BMI PREFERRED (SPC) COMPANY GUARANTEED INTEREST CONTRACT Minimum Investment: U$S 10,000 This contract is issued by BMI PREFERRED (SPC) COMPANY, a company organized under the laws of the Cayman Islands, (hereinafter referred to as “BMI”) in favor the following investor: Last Name Names Personal Information Date of birth ( dd /mm /yyyy): Place of Birth Nationality Gender Marital Status ID # Passport # Address Country Postal Address Zip Code (Only if different from the above) Country Zip Code Telephone Numbers Home Mobile E‐mail Address TERMS AND CONDITIONS 1. PAYMENT OF INTEREST AND PRINCIPAL. BMI shall pay OWNER (or his/her beneficiary, if deceased) three point five percent (3.5%) simple interest per annum upon the money deposited by OWNER (hereinafter referred to as the “INVESTMENT”) , after a period of five (5) years, commencing on the date a GUARANTEED INTEREST CONTRACT (the “GIC”) is issued. The GIC is linked to a Life Settlement Policy which may cause the contract to be paid at an earlier date. Should this be the case, the OWNER will receive the INVESTMENT plus a percentage as indicated in the table below. Up to Year 1 Early Payment Return Rate (simple interest per annum) 7% 2 6% 3 5% 4 4% 5 (Maturity) 3.5% Note: Except for the first year where the early payment return will be a 7% flat rate, the return rate will be prorated according to the contract year in which the early maturity occurs. There shall be no interim payments; liquidity will be subject to the conditions explained below under EARLY WITHDRAWAL. 2. OWNER’S DEATH. In the event OWNER dies within the five (5) year period of this GIC, the Beneficiary named hereunder will be paid the INVESTMENT as if he/she were the OWNER. Beneficiary must provide documentation of OWNER’S death to BMI’s satisfaction. OWNER’S INITIALS BMI Preferred (SPC) COMPANY ‐ The Charles Building, Second Floor – 189 North Church St., George Town, Grand Cayman KY1‐1209 – Cayman Islands 3. 4. 5. 6. 7. 8. 9. JURISDICTION AND LEGAL INTERPRETATION. This contract shall be governed by the laws of the Cayman Islands and all matters relating to this GIC shall be subject to the jurisdiction of the Cayman Islands with venue lying in Georgetown, Grand Cayman. ELEGIBILITY. Prospective OWNERS must be 18 years old at time of application and must rely on their independent advisors to determine their eligibility to participate in this instrument. BMI makes no representation regarding the suitability for any individual to participate in this GIC. This GIC is not available to residents or citizens of the United States of America, or the Cayman Islands. EARLY WITHDRAWAL. OWNER may withdraw the INVESTMENT made herein at any time. Any withdrawal prior to five (5) years from the date of issue will result in a reduction in the INVESTMENT payable to OWNER as follows: seven percent (7%) reduction during the 1st year, six percent (6%) reduction during the 2nd year, five percent (5%) reduction during the 3rd year, four percent (4%) reduction during the fourth year and three percent (3%) during the 5th year. Further, no interest will be payable if the INVESTMENT is withdrawn prior to the end of the five (5) year term. There will be no partial withdrawals for any GIC. BENEFICIARY IN EVENT OF OWNER’S DEATH. In the event of OWNER’s death, the following Beneficiary(ies) will receive the amount payable as indicated: Beneficiary(ies) ID % TRANSFERABILITY. This GIC is issued in the name of the OWNER as specified above. BMI does not allow any transfer to third parties nor will issue payments in the name of any person different from the OWNER or the BENEFICIARY as applicable. DOCUMENTATION. Applicants shall provide the following documents: The Contract Terms and Conditions (signed) ID (copy) Address Verification (copy) BMI reserves the right to confirm the prospective OWNER’s eligibility and may require additional documents as required by the Anti Money Laundering rules. LIFE SETTLEMENT POLICY. This GIC is linked to a Life Settlement Policy. The OWNER has no interest whether direct or indirect in such policy. In the event of an early maturity, BMI will pay the proceeds thirty (30) days after receipt of the monies from the insurance company issuing the policy. An independent auditor will verify receipt of the proceeds and payment within the time specified. By signing, the OWNER certifies his/her understanding and acceptance of the Terms and Conditions governing this GIC contract. The amount of $ ______________ (the INVESTMENT) is submitted along with this document and represents the INVESTMENT to be applied to the OWNER’S GIC. Owner’s Signature: Owner’s Name: Advisor’s Signature: Advisor’s Name: Date: Date: Code: BMI Preferred (SPC) COMPANY ‐ The Charles Building, Second Floor – 189 North Church St., George Town, Grand Cayman KY1‐1209 – Cayman Islands DECLARATION OF SOURCE OF FUNDS / DECLARACION DEL ORIGEN DE LOS FONDOS TO BE COMPLETED BY THE PERSON RESPONSIBLE FOR THE CONTRIBUTIONS – PARA SER LLENADO POR LA PERSONA RESPONSABLE DE LAS CONTRIBUCIONES Last Name / Apellido Name / Nombre Current Employer / Empleador Actual How Long Employed / Tiempo en la Empresa Employer Address / Dirección del Empleador Describe nature, annual sales and development of business (i.e. line of business, what is sold, number of offices, territories covered, etc) Describa el tipo de negocio, ventas anuales y desarrollo del negocio (Ej: línea de negocio, productos de venta, cantidad de oficinas, territorios cubiertos, etc.) Position / Posición I declare that the funds totaling / Declaro que la suma de How long has the participant been in this line of business? ¿Por cuánto tiempo ha estado el participante en este tipo de negocio? provided to complete the contract outlined in this document represents the proceeds of monies obtained from the following sources: entregados para efectuar el contrato descrito en este documento representa ingresos originados de la forma siguiente: US$ PERSONAL BALANCE SHEET / ESTADO FINANCIERO PERSONAL Assets / Activos Liabilities / Pasivos $ $ $ $ $ $ $ $ Total Assets / Total Activos $ Total Liabilities / Total Pasivos $ Net Worth / Patrimonio Neto Yearly Income from Work / Ingresos Anuales de su Trabajo Yearly Income from Investments / Ingresos Anuales por Inversiones BANKING REFERENCES / REFERENCIAS BANCARIAS Institution / Institución Contact / Contacto Phone / Teléfono Institution / Institución Contact / Contacto Phone / Teléfono I understand this declaration is required to conform with Bank Policy and the Proceeds of Criminal Conduct Law (2000 Revision) namely the Money Laundering Regulations 2000, and associated regulation and code. / Entiendo que esta declaración es requerida de conformidad con las Políticas del Banco y los Procedimientos de las Leyes de Conducta Criminal (Revisión del año 2000) denominada Regulaciones contra el Lavado de Dinero del 2000 que incluye sus regulaciones y su código. Any person who knowingly and with intent to injure, defraud or deceive any insurer files a statement of claim or an application containing any false, incomplete or misleading information is guilty of a felony of the third degree. / Cualquier persona que con conocimiento e intención de causar daño, defraudar o engañar a cualquier asegurador, presenta una reclamación o una solicitud conteniendo información falsa, incompleta o engañosa será culpable de felonía, delito mayor de tercer grado. Owner’s Name / Dueño del Plan Signature / Firma Date / Fecha BMI Preferred (SPC) COMPANY ‐ The Charles Building, Second Floor – 189 North Church St., George Town, Grand Cayman KY1‐1209 – Cayman Islands VERIFICATION OF PARTICIPANT IDENTITY / VERIFICACION DE IDENTIDAD DEL PARTICIPANTE This document is to be completed by the advisor and it is required to process this application. Esta verificación debe ser completada por el asesor y Name of Participant / Nombre del Participante Last Name / Apellido Name / Nombre The undersigned, as presenting advisor, certifies that he/she has obtained copies and has verified against the originals of the following documents to confirm the participant’s identity. El abajo firmante, como asesor presentador del participante, certifica que ha obtenido copias y ha verificado contra los originales correspondientes, de los siguientes documentos para confirmar la identidad del participante. es requerida para procesar esta solicitud. Passport Number /Número de Pasaporte Driver’s License Number / Número de Licencia de Conducir Other /Otro National Identity Card Number / Número de Cédula de Identidad How long have you known the participant?/¿Desde cuando conoce al participante? How did you meet the participant? / ¿Cómo conoció al participante? Other names or nicknames /Algún otro nombre o apodo ADDITIONAL INFORMATION / INFORMACION ADICIONAL Please provide information about the participant’s activities, memberships, associations, clubs, working environment, background, etc. Por favor proveer información acerca de las actividades del participante, membresías, asociaciones, clubes, medio de trabajo, antecedentes, etc Advisor’s Name / Nombre del Asesor Signature / Firma Date / Fecha BMI Preferred (SPC) COMPANY ‐ The Charles Building, Second Floor – 189 North Church St., George Town, Grand Cayman KY1‐1209 – Cayman Islands