EXHIBIT I FORM OF TRANSFEREE CERTIFICATE SUBORDINATED NOTES

Transcription

1 EXHIBIT I FORM OF TRANSFEREE CERTIFICATE SUBORDINATED NOTES TRANSFER OF INTERESTS IN A REGULATION S GLOBAL SECURITY / CERTIFICATED SUBORDINATED NOTE TO A CERTIFICATED SUBORDINATED NOTE (TRANSFEREE CERTIFICATE DELIVERED PURSUANT TO SECTION 2.5 OF THE INDENTURE) Cent CLO 19 Limited c/o MaplesFS Limited P.O. Box 1093, Boundary Hall Cricket Square Grand Cayman, Cayman Islands, KY Citibank, N.A. 388 Greenwich Street, 14th Floor New York, New York Attention: Global Transaction Services - CENT CLO 19 Columbia Management Investment Advisers, LLC, as Collateral Manager 1099 Ameriprise Financial Center Minneapolis, Minnesota J.P. Morgan Securities LLC 383 Madison Avenue, 3rd Floor New York, New York Attention: Structured Products Group Re: Cent CLO 19 Limited Subordinated Notes Due 2025 (the Securities ) Ladies and Gentlemen: Reference is hereby made to the Securities issued by Cent CLO 19 Limited (the Issuer ), pursuant that certain Indenture, dated as of October 29, 2013 (the Indenture ), among the Issuer, Cent CLO 19, Corp., as the Co-Issuer (the Co-Issuer ) and Citibank, N.A., as the Trustee (the Trustee ). We (the Transferee ) are purchasing from [Name of Transferor] [US$ ] in aggregate principal amount of the Subordinated Notes Due 2025 (the Transferee s Securities ) currently held by Transferor as a [Regulation S Global Security] [Certificated Subordinated Note] to be held by us in certificated form. Capitalized terms used and not otherwise defined herein have the meaning specified in the Indenture. In connection with our purchase of the Transferee s Securities, the Transferee hereby represents that the Transferee is purchasing such Securities in accordance with the transfer restrictions applicable to such Securities in the Indenture. In addition, as Transferee, we make the further representations, acknowledgments and agreements that are set forth in this Transferee Certificate (this Transferee Certificate ): 1

2 (i) The Transferee (or if the Transferee is acquiring Securities for any account, each such account) is acquiring the Securities as principal for its own account for investment and without a view to the resale, distribution or other disposition thereof in violation of the Securities Act. (ii) The Transferee is a sophisticated investor familiar with structured investments similar to the Transferee's investment in the Transferee's Securities, and has such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of its investments in the Securities, and the Transferee, and any accounts for which it is acting, are each able to bear the economic risk of the Transferee's or its investment. (iii) The Transferee has received the final Offering Circular relating to the Securities and all information that the Transferee has requested concerning the Securities, the Issuer, the Co-Issuer, the Collateral, the Collateral Manager, the Trustee, the Collateral Administrator, the Administrator and any other matters relevant to the Transferee's decision to purchase the Transferee's Securities (including, without limitation, the information referred to in clause (iv) below). (iv) The Transferee has had, at a reasonable time prior to its purchase of the Securities, an opportunity to discuss fully with the Collateral Manager, the Issuer, the Co-Issuer and their representatives, the Issuer s and the Co-Issuer s business, management and financial affairs, the nature of the Collateral, the Collateral Manager and the terms and conditions of the proposed purchase of the Transferee's Securities; (v) The Transferee has carefully read and understood the final Offering Circular relating to the Securities (including, without limitation, the Risk Factors and Description of the Securities Transfer and Exchange therein), and acknowledges that the Final Offering Circular supersedes any preliminary Offering Circular furnished to the Transferee. (vi) The Transferee (A) is purchasing the Securities and executing any certifications or other documentation in connection therewith with a full understanding of all of the terms and conditions of the Securities and the documents governing such Securities and all of the economic and other risks hereof and thereof (including, without limitation, the risks referred to in such Risk Factors section of the final Offering Circular) and (B) is capable of assuming and willing to assume those risks financially and otherwise. (vii) The Transferee has consulted, to the extent it has deemed necessary, with its own independent legal, regulatory, tax, business, investment, financial and accounting advisers, and it has made its own investment decisions (including decisions regarding the suitability of the Transferee's investment in the Transferee's Securities) based on, and only on, (A) the Transferee's own judgment and the advice of such advisers, (B) the information contained in the final Offering Circular relating to the Securities and (C) the information (including the Issuers representations, warranties, covenants and agreements) contained in any agreement between the Issuers and the Transferee, and not upon any view expressed by the Issuer, the Co-Issuer, the Collateral Manager, the Placement Agent, the Trustee, the Collateral Administrator, the Administrator or any of their respective affiliates. 2

3 (viii) None of the Issuer, the Co-Issuer, the Collateral Manager, the Placement Agent, any Hedge Counterparty, the Trustee, the Collateral Administrator, the Administrator or any of their respective affiliates (A) has acted or is acting as a fiduciary for the Transferee or (B) has made or given the Transferee any representation, warranty, covenant, agreement or guarantee whatsoever (in each case, whether written or oral and whether directly or indirectly through any other Person) as to the expected or projected success, profitability, return, performance, result, effect, consequence or benefit of the Indenture or as to the expected or projected success, profitability, return, performance, result, effect, consequence or benefit of, or any other matters relating to the Transferee s decision to make, the Transferee s investment in the holder's Securities. (ix) In connection with the purchase of the Securities: (A) the Transferee is not relying (for purposes of making any investment decision or otherwise) upon any advice, counsel or representations (whether written or oral) of the Issuer, the Co-Issuer, the Placement Agent, any Hedge Counterparty, the Collateral Manager, the Trustee, the Administrator or the Collateral Administrator or any of their respective affiliates other than, to the extent applicable, in the final Offering Circular relating to the Securities; (B) none of the Issuer, the Co-Issuer, the Placement Agent, any Hedge Counterparty, the Collateral Manager, the Trustee, the Administrator or the Collateral Administrator or any of their respective affiliates has given the Transferee (directly or indirectly through any other Person or documentation for the Securities) any assurance, guarantee or representation whatsoever as to the expected or projected success, profitability, return, performance, result, effect, consequence or benefit of the Securities or the Indenture; and (C) the Transferee has determined that the rates, prices or amounts and other terms of the purchase and sale of such Securities reflect those in the relevant market for similar transactions. (x) The Transferee acknowledges that all investment decisions relating to the purchase of the Transferee's Securities have been the result of arm's-length negotiations. (xi) The Transferee understands that an investment in the Securities involves certain risks, including the risk of loss of all or a substantial part of its investment. (xii) The Transferee acknowledges that the final Offering Circular is not intended to and does not provide detailed or specific information on the Collateral Debt Obligations comprising the pool of assets acquired or expected to be acquired by the Issuer (or the Collateral Manager on its behalf). (xiii) The Transferee understands that the Collateral Debt Obligations comprising the predominant portion of the assets of the Issuer may change in accordance with the concentration limitations set forth in the Indenture during the term of the Securities. (xiv) The Transferee understands that there is no market for the Securities, that no assurance can be given as to the liquidity of any trading market for the Securities and that it is unlikely that a trading market for the Securities will develop. It further understands that neither the Placement Agent nor any other Person is obligated to make a market in the Securities, and any such market making that does occur, may be discontinued at any time without notice. Accordingly, the Transferee must be prepared to hold the Securities for an indefinite period of time or until their maturity. 3

4 (xv) The Transferee understands that the Securities have not been approved or disapproved by the Securities and Exchange Commission or any other governmental authority or agency of any jurisdiction, nor has the Securities and Exchange Commission or any other governmental authority or agency passed upon the accuracy or adequacy of the final Offering Circular relating to the Securities. Any representation to the contrary is a criminal offense. (xvi) The Transferee understands that the Securities are being offered only in a transaction not involving any public offering in the United States within the meaning of the Securities Act, the Securities have not been and will not be registered under the Securities Act, and, if in the future the Transferee decides to offer, resell, pledge or otherwise transfer the Securities, such Securities may be offered, resold, pledged or otherwise transferred only in accordance with the Indenture, and the applicable legend on such Securities. The Transferee acknowledges that no representation is made by the Issuers or the Placement Agent, as applicable, as to the availability of any exemption under the Securities Act or any state securities laws or the securities laws of any other jurisdiction for resale of the Securities. (xvii) The Transferee will not, at any time, offer to buy or offer to sell the Securities by any form of general solicitation or advertising, including, but not limited to, any advertisement, article, notice or other communication published in any newspaper, magazine or similar medium or broadcast over television or radio or seminar or meeting whose attendees have been invited by general solicitations or advertising. The Transferee is not purchasing the Securities as a result of or subsequent to any advertisement, article, notice or other communication published in any newspaper, magazine or similar medium or broadcast over television or radio, any seminar or general meeting or solicitation of a subscription by a Person. (xviii) The Transferee will provide notice to each Person to whom it proposes to transfer any interest in the Securities of the transfer restrictions and representations set forth in the Indenture, including the Exhibits and Annexes referenced therein and will deliver to the Issuers and the Trustee a duly executed transfer certificate, if applicable, and such other certificates and other information as the Issuers, the Placement Agent, the Collateral Manager, or the Trustee may reasonably require to confirm that the proposed transfer complies with the transfer restrictions contained in the Indenture, including an opinion of counsel substantially to the effect that the transfer of such Securities to such purchaser will not require the Securities to be registered under the Securities Act. (xix) The Transferee agrees that no Security may be sold, pledged or otherwise transferred in a denomination of less than the applicable minimum denominations, minimum lot size or minimum face amount set forth in the Indenture. (xx) The Transferee understands that the Securities have not been and will not be registered under the Securities Act and, therefore, cannot be resold unless they are registered under the Securities Act or unless an exemption from registration is available. The Transferee understands that the Issuers will not register the Securities under the Securities Act or comply with the requirements for any exemption from the registration requirements of the Securities Act (other than to supply information specified in Rule 144A(d)(4) under the Securities Act as required by the Indenture). The Transferee also understands that the Issuer, the Co-Issuer and the pool of Collateral have not been registered under the Investment Company Act in reliance on 4

5 the exemption from registration thereunder provided by Section 3(c)(7), and that each U.S. Person purchasing a Security must be a Qualified Purchaser. (xxi) The Transferee is aware that each Security will bear the legend set forth in the applicable exhibit to the Indenture. (xxii) The Transferee understands that the Issuer has the right under the Indenture to compel any Non-Permitted Holder as specified in the Indenture to sell its interest in the Securities or may sell such interest in the Securities on behalf of such owner. (xxiii) The Transferee agrees that (A) any sale, pledge or other transfer of a Security made in violation of the transfer restrictions contained in the Indenture, or made based upon any false or inaccurate representation made by the Transferee or a transferee to the Issuers will be void and of no force or effect to the maximum extent permitted by applicable law and (B) neither the Issuers or the Trustee has any obligation to recognize any sale, pledge or other transfer of a Security made in violation of any such transfer restriction or made based upon any such false or inaccurate representation or which would otherwise cause the Issuers or the pool of Collateral to be required to register as an Investment Company under the Investment Company Act. (xxiv) The Transferee and each beneficial owner of a Subordinated Note, by acquiring such Subordinated Note or an interest therein, agrees to treat such Subordinated Note as equity in the Issuer for U.S. federal, state and local income tax purposes. (xxv) The Transferee of each Security, if not a United States person (as defined in Section 7701(a)(30) of the Code), either (A) is not a bank (within the meaning of Section 881(c)(3)(A) of the Code) that will be receiving interest from the Issuer on an extension of credit made pursuant to a loan agreement entered into in the ordinary course of its trade or business or (B) is a Person that is eligible for benefits under an income tax treaty with the United States that eliminates U.S. federal income taxation of United States source interest not attributable to a permanent establishment in the United States. (xxvi) The Transferee is not purchasing such Security in order to reduce its U.S. federal income tax liability or pursuant to a tax avoidance plan. (xxvii) The Transferee understands that as a condition to the payment of principal, interest, dividend and/or other payments on any Security, the Issuer and Co-Issuer will require certification acceptable to each of them (including, without limitation, the delivery of a properly completed and executed IRS Form W-9 (or applicable successor form) in the case of a Person that is a United States person within the meaning of Section 7701(a)(30) of the Code or the applicable IRS Form W-8 (or applicable successor form) in the case of a Person that is not a United States person within the meaning of Section 7701(a)(30) of the Code) to enable the Issuer, the Co-Issuer, the Trustee and any paying agent to determine their duties and liabilities with respect to any taxes or other charges that they may be required to deduct or withhold from payments in respect of such Security under any present or future law or regulation of the United States or any present or future law or regulation of any political subdivision thereof or taxing authority therein or to comply with any reporting or other requirements under any such law or regulation. 5

6 (xxviii) Each Transferee of a Security or direct or indirect interest therein, by acceptance of such Security or such an interest in such Security, agrees or is deemed to agree to provide to the Issuer such information, documentation or certification requested by the Issuer within a reasonable time period after such request and to update or replace any information, documentation or certification that (i) will permit the Issuer to make payments to it without, or at a reduced rate of, withholding, (ii) will enable the Issuer to qualify for a reduced rate of withholding in any jurisdiction from or through which the Issuer receives payments on its assets, and (iii) will enable the Issuer to achieve FATCA Compliance. Each Transferee of a Security or direct or indirect interest therein, by acceptance of such Security or such an interest in such Security, agrees or is deemed to agree that the Issuer and/or the Trustee (A) may (1) provide such information and documentation and any other information concerning its investment in the Security to the U.S. Internal Revenue Service and any other relevant tax authority, and (2) take such other steps as they deem necessary or helpful to achieve FATCA Compliance, and (B) if the Transferee fails for any reason to provide any such information or documentation to enable the Issuer to obtain FATCA Compliance, or such information or documentation is not accurate or complete, shall have the right, in addition to withholding on passthru payments, to (x) withhold and compel the Transferee to sell its interest in such Security, (y) sell such interest on the Transferee s behalf in accordance with the procedures specified in the Indenture, and/or (z) assign to such Note a separate CUSIP or CUSIPs. (xxix) The Transferee has read the summary of the U.S. federal income tax considerations in Material Income Tax Considerations in the current Offering Circular. (xxx) The Transferee understands and acknowledges that it may not Transfer all or any portion of its Securities unless: (i) the transferee agrees to be bound by the restrictions and conditions set forth in the Indenture and in such Securities, as applicable, and (ii) such Transfer does not violate the Indenture or such Securities. (xxxi) On each day that the Transferee holds such Securities, either (1) the Transferee, and any account on behalf of which the Transferee is holding such Securities, is not and will not be an employee benefit plan subject to ERISA, a plan or arrangement subject to Section 4975 of the Code, an entity whose underlying assets include the assets of the foregoing plans or arrangements or a governmental, foreign or church plan that is subject to any federal, foreign, state or local law which is substantially similar to the provisions of Section 406 of ERISA or Section 4975 of the Code or (2) the Transferee's purchase, holding and disposition of such Securities will not result in a non-exempt prohibited transaction under Section 406 of ERISA or Section 4975 of the Code or (in the case of a governmental, foreign, church or other plan not subject to ERISA or Section 4975 of the Code) a violation of any substantially similar federal, state, non U.S. or local law because the Transferee and such purchase, holding and disposition of such Securities (x) is not, and will not become subject to ERISA or Section 4975 of the Code, or any such substantially similar law or (y) such purchase, holding and disposition (a) is covered by an applicable exemption for purposes of ERISA and Section 4975 of the Code (all of the conditions of which have been and will be satisfied upon the acquisition and disposition of, and throughout the period it holds, such Securities) or (b) in the case of such substantially similar law, otherwise do not result in a violation thereof. The Transferee, and any fiduciary of the Transferee or other Person causing the Transferee to acquire such Securities, agrees, without limiting the remedies for a breach of representations, to promptly notify the Trustee upon, and 6

7 agrees to indemnify and hold harmless the Issuers, the Collateral Manager, the Trustee, the Collateral Administrator, the Placement Agent and their respective affiliates from any cost, damage or loss incurred by them as a result of, the foregoing representation being or becoming untrue. Any purported transfer of such Securities to a Transferee that does not comply with the requirements of this clause (xxxi) will be null and void ab initio and will not be given effect. (xxxii) The Transferee is aware that the Securities may be offered or sold, pledged or otherwise transferred to a transferee that is an investment company relying on Section 3(c)(7) of the Investment Company Act only if such transferee is a Qualifying Investment Vehicle. (xxxiii) The Transferee agrees that no sale, pledge or other transfer of a Security may be made if such transfer would have the effect of requiring either of the Issuers or the pool of Collateral to register as an investment company under the Investment Company Act. (xxxiv) The Transferee, if a U.S. resident (within the meaning of the Investment Company Act) and each account for which the Transferee is acting: (A) was not formed for the specific purpose of investing in the Securities (except when each beneficial owner of the Transferee and each such account is a Qualified Purchaser), (B) to the extent the Transferee is a private investment company formed before April 30, 1996, the Transferee has received the necessary consent from its beneficial owners, (C) is not a pension, profit sharing or other retirement trust fund or plan in which the partners, beneficiaries or participants, as applicable, may designate the particular investments to be made and (D) is not a broker-dealer that owns and invests on a discretionary basis less than $25,000,000 in securities of unaffiliated issuers. Further, each of the Transferee and each such account agrees: (1) that it will not hold such Securities for the benefit of any other Person and will be the sole beneficial owner thereof for all purposes; (2) that it will not sell Participations in the Securities or enter into any other arrangement pursuant to which any other Person will be entitled to a beneficial interest in the payments on the Securities; and (3) that the Securities purchased directly or indirectly by it constitute an investment of no more than 40% of the Transferee's and each such account's assets (except when each beneficial owner of the Transferee and each such account is a Qualified Purchaser). The Transferee understands and agrees that any purported transfer of the Securities to a Transferee that does not comply with the requirements of this clause (xxxiv) will be null and void ab initio. (xxxv) The Transferee is not a member of the public in the Cayman Islands. (xxxvi) The Transferee understands that the Issuer may receive a list of participants holding positions in the Securities from one or more book-entry depositories. (xxxvii) The Transferee acknowledges that the Issuers, the Placement Agent, the Collateral Manager, the Trustee, the Collateral Administrator, the Hedge Counterparty and others will rely upon the truth and accuracy of its acknowledgments, representations and agreements and agrees that, if any of its acknowledgments, representations or warranties made or deemed to have been made by it in connection with its purchase of the Securities are no longer accurate, the Transferee will promptly notify the Issuer, the Placement Agent, the Collateral Manager and the Trustee. 7

8 (xxxviii) The Transferee represents and agrees that either (A) such Transferee's principal place of business is not located within any Federal Reserve District of the United States Federal Reserve Bank or (B) such Transferee has satisfied and will satisfy any applicable registration or other requirements of the Board of Governors of the Federal Reserve System including Regulation U, in connection with its acquisition of the Securities. (xxxix) The Transferee acknowledges that by purchasing the Securities it will be deemed to have acknowledged the existence of the conflicts of interest as described in the Risk Factors section of the final Offering Circular, and to have waived any claim with respect to any liability arising from the existence thereof. (xl) The Transferee understands that Executive Orders issued by the President of the United States of America, Federal regulations administered by the U.S. Treasury Department's Office of Foreign Assets Control ( OFAC ) and other federal laws prohibit, among other things, U.S. Persons or Persons under the jurisdiction of the United States from engaging in certain transactions with certain foreign countries, territories, entities and individuals, and that the lists of prohibited countries, territories, entities and individuals can be found on, among other places, the OFAC website at Neither the Transferee nor any of its affiliates, owners, directors or officers is, or is acting on behalf of, a country, territory, entity or individual named on such lists, nor is the Transferee or any of its affiliates, owners, directors or officers a natural Person or entity with whom dealings are prohibited under any OFAC regulation or other applicable federal law or acting on behalf of such a natural Person or entity. (xli) The Transferee agrees to provide to the Issuer and the Collateral Manager all information reasonably available to it that is reasonably requested by the Collateral Manager in connection with regulatory matters, including any information that is necessary or advisable in order for the Collateral Manager (or its parent or Affiliates) to complete its Form ADV, to file its reports on Form PF, to comply with any requirement of the Dodd Frank Wall Street Reform and Consumer Protection Act, as amended from time to time, to establish an exemption from registration as a commodity pool operator under the Commodity Exchange Act, or to comply with any other laws or regulations applicable to the Collateral Manager from time to time. (xlii) The Transferee agrees that prior to the date which is one year and one day (or, if longer, the applicable preference period and one day) after the payment in full of all Securities, it will not institute against, or join any other Person in instituting against, the Issuer, the Co-Issuer, or any Tax Subsidiary any bankruptcy, reorganization, arrangement, insolvency, moratorium or liquidation proceedings, or other proceedings under U.S. federal or state bankruptcy or similar laws (including Cayman Islands Law). The holder further acknowledges and agrees that if it causes the filing of a petition in bankruptcy against the Issuer, the Co-Issuer or any Tax Subsidiary prior to the expiration of the period specified in the previous sentence, any claim that it has against the Issuers (including under all Securities of any Class held by such holder(s)) or with respect to any Collateral (including any proceeds thereof) will, notwithstanding anything to the contrary in the Priority of Payments and notwithstanding any objection to, or rescission of, such filing, be fully subordinate in right of payment to the claims of each holder of any Security (and each other secured creditor of the Issuer) that does not seek to cause any such filing, with such subordination being effective until each Security held by each holder of any Security (and each claim of each other secured creditor of the Issuer) that does not seek to cause any such 8

9 filing is paid in full in accordance with the Priority of Payments (after giving effect to such subordination). This agreement will constitute a subordination agreement within the meaning of Section 510(a) of the Bankruptcy Code. (xliii) The Transferee acknowledges and agrees that any report issued by the Issuer s independent accountants cannot be disseminated by the Trustee or posted to the Issuer s website without the express consent of such accountants. (xliv) The Transferee is: [CHECK AS APPLICABLE] (A) a U.S. Person that is a QIB/QP acting for its own account or for the account of another QIB/QP; (B) not, and will not be, a U.S. Person as defined in Regulation S or a United States resident for purposes of the Investment Company Act, and its purchase of the Notes will comply with all applicable laws in any jurisdiction in which it resides or is located, and is aware that the sale of such Note to it is being made in reliance on the exemption from registration provided by Regulation S; or (C) a U.S. Person that is an institutional accredited investor (as defined in Rule 501(a)(1), (2), (3) or (7) of Regulation D under the Securities Act) that is also a Qualified Purchaser and is acting for its own account. (xlv) In respect of the purchase of the Securities, the Transferee represents: (A) The funds that the Transferee is using or will use to purchase such Securities (CHECK ONE) are/ are not assets of a person who is or at any time while such Securities are held by the Transferee will be (A) an employee benefit plan as defined in Section 3(3) of the Employee Retirement Income Security Act of 1974, as amended ( ERISA ), that is subject to part 4 of Subtitle B of Title I of ERISA, (B) a plan described in Section 4975(e)(1) of the Code that is subject to Section 4975 of the Code or (C) an entity whose underlying assets would be deemed to include plan assets of either of the foregoing by reason of the investment by an employee benefit plan or other plan in the entity within the meaning of Section 3(42) of ERISA, 29 C.F.R. Section or otherwise under ERISA (the plans and persons described in clauses (A), (B) and (C) being referred to as Benefit Plan Investors ). For purposes of making this determination, Keoghs and individual retirement accounts ( IRAs ) are typically considered Benefit Plan Investors. (B) If the Transferee has indicated in (xlv)(a) above that it is, or is using assets of, a Benefit Plan Investor, for so long as the Transferee holds any such Security, the maximum percentage of its assets that may be treated as plan assets is (indicate percentage). [If no percentage is specified, the percentage shall be deemed to be 100%.] (C) The Transferee (CHECK ONE) is/ is not the Issuer, the Collateral Manager, the Trustee or any other person (other than a Benefit Plan Investor) that has discretionary authority or control with respect to the assets of the Issuer or a person who provides investment advice for a fee (direct or indirect) with respect to the assets of the Issuer, or any 9

10 affiliate (as defined in 29 C.F.R. Section (f)(3)) of any such person (any such person, a Controlling Person ). (D) The Transferee further understands and agrees that any transfer in violation of the applicable provisions of the Indenture will be void. The Transferee agrees to indemnify and hold harmless the Issuers, the Placement Agent, the Trustee, the Administrator and the Collateral Manager and their respective affiliates from any cost, damage, or loss incurred by them as a result of the representations and agreements in this clause (D) being untrue. 10

11 The Transferee acknowledges that you and other Persons will rely upon the Transferee s confirmation, acknowledgments, representations, warranties, covenants and agreements set forth herein, and the Transferee hereby irrevocably authorizes you and such other Persons to produce this letter or a copy hereof to any interested party in any administrative or legal proceeding or official inquiry with respect to the matters covered hereby. All of the foregoing representations, acknowledgements and agreements shall survive the date of this Transferee Certificate. The name and address of the registered Transferee of the Transferee s Securities will be: [ ]. The taxpayer ID of the registered Transferee of the Transferee s Securities is: [ ]. The wire/payment instructions for the registered Transferee of the Transferee s Securities are: [ ]. Very truly yours, [Name of Transferee] By: Name: Title: Date: 11