Membership Application

This form gathers information needed to evaluate an applicant, maintain member records, prepare tax reporting, support bank and brokerage compliance, and document admission. Admission is not automatic. A new member is admitted only after capital-weighted member approval, due diligence, execution of the governing documents and joinder, compliance with contribution requirements, and acceptance of the initial contribution.

This form is not an offer, investment advice, tax advice, or a guarantee of admission or returns. Do not enter a full Social Security number, employer identification number, government ID number, or bank account number. Those records go through the secure method designated by the Treasurer.

Who is applying? Required

Enter your legal name as it appears on your tax and identity documents.

Legal name of the entity, trust, retirement account, or other applicant.

The current joinder is written for an individual. An entity, trust, retirement account, or other non-individual applicant needs revised documents and a Treasurer review before admission can proceed. This short form starts that review.

Applicant type Required

Residential address

Is your mailing address different from your residential address? Required

Mailing address

Preferred contact method Required

Preferred meeting format Required

Estate and incapacity contact

This contact is administrative only. It does not designate a beneficiary, transfer a membership interest, or admit an heir as a member.

Mailing address

Enter last four digits only. Do not upload a tax form, photo ID, or proof of address here. The Treasurer will give you a secure method for those records.

Is your tax mailing address different from your residential address? Required

Tax mailing address

Identity verification

Do you have a business address?

Business address

Expected participation

Choose ranges. Do not attach tax returns, pay statements, or account statements unless the Treasurer requests them through a secure process.

Approximate annual income Required

Approximate net worth, excluding primary residence Required

Accredited investor self-assessment

Collected for legal and compliance review. It does not determine admission by itself. Mark every basis that applies.

For each category, enter approximate years of experience and your knowledge level.

Public stocks and ETFs Required

Bonds and fixed income Required

Real estate investments Required

Business ownership Required

Investment decision experience Required

The current minimum is $20 per month. A contribution that would cause a capital account to exceed 25% of total company capital requires unanimous approval. Otherwise, the governing documents provide for return or non-equity loan treatment, subject to their terms.

Primary source of funds Required

Will any contribution use borrowed funds? Required

Will funds come from a retirement plan, IRA, benefit plan, trust, or entity? Required

A Yes answer does not automatically disqualify an applicant, but it must be explained accurately.

Have you been convicted of, pleaded guilty or no contest to, or are you charged with a felony or an offense involving fraud, theft, dishonesty, money laundering, securities, tax, or financial misconduct? Required

Have you been subject to an injunction, bar, suspension, cease-and-desist order, or disciplinary action involving investments, banking, business, professional licensing, or fiduciary conduct? Required

Are you involved in litigation, arbitration, bankruptcy, insolvency, a tax lien, a judgment, or creditor proceedings that could materially affect participation? Required

Have you been expelled, removed, or asked to resign from an investment club, partnership, board, fiduciary role, or similar organization? Required

Is any information likely to require disclosure to a bank, broker, tax professional, regulator, or other member? Required

Do you own, manage, advise, or work for a business that could transact with or compete with the company? Required

Do you or an immediate family member have a financial interest in a broker, bank, adviser, issuer, contractor, vendor, or service provider that may be presented to the company? Required

Do you expect referral fees, commissions, rebates, gifts, or other compensation relating to company activity? Required

Are you restricted by an employer, professional license, confidentiality duty, court order, or agreement from participating in company activity? Required

Is there another actual, potential, or perceived conflict the members should evaluate? Required

Internal member directory permissions Required

Choose None to withhold every item. None overrides the other choices.

Mailing address on file

Address for formal notices

Primary email on file

Preferred tax document delivery method Required

Privacy

The company may collect, verify, use, retain, and disclose information reasonably necessary for admission review, administration, tax reporting, banking and brokerage compliance, professional services, legal obligations, and protection of the company and its members. Access should be limited to authorized persons and service providers with a legitimate need. The company should not request or accept an unredacted Social Security number, employer identification number, government ID image, or complete bank account number through ordinary unencrypted email.

I acknowledge the privacy and secure-submission terms above Required

Initial each statement after reviewing the governing documents and having the opportunity to ask questions and consult your own legal, tax, or financial advisers.

I received or was given access to the current Operating Agreement, Operating Procedures, applicable exhibits and policies, and the Member Joinder and Admission Agreement.

I understand that submitting this application does not make me a Member. Membership becomes effective only after the required capital-weighted approval, satisfaction of all admission conditions, execution of the applicable governing documents, and acceptance of my initial Capital Contribution by the Company.

I understand that the Company is member-managed and that my voting, management, economic, and other rights and obligations are governed by the equal-vote, capital-weighted, and unanimous-approval provisions of the governing documents.

I understand that the current required minimum Capital Contribution is $20 per month, due on or before the 15th day of each month, unless changed through the governing approval process.

I understand that my Capital Account generally may not exceed 25% of total Company capital without unanimous Member approval. I further understand that an excess contribution made without the required approval may be returned or treated as a non-equity, non-voting loan in accordance with the governing documents.

I understand that the Company will maintain a Capital Account for me and that profits and losses are allocated in proportion to Capital Account balances. I understand that my Capital Account balance and percentage interest may change because of contributions, withdrawals, distributions, allocations, and other authorized adjustments.

I understand that Company investments may increase or decrease in value and that I may lose some or all of the amount I contribute. No profit, return, distribution, valuation, investment result, or payment date is guaranteed.

I understand that withdrawals are calculated using the applicable Company valuation and are subject to the procedures and payment periods in the governing documents. I further understand that payment may be deferred or staggered when immediate payment would materially impair Company operations, liquidity, or ongoing investments.

I understand that a full withdrawal terminates membership only after the applicable withdrawal amount is paid. I also understand that heirs, beneficiaries, estates, and legal representatives do not automatically become Members and that any successor seeking membership must be separately admitted under the governing documents.

I understand that the Company invests for the collective benefit of its Members and is not acting as my personal investment adviser, financial planner, attorney, accountant, or tax adviser. I am responsible for obtaining advice concerning my own circumstances.

I agree to disclose actual or potential conflicts of interest, protect confidential Company and Member information, refrain from misusing material nonpublic information, and comply with the governing documents and applicable Company policies and procedures.

I certify that the information I provide is complete and accurate to the best of my knowledge. I agree to submit sensitive records only through the secure method designated by the Company and to promptly report any material change that makes my submitted information incomplete, inaccurate, or misleading.

I certify that the information in this application is complete and accurate to the best of my knowledge. I authorize Cresium Capital Partners LLC and its authorized officers and professional advisers to verify the information, contact references, and request additional records reasonably necessary for admission, tax, banking, brokerage, legal, or compliance purposes. I understand that a material omission or misstatement may result in denial of admission or action under the governing documents. I have had the opportunity to consult independent legal, tax, and financial advisers and am not relying on the company or another member for individualized advice.

For an individual, type first, middle, last, and suffix in that order. Jr and Jr. are the same suffix. It must match the name on this application.