For Accredited Investors and Qualified Clients Only

TO LEARN MORE ABOUT BHATT INNOVATION CAPITAL, LLC, PLEASE COMPLETE THE BELOW INFORMATION

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Accredited Investor Status

By submitting this for the you are representing that you are an "accredited investor" within the meaning of Regulation D under the Securities Act of 1933, as amended (the "Securities Act"), and you have indicated below each category under which you are qualified as an accredited investor.

You are attesting to the fact that you are as of the submission date of this form:

1 In calculating net worth, an individual must include as a liability the amount of indebtedness secured by such individual's primary residence that is incurred (i) at any time that is in excess of the estimated fair market value of such primary residence, or (ii) within 60 days prior to the Admission Date (other than as a result of the acquisition of such primary residence).



Qualified Client Status

You attest that as of the submission date of this form you are or have an:
   4. a "qualified purchaser" as defined below. (Please indicate your Qualified Purchaser category)
      
    If you indicate you are a Qualified Purchaser, you represent and warrant that you are a "qualified purchaser" within the meaning of Section 2(a)(51) of the Investment Company Act of 1940, as amended (the "Investment Company Act") and have indicated below each category under which you qualify as a qualified purchaser. In order to complete the following information, you should refer to the below definition of "Investments" and for information regarding the valuation of Investments.
      



Determination of "Investments" for purposes of this form.
  1. Investments should be valued at either their fair market value as of the most recent practicable date or cost.
  2. Investments include investments held jointly with your spouse.
  3. Investments include investments held in any IRA, 401(k) or similar retirement account you direct, or is held for your benefit.
  4. There must be excluded from the value of each Investment the principal amount of any outstanding debt, including margin loans, incurred by you to acquire or for the purpose of acquiring the Investment.
  5. Investments include the following:
    1. securities which are publicly-traded and listed on a U.S. national securities exchange or traded on NASDAQ;
    2. shares in registered investment companies such as mutual funds and money market funds;
    3. interests in private investment companies such as hedge funds, commodity pools and similar private investment companies;
    4. cash and cash equivalents (including foreign currencies) held for investment purposes;
    5. real estate held for investment purposes;
    6. shares of non-public companies which have total shareholder equity of $50 million or more; and
    7. commodity interests, including commodity futures contracts and options thereon, swaps and other financial contracts.
  6. Investments DO NOT include the following:
    1. jewelry, artwork, antiques and collectibles;
    2. investments held in retirement accounts where you do not make the investment decisions (e.g., an employer retirement plan where the investment decisions are not directed by you); and
    3. shares in a non-public company than 25% of the voting interests).
  7. Special instructions if you are a qualified purchaser based on its status as a "qualified institutional buyer" within the meaning of Rule 144A under the Securities Act. In order to be a qualified purchaser if you are a dealer as described in paragraph (a)(1)(ii) of Rule 144A, you must own and invest on a discretionary basis at least $25 million in securities of issuers that are not affiliated persons of the dealer. In addition, a plan referred to in paragraph (a)(1)(D) or (a)(1)(E) of Rule 144A, or a trust fund referred to in paragraph (a)(1)(F) of Rule 144A that holds the assets of such a plan will not be deemed to be acting for its own account and, accordingly, will not be deemed to be a qualified purchaser on the basis of "qualified institutional buyer" status if investment decisions with respect to the plan are made by beneficiaries of the plan, except with respect to investment decisions made solely by the fiduciary, trustee or sponsor plan.