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Accredited Investor Qualification Form

What Is An “Accredited Investor and Who Can Be One?”

(as defined in  Reg. § 230.501 of Regulation D)

 

An “Accredited Investor” is defined in Regulation D of the Securities and Exchange Commission, (the SEC) as the following.

 

1.   A bank defined in Section 3(a)(2) of the Act; or any savings and loan association or other institution as defined in section 3(a)(5)(A) of the Act whether acting in its individual or fiduciary capacity; any broker or dealer registered pursuant to section 15 of the Securities Exchange Act of 1934; an insurance company as defined in Section 2(13) of the Act; an investment company registered under the Investment Company Act of 1940 or a business development company, as defined in Section 2(a)(48) of that Act; a Small Business Investment Company licensed by the U.S. Small Business Administration under Section 301(c) or (d) of the Small Business Act of 1958; an employee benefit plan within the meaning of Title I of the Employee Retirement Income Security Act of 1974, if the investment decision is made by a plan fiduciary, as defined in Section 3(21) of such Act, which is either a bank, insurance company, or registered investment advisor, or if the employee benefit plan has total assets in excess of $5,000,000 or, if a self-directed plan, with investment decisions made solely by persons that are accredited investors.

 

 

2.  A private business development company as defined in Section 202(a)(22) of the Investment Advisors Act of 1940;

 

3. An organization described in Section 501(c)(3) of the Internal Revenue Code, corporation, Massachusetts or similar business trust, or partnership, not formed for the specific purpose of acquiring the securities offered, with total assets in excess of $5,000,000;

 

4.    A director, executive officer, or General Partner of the issuer of the securities being offered or sold, or any director, executive officer, or General Partner of a General Partner of that issuer;

 

5.   A natural person whose individual net worth, or joint net worth with that person's spouse, at the time of his purchase exceeds $1,000,000;

 

6.   A natural person who had an individual income in excess of $200,000 in each of the two most recent years or joint income with that person's spouse in excess of $300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current year;        

 

7.  Any trust, with total assets in excess of $5,000,000 not formed for the specific purpose of acquiring the securities offered, whose purchase is directed by a sophisticated person as described in 230.506(b)(2)(ii); and

 

8.       Any entity in which all of the equity owners are accredited investors

 

 

Accredited Investor Questionnaire

 

   
Mail Fax On-Line

 

Valcour, Inc.

Dennis G. Goodwin, CCIM

140 Roosevelt Avenue, Suite 209

York, PA 17401-3333

 

717-852-7122  
Purchaser Questionnaire Purchaser Questionnaire Accredited Investor Qualification Form
     

If you are mailing or faxing the questionnaire you will need Adobe Reader to download the file and print it.  Click on the Adobe logo if you need to download the program.

 

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