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Yahoo
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IM Network:
AIM
Yahoo
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MSN
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Are you able to make investment decisions on behalf of the organization?
Yes
No
Investment Profile
What asset classes are you interested in purchasing?
Auction-Rate Securities
Bankruptcy Claims
Collateralized Debt Obligations
Limited Partnership Interests
Mortgage-Backed Securities
Private Company Stock
Restricted Securities Securities
Whole Loans
Government IOUs
Government IOUs
What size positions are you interested in purchasing?
$0–$50,000
$50,000–$100,000
$100,000–$500,000
$500,000–$1 Million
$1 Million–$5 Million
$5 Million–$10 Million
$10 Million–$50 Million
$50 Million+
Do you have interest in seeing opportunities in any of the following?
363 Bankruptcy Sales
Asset Backed Securities
Private REITs
Trust Preferred Securities (TruPS)
Other (Please List)
Is there any other information that would help us to determine your interest in a particular opportunity?
Auction-Rate Securities
What types of Auction-Rate Securities are you interested in purchasing?
All
Closed-End Preferred (Taxable)
Closed-End Preferred (Tax-Exempt)
Municipal (MARS)
Collateralized Debt Obligations
Student Loan (Taxable)
Student Loan (Tax-Exempt)
Bankruptcy Claims
What types of bankruptcy claims are you interested in purchasing?
All
Contract Rejection
Deficiency Claims
Guaranteed Claim
Structured Products
Vendor
Other (Please List)
Limited Partnership Interests
What types of LP Interests are you interested in purchasing?
All
Buyout Fund
Hedge Fund
Venture Capital Fund
Fund of Private Equity Funds
Fund of Hedge Funds
Other (Please List)
What types of Fund Strategies are you interested in?
All
PE Funds:
Buyout: Small <$400 M
Buyout: Mid $400M–$1B
Buyout: Large $1B–$2.5B
Buyout: Mega $2.5B +
Buyout: International
Early-stage
Expansion & Growth
Venture: International
Emerging Markets
Distressed Opportunities
Mezzanine
Real Estate
Other (Please List)
Hedge Funds:
Commodities
Credit
Event Driven
Global Macro
Long/Short
Multi-Strategy
Relative Value
Other (Please List)
Do you have a particular sector interest?
Are you specifically interested in a certain region(s)?
Africa
Asia/Pacific
Emerging Europe
Western Europe
India
Middle East
North America
Latin America
Do you have any constraints on unfunded commitment levels?
No
Yes (% Funded)
Yes (% Funded)
Are you interested in any specific vintages?
No Preference
1–3 years
4–6 years
7–10 years
Do you have a preference where the fund is domiciled?
No Preference
Onshore
Offshore
Private Company Stock
What types of private company stock are you interested in purchasing?
All
Common Stock
Convertible Securities
Debt Securities
Options
Preferred Stock
Warrants
What requirements do you have regarding a company’s estimated valuation?
No Preference
$0–$10 million
$10+ million–$50 million
$50+ million–$250 million
$250+ million–$1 billion
$1+ billion–$5 billion
$5 billion+
Which industries do you have an interest in?
No Preference
Commercial Services
Advertising/Marketing Services
Commercial Printing/Forms
Financial Publishing/Services
Miscellaneous Commercial Services
Personnel Services
Communications
Major Telecommunications
Specialty Telecommunications
Wireless Telecommunications
Consumer Durables
Automotive Aftermarket
Electronics/Appliances
Homebuilding
Home Furnishings
Motor Vehicles
Other Consumer Specialties
Recreational Products
Tools & Hardware
Consumer Non-Durables
Apparel/Footwear
Beverages: Alcoholic
Beverages: Non-Alcoholic
Consumer Sundries
Food: Major Diversified
Food: Meat/Fish/Dairy
Food: Specialty/Candy
Household/Personal Care
Tobacco
Consumer Services
Broadcasting
Cable/Satellite TV
Casinos/Gaming
Hotels/Resorts/Cruiselines
Media Conglomerates
Movies/Entertainment
Other Consumer Services
Publishing: Newspapers
Publishing: Books/Magazines
Restaurants
Distribution Services
Wholesale Distributors
Food Distributors
Electronic Distributors
Medical Distributors
Electronic Technology
Aerospace & Defense
Computer Communications
Computer Peripherals
Computer Processing Hardware
Electronic Components
Electronic Equipment/Instruments
Electronic Production Equipment
Telecommunications Equipment
Semiconductors
Energy Minerals
Coal
Integrated Oil
Oil & Gas Production
Oil Refining/Marketing
Finance
Finance/Rental/Leasing
Financial Conglomerates
Insurance Brokers/Services
Investment Banks/Brokers
Investment Managers
Life/Health Insurance
Major Banks
Multi-Lane Insurance
Property/Casualty Insurance
Real Estate Development
Real Estate Investment Trusts
Regional Banks
Savings Banks
Specialty Insurance
Health Services
Hospital/Nursing Management
Managed Health Care
Medical/Nursing Services
Services to the Health Industry
Health Technology
Biotechnology
Medical Specialties
Pharmaceuticals: Generic
Pharmaceuticals: Major
Pharmaceuticals: Other
Industrial Services
Contract Drilling
Engineering & Construction
Environmental Services
Oil & Gas Pipelines
Oilfield Services/Equipment
Miscellaneous
Investment Trusts/Mutual Funds
Miscellaneous
Non-Energy Minerals
Aluminum
Construction Materials
Forest Products
Other Metals/Minerals
Precious Metals
Steel
Process Industries
Agricultural Commodities/Milling
Chemicals: Agricultural
Chemicals: Major Diversified
Chemicals: Specialty
Containers/Packaging
Industrial Specialties
Pulp & Paper
Textiles
Producer Manufacturing
Auto Parts: OEM
Building Products
Electrical Products
Industrial Conglomerates
Industrial Machinery
Metal Fabrication
Miscellaneous Manufacturing
Office Equipment/Supplies
Trucks/Construction/Farm Machinery
Retail Trade
Apparel/Footwear Retail
Catalog/Specialty Distribution
Department Stores
Discount Stores
Drugstore Chains
Electronics/Appliance Stores
Food Retail
Home Improvement Chains
Internet Retail
Specialty Stores
Technology Services
Data Processing Services
Information Technology Services
Internet Software/Services
Packaged Software
Transportation
Air Freight/Couriers
Airlines
Marine Shipping
Other Transportation
Railroads
Trucking
Utilities
Alternative Power Generation
Electric Utilities
Gas Distributors
Water Utilities
What company location requirements do you have?
No Preference
Mid-Atlantic
Midwest
Northeast
Northwest
Southeast
Southwest
South
West
Foreign
What company life cycle requirements do you have?
No Preference
Pre-revenue
Revenue-generating
Profitable
Do you require that the company has received funding from an institutional investor
(venture capital fund, corporate investment fund, etc) in the past?
Yes
No
No Preference
What amount of revenue traction do you require?
No Preference
$0–$1 million
$1+ million–$10 million
$10+ million–$50 million
$50+ million
What amount of capital raising do you require a company has completed?
No Preference
$0–$500,000
$500,000+–$2.5 million
$2.5+ million–$10 million
$10+ million–$50 million
$50+ million
Restricted Securities Securities
What types of securities are you interested in purchasing?
All
Restricted Securities:
Common Stock
Preferred Stock
Convertible Securities
Debt Securities
Warrants
Publicly Traded Securities:
Blocks of Equity
Portfolios of Equity
What requirements do you have regarding an issuer's market capitalization?
No Preference
$0–$10 million
$10+ million–$50 million
$50+ million–$250 million
$250+ million–$1 billion
$1+ billion–$5 billion
$5 billion+
Which industries do you have an interest in?
No Preference
Commercial Services
Advertising/Marketing Services
Commercial Printing/Forms
Financial Publishing/Services
Miscellaneous Commercial Services
Personnel Services
Communications
Major Telecommunications
Specialty Telecommunications
Wireless Telecommunications
Consumer Durables
Automotive Aftermarket
Electronics/Appliances
Homebuilding
Home Furnishings
Motor Vehicles
Other Consumer Specialties
Recreational Products
Tools & Hardware
Consumer Non-Durables
Apparel/Footwear
Beverages: Alcoholic
Beverages: Non-Alcoholic
Consumer Sundries
Food: Major Diversified
Food: Meat/Fish/Dairy
Food: Specialty/Candy
Household/Personal Care
Tobacco
Consumer Services
Broadcasting
Cable/Satellite TV
Casinos/Gaming
Hotels/Resorts/Cruiselines
Media Conglomerates
Movies/Entertainment
Other Consumer Services
Publishing: Newspapers
Publishing: Books/Magazines
Restaurants
Distribution Services
Wholesale Distributors
Food Distributors
Electronic Distributors
Medical Distributors
Electronic Technology
Aerospace & Defense
Computer Communications
Computer Peripherals
Computer Processing Hardware
Electronic Components
Electronic Equipment/Instruments
Electronic Production Equipment
Telecommunications Equipment
Semiconductors
Energy Minerals
Coal
Integrated Oil
Oil & Gas Production
Oil Refining/Marketing
Finance
Finance/Rental/Leasing
Financial Conglomerates
Insurance Brokers/Services
Investment Banks/Brokers
Investment Managers
Life/Health Insurance
Major Banks
Multi-Lane Insurance
Property/Casualty Insurance
Real Estate Development
Real Estate Investment Trusts
Regional Banks
Savings Banks
Specialty Insurance
Health Services
Hospital/Nursing Management
Managed Health Care
Medical/Nursing Services
Services to the Health Industry
Health Technology
Biotechnology
Medical Specialties
Pharmaceuticals: Generic
Pharmaceuticals: Major
Pharmaceuticals: Other
Industrial Services
Contract Drilling
Engineering & Construction
Environmental Services
Oil & Gas Pipelines
Oilfield Services/Equipment
Miscellaneous
Investment Trusts/Mutual Funds
Miscellaneous
Non-Energy Minerals
Aluminum
Construction Materials
Forest Products
Other Metals/Minerals
Precious Metals
Steel
Process Industries
Agricultural Commodities/Milling
Chemicals: Agricultural
Chemicals: Major Diversified
Chemicals: Specialty
Containers/Packaging
Industrial Specialties
Pulp & Paper
Textiles
Producer Manufacturing
Auto Parts: OEM
Building Products
Electrical Products
Industrial Conglomerates
Industrial Machinery
Metal Fabrication
Miscellaneous Manufacturing
Office Equipment/Supplies
Trucks/Construction/Farm Machinery
Retail Trade
Apparel/Footwear Retail
Catalog/Specialty Distribution
Department Stores
Discount Stores
Drugstore Chains
Electronics/Appliance Stores
Food Retail
Home Improvement Chains
Internet Retail
Specialty Stores
Technology Services
Data Processing Services
Information Technology Services
Internet Software/Services
Packaged Software
Transportation
Air Freight/Couriers
Airlines
Marine Shipping
Other Transportation
Railroads
Trucking
Utilities
Alternative Power Generation
Electric Utilities
Gas Distributors
Water Utilities
Do you have any exchange requirements?
No Preference
no NYSE
no NASDAQ
no AMEX
no Bulletin Board
no Pink Sheets
no Foreign Exchanges
If a restricted security, what is the maximum holding period you would generally accept when purchasing a position?
N/A
1 month
3 months
6 months
9 months
12 months
No Preference
Do you have a preference where the issuer is domiciled? Select all that apply (ctrl or command to select multiple)
United States
Canada
Mexico
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Terr.
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands/Malvinas
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Terr.
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Is.
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Lao People's Dem. Rep.
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Is.
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
St. Vincent & Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
S.Georgia & S.Sandwich Is.
Spain
Sri Lanka
St. Helena
St. Pierre & Miquelon
Sudan
Suriname
Svalbard & Jan Mayen Is.
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
U.S. Minor Outlying Is.
Uruguay
Uzbekistan
Vanuatu
Vatican (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis & Futuna Is.
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Mortgage-Backed Securities
Residential
What types of RMBS are you interested in purchasing?
All
Pass-thru
Sequential
PAC
Strip
Support
NIMS
Residuals
What collateral type interests you?
All
Agency
Prime
Alt-A
Option ARM
Sub-prime
HEL
Other (Please List)
Do you have a minimum rating requirement?
Yes
No
No Preference
If yes, which?
Senior
Mezzanine
Subordinate
Commercial
What collateral type interests you?
All
Office
Multi-family
Retail
Industrial
Hotel
Healthcare
Do you have a minimum rating requirement?
Yes
No
No Preference
If yes, which?
Senior
Mezzanine
Subordinate
Collateralized Debt Obligations
What collateral types are you interested in purchasing?
All
Corp Bond
Loan
ABS / MBS
CMBS
TruPS
Other (Please List)
Where in the capital structure do you have interest?
All
Super Senior
Senior
Mezz / Sub
Equity
Other (Please List)
Do you have interest in any other types of structured credit?
Yes
No
If yes, which?
All
CMBS
ABS
Other (Please List)
Whole Loans
Performing
Subprime
Alt-A
Option ARM
Jumbo
HELOC
2nd Lien
Non-Performing
Subprime
Alt-A
Option ARM
Jumbo
HELOC
2nd Lien
REO
Construction
Commercial
Certification of Accreditation
* Indicates Mandatory Field
I hereby certify that I am an "accredited investor"? in accordance with Rule 501(a) of Regulation D, in that I am:
a natural person (not an entity) whose individual net worth, or joint net worth with a spouse, exceeds $1,000,000
a natural person (not an entity) who (a) had an individual income in excess of $200,000 in each of the two proceeding years or (b) had joint income with the spouse in excess of $300,000 in each of those years and (c) in either case (a) or (b) has a reasonable expectation of reaching the same income level in the current year.
(For a complete definition of accredited investor, please see Rule 501(a) of Regulation D from the Securities Act of 1933, which is publicly available at the SEC website at
http://www.sec.gov
)
I hereby certify that I am Qualified Purchaser (QP).
(For a complete definition of Qualified Purchaser, please see the Investment Company Act of 1940, which is publicly available at the SEC website at
http://www.sec.gov
)
If you are none of the above, check below:
I am neither an "accredited investor" in accordance with Rule 501(a) of Regulation D nor a Qualified Purchaser [you will be able to sell securities only]
I hereby certify that the institution that I represent is a Qualified Purchaser (QP).
(For a complete definition of Qualified Purchaser, please see the Investment Company Act of 1940, which is publicly available at the SEC website at
http://www.sec.gov
)
I hereby certify that the institution that I represent is a Qualified Institutional Buyer (QIB).
(For a complete definition of QIB, please see Rule 144A of the Securities Act of 1933, which is publicly available at the SEC website at
http://www.sec.gov
)
What are your assets under management (if applicable)?
$0–$100 Million
$100 Million+ –$1 Billion
$1 Billion+ –$5 Billion
$5 Billion+
If you are none of the above, check below:
The institution I represent nor I are neither Qualified Purchasers, nor a Qualified Institutional Buyers [you will be able to sell securities only]
Affirmation
I hereby affirm that the foregoing information is true and correct to the best of my knowledge, information and belief. I further affirm that I have read and understand the Online User Agreement and agree to be bound by the terms contained therein (available at www.secondmarket.com). We respect your privacy and will not sell your personal information to anyone, nor will we share or disclose such information with any unaffiliated third party. As required by federal law, we may use the information provided to verify your identity. Please read our Privacy Policy, which is available on the home page of our website.
Signature
Name
Date
Title
Referral Source
How did you hear about us?
Online Search
Referral
Other Media
Conference
Newsprint / Online Publication
Other (please specify)
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