KYC Individual 2018First NameLast NameEmailTelephone (Cell)Telephone (Residence)Citizenship (Tax Paying)- Select -CanadianCanadian/US (Dual)U.S.InternationalPlease provide Taxpayer Identification Number (TIN)OccupationNet Annual Income (Minimum in past 2 years)- Select -Under $200,000Over $200,000Combined Income with Spouse- Select -Under $300,000Over $300,000No SpouseNet WorthTotal assets minus Total Liabilities. Can include Real Estate.Under $1,000,000$1,000,000 - $2,500,000$2,500,000 - $5,000,000Over $5,000,000Net Financial AssetsTotal value of Cash & Securities minus related liabilities. Do not include Real Estate.Under $1,000,000$1,000,000 - $2,500,000$2,500,000 - $5,000,000Over $5,000,000Concentration RiskWhat percentage of your total investment portfolio is invested with ABC FundsLess than 10%10% - 30%30% - 50%Greater than 50%Risk Tolerance- Select -LowLow to MediumMediumMedium to HighHighLiquidity NeedsFrequency in which subscriber needs access to their investmentsMonthlyQuarterlyAnnuallyNot ApplicableOther Investments HeldSelect All That ApplyBondsMutual FundsTerm DepositsReal EstateStocksNoneKnowledge of Alternative Investment Products (Subscriber is invested in other alternative investment products) No YesInvestment Time Horizon- Select -Less than 1 Year1-3 Years3-10 YearsOver 10 YearsInvestment Objective The following five values must add up to 100%. For any objectives you do not select, you must enter 0 (zero) and not leave any blank.Safety (%)Income (%)Growth (%)Speculation (%)Balanced (%)Example Indicate your preferred Investment Objective for your account. Here is an example of what you could put: Safety: 20%Income: 25%Growth: 35%Speculation: 20%Balanced: 0%_________________Total: 100%Intended Use of Account What is your intended use for the proceeds of your investment with ABC Funds?- Select -Savings for retirementLong-term investmentsFuture major purchasesInvestment Knowledge * Limited/Novice: You have only invested in simple securities such as savings bonds or well-known common shares largely based on the advice of others. Fair: You have some knowledge or experience with investments and/or credit products, including bonds, stocks, mutual funds, term deposits or real estate. Good: You have either traded in or have reasonable knowledge of the characteristics of both fixed income securities and common shares, as well as an understanding of the degree of risk and reward inherent in these types of securities. High/Sophisticated: You have a good business background, follow the markets regularly and have traded in and understand most types of investment securities Select Investment Knowledge- Select -Limited/NoviceFairGoodHigh/SophisticatedThird Party DeterminationIs a Third Party instructing you to perform transactions on your account at ABC Funds on their behalf?NoYesIf you answered YES, then please provide Name and relationship details of this Third PartySubscriber is an insider of a reporting issuer or other issuer whose securities are publicly traded (as those terms are defined under applicable securities laws)Select one Yes NoProvide name(s) of issuer(s)Subscriber is a Politically Exposed Domestic Person (PEDP) (You are a politically exposed domestic person if you, or a family member or close associate, hold or you have ever held one of the following offices or positions in or on behalf of Canada: a head of state or government; a member of the executive council of government or member of a legislature; a deputy minister (or equivalent); an ambassador or an ambassador’s attaché or counsellor; a military general (or higher rank); a president of a state-owned company or bank; a head of a government agency; a judge; or a leader or president of a political party in a legislature)Select one Yes NoProvider PEDP DetailsSubscriber is a Politically Exposed Foreign Person (PEFP) (You are a politically exposed foreign person if you, or a family member or close associate, hold or you have ever held one of the following offices or positions in or on behalf of a foreign country: a head of state or government; a member of the executive council of government or member of a legislature; a deputy minister (or equivalent); an ambassador or an ambassador’s attaché or counsellor; a military general (or higher rank); a president of a state-owned company or bank; a head of a government agency; a judge; or a leader or president of a political party in a legislature)Select one Yes NoProvide PEFP DetailsSubscriber is a Head of an International Organization (HIO) (You are a head of an international organization if you, or a family member or close associate, is either the head of an international organization established by the governments of states; or the head of an institution established by an international organization. The head of an international organization or the head of an institution established by an international organization refers to the primary person who leads that organization, for example a president or CEO.)Select one Yes NoProvide HIO DetailsAccess Code I am aware that it is an offense to make false entries and hereby certify that all statements made above are trueSubmit Form