Investor Questionnaire (Parts I and II) | Right Start Entertainment

Please complete the following information for use in preparation of investment documents, verifying eligibility, and completion of state and federal tax, BOIR (Business Ownership Information Report), and other filings. All collected information will be deemed confidential and used only for purposes of the contemplated transaction. Required fields are marked with an asterisk (*).

Accredited Investor Information Form - Parts I and II

PART 1: Identity

1. First Name

2. Middle Name

3. Last Name

4. Maiden Last Name (if different)

5. Gender

6. Marital Status

6A. Spouse Full Name (if married)

7. Social Security Number (SSN) or tax Identification Number (TIN)

8. Phone Number

9. Email Address

Residential Address

10. Residential Street Address 1

11. Residential Street Address 2

12. Residential City

13. Residential State / Province

14. Residential Zip / Postal Code

15. Residential Country

16. Proof of Residential Address: Driver's License Upload

Maximum file size: 516MB

17. Nationality / Citizenship

18. Proof of Nationality: Passport Upload

Maximum file size: 516MB

19. U.S. Residency

PART 2: Occupation

20. Please Describe Your Main Occupation

Primary Employer or Business

21. Primary Company Name

22. Primary Company Title / Role

23. Primary Company Address (Street, City, State/Province, Zip/Postal Code, Country)

Secondary Employer or Business (if applicable)

24. Secondary Company Name

25. Secondary Company Title / Role

26. Secondary Company Address (Street, City, State/Province, Zip/Postal Code, Country)

Additional Affiliated Business Entities

Please list any additional active businesses not mentioned above where you directly or indirectly (i) exercise substantial control over the entity and its business decisions (for example, as an executive, owner, board member, etc.); or (ii) own or control 25 percent or more of the ownership interests of the entity. Only operating, active businesses should be included. For more information on the definitions of items (i) and (ii) above, please visit FinCEN.gov.

27. Affiliated Business 1 Name

28. Affiliated Business 1 Address (Street, City, State/Province, Zip/Postal Code, Country)

29. Affiliated Business 2 Name

30. Affiliated Business 2 Address (Street, City, State/Province, Zip/Postal Code, Country)

31. Affiliated Business 3 Name

32. Affiliated Business 3 Address (Street, City, State/Province, Zip/Postal Code, Country)

33. Affiliated Business 4 Name

34. Affiliated Business 4 Address (Street, City, State/Province, Zip/Postal Code, Country)

35. Affiliated Business 5 Name

36. Affiliated Business 5 Address (Street, City, State/Province, Zip/Postal Code, Country)

Prior Recent Investment (if any)

46. Prior Recent Investment Date

50. Prior Recent Investment Reference Contact - Name

47. Prior Most Recent Investment Company Name

51. Prior Most Recent Investment Reference Contact - Phone Number

48. Prior Most Recent Investment Amount (USD)

52. Prior Most Recent Investment Reference Contact - Email

49. Prior Most Recent Investment Type

Prior Recent Investment (if any)

53. Prior Recent Investment Date

57. Prior Recent Investment Reference Contact - Name

54. Prior Most Recent Investment Company Name

58. Prior Most Recent Investment Reference Contact - Phone Number

55. Prior Most Recent Investment Amount (USD)

59. Prior Most Recent Investment Reference Contact - Email

56. Prior Most Recent Investment Type

Declaration

I hereby declare that the information provided in this form is accurate and complete. I confirm that any information found incorrect and/or incomplete that leads to a violation of any laws, rules, mandates, or regulations may expose me to negative tax consequences and even civil or criminal penalties, and could be considered a material breach of any agreements induced by this information.

First Name

Last Name

Date

Signature

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