Initials Initials. I acknowledge that there is no public market for the Shares and, thus, my investment in Shares is not liquid. I acknowledge that the Shares have not been registered with the SEC and are not expected to be registered under the laws of any country or jurisdiction outside of the United States. I am purchasing the Shares for my own account. I understand that the transaction price per share at which my investment will be executed will be made available at [w▇▇.▇▇▇▇▇▇.▇▇▇]. I understand that my subscription request will not be accepted before the first business day of the month following the month in which I execute and deliver this Subscription Agreement. I understand that I am not committed to purchase shares at the time my subscription order is submitted and I may cancel my subscription at any time before the time it has been accepted as described in the previous sentence. I understand that I may withdraw my purchase request by notifying the transfer agent, through my financial intermediary or directly on KKR Infrastructure Conglomerate LLC’s toll-free, automated telephone line, 8▇▇-▇▇▇-▇▇▇▇. If you do not have another broker-dealer or other financial intermediary introducing you to KKR Infrastructure Conglomerate LLC, then KKR Capital Markets LLC (KCM) may be deemed to be acting as your broker-dealer of record in connection with any investment in KKR Infrastructure Conglomerate LLC. For important information in this respect, see Section 6 above. I declare that the information supplied above is true and correct and may be relied upon by KKR Infrastructure Conglomerate LLC. I acknowledge that the Broker-Dealer/Financial Advisor (Broker-Dealer/Financial Advisor of record) indicated in Section 6 of this Subscription Agreement and its designated clearing agent, if any, will have full access to my account information, including the number of shares I own, tax information (including the Schedule K-1) and redemption information. Investors may change the Broker-Dealer/Financial Advisor of record at any time by contacting KKR Infrastructure Conglomerate LLC at the number indicated below. Under penalties of perjury, I certify that: (1) The number shown on this Subscription Agreement is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and (3) I am a U.S. citizen or other U.S. person (including a resident alien) (defined in IRS Form W-9); and (4) The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.
Appears in 1 contract
Sources: Subscription Agreement (KKR Infrastructure Conglomerate LLC)
Initials Initials. I acknowledge that there is no public market for the Shares and, thus, my investment in Shares is not liquid. I acknowledge that the Shares have not been registered with the SEC and are not expected to be registered under the laws of any country or jurisdiction outside of the United States. I am purchasing the Shares for my own account. I understand that the transaction price per share at which my investment will be executed will be made available at [w▇▇.▇▇▇▇▇▇.▇▇▇]. I understand that my subscription request will not be accepted before the later of (i) two business days before the first business calendar day of the month following and (ii) three business days after the month in which I execute and deliver this Subscription Agreementtransaction price is made available. I understand that I am not committed to purchase shares Shares at the time my subscription order is submitted and I may cancel my subscription at any time before the time it has been accepted as described in the previous sentence. I understand that I may withdraw my purchase request by notifying the transfer agent, through my financial intermediary or directly on KKR Apollo Infrastructure Conglomerate Company LLC’s toll-free, automated telephone line, 8(▇▇-▇) ▇▇▇-▇▇▇▇. If you do not have another broker-dealer or other financial intermediary introducing you to KKR Infrastructure Conglomerate LLC, then KKR Capital Markets LLC I am a benefit plan investor within the meaning of Section 3(42) of the Employee Retirement Income Security Act of 1974 (KCM“ERISA”).2 (Initial ONLY if applicable) may be deemed to be acting as your broker-dealer of record in connection with any investment in KKR Infrastructure Conglomerate LLC. For important information in this respect, see Section 6 above. INITIALS INITIALS I declare that the information supplied above is true and correct and may be relied upon by KKR Apollo Infrastructure Conglomerate Company LLC. I acknowledge that the Broker-Dealer/Financial Advisor Registered Representative (Broker-Dealer/Financial Advisor Registered Representative of record) indicated in Section 6 13 of this Subscription Agreement and its designated clearing agent, if any, will have full access to my account information, including the number of shares I own, tax information (including the Schedule K-1tax documents) and redemption information. Investors may change the Broker-Dealer/Financial Advisor Registered Representative of record at any time by contacting KKR Apollo Infrastructure Conglomerate Company LLC at the number indicated below. SUBSTITUTE IRS FORM W-9 CERTIFICATIONS (required for U.S. investors): Under penalties of perjury, I certify that: (1) The number shown on this Subscription Agreement is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and (3) I am a U.S. citizen or other U.S. person (including a resident alien) (defined in IRS Form W-9); and (4) The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. (MUST BE SIGNED BY CUSTODIAN OR TRUSTEE IF PLAN IS ADMINISTERED BY A THIRD PARTY) SIGNATURE OF INVESTOR DATE SIGNATURE OF CO-INVESTOR OR CUSTODIAN (If applicable) DATE
Appears in 1 contract
Sources: Subscription Agreement (Apollo Infrastructure Co LLC)
Initials Initials. I acknowledge that there is no public market for the Shares and, thus, my investment in Shares is not liquid. I acknowledge that the Shares have not been registered with the SEC and are not expected to be registered under the laws of any country or jurisdiction outside of the United States. I am purchasing the Shares for my own account. I understand that the transaction price per share at which my investment will be executed will be made available at [w▇▇.▇▇▇▇▇▇.▇▇▇]. I understand that my subscription request will not be accepted before the first later of (i) two business days before the last business day of the month following and (ii) three business days after the month in which I execute and deliver this Subscription Agreementtransaction price is made available. I understand that I am not committed to purchase shares at the time my subscription order is submitted and I may cancel my subscription at any time before the time it has been accepted as described in the previous sentence. I understand that I may withdraw my purchase request by notifying the transfer agent, through my financial intermediary or directly on KKR Infrastructure Conglomerate LLC’s toll-free, automated telephone line, 8▇▇-▇▇▇-▇▇▇▇. If you do not have another broker-dealer or other financial intermediary introducing you to KKR Infrastructure Conglomerate LLC, then KKR Capital Markets LLC (KCM) may be deemed to be acting as your broker-dealer of record in connection with any investment in KKR Infrastructure Conglomerate LLC. For important information in this respect, see Section 6 above. I declare that the information supplied above is true and correct and may be relied upon by KKR Infrastructure Conglomerate LLC. I acknowledge that the Broker-Dealer/Financial Advisor (Broker-Dealer/Financial Advisor of record) indicated in Section 6 of this Subscription Agreement and its designated clearing agent, if any, will have full access to my account information, including the number of shares I own, tax information (including the Schedule K-1) and redemption information. Investors may change the Broker-Dealer/Financial Advisor of record at any time by contacting KKR Infrastructure Conglomerate LLC at the number indicated below. Under penalties of perjury, I certify that: (1) The number shown on this Subscription Agreement is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and (3) I am a U.S. citizen or other U.S. person (including a resident alien) (defined in IRS Form W-9); and (4) The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.
Appears in 1 contract
Sources: Subscription Agreement (KKR Infrastructure Conglomerate LLC)