SAM SHARED SERVICES INC CLIENT QUESTIONNAIRE

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We are excited to look into the potential of forming a partnership with you. 

In order to provide you with the best service tailored to your specific needs, this comprehensive questionnaire has been prepared for you. This set of questions is designed to help us better understand your goals, preferences, and needs and will help us support you in scaling your business efficiently. Please know that your privacy and the security of your information are of utmost importance to us.  All the details you provide in this questionnaire will be treated with strict confidentiality. We adhere to the highest standards of data protection and ensure that your information will never be shared with third parties without your explicit consent.

Kindly take your time in completing the questionnaire. The more accurate and detailed your responses, the better equipped we will be to meet your needs. If you have any questions or concerns, please don't hesitate to reach out.

We look forward to serving you!

Marleen ter Mors
Director of Shared Services

General Information

1. Contact Name

2. Contact phone number

3. Contact email address

4. Company Name

5. How did you hear about Sarona in general, and the Shared Services offering specifically?

Please select... Website Event LinkedIn Referral Professional Network Direct Outreach Other

Other

6. Can you share details of a track record in the case of current or previous funds (if any):

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Fund Information

7. What is the name of the Investment Vehicle?  

8. What is the Investment Vehicle Structure?

9. Investment type

DebtEquityMezzanineEvergreenOther

Other Investment type

10. What is the Fee Structure?

11. Number of Funds/Entities to be launched

12. What is the Fund Life Cycle?

13. What is the Projected First Close date? (MONTH/DAY/YEAR)

14. How long is the Investment period?

Please select... 1-2 3-5 Other

Other Investment period

15. How long is the Investment Term?

16. In which Fund Domicile(s) will the fund(s) be incorporated?

17. Vision and/or thesis of Fund

18. What is the type of Investment Vehicle?

19. What is the name of the Principal(s)?

20. What is the Projected AUM?

21. What is the geographic focus for the portfolio companies?

22.  What is the Projected Number of Portfolio/Investments?

23. What are the target portfolio Fund Characteristics?

24. List the portfolio companies/Invested deals

25. What is the Country Allocation?

26. What are the anticipated reporting requirements?

27. Will the Fund be preparing financials statements in accordance with the International Financial Reporting Standards (IFRS)?

YesNo

If no, please indicate financial reporting standard.

28. Briefly describe the Anticipated Impact Thesis

29. How is ESG integrated into fund's Investments processes?

30. Do you plan to Report Impact/ESG metrics to investors?

Please select... Yes No Maybe

31. How important is it to present impact-based documents or case studies to your stakeholders?

Please select... 5 - Very Important 4 - Important 3 - Moderately important 2 - Slightly important 1 - Not important

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Investor Information

32. What is projected Number of Investors

33. What are the targeted Investor Profiles

High Networth IndividualsFoundationsInstitutional InvestorsFamily OfficeDevelopment Financial Institution Other

Other Targeted Investor Profiles

34. What is the aimed ticket size?

35. How much is the GP commitment? (Provide the amount)