Common use of YOUR IDENTITY Clause in Contracts

YOUR IDENTITY. (a) Your full legal name: (b) Your business address (including street address) (or residence if no business address), telephone number, facsimile number and email address: Telephone No.: Fax No.: Email: (c) Are you an investor in one of the categories listed in the First Addendum to the Israeli Securities Law, 5728-1968, such an investor being referred to in this Questionnaire as a “Qualified Israeli Investor”? ☐ Yes ☐ No (d) If your response to Item 1(c) above is yes, please check the applicable box(es) below to confirm and identify the category/ies within which you are a Qualified Israeli Investor. ☐ A joint investment fund or the manager of such a fund within the meaning of the Joint Investments in Trust Law, 5754-1994; ☐ A provident fund or the manager of such a fund within the meaning of the Control of Financial Services Law (Provident Funds), 5765-2005; ☐ An insurance company as defined in the Supervision of Insurance Business Law, 5741-1981; ☐ A banking corporation or a supporting corporation within the meaning of the Banking (Licensing) Law, 5741-1981, with the exception of a joint services company, purchasing for its own account or for the accounts of clients who are Qualified Israeli Investors; ☐ A licensed portfolio manager within the meaning of the Regulation of Investment Advice, Investment Marketing and Investment Portfolio Management Law, 5755-1995, purchasing for its own account or for the accounts of clients who are Qualified Israeli Investors; ☐ A licensed investment advisor or a licensed investment marketer within the meaning of the Regulation of Investment Advice, Investment Marketing and Investment Portfolio Management Law, 5755-1995, purchasing for its own account; ☐ A member of the Tel Aviv Stock Exchange, purchasing for its own account or for the accounts of clients who are Qualified Israeli Investors; ☐ An underwriter that satisfies the criteria prescribed in Section 56(c) of the Israeli Securities Law, 5728-1968, purchasing for its own account; ☐ A venture capital fund (defined for this purpose as an entity whose principal activity is investing in entities that are engaged primarily in research and development, or in the manufacture of innovative products and processes, with an unusually high investment risk); ☐ An entity that is wholly owned by Qualified Israeli Investors; or ☐ An entity, except for an entity that was incorporated for the purpose of investing in securities in a specific offering, whose shareholders equity exceeds NIS 50 million1.