Name: Leeward Management
Telephone: +1 345-749-9601

Entity Formation Questionnaire - Cayman Islands

Kindly ensure all applicable fields are fully answered in order to avoid delays in onboarding/processing.

Instructing person

Please provide information on the person or entity instructing formation, which Leeward will regard as its client

Please select who will instruct and fund the entity formation. This person will be considered as Leeward's client.

An individual A legal entity

Please indicate how you you've been introduced to us Existing Leeward client Referral from Cayman Islands law or accounting firm Referral from foreign law or accounting firm Referral from Leeward client Website or search engine

Please describe the intended purpose and business of the new entity, or the type of transactions it is being established to conduct

Please select the type of entity to be formed. Exempted Company with Share Capital Limited Liability Company Foundation Company Limited by Guarantee (no members) Foundation Company Limited by Share Capital (has owners) Exempted Limited Partnership Ordinary Resident Company (typically requires 60% local ownership)

Please select the incorporation speed/registry service standard: Standard (4-5 business days) Express (next business day) (additional US$988 fee)

Will the entity apply for a tax undertaking certificate? Yes No

The fee is US$2,057.93. This certificate provides that any law enacted in the Cayman Islands that subsequently imposes a tax will not apply to the entity holding the certificate, for a period of 20-50 years (and is renewable).

Authorized share capital for the company US$50,000 divided into 5,000,000 shares of a nominal or par value of US$0.01 each US$50,000 divided into 50,000 shares of a nominal or par value of US$1.00 each US$50,000, without share capital (select for foundation companies limited by guarantee) N/A Other

An authorized share capital of US$50,000 is most common. The amount does not need to be paid in. Additional government fees are associated with authorized share capital amounts in excess of US$50,000

Please indicate which constitutional documents we should file upon formation? Use Leeward's standard-form constitutional documents Use constitutional documents which we will provide Use constitutional documents to be provided by our Cayman law firm Other

Describe the management of the limited liability company Member managed, the manager(s) is/are a member(s) Externally managed, the manager is a separate entity

Name of the person or entity who will serve as Supervisor of the Foundation Leeward Management Limited Fiduciary professional provided by Leeward Management Limited Other

Address of the person or entity which will serve as Supervisor of the Foundation

This information is not required where Leeward Management Limited is providing the Supervisor

LLC Manager Details

Name of the LLC's manager (press + to add additional managers)

Address of the manager

Jurisdiction of incorporation / registration

Director Information

Name of director (press + to add additional directors)

Name of director (if a legal entity)

Residential/Registered Office address of director (not necessary for Leeward appointees)

Please confirm who will act as initial limited partner. Leeward Management Limited An individual An entity

Leeward can act as initial limited partner for purposes of partnership registration. If you wish to use another person or entity, please complete details under "Owner Information", below.

Owner information

Name of Owner (press + to add additional owners)

Name (Owner) (if a legal entity)

Residential/Registered Office address of Owner

Number of Shares or % Interest Held

Please provide a detailed description of the source of funds which will be used to form and/or capitalize the entity.

For example, if an entity is funding the incorporation, describe where it has derived its funds (e.g. profits from business operations (give particulars). For individuals, describe the source of wealth e.g. employment (give particulars).

Are any of the persons listed in this form politically exposed persons (PEPs), or related/close associates of PEPs? No Yes

Does any proposed director, owner or sponsor have a source of wealth stemming from gambling, the sale or distribution of pharmaceutical or cannabis products, armaments or from a predominantly cash business? No Yes

Please select to certify that the person forming the entity has taken tax advice in his/her/its country of residence regarding the formation of the entity, and that the entity is not being formed for a purpose of evading taxation.

Please select to certify that no person, company or organization who will fund, own or control the entity has a source of funds derived from criminal or unlawful activity or money laundering.

Please select to certify that information herein is true, correct and complete, and if signing on behalf of a legal entity, that you have authority to represent it.

ENTITY FORMATION REQUEST

Entity Formation Questionnaire - Cayman Islands

Instructing person

Information on the entity to be formed

AML and compliance information

Other information

Completion and certification

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