Semi Qualified Inv Form

**Capital Lift – Certification of Knowledge Form (For Semi-Qualified Investors*)**

This form is intended for individuals who wish to qualify as *Semi-qualified investors or Investor with Proven Knowledge or Experience (view disclaimer)

Investor Information

First name

Last name

Date of Birth

Day

Month

Year

Nationality

Residence

Phone

Investment Knowledge Assessment

A. Please indicate which of the following you are familiar with (check all that apply):

Alternative Investment Funds (AIFs)

Derivatives and Futures

Leverage and Margin Requirements

Market Volatility and Drawdowns

Risk/Return Profiles of Non-Traditional Assets

None of the above

Please answer the following questions:

A. What is the primary difference between traditional mutual funds and AIFs?

B. What are the typical risks associated with investing in futures contracts?

C. What does it mean if an investment strategy is described as “algorithmic”?

D. Optional: List any financial qualifications, licenses, or relevant education

I am interested to learn more about being a Semi Qualified Investor and would like to be personally contacted via email:

Yes

Declaration

By signing below, I confirm that:

I understand the nature and risks of investing in alternative investment funds.
I have sufficient knowledge and experience to evaluate such an investment.
I am seeking to be classified as a semi-qualified investor under applicable regulations.
I agree to the processing of my personal data specified above.

Date

Day

Month

Year

Signature

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Under the Czech Act on Investment Companies and Investment Funds (ZISIF) — Act No. 240/2013 Coll. — a qualified investor (kvalifikovaný investor) is defined as an investor who meets at least one of the following conditions:

Qualified Investor Criteria under ZISIF (§ 272):

1. Professional Client under MiFID II

This includes entities such as:
- Banks
- Insurance companies
- Pension funds
- Investment firms
- Large corporates meeting certain balance sheet or turnover thresholds
- Government bodies or central banks
Individual or Legal Entity Investing ≥ EUR 125,000
- The investor must invest at least EUR 125,000 (or CZK equivalent) in the fund.
- They must confirm in writing that they understand the risks associated with the investment.
Investor with Proven Knowledge or Experience (Semi-qualified)
- An individual may be classified as qualified even with less than EUR 125,000 invested if:
  - They demonstrate adequate knowledge of alternative investments.
  - The fund manager confirms and documents the investor’s ability to make informed decisions.
  - This is generally formalized through a suitability or knowledge assessment.

DISCLAIMER:

Capital Lift, osoba rizikového kapitálu s.r.o. (manager of an alternative investment fund), is registered in the list maintained by the Czech National Bank pursuant to Section 15 of Act No. 240/2013, on Investment Companies and Investment Funds (ZISIF). The company’s activities are not subject to supervision by the Czech National Bank. The company’s investment services are intended exclusively for a limited group of pre-selected investors who qualify as qualified investors under the ZISIF. This is not a public offering and is not intended for the general public.