PDCA Investor Accreditation - PDCA full-service Business Development is the Inventors Best Friend......

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Print and fax executed copy to -423-473-1090

INVESTOR ACCREDITATION

Representations and Warranties. I represent and warrant to PDCA as follows:

I am or represent an organization, which meets or exceeds at least one of the accreditation
requirements listed below.

Fields in bold are required.
Accedition Requirement At least one item must be checked!	A bank as defined in section 3(a)(2) of the Act, or a savings and loan association or other institution as defined in section 3(a)(5)(A) of the Act whether acting in its individual or fiduciary capacity; a broker or dealer registered pursuant to section 15 of the Securities Exchange Act of 1934; a insurance company as defined in section 2(13) of the Act; an investment company registered under the Investment Company Act of 1940 or a business development company as defined in section 2(a)(48) of that Act; a Small Business Investment Company licensed by the U.S. Small Business Administration under section 301(c) or (d) of the Small Business Investment Act of 1958; a plan established and maintained by a state, its political subdivisions, or any agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, if such plan has total assets in excess of $5,000,000; an employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974 if the investment decision is made by a plan fiduciary, as defined in section 3(21) of such Act, which is either a bank, savings and loan association, insurance company, or registered adviser, or if the employee benefit plan has total assets in excess of $1,800,000 or, if a self-directed plan, with investment decisions made solely by persons that are accredited investors; A private business development company as defined in section 202(a)(22) of the Investment Advisers Act of 1940; An organization described in section 501(c)(3) of the Internal Revenue Code, corporation, Massachusetts or similar business trust, or partnership, not formed for the specific purpose of acquiring the securities offered, with total assets in excess of $5,000,000; A director, executive officer, or general partner of the issuer of the securities being offered or sold, or any director, executive officer, or general partner of a general partner of that issuer; A natural person whose individual net worth, or joint net worth with that person's spouse, at the time of his purchase exceeds $1,000,000; A natural person who had an individual income in excess of $200,000 in each of the two most recent years or joint income with that person's spouse in excess of $300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current year; A trust, with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the securities offered, whose purchase is directed by a sophisticated person as described in § 230.506(b)(2)(ii); and An entity in which all of the equity owners are accredited investors.
Name:
Address1:
Address2:
City:
State:
Zip:
Phone:
EMail:	This is where your Password for the prospectus will be sent
Personal Use:	I acknowledge that I am aware that this section of the website is restricted and is for my personal use only, and that I am constrained from forwarding the password to others.
	Privacy Statement Information Collection and Use PDCA is the sole owner of the information collected on this site. We will not sell, share, or rent this information to others. Registration In order to use this website and view documents, an Accredited Investor must first complete the Investor Accreditation Registration form. During registration a user is required to give their contact information in order for us to be in compliance with various securities laws. This information may be used to contact the Accredited Investor about the opportunity presented on our site for which they have expressed interest.
Click>>> Affirm And Continue

D. Anthony Bright / CEO
PDCA Holdings, LLC
3124 Willow Springs Dr.
Cleveland TN 37323
Ph # 423-716-5829
FAX #423-339-9908

e-mail->tbright@pdcaholdings.com

www. pdcaholdings.com

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