Step 1: Provide the Investment Documents and Subscription Agreement:

The below documents are required to submit an investment request (include all exhibits):

C-Corporation (Private Stock)

Private Placement Memorandum. If this does not exist provide the Corporate By laws.*

Subscription Agreement/Purchase Agreement (signed by the account owner)

Limited Liability Company

Private Placement Memorandum. If this does not exist provide the Operating Agreement.*

Subscription Agreement (signed by the account owner)

Limited Partnership

Private Placement Memorandum. If this does not exist provide the Limited Partnership Agreement*

Subscription Agreement (signed by the account owner)

Capital Call Request

Capital Call Notice (the above documents are not required)

*If your investment sponsor confirmed these documents are already on file we only require the subscription agreement.

Step 2: Avoid common issues with titling:

The subscription agreement must be titled as below, listing your Equity Trust account as the lender. The
titling cannot reflect as the account holder individually.

Subscriber must be "Equity Trust Company Custodian FBO 'Account Owner's name' IRA"

For qualified plans, HSAs, CESAs please review our titling guide.

I confirm the titling is correct and I have signed the subscription agreement

Step 3: Confirm your account has sufficient funds

Step 4: Complete, sign and date the Private Equity Direction of Investment
form and email to INVESTMENTS@[Link]

Signature of Account Holder Date Account #

 Private Equity Buy DOI
PAGE 1 OF 4

YOU CAN ENROLL AT [Link] TO SUBMIT THIS REQUEST OR ANY CORRECTIONS ONLINE AND RECEIVE ADDITIONAL HELPFUL INFORMATION.
CST HELP: (888) 382-4727

IMPORTANT INFORMATION FOR YOU

Use this form to purchase shares or a percentage of ownership equity in a privately held company.

Incorrect titling on investment documents will delay processing. The investor or subscriber must be vested as:
• For IRAs: Equity Trust Company Custodian FBO [Client Name or Account Number] IRA
• If using another account type, please visit myEQUITY or contact our CST help line

Ensure all documents and sections of the Direction of Investment are fully completed to avoid funding delays.

Register investments under the Equity Trust Tax ID 05-0552743, unless subject to unrelated business tax.

When submitting corrections, please upload through myEQUITY. If sending by email or fax, reference the Activity ID provided in your confirmation
email.

1 ACCOUNT HOLDER INFORMATION

LEGAL NAME (Last, First, Middle) ACCOUNT NUMBER (9 Digits)

2a PURCHASING A NEW INVESTMENT?

Documents we require to fund a new purchase. Documents must include all exhibits and assignments if existing.

C-Corporation • Private Placement Memorandum. If not applicable, Corporate Bylaws.

(Private Stock) • Subscription Agreement (titled to Equity Trust account and signed by the account owner).

Limited Liability Company • Private Placement Memorandum. If not applicable, Operating Agreement.
• Subscription Agreement (titled to Equity Trust account and signed by the account owner).

Limited Offshore Fund • Private Placement Memorandum. If not applicable, Operating Agreement, Bylaws or Limited Partnership
Agreement, based on Entity type.
• Articles of Association and Memorandum of Association.
• Subscription Agreement (titled to Equity Trust account and signed by the account owner).

Limited Partnership • Private Placement Memorandum. If not applicable, Limited Partnership Agreement.
• Subscription Agreement (titled to Equity Trust account and signed by the account owner).

Is this a Hemp related • All corporate documentation as listed above for the investment type.
investment? If so, check
• Addendum to Direction of Investment.
here:
• Hemp related license/permit/registration.

NOTE: If share price is not indicated within company documents, price will default to $1 per share. Once purchase is completed, we’ll require your account’s evidence
of ownership. This may include a physical stock certificate, a K-1, or other confirmation letter or statement from an asset sponsor or transfer agent.

INVESTMENT INFORMATION (if applicable)

INVESTMENT NAME FUNDING DEADLINE

PHYSICAL ADDRESS

CITY STATE ZIP CODE

WARRANT INFORMATION (if applicable)

Does this investment include

Yes No Number of Warrants Issued:
Warrants?

2b FUNDING AN EXISTING INVESTMENT? (Asset must already be held by the account to select this option)
Supporting Documentation Required: ASSET ID
• Capital Commitment Letter - Set capital limits committed to a fund, requested periodically
• Capital Call Letter - As needed funds for fees, expenses, and certain investments
• Additional Purchase Document - Subscription Agreement, updated Exhibit A/Operating
Agreement, Purchase Form, etc.

PO BOX 451340, WESTLAKE, OH 44145 | P: (888) 382-4727 | F: (440) 366-3752 | [Link] | INVESTMENTS@[Link]
ET_F-0002-01 | Rev. 081224 ©2024 Equity Trust Company | 1
 Private Equity Buy DOI
PAGE 2 OF 4

YOU CAN ENROLL AT [Link] TO SUBMIT THIS REQUEST OR ANY CORRECTIONS ONLINE AND RECEIVE ADDITIONAL HELPFUL INFORMATION.
CST HELP: (888) 382-4727

3 COMPANY CONTACT INFORMATION (General Partner/Managing Member/Officer/Other)

CONTACT NAME CONTACT PHONE NUMBER

CONTACT TITLE/ROLE CONTACT EMAIL

I have identified this Third Party for contact purposes, and I am instructing and authorizing Equity Trust Company to accept and share
information related to this transaction with such Third Party.

4 INVESTMENT FUNDING INFORMATION

Amount Required for Investment:

Send Funds Electronically: Send Funds by Check (funds are mailed via USPS by default):

Send my funds by wire *

Send my funds by overnight mail*

Send my funds by ACH (please allow 3 to 5 days for receipt) Cashier’s check sent by overnight mail*

ABA ROUTING # (9 DIGITS) PAYEE NAME

BANK NAME MAIL TO NAME

NAME ON BANK ACCOUNT ADDRESS

BANK ACCOUNT NUMBER CITY STATE ZIP CODE

FURTHER CREDIT NAME Bill My Overnight to Third Party

FedEx Third Party Acct Number:

FURTHER CREDIT ACCOUNT NUMBER

UPS Third Party Zip Code:

5 EXCHANGE OF ASSET (is applicable; not applicable to your invested cash asset)
Full Exchange Post a NEW asset to my account holdings at the value stated within the supporting documentation, and fully remove the EXISTING
asset from my account holdings.
Existing Asset Number:

Partial Exchange Post a NEW asset to my account holdings at the value stated within the supporting documentation and devalue the EXISTING asset
in my account holdings to the following value:
EXISTING asset value (required): $

EXISTING asset number (required):

6 DOCUMENT SIGNING AND DELIVERY INSTRUCTIONS

By completing the instructions below, you are requesting Equity Trust Company to sign documents related to this transaction in its capacity as your
self-directed custodian, pursuant to the terms and conditions of your Custodial Agreement, and to send the document by USPS regular mail unless
another method(s) is chosen.

MAIL INSTRUCTIONS EMAIL OR FAX INSTRUCTIONS

MAIL TO NAME EMAIL ATTENTION

ADDRESS EMAIL ADDRESS

CITY STATE ZIP CODE FAX ATTENTION

Send my documents by overnight mail* FAX NUMBER

Send my documents with funding
Bill My Overnight to Third Party

FedEx Third Party Acct Number:

UPS Third Party Zip Code:

*Additional fees may apply, see current fee schedule. Funds must be available for processing fees.

PO BOX 451340, WESTLAKE, OH 44145 | P: (888) 382-4727 | F: (440) 366-3752 | [Link] | INVESTMENTS@[Link]
ET_F-0002-01 | Rev. 081224 ©2024 Equity Trust Company | 2
 Private Equity Buy DOI
PAGE 3 OF 4

YOU CAN ENROLL AT [Link] TO SUBMIT THIS REQUEST OR ANY CORRECTIONS ONLINE AND RECEIVE ADDITIONAL HELPFUL INFORMATION.
CST HELP: (888) 382-4727

7 PAY FEES BY CREDIT CARD (optional)

Yes, charge to the credit card Unless otherwise indicated, fees will be deducted from available cash. To change or update a credit card, please visit
on file [Link].

8 EXPEDITED PROCESSING (optional)

Yes, expedite my request* Expedited processing requests will be handled before standard requests.
Please indicate “Expedited” in email subject lines or fax expedited requests to (440) 366-3756.

9 SIGNATURE AND DATE

By signing below, I have read the instructions and representations on this form, the Disclosure Addendum and any document(s) incorporated herein.
I am instructing Equity Trust Company to process this Direction of Investment form and confirm that this investment is not illegal or impermissible
under South Dakota or Federal Law.
SIGNATURE OF ACCOUNT HOLDER DATE

*Additional fees may apply, see current fee schedule. Funds must be available for processing fees.

PO BOX 451340, WESTLAKE, OH 44145 | P: (888) 382-4727 | F: (440) 366-3752 | [Link] | INVESTMENTS@[Link]
ET_F-0002-01 | Rev. 081224 ©2024 Equity Trust Company | 3
 Disclosure Addendum
PAGE 4 OF 4

1. Equity Trust Company (Custodian) does not offer any investment advice, 9. Custodian does not provide legal or tax services or advice with respect to
nor does it endorse any investment, investment product or investment my investment; and the undersigned releases and indemnifies, and agrees
strategy; and Custodian does not endorse any financial advisor, represen- to hold harmless and defend Custodian in the event that my investment
tative, broker, or other party involved with an investment selected by me. or sale of assets pursuant to the Direction of Investment violates any fed-
It is my own responsibility to perform proper due diligence with regard to eral or state law or regulation or otherwise results in a disqualification,
any such representative, financial advisor, broker or other party. Any re- penalty, fine or tax imposed upon the IRA, Custodian or the undersigned.
view performed by Custodian with respect to an investment shall be solely
10. At all times, the undersigned directs the Custodian to deposit all undi-
for Custodian’s own purposes of determining the administrative feasibil-
rected and uninvested cash into the Deposit Management Program, as
ity of the investment and in no way should be construed as an endorse-
defined in the Custodial Account Agreement. Such cash will be placed
ment of any investment, in- vestment company or investment strategy.
into one or more financial institutions which qualify as well-capitalized
In addition the acceptance of any investment should not be construed as
under federal bank regulatory agency definitions. Interest earned net of
an endorsement of any investment, investment company or investment
the Program fee (as defined in the Custodial Account Agreement) shall be
strategy;
credited to your Account at the end of the month provided your Account
2. This investment is not FDIC insured and may lose value. In addition the remains open at the end of the month.
investment selected by the undersigned may lack liquidity; may be specu-
11. Custodian shall be fully protected in acting upon any instrument, certifi-
lative and involve a high degree of risk; and may result in a complete loss
cate or paper believed to be genuine and to be signed or presented by the
of the investment. Any loss sustained in my Account will not affect my
proper person or persons whether or not by facsimile or other copy, and
retirement income standard; and if a mandatory distribution arises, I will
Custodian shall be under no duty to make any investigation or inquiry as
have the ability through my IRA and/or other retirement accounts to meet
to any statement contained in any such writing, but may accept the same
any mandatory distribution requirements.
as conclusive evidence of the truth and accuracy of the statements therein
3. Neither Custodian nor any employee or agent of Custodian has selected contained.
or recommended any investment for me; and neither Custodian nor any
12. The undersigned represents to Custodian that if my investment is a “secu-
employee or agent of Custodian has acted as a broker-dealer or salesper-
rity” under applicable federal or state securities laws, such investment has
son in completing any purchase or sale of an investment of a security for
been registered or is exempt from registration under federal and state se-
me, except where Custodian may purchase or sell a publicly held security
curities laws; and the undersigned releases and waives all claims against
on my behalf, at my own direction through its affiliate that receives a com-
Custodian for its role in carrying out the instructions of the undersigned
mission for such transaction.
with respect to such investment. The undersigned acknowledges that the
4. Custodian is neither an agent nor a representative of any investment pro- foregoing representation is being relied upon by Custodian in accepting
gram or other entity in which or with which I may invest; and any sales- the undersigned’s direction of investment and agrees to indemnify Custo-
person, promoter, financial advisor, broker or other party involved in the dian with respect to all costs, expenses (including attorneys’ fees), fines,
purchase or sale of my investment shall be considered my own agent and penalties, liabilities, dam- ages, actions, judgments and claims arising out
representative and not the agent or representative of Custodian. Custo- of such investment and/or a breach of the foregoing representation.
dian has no duty or responsibility to investigate or make recommenda-
13. The undersigned authorizes and directs Custodian to execute and deliver,
tions as to my choice of agent. Custodian shall not be responsible for or
on behalf of my Account, any and all documents delivered to Custodian in
bound by any representations, warranties, statements or commitments
connection with my investment; and Custodian shall have no responsibil-
made by such party.
ity to verify or determine that any such documents are complete, accurate
5. Custodian is acting solely as directed Custodian to custody my assets and or constitute the documents necessary to comply with this Direction.
in no other capacity. Custodian has no responsibility to question any in-
14. Custodian shall only be responsible to comply with those investment di-
vestment directions given by me or any appointed financial representa-
rections given by the undersigned to purchase, retain and/or sell assets
tive. I further understand that Custodian does not compensate nor re-
obtain- able by Custodian “over-the-counter” or on a recognized exchange
ceive compensation from the undersigned chosen representative.
or other- wise, including, without limitation, bank deposits, real property,
6. Custodian shall be under no obligation or duty to investigate, analyze, promissory notes and other indebtedness, mortgages, viaticals, securi-
monitor, verify title to or otherwise evaluate any investment contem- ties, interests in partnerships and limited liability companies, accounts
plated herein, or to obtain or maintain insurance coverage (whether li- receivable, security interests, etc.; provided in each case that the invest-
ability, property or otherwise) with respect to any assets or investment ment may be obtained by Custodian and is compatible with its adminis-
purchased by me. Custodian shall not be responsible to take any action trative and operational requirements and framework, as determined by
should there be any default with regard to this investment. Custodian, in its sole discretion. Custodian has no duty or responsibility to
disburse any payment for my investment without my express direction. I
7. It is not the responsibility of Custodian to review the prudence, merits,
agree to furnish Custodian with payment instructions utilizing Custodian’s
vi- ability or suitability of any investment made by me or to determine
Direction of Investment form. Custodian also has the right not to effect
whether the investment is acceptable under ERISA, the Internal Revenue
any transaction/investment which it deems to be beyond the scope of its
Code or any other applicable law. I understand that certain transactions
administrative capabilities or expertise. Custodian has no responsibility to
are prohibited in individual retirement accounts and qualified retirement
forward to me any documents or notifications regarding my investment
plans under Section 4975 of the Internal Revenue Code. I further under-
and I agree that it is my own responsibility to assure delivery of all such
stand that the determination of a prohibited transaction depends on the
notices and documents to me. Custodian shall have no duty or obligation
facts and circumstances that surround the particular transaction. Custo-
to notify the undersigned with respect to any information, knowledge,
dian will make no determination as to whether my investment is prohib-
irregularities or concerns of Custodian relating to my investment or my
ited. I further understand that should my Retirement Account engage in a
financial advisor, broker, agent, promoter or representative, except as to
prohibited transaction, my account will incur a taxable distribution as well
civil pleadings or court orders received by Custodian.
as possible penalties. I represent to Custodian that I have consulted with
my own legal and accounting advisors to ensure that my investment does 15. Custodian shall use reasonable efforts to acquire or sell investments in
not constitute a prohibited transaction and that my investment complies accordance with the directions of the undersigned within a reasonable
with all applicable federal and state laws, regulations and requirements period of time after Custodian has received an investment direction and
including without limitation that the offering entity or individual is not a Custodian shall make reasonable efforts to notify the undersigned if Cus-
disqualified person under IRC 4975 (e) (2), nor a “party in interest” as de- todian is unable or unwilling to comply with an investment direction. Cus-
fined in ERISA section 3 (14). todian shall, subject to the foregoing, remit funds as directed, but has no
responsibility to verify or assure that such funds have been invested to
8. In the event any investment for my account produces taxable income (un-
purchase or acquire the asset selected by me.
related or debt financed) pursuant to IRC § 511-514, I agree to prepare or
have prepared for me the required 990-T tax form forms to have Custo- 16. Custodian’s responsibilities and duties shall be limited to those expressly
dian pay the necessary taxes from my account. It is my responsibility to provided herein and under the Custodial Account agreement as in effect
understand the tax consequences of when unrelated business income tax from time to time.
may apply to my assets.

My Account is self-directed and I, alone, am responsible for the selection, due diligence, management, review and retention of all investments in my account. I agree that the Custodian is not a
“fiduciary” for my account, as said term is defined in the Internal Revenue Code, ERISA or any other applicable federal, state or local laws. I hereby direct the custodian, to enact this transaction for
my account, in accordance with my Custodial Account Agreement.

PO BOX 451340, WESTLAKE, OH 44145 | P: (888) 382-4727 | F: (440) 366-3752 | [Link] | INVESTMENTS@[Link]
ET_F-0002-01 | Rev. 081224 ©2024 Equity Trust Company | 4