Annex 1 - Compliance Questionnaire

Management Services

Name of the Client Entity:      

(to be serviced)      
1. Nature of business of the Client Entity:
Non-operational (such as financing, holding) Limited operational (such as sales office)*
Leasing (such as aviation / vessel) Private Equity (Fund)
Structured Finance (orphan structure) Real Estate (holding)
Operational (such as trading or production)* Dormant

2. The Client Entity is:

A new entity to be incorporated.
An existing entity. Addition / replacement of director required because:      

3. Is the directorship appointment required for a limited period of time (for example during incorporation before
commencing operations only)?
No Yes, expected duration:      

4. Why does the Client Entity require TMF Group to provide directorship services?
Fulfilment of local residency requirement No client staff locally
Local substance reasons Other, namely:      

5. Bookkeeping services provided in addition to Management services?

Yes No, Bookkeeping services provided by*:      

6. Payroll services to be provided in addition to Management services?

Yes No, Payroll services provided by*:      
Not applicable (no employees)

7. When rendering Management Services to an operational company, TMF requires coverage under the Client
Entities Director and Officers Insurance. Please confirm that TMF Group directors will be covered.
Yes No* Not an operational company

8. Will TMF Group hold all directorship appointments to the Client Entity?
Yes*
No, state director’s names*:      

9. Will signatory arrangements be put in place to prevent other directors from acting on behalf of the Client
Entity without the involvement of TMF Group?
Yes No* Not applicable

10. Has the Client Entity been involved in any legal proceedings during the past 2 years?
Yes* No Not applicable

11. Have all financial statements and other statutory/regulatory filings required been properly filed during the
past 2 years?
Yes No* Not applicable

12. Does the Client Entity maintain a branch in a foreign jurisdiction?

Yes*, please specify: No
- Country:      
- Object: Trading Real Estate
Finance Other, namely:      

This Annex was filled out by: ___________________________________________

Signed by:      

Place/Date: __________________________________

The use of asterisks (*) is for internal purposes only.

524664778.doc 1