Accredited Investor Form / Checklist
This form, or one very similar, will often be given to the investor, by a startup, prior to commencing the investment. Any of the criteria below qualifies one as an accredited investor.
Whether you are making a direct investment, you invest in a Venture Fund or you join an Angel Group, you should expect to sign the agreement below. I have signed such an agreement for each investment I’ve made as well as for the Angel Group I joined.
ACCREDITED INVESTOR CERTIFICATION
I hereby certify that I am familiar with the definition of “accredited investor” as defined in Rule 501 of Regulation D issued pursuant to the Securities Act of 1933, as amended, and that I meet the criteria to qualify as an accredited investor, in the category or categories indicated below.
- [ ] I am a director, executive officer, or general partner of the issuer of the securities being offered or sold, or a director, executive officer, or general partner of a general partner of that issuer.
- [ ] I am a natural person whose individual net worth, or joint net worth with that of my spouse, is at least $1,000,000, excluding the value of my primary residence, but including indebtedness secured by such residence in excess of the value of such residence, and calculated in accordance with the below-described rules.
- [ ] I am a natural person who had individual income in excess of $200,000 in each of the two most recent years or joint income with my spouse in excess of $300,000 in each of those years and I have a reasonable expectation of reaching the same income level in the current year.