SUBSCRIPTION AGREEMENT

American Modernist Capital Group, LP 2250 E. 73rd Street, Suite 412
Tulsa, Oklahoma 74136

Re:  Purchase of Limited Partnership Interests of American Modernist Capital Group, LP Ladies and Gentlemen:
American Modernist Capital Group, LP is a Delaware limited partnership (the “Partnership”), the general partner of which is American Modernist Capital Group GP, LLC, a Delaware limited liability company (the “General Partner”). The Partnership will be operated by the General Partner in accordance with the terms of that certain Limited Partnership Agreement of the Partnership (the “Partnership Agreement”), a copy of which has been included as Exhibit A of that certain Confidential Private Placement Memorandum dated as of January 10, 2025 (the “Memorandum”), delivered herewith.

Capitalized terms used in this subscription agreement (the “Subscription Agreement”) and not specifically defined shall have the meanings set forth in the Memorandum. The Partnership has been formed for the purposes reflected in the Partnership Agreement and the Memorandum.

1.    Purchase. The undersigned (the “Investor”), subject to the terms and conditions hereof and the provisions of the Memorandum and the Partnership Agreement, hereby irrevocably tenders this subscription for the amount set forth on the signature page.

Investor understands and agrees that the Partnership has the right to accept or reject this subscription, in whole or in part, and that this subscription will be deemed accepted only when signed as accepted by the General Partner. Investor agrees that the Partnership need not accept subscriptions in the order received. If the Partnership learns, after it has accepted Investor’s subscription, that Investor has misrepresented any information in any of the documents Investor submitted to it in connection with this subscription, then, in addition to any other rights available to the Partnership, it will have the right to acquire the Interests from Investor for a total price equal to the amount paid by Investor for the Interests less the amount of any member distributions already received by Investor.

2.    Adoption of Partnership Agreement. Investor hereby specifically accepts and adopts each and every provision of the Partnership Agreement, a copy of which has been provided to Investor. The Partnership Agreement shall become effective immediately upon the Initial Closing (as defined in the Partnership Agreement).

3.    Conditions Precedent. This Agreement is made, and the release of the funds and Subscription Agreement to the Partnership are, subject to the following terms and conditions:

(a)    The General Partner shall have the right to accept or reject this subscription in whole or in part in its sole and absolute discretion (subject to any applicable closing conditions), including but not limited to the General Partner’s determination of the financial inability of the subscriber to bear the economic risk of this investment or the subscriber’s inability to understand the risks and merits of an investment in the Partnership and/or his inability to obtain the services of a purchaser representative in accordance with Regulation D promulgated under the Securities Act of 1933, as amended (the “Securities Act”), and applicable state securities laws.

(b)    The General Partner shall have received any and all documents the General Partner deems necessary to determine and verify the status of the subscriber as an “Accredited Investor” (as such term is defined in Rule 501 of Regulation D, as promulgated under Section 4(2) of the Securities Act).
 

4.    Representations and Warranties. To induce the Partnership to sell the Interests to Investor, and knowing that the Partnership is relying upon the truth and accuracy of the following in issuing the Interests and establishing compliance with applicable foreign, federal, and state securities laws, Investor hereby represents, warrants, covenants, and acknowledges to the Partnership each of the following representations and warranties understanding that, unless specifically stated otherwise, such representations and warranties apply to Investor whether it is a Person or non-U.S. Person. A “U.S. Person” is defined in Regulation S of the Securities Act1.

If any of these warranties and representations are not true and accurate as of the date of the payment of funds by Investor, then Investor shall, on the date of the payment of funds by Investor, deliver to the Partnership and the General Partner a written notice stating which representations and warranties are not true and accurate and also provide a detailed statement explaining why they are not true and accurate.

(a)    If Investor is a U.S. Person, Investor is a bona fide resident of the state represented on the signature page hereof. If Investor is not a U.S. Person, Investor is a bona fide resident of the country provided on the signature page hereof. Investor has no present intention of becoming a resident of any other state, country, or jurisdiction. The address and Social Security Number (or if not a U.S. Person, equivalent federal number) or Employer Identification Number (or if a non-U.S. Person, equivalent federal number) set forth on the signature page hereof are Investor’s true and correct residential or business address and Social Security Number (or if a non-U.S. Person, equivalent federal number) or Employer Identification Number (or if a non-U.S. Person, equivalent federal number).

(b)    Investor has full power to execute, deliver and perform under each of the following: (1) this Subscription Agreement; (2) the Accredited Investor Questionnaire; and (3) the Partnership Agreement, and to deliver them to the Partnership simultaneously herewith. This Subscription Agreement and the other agreements are the legal and binding obligation of and are enforceable against Investor in accordance with their respective terms.

(c)    Investor agrees to furnish such information as reasonably requested by Partnership to verify Investor’s Accredited Investor status.

(d)    Investor is the sole and true party in interest and is not purchasing for the benefit of any other person. The Interests are being purchased solely for Investor’s own account, for investment, and are not being purchased with a view to the resale, distribution, subdivision or fractionalization thereof. Investor has no plans to enter into any such contract, arrangement or agreement.

(e)    The execution and delivery of this Subscription Agreement, the consummation of the transactions contemplated hereby, and the fulfillment of the terms hereof, will not result in the breach of any term or provision of, or constitute a default under, or conflict with, or cause the acceleration of any obligation under, any agreement or other instrument of any description to which Investor is a party or by which Investor is bound, or any judgment, decree, order, or award of any court, governmental body, or arbitrator, or any applicable law, rule, or regulation.

1  A “U.S. person” as defined in Regulation S of the Securities Act, and used herein means: any natural person resident in the United States; any partnership or corporation organized or incorporated under the laws of the United States, its territories or possession, any state, or the District of Columbia; any estate of which any executor or administrator is a U.S. person; any trust of which any trustee is a U.S. person; any agency or branch of a foreign entity located in the United States; any non-discretionary account or similar account (other than an estate or trust) held by a dealer or other fiduciary for the account of a U.S. person; any discretionary account or similar account (other than an estate or trust) held by a dealer or other fiduciary organized, incorporated, or (if an individual) resident in the United States; and a partnership or corporation if (i) organized or incorporated under the laws of any foreign jurisdiction, and
(ii) formed by a U.S. person principally for the purpose of investing in securities not registered under the Securities Act, unless it is organized or incorporated, and owned, by accredited investors (as defined in Rule 501(a) under the Securities Act) who are not natural persons, estates, or trusts.
 

(f)    Investor has been given access to full and complete information regarding the Partnership and has utilized such access to Investor’s satisfaction for the purpose of obtaining such information regarding the Partnership as Investor has reasonably requested. In particular, Investor: (1) has received and thoroughly read and evaluated the Memorandum, including the exhibits, schedules and subsequent amendments or updates thereto; and (2) has been given a reasonable opportunity to review such documents as Investor has requested and to ask questions of, and to receive answers from, representatives of the Partnership concerning the terms and conditions of the Interests and the business and affairs of the Partnership and to obtain any additional information concerning the Partnership’s business to the extent reasonably available so as to understand more fully the nature of this investment and to verify the accuracy of the information supplied.

(g)    Investor represents that he, she or it has consulted with a qualified attorney, tax advisor or accountant or has elected not to do so, and understands the income tax aspects of an investment in the Interests. Investor, in determining to purchase the Interests, and if Investor consulted Investor’s legal counsel, tax advisor, accountants, and other advisors: (1) has been encouraged and has had the opportunity to rely upon the advice of Investor’s legal counsel, tax advisor, accountants, and other advisors with respect to the purchase of the Interests; and (2) has relied solely upon the advice of Investor’s legal counsel, tax advisor, accountants, or other financial advisors with respect to the financial, tax, and other considerations relating to the purchase of the Interests. Investor acknowledges that neither the Partnership nor anyone on behalf of the Partnership has made any representations to Investor regarding the tax consequences of an investment in the Interests.

(h)    Investor understands and acknowledges that all documents are confidential and were prepared by the Partnership and that no independent legal counsel, accountant, or Partnership has passed upon or assumed any responsibility for the accuracy, completeness, or fairness of information provided to Investor and no independent legal counsel, accountant, or company has independently verified or investigated in any way the accuracy, completeness, or fairness of such information.

(i)    Investor acknowledges that the Partnership is relying on exemptions from the registration requirements of the Securities Act and as afforded by applicable state and foreign statutes and regulations.

(j)    Investor understands that the Interests have not been and will not be registered under the Securities Act or the securities laws of any state, country, or province and are subject to substantial restrictions on transfer and that (1) the Partnership Agreement prohibits the transfer of Interests except under very limited circumstances,
(2) the Partnership has no obligation or intention to register the Interests for resale or transfer under the Securities Act or any state, country, or foreign securities laws, or to take any action (including the filing of reports or the publication of information as required by Rule 144 under the Securities Act) which would make available any exemption from the registration requirements of any such laws, and (3) Investor therefore may be precluded from selling or otherwise transferring or disposing of the Interests for an indefinite period of time or at any particular time.

(k)    Investor has not been subject to any event specified in Rule 506(d)(1) of the Securities Act or any proceeding or event that could result in any such disqualifying event as defined in Exhibit A hereto (a “Disqualifying Event”) that would either require disclosure under the provisions of Rule 506(e) of the Securities Act or result in disqualification under Rule 506(d)(1) of the Partnership’s use of the Rule 506 exemption. Investor will immediately notify the General Partner in writing if Investor becomes subject to a Disqualifying Event at any date after the date hereof. In the event that Investor becomes subject to a Disqualifying Event at any date after the date hereof, Investor agrees and covenants to use its best efforts to coordinate with the General Partner to (1) provide documentation as reasonably requested by the General Partner related to any such Disqualifying Event and (2) implement a remedy to address Investor’s changed circumstances such that the changed circumstances will not affect in any way the Partnership’s or its affiliates’ ongoing and/or future reliance on the Rule 506 exemption under the Securities Act.

Investor acknowledges that, at the discretion of the General Partner, such remedies may include the waiver of all or a portion of Investor’s voting power in the Partnership and/or the withdrawal of Investor from the Partnership through the transfer or sale of its Interests in the Partnership. Investor also acknowledges that the General Partner may periodically request assurance that Investor has not become subject to a Disqualifying Event at any date after
 

the date hereof, and the Subscriber further acknowledges and agrees that the General Partner shall understand and deem the failure by Investor to respond in writing to such requests to be an affirmation and restatement of the representations, warranties and covenants in this Section 4(k).

(l)    Investor confirms that it is not subscribing for Interests as a result of any form of general solicitation or general advertising, including (i) any advertisement, article, notice or other communications published in any newspaper, magazine or similar media (including any Internet site that is not password protected) or broadcast over television or radio or (ii) any seminar or meeting whose attendees were invited by any general solicitation or general advertising

(m)    Investor agrees to indemnify, hold harmless, and pay all judgments and claims against the Partnership, the General Partner, and each member of the Partnership from any liability or injury, including, but not limited to, that arising under Federal or state securities laws, incurred as a result of any misrepresentation herein, or any warranties not performed, by Investor.

(n)    Investor (1) agrees that Investor will not sell or otherwise transfer or dispose of the Interests, or any portion thereof, unless the transfer is made in accordance with the Partnership Agreement and such Interests are registered under the Securities Act and any applicable state or foreign securities laws or Investor obtains an opinion of counsel satisfactory to the Partnership that such Interests may be sold in reliance on an exemption from such registration requirements, and (2) understands that any documentation evidencing the Interests, if any, will contain a legend referencing such restrictions.

(o)    Investor understands that no federal, state, or foreign agency, including the Securities and Exchange Commission and the securities commission or authorities of any other state or foreign government has approved or disapproved the Interests, passed upon or endorsed the merits of the Offering, or made any finding or determination as to the fairness of the Interests for investment.

(p)    Neither the Partnership nor any person representing or acting on behalf of the Partnership, or purportedly representing or acting on behalf of the Partnership, has made any representations, warranties, agreements, or statements other than those contained herein or in the Memorandum that influenced or affected Investor’s decision to purchase the Interests, nor has Investor relied on any representations, warranties, agreements, or statements in the belief that they were made on behalf of any of the forgoing, nor has Investor relied on the absence of any such representations, warranties, agreements, or statements in reaching the decision to purchase the Interests.

(q)    Investor acknowledges and agrees that (i) when the Partnership accepts this subscription, any funds received by the Partnership in accordance herewith will be deposited into a separate bank account of the Partnership, and (ii) if the Partnership rejects this subscription or if the Offering is terminated or withdrawn prior to acceptance of this subscription, any funds deposited by Investor will be refunded promptly without interest.

(r)    Investor, if a corporation, partnership, trust or other entity, is authorized and duly empowered to purchase and hold the Interests, has its principal place of business at the address set forth on the signature page and has not been formed for the specific purpose of purchasing the Interests.

(s)    Investor acknowledges the Partnership, its General Partner, employees, their agents, any broker or any other person expressly or by implication have not represented, guaranteed or warranted:

(t)    that the past performance or experience on the part of the General Partner or any of its employees, associates, affiliates, agents or any other person (or entity), will in any fashion indicate actual profitability of the Partnership or investment performance of this purchase;

(u)    the amount or type of consideration, profit or loss or tax consequences that will be generated by the Partnership; and
 

(v)    other than what is stated in the Partnership Agreement, a time frame or date that Investor will receive any distributions or return of its Capital Contributions.

SPECIFICALLY FOR AN INVESTOR WHO IS A “U.S. PERSON”:

(w)    If Investor is a “U.S. Person,” Investor: (i) if an individual, is at least 21 years of age; (ii) if an individual, is a citizen or resident of the Interested States; (iii) maintains Investor’s principal residence or business at the address shown on the signature page hereof; and (iv) warrants that any financial information that is provided herewith by Investor, or is subsequently submitted by Investor at the request of the Partnership, does or will accurately reflect Investor’s financial condition with respect to which Investor does not anticipate any material adverse change.

(x)    If Investor is a “U.S. Person” Investor certifies that he, she, or it: (i) is an “accredited investor” as that term is defined in Rule 501(a) of Regulation D under the Securities Act; and (ii) has accurately completed and delivered to the Partnership the Accredited Investor Questionnaire attached to the Memorandum in order to enable the Partnership to verify Investor’s status as an accredited investor under the Securities Act.

(y)    If Investor is a U.S. Person and subject to the Employee Retirement Income Security Act (“ERISA”), Investor is aware of and has taken into consideration the diversification requirements of Section 404(a)(3) of ERISA in determining to purchase the Interests and Investor has concluded that the purchase of the Interests is prudent.

(z)    If Investor is a U.S. Person, Investor is not subject to back-up withholding provisions of Section 3406(a)(1) of the Internal Revenue Code.

SPECIFICALLY FOR AN INVESTOR WHO IS A “NON-U.S. PERSON”:

(aa)  If Investor is not a non-U.S. Person: (i) Investor is not purchasing the Interests for the account or benefit of a U.S. person; (ii) Investor has not prearranged the sale and resale of the Interests with any U.S. Person or buyer in the Interested States; (iii) as of the date of this Subscription Agreement, Investor has no present plan or intention to sell the Interests in the United States at any predetermined time; (iv) Investor has not entered into, does not have the intention of entering into, and will not enter into any option, equity swap, or other similar derivative instrument in the United States with respect to the Interests at any time until the end of a period of one year from the date of this Subscription Agreement; (v) the Interests were not offered to Investor in the United States, and at the time of execution of this Subscription Agreement and at the time of any offer to Investor to purchase the Interests hereunder, Investor was physically outside the United States; and (vi) Investor will resell the Interests only in accordance with the terms of the Partnership Agreement and Regulation S of the Securities Act, pursuant effective registration under the Securities Act, or pursuant to an available exemption from registration under the Securities Act.

(bb)  If Investor is a non-U.S. Person, Investor understands that the Interests are being offered and sold in reliance on Regulation S of the Securities Act and any other available exemptions from the registration requirements of federal, state, and foreign securities laws and that the Partnership is relying upon the truth and accuracy of the representations, warranties, acknowledgments, and understandings set forth herein in order to confirm that Investor is a non-U.S. Person.

(cc)  If Investor is a non-U.S. Person, Investor understands that non-U.S. Persons contemplating an investment in the Partnership are urged to consult their own tax advisors and that the Partnership will be required to withhold tax and deposit it with the Internal Revenue Service (“IRS”) at the highest applicable U.S. marginal tax rate on any income allocated to an Investor who is a non-U.S. Person, even if no cash is distributed to that Investor.

5.    Acceptance. Execution and delivery of this Subscription Agreement shall constitute Investor’s irrevocable offer to purchase the Interests in accordance with this Subscription Agreement and under the terms set forth on the signature page (the “Investor Subscription Commitment”) which offer may be accepted or rejected by the Partnership in its discretion for any cause or for no cause. Upon furnishing any payment in accordance herewith,
 

Investor’s payment shall be deposited into a bank account in the name of the Partnership. The Partnership and/or its General Partner on the Partnership’s behalf shall confirm acceptance in writing. Partnerships may be transmitted to the Partnership either by check or wire.

If by Check:    American Modernist Capital Group, LP 2250 E. 73rd Street
Suite 412
Tulsa, Oklahoma 74136

If by Wire:    To be provided separately by the General Partner.

6.    Binding Agreement. Investor agrees that Investor may not cancel, terminate or revoke this Subscription Agreement (except as permitted under state securities laws) or any agreement Investor makes hereunder, and that this Subscription Agreement shall survive upon the death or disability of Investor and shall be binding upon and inure to the benefit of the heirs, successors, assigns, executors, administrators, guardians, conservators, or personal representatives of Investor. Investor agrees that the Partnership will have no obligation to recognize the ownership, beneficial or otherwise, of Investor’s interest by anyone other than Investor.

7.    Right to Refuse to Accept Commitment Installment Payments. The Partnership, in its sole discretion, may refuse or postpone acceptance of one or more of Investor’s commitment installment payments, subject to market conditions and keeping consistent with the Partnership’s business plan and performance objectives. If the Partnership takes such action, Investor shall have no recourse against the Partnership or its General Partner, officers, agents, employees, or affiliates.

8.    Incorporation by Reference. Investor Subscription Commitment and related information set forth on the signature page are incorporated as integral terms of this Subscription Agreement.

9.    Notices. Notices and other communications under this Agreement shall be in writing and shall be deemed delivered when received or, if by U.S. mail, when deposited in a regularly maintained receptacle, by Certified First Class Mail, postage prepaid, addressed:

(a)    if to Investor, at the address shown on the signature page hereof unless Investor has advised the Partnership, in writing, of a different address as to which notices shall be sent under this Agreement; and

(b)    if to the Partnership, at the address first above stated, to the attention of the General Partner or to such other address or to the attention of other such officer, as the Partnership shall have furnished to Investor.

10.    Counsel. Investor has had the opportunity to consider the Memorandum, the Partnership Agreement, and this Subscription Agreement with Investor’s advisors or legal counsel and has either obtained the advice of such advisors in connection with Investor’s execution hereof or does hereby expressly waive its right to seek such legal counsel in connection with this transaction.

11.    Sale of the Interests in a Permitted Offshore Transaction. If any subsequent resale of the Interests is permitted in an offshore transaction pursuant to the Partnership Agreement and Regulation S of the Securities Act, Investor agrees to cause the parties to such transaction to execute a Certificate of Compliance in the form required by the Partnership and agree to be bound by the terms of the Partnership Agreement.

12.    Miscellaneous. This Subscription Agreement, the Partnership Agreement, and the documents and agreements referenced therein embody the entire agreement and understanding between the Partnership and Investor and supersedes all prior agreements and understandings relating to the subject matter hereof.
 

(a)    This Subscription Agreement does not entitle Investor to any rights as a holder of Interests or as a member of the Partnership until payment for such Interests has been received and accepted by the Partnership. This Subscription Agreement shall be construed and enforced in accordance with and governed by the laws of the State of Delaware. The headings in this Agreement are for purposes of reference only and shall not limit or otherwise affect the meaning hereof. This Subscription Agreement may be executed in any number of counterparts, each of which shall be an original, but all of which together shall constitute one instrument.

(b)    Investor acknowledges and agrees that any action or proceeding of any kind against Investor arising out of or by reason of this Subscription Agreement or the obligations hereunder may be brought in any federal or state court of competent jurisdiction located in the State of Delaware, and hereby irrevocably consents to the jurisdiction of any such court.

(c)    If any provision of this Subscription Agreement is invalid or unenforceable under any applicable statute or rule of law, then such provision will be deemed inoperative to the extent that it may conflict therewith and will be deemed modified to conform with such statute or rule of law, but such provision will not affect the validity or enforceability of any other provision hereof.

(d)    This Subscription Agreement may be executed through the use of separate signature pages or in any number of counterparts, and each of such counterparts will, for all purposes, constitute one agreement binding on all parties, notwithstanding that all parties are not signatories to the same counterpart.

13.    Subscription Payments. Subject to Section 15 below, all subscription payments should be made in cash, payable to “American Modernist Capital Group, LP.” The Partnership will deposit subscription payments immediately on acceptance in a Partnership account. Such deposit shall not itself constitute acceptance of any subscription by the Partnership. Persons making subscriptions that are accepted will, upon payment receive notice that such subscription was accepted. Other subscriptions that are not accepted will be returned.

14.    Consent to Electronic Delivery of Schedules K-1. Investor consents to receive Schedules K-1 (Partner’s Share of Income, Deductions, Credits, etc.) from the Partnership electronically via email, the Internet, and/or another electronic reporting medium in lieu of paper copies. Investor agrees that it will confirm this consent electronically at a future date in a manner set forth by the General Partner at such time.

Additionally, if Investor ever owns an interest in any other entity classified as a partnership for U.S. federal income tax purposes by reason of its Investor Subscription Commitment (e.g., because of the use of an alternative investment vehicle to make an investment), Investor (x) consents to receive Schedules K-1 from such other entity electronically via email, the Internet, and/or another electronic reporting medium in lieu of paper copies and (y) agrees, upon notification by the General Partner of the Subscriber’s ownership of an interest in such other entity, to access a consent document at the Internet location then specified by the General Partner and follow the instructions contained therein.

15.    Subscriptions In-Kind. The Partnership may elect in its absolute discretion to accept subscription payments from an Investor, in whole or in part, in specie or in kind rather than in cash. This election may be made generally or in any particular case. Investor agrees that it will be responsible for all costs involved in changing the ownership of and the transfer of the relevant assets unless the Partnership otherwise agrees. Upon receipt of properly completed subscription materials and such legal and other transfer documentation as the Partnership may in its sole discretion require, the Partnership will allot the requisite number of Interests in the normal manner. The Partnership reserves the right to decline to register any prospective investor until Investor has been able to prove title to the assets in question and make a valid transfer thereof.

16.    Title. Investor desires to take title to the Interests as follows and indicated by Investor’s selecting a category and then initialing alongside the selection check:
 

G    individually, as a single person
Initials

G    husband and wife, as community property
Initials    Initials
     
G    husband and wife, as community property with rights of survivorship
Initials    Initials
     
G    joint tenants with rights of survivorship
Initials    Initials
     
G    tenants in common
Initials    Initials
     
G    a married person, as my sole and separate property
Initials

G    as custodian of     under the Uniform Gift to Minors Act
Initials

G    as trustee, of a trust with the exact legal name of:

Initials

G    other, such as a corporation, limited liability company, partnership, employee benefit plan, individual retirement account, Keogh plan, or other entity, with the exact legal name of:

Initials

G    U.S. Person. Investor is a “U.S. Person” (see footnote 1 above), indicated by Investor’s single check mark and initials alongside the selection checked:
G    Yes    Initials      Initials     
G    No    Initials      Initials     
IN WITNESS WHEREOF, Investor has executed this Subscription Agreement on the date set forth on the signature page. When accepted, the Partnership will execute this Subscription Agreement on the date set forth on the signature page.

[ SIGNATURE PAGES FOR INDIVIDUALS AND ENTITIES ATTACHED. ]
 

AMERICAN MODERNIST CAPITAL GROUP, LP

SUBSCRIPTION AGREEMENT SIGNATURE PAGE FOR

INDIVIDUAL INVESTORS – JOINT TENANTS – TENANTS IN COMMON
Interests Subscription Commitment: $        ($50,000 Minimum) Investor #1    Investor #2

Last Name    First Name    Last Name    First Name

Social Security Number (USA) or equivalent federal number    Social Security Number (USA) or equivalent federal number Legal Residence Address    Legal Residence Address

Street Address (Cannot be a P.O. Box)    Street Address (Cannot be a P.O. Box)

City    City

State    Zip    State    Zip

Home Phone    Home Phone

Work Phone    Work Phone

E-mail Address    E-mail Address

Signature    Signature

Date Signed    Date Signed

AMERICAN MODERNIST CAPITAL GROUP, LP SUBSCRIPTION AGREEMENT SIGNATURE PAGE FOR TRUST INVESTORS
Interests Subscription Commitment: $    ($50,000 Minimum)

Full Name of Trust, including date    
Name of Trustee            
Date Trust Was Formed            Tax Identification Number (USA) or Equivalent federal number (EIN or TIN)
Trustee Information:            
Trustee Street Address (Cannot be a P.O. Box)            
City            
State    Zip        
Home Phone            
Work Phone            
E-mail Address            Correspondence to the Attention of

Trustee Signature    Date Signed

AMERICAN MODERNIST CAPITAL GROUP, LP SUBSCRIPTION AGREEMENT SIGNATURE PAGE FOR PARTNERSHIP, LLC, AND CORPORATE INVESTORS
Interests Subscription Commitment: $    ($50,000 Minimum)

Name of Partnership / LLC / Corporation

Partnership/LLC/Corporation Information:

Tax Identification Number (USA) or Equivalent federal number (EIN or TIN)
 

     
Business Street Address (Cannot be a P.O. Box)    Mailing Address (if different)

City    City    State    Zip

State    Zip    Phone Number

E-mail Address    Correspondence to the Attention of

Signature of General Partner/Manager/Authorized Member    Date Signed

Printed Name of Signatory

Signature of Additional General Partner/Manager/Authorized Member2    Date Signed

Printed Name of Signatory

2    If required by Partnership Agreement or Operating Agreement.