Accredited Investor Declaration

Below is a declaration of an Accredited Investor ("משקיע מסווג") according to the Israeli law. Please mark one of the sections below to declare that you are an Accredited Investor.

For this section:
"Liquid Assets" means Cash, Deposits, Exchange traded securities, Bonds, Options, Futures, Structured Products, Index Products, Units or Shares in Mutual Funds in Israel or abroad, "קרנות השתלמות", and equity in private companies.
"Family's gross income" means Individual and his dwelling family members.

Please select one option
You must select at least one of the first three options to be considered as an Accredited Investor according to Israeli Law

I own liquid assets worth over 8 million Israeli Shekels.

I own liquid assets worth over 5 million Israeli Shekels AND my gross income was over 600,000 Israeli Shekels in each of the two prior tax years, or my family's gross income was 900,000 Israeli Shekels.

My gross income was over 1.2 million Israeli Shekels in each of the two prior tax years, or my family's gross income was over 1.8 million Israeli Shekels.

None of the above

DECLARATION

I hereby represent and warrant that I am an Accredited Investor ("משקיע מסווג") in accordance with section 15a(b)(1) and first schedule of the Israeli Securities Law, 5728-1968, I understand the consequences of such characterization, and I consent to being so characterized.

First Name

Last Name

ID Number / Passport Number

Email Address

Signature

SORRY! According to Israeli law, You are not an accredited investor.

Please fill in all required fields

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