Logo FSC Headings

ALTERNATIVE INVESTMENT FUND MANAGER: NOTIFICATION OF INTENTION TO PROVIDE CROSS-BORDER SERVICES UNDER ARTICLE 32 IN ANOTHER EEA STATE IN RELATION TO THE MARKETING OF UNITS OR SHARES OF AN AIF

This form is to be completed if you wish to exercise passporting rights to provide cross-border services for the marketing of units or shares of an AIF in another EEA State under Article 32 of the Alternative Fund Managers Directive (AIFMD).

Name of AIFM: Click here to enter text. Address: Click here to enter text.

Telephone Number: Click here to enter text.

E-mail address: Click here to enter text.

Contact: Click here to enter text.

Please provide the following documentation and information:

1. The EEA State(s) where the services are intended to be provided Click here to enter text.

2. The proposed start date Click here to enter text.

3. Details of the fund’s programme of operations (including the AIFs the AIFM intends to market and where the AIFs are established) Click here to enter text.

4. A copy of the AIF rules or instruments of incorporation ☐ Attached

5. Identify the Depositary of the AIF Click here to enter text.

6. Details describing, and any information on, the AIF makes available to Investors Click here to enter text.

7. If the AIF is a feeder AIF, state where the master AIF is established Click here to enter text.

8. Details of any additional information required by Article 23(1) of the AIFMD, for each AIF the AIFM intends to market Click here to enter text.

9. Does the AIFM intend to market the units or shares of the AIF? If so, provide details of which Member State in which it intends to do so. Click here to enter text.

10. Details on how the AIFM intends to market the AIF(s) and any information on arrangements made for the marketing of those AIF(s). Click here to enter text.

11. Where relevant, information on the arrangements established to prevent units or shares being marketed to retail investors (including when the AIFM relies on activities of independent entities to provide investment services for the AIF) Click here to enter text. DECLARATION

We certify that we have read the Financial Services (Alternative Investment Fund Managers) Regulations; the Alternative Investment Fund Managers Directive and the underlying regulations issued thereafter. We certify that the information given in answer to the questions above are complete and accurate to the best of our knowledge, information and belief and that there are no other facts relevant to this application of which the Financial Services Commission should be aware. We undertake to inform the Financial Services Commission of any changes material to this application while the Financial Services Commission is considering the application.

Name: Click here to enter text. Position Held: Click here to enter text.

Signed: Date: Click here to enter text.

Name: Click here to enter text. Position Held: Click here to enter text.

Signed: Date: Click here to enter text.