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Company Name:
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Are you or the Company listed above an existing investor in a Titan fund?
Yes    No
Please complete the following questionnaire.
1. You are completing this information on behalf of:
Yourself
Your Organization
Both
2. Are you an accredited investor in accordance with Rule 501(a) of Regulation D of the Securities Act of 1933?
Yes    No
Are you a qualified purchaser under the exemption provided by Section 3(c)(7) under the Investment Company Act of 1940?
Yes    No
If yes, please select a category that most accurately describes your specific situation

I am a natural person (including any person who holds a joint, community property, or other similar shared ownership interest in an issuer that is excepted under Section 3(c)(7) of the 1940 Act with that person’s qualified purchaser spouse) who owns not less than $5,000,000 in investments, 1 as defined by the SEC.

I am a corporation, partnership, association, joint stock company, trust, fund or other organized group of persons, whether incorporated or not, acting for his/her/its own account or the accounts of other qualified purchasers, (i) who in the aggregate owns and invests on a discretionary basis, not less than $25,000,000 in investments and (ii) was not formed for the specific purpose of investing in the Fund.

I am a “family entity” that owns not less than $5,000,000 in investments, including a corporation, partnership, association, joint stock company, trust, fund or other organized group of persons, whether incorporated or not, (i) that is owned directly or indirectly by or for two or more natural persons who are related as siblings or spouse (including former spouse), or direct lineal descendants by birth or adoption, spouses of such persons, the estates of such persons, or foundations, charitable organizations, or trusts established by or for the benefit of such persons and (ii) that was not formed to for the specific purpose of investing in the Fund.

Regulated Entity - I am (i) a U.S. bank or any banking institution organized under the laws of any state, territory or the District of Columbia, the business of which is substantially confined to banking and is supervised by the State or Territorial banking commission or similar official agency, (ii) a U.S. savings and loan association or other similar institution, whether acting in its individual or fiduciary capacity; (iii) a broker or dealer registered pursuant to Section 15 of the Securities Exchange Act of 1934; (iv) a U.S. insurance company; or (v) an investment company registered under the Investment Company Act of 1940.

Employee Benefit Plan - I am an "employee benefit plan" within the meaning of Title I of the Employee Retirement Income Security Act of 1974, as amended ("ERISA"), and either (i) the investment decision to invest is made by a plan fiduciary, as defined in ERISA, which is either a bank, savings and loan association, insurance company, or registered investment adviser; or (ii) the employee benefit plan has total assets in excess of ,000,000; or (iii) if a self-directed plan, the investment decisions are made solely by persons that are "qualified purchasers".

State Plan - I am 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 such plan has total assets in excess of $5,000,000.

Trust - I am a trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring any specific security, whose purchase is directed by a sophisticated person as described in Regulation D.

State Plan - I am 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 such plan has total assets in excess of $5,000,000.

Trust - I am a trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring any specific security, whose purchase is directed by a sophisticated person as described in Regulation D.

Revocable Trust - I am a "revocable trust" that may be amended or revoked at any time by the grantors thereof, an all of the grantors are "qualified purchasers".

4. What is your risk tolerance?
High (Aggressive)
Moderate
Low (Conservative)
5. Please choose the category that best describes you:

Thank you very much for your time. By pressing the "Submit/I Agree" button below, you agree that you have filled in this questionnaire completely, truthfully and to the best of your ability and that you also have read and agree to the Terms of Use Agreement which you should review carefully.