I financial instruments business” (only those falling under the category of securities-related business, and except for
those only engaging in the Type I electronic small amount subscription business as defined in Article 29-4-2, Paragraph 10 of the FIEL) or investment management business;
|
|
◻
|
(2) Investment company prescribed in Article 2, Paragraph 12 of the Law Concerning Investment Trusts and Investment Corporations (Law No. 198 of 1951);
|
|
◻
|
(3) Non-Japanese investment company prescribed in Article 2, Paragraph 25 of the Law Concerning Investment Trusts and Investment Corporations;
|
|
◻
|
(4) Bank;
|
|
◻
|
(5) Insurance company;
|
|
◻
|
(6) Non-Japanese insurance company or another entity described in Article 2, Paragraph 7 of the Insurance Business Law (Law No. 105 of 1995);
|
|
◻
|
(7) Shinkin Banks and Federations of Credit Cooperatives, and Labor Credit Associations and Federations of Labor Credit Associations;
|
|
◻
|
(8) The Norinchukin Bank or the Shoko Chukin Bank;
|
|
◻
|
(9) (A) Credit Cooperative that has submitted a notification of such status to the Commissioner of the Financial Services Agency (“FSA”) or a Federation of Credit
Cooperatives; (B) a Federation of Agricultural Cooperatives engaged in the business of acceptance of deposits or savings or of facilities concerning mutual aid; or (C) a Federation of Mutual Aid Fishery Cooperatives engaged in the business of
acceptance of deposits or savings or of facilities concerning mutual aid;
|
|
◻
|
(10) The Enterprise Turnaround Initiative Corporation of Japan (limited to the cases where it is engaged in business activities listed in Article 22, paragraph (1), item
(i), item (ii), sub-items (a) and (c) and items (iii), (v), (ix) and (x) of the Act on the Enterprise Turnaround Initiative Corporation of Japan (Act No. 63 of 2009));
|
|
◻
|
(11) Kabushiki Kaisha Great East Japan Earthquake Business Operator Support Organization (limited to the case where it is engaged in business activities provided for in
Article 16, Paragraph (1), item (i) and item (ii), sub-items (a) and (c) of the Kabushiki Kaisha Great East Japan Earthquake Business Operator Support Organization Law (Law No. 113 of 2011)).
|
|
◻
|
(12) Person who administers and manages one or more fiscal loan funds;
|
|
◻
|
(13) Government Pension Investment Fund;
|
|
◻
|
(14) Japan Bank for International Cooperation and the Okinawa Development Finance Corporation;
|
|
◻
|
(15) Development Bank of Japan;
|
|
◻
|
(16) Agricultural Cooperative or Federation of Fishery Cooperatives engaged in the business of acceptance of deposits or savings;
|
|
◻
|
(17) Person listed in Article 1-9, Item (5) of the Enforcement Ordinance of the FIEL (and registered in accordance with the provisions of Article 33-2 of the FIEL);
|
|
◻
|
(18) Corporation (kabushiki-kaisha) conducting business listed in Article 17-3, Paragraph 2, Item (12) of the Enforcement
Regulation of the Banking Law (Ordinance of the Ministry of Finance No. 10 of 1982), that has submitted a notification to the Commissioner of the FSA that the amount of its capital as of its most recent fiscal year end is at least 500 million
yen and that its Articles of Incorporation provide that it is engaged in such business;
|
|
◻
|
(19) Limited liability partnership for investments prescribed in Article 2, Paragraph 2 of the Limited Partnership Act for Investment;
|
|
◻
|
(20) (A) Employees’ pension fund (as such term is defined in Article 3, Item 11 of the Supplementary Provisions of Law No. 63 of 2013; the same applies in Item (24)),
which has submitted a notification in accordance with Article 176, Paragraph 2 of Employees’ Pension Insurance Act (as such Article was effective immediately prior to the amendment to such Act by Article 1 of Law No. 63 of 2013 and are deemed
effective due to Article 5, Paragraph 1 of the Supplementary Provisions of Law No. 63 of 2013) and that has submitted a notification to the Commissioner of the FSA that the aggregate amount of its liquid assets and fixed assets less the
aggregate amount of its liquid liabilities, payment reserves and excessive reserve balance as described in the balance sheet (only those submitted in accordance with the provisions of Article 39, Paragraph 1 of the Cabinet Office Ordinance
Concerning the Employees’ Pension Funds prior to the repeal (Ordinance No. 324 of 1966)) concerning pension accounting for the recent fiscal year is 10 billion yen or more; (B) corporate pension fund that has submitted a notification to the
Commissioner of the FSA that the aggregate amount of its liquid assets and fixed assets less the aggregate amount of their liquid liabilities and payment reserves as described in the balance sheet (only those submitted in accordance with the
provisions of Article 117, Paragraph 3, Item (1) of the Enforcement Regulations for the Law Concerning Defined-Benefit Corporate Pension Plans (Ministry of Health, Labour and Welfare Ordinance No. 22 of 2002)) concerning pension accounting
for the recent fiscal year is 10 billion yen or more; or (C) the Pension Fund Association;
|
|
◻
|
(21) Person authorized to do business listed in Article 29, Paragraph 1, Item (1) of the Law Concerning Special Measures against Urban Rehabilitation (Law No. 22 of 2002)
to the extent of doing business listed in Article 29, Paragraph 1, Item (1) therein and persons authorized to do business listed in Article 71, Paragraph 1, Item (1) of the same law to the extent of doing business listed in Article 71,
Paragraph 1, Item (1) therein;
|
|
◻
|
(22) Trust company prescribed in Article 2, Paragraph 2 of the Trust Business Law (Law No. 154 of 2004) (excluding management type trust companies prescribed in Article 2,
Paragraph 4 therein) that has submitted a notification to the Commissioner of the FSA;
|
|
◻
|
(23) Non-Japanese trust company prescribed in Article 2, Paragraph 6 of the Trust Business Law (excluding the non-Japanese management type trust companies prescribed in
Article 2, Paragraph 7 therein) that has submitted a notification to the Commissioner of the FSA;
|
|
◻
|
(24) Corporation (other than existing employees’ pension fund) that has submitted a notification to the Commissioner of the FSA that it satisfies either of the following
requirements (as to a corporation that has submitted a notification described in clause (24)(ii) below is applicable, only those conducting transactions as Operating Partners) 14:
|
|
(i) The corporation holds a balance of securities
on the date immediately prior to the date of notification (“Nearest Preceding Day”), of 1 billion yen or more; or
|
|
|
(ii) The corporation (excluding those who satisfy
paragraph (i)) is an Operating Partner that satisfies each of the following requirements:
|
|
|
(a) Securities Balance, which the corporation holds
as an Operating Partner, for the business subject to contribution under the partnership agreement, silent partnership agreement, limited liability partnership agreement, or any agreement similar to any of the above agreements governed under
non-Japanese laws and regulations, is 1 billion yen or more as of the Nearest Preceding Day; and
|
|
|
(b) The corporation has obtained, for submitting
the notification, the consent of all other partners of the partnership under the partnership agreement, the silent partners of all other silent partnership agreements having rights under the business subject to contribution regarding the
silent partnership agreement or all other partners of the partnership under the limited liability partnership agreement, or all other partners under any agreement similar to any of the above agreements governed under non-Japanese laws and
regulations;
|
|
◻
|
(25) Special Purpose Company (as provided for in Article 2, Paragraph 3 of the Act on Securitization of Assets (Law No. 105 of 2008) which has made a filing with the
Commissioner of the FSA as falling under any of the following requirements:
|
|
(i) The Specified Assets (as provided for in
Article 2, Paragraph 1 of the Act on Securitization of Assets) in the Asset Securitization Plan as provided for in Article 2, Paragraph 4 of the Act on Securitization of Assets that has been filed pursuant to Article 4, Paragraph 1 of the
Act on Securitization of Assets, including the securities (or, if a notification pursuant to Article 9, Paragraph 1 of the Asset Securitization Law regarding the amendment of the Asset Securitization Plan has been submitted, the amended
Asset Securitization Plan) and the value of such securities is 1 billion yen or more;
|
|
|
(ii) Pursuant to Article 200, Paragraph 1 of the
Act on Securitization of Assets, the Special Purpose Company has entered into a trust agreement regarding the relevant Specified Assets (with limitation to the securities, acquisition and solicitation (as provided for in Article 2,
Paragraph 3 of the Act and includes the reorganization issuance procedures prescribed in Article 2-2, Paragraph 2 of the FIEL) which falls under any of the cases as provided for in Article 2, Paragraph 3, Sub-paragraph (ii)(a) of the Act)
with a trust company, etc. (which falls under Qualified Institutional Investors among the trust companies, etc. provided for in Article 33, Paragraph 1 of the Act on Securitization of Assets) in order for such company to conduct the
management and disposition of such Specified Assets and that there is a resolution of the general meeting of the members of such Special Purpose Company for making such filing; and
|
|
|
(iii) Pursuant to Article 200, Paragraph 2 of the
Act on Securitization of Assets, the Special Purpose Company has entrusted the business regarding management and disposition of the Specified Assets to the Financial Instruments Business Operator (with limitation to the person which
conducts the investment management business) which is the assignee of the relevant Specified Assets or to the Financial Instruments Business Operator which has the financial base and personnel that are sufficient to duly conduct the
management and disposition of the Specified Assets and that there is a resolution of the general meeting of members of such Special Purpose Company for making such filing.
|
|
◻
|
(26) Individual who has submitted a notification to the Commissioner of the FSA that it satisfies either of the following requirements:
|
|
(i) Individual who satisfies each of the
following requirements:
|
|
|
(a) Securities Balance, which the individual
holds, is 1 billion yen or more as of the Nearest Preceding Day; and
|
|
|
(b) one year has passed since the individual
opened an account with the “Financial Instruments Firm and Registered Financial Institution” within the meaning given to it under Article 34 of the FIEL;
|
|
|
Or
|
|
|
(ii) The individual is an Operating Partner who
satisfies each of the following requirements:
|
|
|
(a) Securities Balance, which the individual holds
as an Operating Partner, for the business subject to contribution under the partnership agreement, silent partnership agreement, limited liability partnership agreement, or any agreement similar to any of the above agreements governed under
non-Japanese laws and regulations, is 1 billion yen or more as of the Nearest Preceding Day; and
|
|
|
(b) The individual has obtained, for purposes of
submitting the notification, the required consent of all other partners of the partnership under the partnership agreement, the silent partners of all other silent partnership agreements having rights under the business subject to
contribution regarding the silent partnership agreement or all other partners of the partnership under the limited liability partnership agreement, or all other partners under any agreement similar to any of the above agreements governed
under non-Japanese laws and regulations;
|
|
|
◻
|
(27) Person (excluding individuals) conducting the following business in countries other than Japan in compliance with applicable non-Japanese laws and regulations who has
submitted a notification to the Commissioner of the FSA that the amount of their stated capital (or capital commitments or total initial capital) as of the date of such notification is equal to or more than the relevant amount stated below:
|
|
(i) Type I financial instruments business falling
under the category of securities-related business, except for those only engaging in the same type of business as the Type I electronic small amount subscription business as defined in Article 29-4-2, Paragraph 10 of the FIEL: 50 million
yen;
|
|
|
(ii) investment management business: 50 million
yen;
|
|
|
(iii) banking business prescribed in Article 2,
Paragraph 2 of the Banking Law (Law No. 59 of 1981): 2 billion yen;
|
|
|
(iv) insurance business prescribed in Article 2,
Paragraph 1 of the Insurance Business Law: 1 billion yen; or
|
|
|
(v) trust business prescribed in Article 2,
Paragraph 1 of the Trust Business Law (excluding the management type trust business prescribed in Article 2, Paragraph 3 of the Trust Business Law): 100 million yen;
|
|
◻
|
(28) Non-Japanese government, non-Japanese governmental agency, non-Japanese local government, non-Japanese central bank or an international organization in which the
nation of Japan participates (in its capacity a sovereign nation), in each case that has submitted a notification of such status to the Commissioner of the FSA; and
|
|
◻
|
(29) A fund which falls under or similar to the employees’ pension fund or corporate pension fund established in accordance with foreign laws, which has made a filing with
the Commissioner of the FSA to the effect that all of the following requirements are met:
|
|
(i) Such fund is operated for the purpose of
management or delivery of, mainly, retirement funds, retirement allowance or other similar remuneration in a foreign country; and
|
|
|
(ii) The total amount of the assets in the document
regarding the financial calculation for the recent business year that is equivalent to the balance sheet, deducted by the total amount of debt, is 10 billion yen or more.
|
|
|
◻
|
(30) Other entity that is a Qualified Institutional Investors under the FIEL because it is ____________________________________________________________.
|
| 1.c. |
If the Japan Investor is NOT a Qualified Institutional Investor, please check applicable boxes in relation to the status of an Eligible Non-Qualified Institutional Investor (as defined
under Article 17-12, Paragraph 1 of the Cabinet Order) as of the date hereof and the date when the Japan Investor was offered the Units:
|
|
◻
|
(1) The Japanese government
|
|
◻
|
(2) Bank of Japan.
|
|
◻
|
(3) The local government.
|
|
◻
|
(4) A Financial Instruments Business Operator or Registered Financial Institution.
|
|
◻
|
(5) A person who conducts the business of self-offering or investment management for partnership-type funds for which he/she/it is acting as a general partner (as
stipulated in Article 17-12, Paragraph 1, Item 5 of the Cabinet Order).
|
|
◻
|
(6) A director, officer or employee of the Qualified Institutional Investors -Targeted Fund Business Operator (as stipulated in Article 233-2, Paragraph 1, Item 1 of the
Cabinet Office Ordinance on Financial Instruments Business, etc. (the “Cabinet Office Ordinance”)).
|
|
◻
|
(7) A a) Parent Company, b) Subsidiary or c) Subsidiary of the Parent Company of the Qualified Institutional Investors -Targeted Fund Operator (as stipulated in Article
233-2, Paragraph 1, Item 2 of the Cabinet Office Ordinance).
|
|
◻
|
(8) An investment manager for the Qualified Institutional Investors -Targeted Fund Operator (including sub-investment manager) (as stipulated in Article 233-2, Paragraph
1, Item 3 of the Cabinet Office Ordinance).
|
|
◻
|
(9) An investment advisor to the Qualified Institutional Investors -Targeted Fund Operator (as stipulated in Article 233-2, Paragraph 1, Item 4 of the Cabinet Office
Ordinance).
|
|
◻
|
(10) A Director, officer or employee of those specified in Items (7) to (9).
|
|
◻
|
(11) A family of individual Qualified Institutional Investors -Targeted Fund Operator and those specified in Item (6) and Items (8) to (10) (as stipulated in Article
233-2, Paragraph 1, Item 6 of the Cabinet Office Ordinance).
|
|
◻
|
(12) A company that issues share certificates which are listed on a Financial Instruments Exchange.
|
|
◻
|
(13) A legal entity with JPY 50 million or more of paid-in capital.
|
|
◻
|
(14) A legal entity with JPY 50 million or more of net assets.
|
|
◻
|
(15) A juridical person incorporated by a specific act of incorporation pursuant to the provisions of any specific act.
|
|
◻
|
(16) A tokutei mokuteki kaisha (TMK).
|
|
◻
|
(17) A Corporate Pension Fund whose financial assets amount to no less than 10 billion yen (as stipulated in Article 17-12, Paragraph 1, Item 12 of the Cabinet Order).
|
|
◻
|
(18) A foreign juridical person.
|
|
◻
|
(19) An individual whose financial assets amount to no less than 100 million yen, and who opened his/her securities account more than 1 year ago (as stipulated in Article
233-2, Paragraph 3, Item 1 of the Cabinet Office Ordinance).
|
|
◻
|
(20) An individual who, as a general partner of a partnership, an operator for tokumei kumiai, an executive partner of a limited
liability partnership or a similar person under non-Japanese laws, holds financial assets of such fund that amount to no less than 100 million yen (in case such individual makes a transaction in such capacity) (as stipulated in Article 233-2,
Paragraph 3, Item 2 of the Cabinet Office Ordinance).
|
|
◻
|
(21) Public Interest Incorporated Association or Public Interest Incorporated Foundation amount to no less than 25% of whose voting rights or contributed money are held by
the Japanese government or the local government, and whose business purpose is to develop local industries (as stipulated in Article 233-2, Paragraph 4, Item 1 of the Cabinet Office Ordinance).
|
|
◻
|
(22) A Surviving Employees' Pension Fund whose financial assets amount to no less than 10 billion yen (as stipulated in Article 233-2, Paragraph 4, Item 2 of the Cabinet
Office Ordinance).
|
|
◻
|
(23) A non-Japanese pension fund that is equivalent to Corporate Pension Fund or a Surviving Employees’ Pension Fund, whose financial assets amount to no less than 10
billion yen (as stipulated in Article 233-2, Paragraph 4, Item 3 of the Cabinet Office Ordinance).
|
|
◻
|
(24) A legal entity whose financial assets amount to no less than 100 million yen (as stipulated in Article 233-2, Paragraph 4, Item 4(a) of the Cabinet Office Ordinance).
|
|
◻
|
(25) A legal entity, which as a general partner of a partnership, an operator for tokumei kumiai, an executive partner of a
limited liability partnership or a similar person under non-Japanese laws, holds financial assets that amount to no less than 100 million yen (as stipulated in Article 233-2, Paragraph 4, Item 4(b) of the Cabinet Office Ordinance).
|
|
◻
|
(26) A Subsidiary or Related Company of the following (as stipulated in Article 233-2, Paragraph 4, Item 5 of the Cabinet Office Ordinance):
(i) a Financial Instruments Business Operator or Registered Financial Institution;
(ii) a listed company;
(iii) a legal entity with JPY 50 million or more of paid-in capital; or
(iv) a legal entity with JPY 50 million or more of net assets.
|
|
◻
|
(27) A certain asset management company of the individual set forth in Item (19) or Item (20) (as stipulated in Article 233-2, Paragraph 4, Item 6 of the Cabinet Office
Ordinance).
|
|
◻
|
(28) An issuer of a certain non-Japanese partnership interests (as stipulated in Article 233-2, Paragraph 4, Item 7 of the Cabinet Office Ordinance).
|
|
◻
|
(29) An asset management company whose investment revenue amounts to no less than 75% of all revenue (as stipulated in Article 233-2, Paragraph 4, Item 8 of the Cabinet
Office Ordinance).
|
|
◻
|
(30) The undersigned is NOT an Eligible Non-Qualified Institutional Investor.15
|
| 1.d. |
If the Japan Investor is a Professional Investor (tokutei toshika), please check the category or categories that apply to the Japan Investor:
|
|
◻
|
(1) Qualified Institutional Investor
|
|
◻
|
(2) The Japanese government
|
|
◻
|
(3) Bank of Japan
|
|
◻
|
(4) juridical persons incorporated by a specific act of incorporation pursuant to the provisions of any specific act;
|
|
◻
|
(5) an Investor Protection Fund as prescribed in Article 79-21 of the FIEL;
|
|
◻
|
(6) Deposit Insurance Corporation of Japan;
|
|
◻
|
(7) the Agricultural and Fishery Cooperative Savings Insurance Corporation;
|
|
◻
|
(8) the Insurance Policyholders Protection Corporation of Japan prescribed in Article 259 of the Insurance Business Act;
|
|
◻
|
(9) a Special Purpose Company;
|
|
◻
|
(10) a company that issues share certificates which are listed on a Financial Instruments Exchange;
|
|
◻
|
(11) a stock company whose stated capital is expected to amount to 500 million yen or more, reasonably judging from the status of the transactions thereof or any other
circumstances;
|
|
◻
|
(12) a financial instruments firm, or a juridical person that falls under the category of a Notifier of Specially Permitted Business Activities as prescribed in Article
63, Paragraph 3 of the FIEL; and
|
|
◻
|
(13) a foreign juridical person.
|
| 1.e. |
If the Japan Investor is a Professional Investor as specified in 1.d. above, the Japan Investor confirms that the following notification under Article 34 of the FIEL has been made to it by
the Fund:
|
| 2. |
Collective Investment Scheme or Special Purpose Company Status:
|
| 2.b. |
If question 2.a above was answered “Yes,” please indicate the type of the collective investment scheme or special purpose company referenced in question 2.a.
________________________________________________________________
|
| 2.c. |
If question 2.a above was answered “Yes,” please provide the number of: (x) partners (tokumei kumiai-in in the case of a tokumei kumiai) in the collective investment scheme; or (y) members (sha-in) in the special purpose company, who are Qualified Institutional Investors and who are not Qualified
Institutional Investors.
|
| 3. |
Japanese Anti-Money Laundering Regulations.
|
| 3.a. |
Identity Verification
|
| ii. |
Identity verification documents
|
| 3.b. |
If the Japan Investor is the Japanese government, the local government, a listed company or any other investor specified under Article 14 of the Order for Enforcement of the Act concerning
Prevention of Transfer of Criminal Proceeds, as amended, such Japan Investor does not need to answer this Question 3.
|
| i. |
Purpose of the transaction
|
| ii. |
If the Japan Investor is a juristic person (hojin), please indicate each Ultimate Controlling Person:
|


| iii. |
Business or occupation of the Investor
|
| iv. |
Foreign Politically Exposed Persons
|
|
The Investor possesses the experience, knowledge and expertise to make its own investment decisions and properly assess the risks involved and is one of the following
types of client:
|
|||
|
1.
|
◻ |
An entity which is required to be authorised or regulated to operate in the financial markets (including entities authorised by a European Union member state (a “Member
State”) under a directive, entities authorised or regulated by a Member State without reference to a directive, and entities authorised or regulated by a non-Member State), such as:
◻ a credit institution;
◻ an investment firm;
◻ any other authorised or regulated financial institution;
◻ an insurance company;
◻ a collective investment scheme or management company of such a
scheme;
◻ a pension fund or a management company of such a pension fund;
◻ a commodity or commodity derivatives dealer;
◻ a local; OR
◻ any other institutional investor.
|
|
|
OR
|
|||
|
2.
|
◻ |
A large undertaking meeting two of the following size requirements on a company basis:
|
|
|
• balance sheet total equal to or exceeding:
|
€20,000,000
|
||
|
• net turnover total equal to or exceeding:
|
€40,000,000
|
||
|
• own funds total equal to or exceeding:
|
€2,000,000
|
||
|
OR
|
|||
|
3.
|
◻ |
A national or regional government, a public body that manages public debt at national or regional level, a central bank, an international and supranational institution
(such as the World Bank, the International Monetary Fund, the European Central Bank or the European Investment Bank) or any other similar international organisation.
|
|
|
OR
|
|||
|
4.
|
◻ |
Any other institutional investor whose main activity is to invest in financial instruments, including entities dedicated to the securitisation of assets or other financing
transactions.
|
|
|
OR
|
|||
|
5.
|
◻ |
The Investor is none of the above, but for the purposes of this transaction or type of transaction and at its request, it has been categorised by an authorised investment
firm as a professional client in accordance with the assessment procedure and formalities specified in Section II of Annex II to MiFID, particulars of which have been provided separately to the Manager.
|
|
| ◻ |
(i) Have been convicted, within the past 10 years, of any felony or misdemeanor within the United States:
|
| ◻ |
(ii) Are subject to any order, judgment or decree of any court of competent jurisdiction, entered within the past 5 years, that restrains or enjoins you from engaging or continuing to
engage in any conduct or practice:
|
| ◻ |
(iii) Are subject to a final order17 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:
|
| ◻ |
(iv) Are subject to an order of the SEC entered pursuant to Section 15(b) or 15B(c) of the Securities Exchange Act of 1934 or Section 203(e) or (f) of the Investment Advisers Act of 1940
that:
|
| 17 |
Final order means a written directive or declaratory statement issued by a federal or state agency under applicable statutory authority that provides for notice and an opportunity for
hearing, which constitutes a final disposition or action by that federal or state agency.
|
| ◻ |
(v) Are subject to any order of the SEC entered within the past 5 years that orders you to cease and desist from committing or causing a violation or future violation of:
|
| ◻ |
(vi) Are 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) Have filed (as a registrant or issuer), or were or were named as an underwriter in, any registration statement or Regulation A offering statement filed with the SEC that, within the
past 5 years, was the subject of a refusal order, stop order, or order suspending the Regulation A exemption, or is the subject of an investigation or proceeding to determine whether a stop order or suspension order should be issued.
|
| ◻ |
(viii) Are subject to a United States Postal Service false representation order entered within the past 5 years, or are subject to 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 representation.
|
| ◻ |
(ix) None of the above.
|
| 1. |
Most Favored Nation. Following the end of the Closing Period, the Fund shall summarize or disclose to the Investor any and all
side letters or other written agreements with other Unitholders in the Fund, which may be redacted to remove identifying information (each a “Side Letter”). To the extent any Side Letter entered into with a Unitholder similarly situated
with the Investor has the effect of establishing rights or otherwise benefiting such Unitholder in a manner more favorable in any material respect to such Unitholder than the rights and benefits established in favor of the Investor by
this Agreement (each such right or benefit, a “Preferential Term”), the Investor shall, upon request to the Fund within 30 days of receipt of such Side Letter, receive substantially the same rights and benefits of any Preferential Term,
but only if the Investor agrees to be bound by all terms, restrictions and obligations contingent upon or related to such Preferential Term and such rights and benefits are or can be applicable to the Investor and are so requested. For
the avoidance of doubt, such rights or benefits that are related to a legal, tax, regulatory or other similar basis (including by way of any written internal policy of governmental and/or sovereign investors) applicable to the party to
a Side Letter but not to the Investor on a substantially similar basis, in the sole discretion of the Fund, shall be deemed to be inapplicable to the Investor for purposes of this paragraph. Notwithstanding the foregoing, the Fund shall
not be required to disclose to the Investor, and the Investor shall not be entitled to elect or receive, any terms in any Side Letter to the extent (i) such terms relate to any right or privilege in connection with nominating,
recommending or appointing a member of the Fund’s Advisory Committee or a non-voting observer of the Fund’s Advisory Committee, or (ii) the Investor’s Capital Commitment (aggregated with the Capital Commitments of related investors, as
determined in the sole discretion of the Fund) does not equal or exceed the Capital Commitment of the Unitholder that is a party to such Side Letter.
|
| 2. |
Advisory Committee. The Fund agrees that for so long as the Investor is a Unitholder
and has not defaulted on any obligation under the Limited Liability Company Agreement, the Subscription Agreement or any other agreement executed in connection with the Investor’s investment in
the Fund, the Investor shall be entitled (but is not required) to designate one representative to the Advisory Committee.
|
| 3. |
Credit Facility. Notwithstanding anything contained in Section 4.2 of the Limited Liability Company Agreement to the contrary, the
Investor shall not be required to provide any guarantees, legal opinions or other information (including financial information) regarding the Investor that is not publicly available or that is not generally made available to
unaffiliated lenders of such Investor (or funds in which the Investor invests) in connection with any credit facility entered into by the Fund, except that the Investor shall confirm to a lender, from time to time, the amount of the
Investor’s undrawn Capital Commitments.
|
| 4. |
Consents. The Fund acknowledges and agrees that, notwithstanding anything contained in the Limited Liability Company Agreement to
the contrary, in no event shall the failure of the Investor to respond to any proposed action or amendment constitute the approval of such action or amendment.
|
| 5. |
Indemnification. Notwithstanding anything contained in Section 9.1 of the Limited Liability Company Agreement to the contrary, no
Covered Person shall be indemnified for Losses incurred by such Covered Person solely due to such Covered Person’s material breach of this Agreement with the Investor.
|
| 6. |
Reports. The Fund agrees to use commercially reasonable efforts to deliver to the Investor: (i) quarterly cash flow estimate of
the Fund; (ii) quarterly summary of the Investor’s investment activity, including both contributions from and distributions to the Investor; and (iii) quarterly financial statements of the Fund that include the impact of distributions.
|
| 7. |
Other Credit Products. The Fund agrees to provide advance notice to the Investor of any new private commingled investment vehicle,
managed account or fund of one organized during the Investment Period by the Adviser or its affiliates for outside investors with investment criteria (including a return profile, security focus and leverage terms), objectives and focus
substantially similar to those of the Fund; provided, that such notice is subject to Regulation FD promulgated by the SEC and any other applicable confidentiality restrictions.
|
| 8. |
Other Debt or Debt-Like Investments. The Adviser and its affiliates acknowledge that the Investor has indicated its desire to make
investments in debt and debt-like instruments that the Adviser, its affiliates or any portfolio companies of New Mountain Capital may offer on a basis with no fees or carry. For the avoidance of doubt, the Adviser or its affiliates are
not obligated to offer any specific investments or amount of investments.
|
| 9. |
Disclosure of Incentive Fees. The Adviser hereby agrees to disclose to the Investor each payment of the Incentive Fee and how much
of each payment of the Incentive Fee is attributable to the Income Incentive Fee and how much is attributable to the Incentive Fee on Capital Gains (each as defined in the Investment Management Agreement). Such disclosure will be made
in the Fund’s quarterly financial statements and/or in any other form reasonably requested by the Investor.
|
| 10. |
Successors and Assigns. This Agreement is solely for the benefit of the parties hereto, and will not be assignable by any party
without the prior written consent of the other parties.
|
| 11. |
Amendments and Waivers. This Agreement may not be modified or amended or the rights of any party hereunder waived unless such
modification, amendment or waiver is effected by a written instrument expressly modifying, amending or waiving this Agreement or the rights of a party hereunder, which instrument is executed by all parties.
|
| 11. |
Conflicts and Survival. This Agreement is binding on and enforceable against the Fund, and in the event of a conflict between the
provisions of this Agreement and the Limited Liability Company Agreement or the Subscription Agreement, the provisions of this Agreement shall control.
|
| 12. |
Counterparts. This Agreement may be executed in counterparts (whether original or facsimile counterparts), each of which shall be
deemed an original and which together shall constitute one and the same instrument.
|
| 13. |
Governing Law. This Agreement shall be governed by, and interpreted and enforced in accordance with, the laws of the State of
Delaware, to the extent not preempted by federal law, without giving effect to the principles, policies or provisions relating to choice or conflict of laws.
|
|
EXECUTED AS A DEED BY:
|
||
|
New Mountain Guardian III BDC, L.L.C
|
||
|
By:
|
/s/ Adam Weinstein
|
|
|
Name:
|
Adam Weinstein
|
|
|
Title:
|
Director and Executive Vice President
|
|
|
New Mountain Finance Advisers BDC, L.L.C., solely in respect of paragraphs 8 and 9
|
||
|
By:
|
/s/ Adam Weinstein
|
|
|
Name:
|
Adam Weinstein
|
|
|
Title:
|
Authorized Person
|
|
|
WITNESS
|
||
|
/s/ Rachel Ray Harris
|
||
|
Signature
|
||
|
Rachel Ray Harris
|
||
|
Print Name
|
||
|
By:
|
/s/ Eirini Santhi Theocharous /s/ Despo Petrou
|
|
|
Name:
|
Eirini Santhi Theocharous / Despo Petrou
|
|
|
Title:
|
Director
|
|
|
WITNESS
|
||
|
/s/ Elena Varnava
|
||
|
Signature
|
||
|
Elena Varnava
|
||
|
Print Name
|
||