Satori Beverages Logo
Link to Home Page Link to Products Page Link to Contact Page
Satori Beverages International Accredited Investor Qualification Form

Please answer the following questions so we can provide you with additional information. A business plan and term sheet will be sent once we receive this form.

A value is required.Minimum number of characters not met.    A value is required.Invalid format.    (Optional)


Please make a selection.
I certify that I am an accredited investor because I had individual income (exclusive of any income attributable to my spouse) of more than $200,000.00 in each of the last two years, and I expect to have income in excess of $200,000.00 this year.
For purposes of this question, "individual income" means adjusted gross income, as reported for Federal income tax purposes, less any income attributable to a spouse or to property owned by a spouse.


Please make a selection.
I am a natural person whose individual net worth, or joint net worth with that of my spouse, exceeds $1,000,000.
Net worth being defined as the excess of (a) my total assets (excluding the estimated fair market value of my primary residence) over (b) my total liabilities (excluding indebtedness secured by my primary residence up to the fair market value of such residence, but including (i) any indebtedness secured by my primary residence in excess of the residence's fair market value and (ii) any indebtedness (or increase in pre-existing indebtedness) secured by such residence incurred within 60 days of the purchase date of the securities other than as a result of the acquisition of such residence).


Please make a selection.
I certify that I am an accredited investor because my spouse and I had joint income of more than $300,000.00 in each of the last two years, and I reasonably expect to have joint income with my spouse in excess of $300,000.00 in this year.
For purposes of this question, "income" means adjusted gross income, as reported for Federal income tax purposes.


Please make a selection.
I certify that I invest on behalf of a business that has total assets in excess of $5,000,000 and was not formed for the specific purpose of investing in the Company.


Please make a selection.
I certify that I invest on behalf of a business in which all of its equity owners are accredited investors.
I certify that by checking one of the boxes above, I understand that I hereby certify that I am an accredited investor in accordance with Rule 501(a) of Regulation D under the Securities Act of 1933.

Satori menu bar Link to Satori Products Page Link to Satori Contact Page Link to Smith Food Group Home Page Link to Home Page
Copyright 2014 Satori Beverages International, Ltd. Increase your website traffic with Attracta.com