Dovedale Capital Ventures

Investor Qualification Form

In order to comply with Securities and Exchange Commission (SEC) regulations we ensure that every individual or entity meets the definition of “accredited investor” as defined in Rule 501(a) of Regulation D of the Securities and Exchange Commission ("SEC"), and the “I am a qualified client” under Rule 205-3 under the Investment Advisers Act of 1940.

You must be an accredited investor to view the investor section of our site. Please complete the following to help us determine that your eligibility.

The information you supply will be kept strictly confidential and is only for the purpose of providing you information about Dovedale Capital Ventures Offerings, if you qualify financially to review such information. Thank you for your interest.

(Please CHECK ALL that apply) *

I have had an individual income in excess of US$200,000 in each of the two most recent years and reasonably expect an individual income in excess of US$200,000 in the current year.

My spouse and I have had a joint income in the excess of US$300,000 in each of the two most recent past years and we reasonably expect a joint income of US$300,000 in the current year.

I have an individual net worth or joint net worth with my spouse in excess of US$1,000,000.

I own an organization with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the private placement memorandum?

I am in a business in which all the equity owners are accredited investors.

I am a trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the private placement emorandum being offered, whose purchase is directed by a sophisticated person?

I am a non-profit organization with assets in excess of $5,000,000?

The foregoing statements are true and accurate to the best of my information and belief and I will promptly notify Dovedale Capital Ventures of any changes in the foregoing answers.

The Securities and Exchange Commission also requires that we collect the following information:

(1) What type of investor are you?

	Individual Investor
	Sophisticated Investor
	Institutional Investor
	Investment Manager
	Other/Explain Below

(2) Please describe the investor further:

Investor Class (check one).

	Endowment/Foundation		Family Office
	Plan Sponsor		Fund of Funds
	Individual		Other/Explain Below

(3) Which of the following have you (the investor) invested in during the past 5 years:

	Hedge Funds		Managed Futures
	Private Equity		Venture Capital
	Real Estate		Other/Explain Below

4) Years of investment experience (check one).

	Less Than 1		Less Than 5
	5-10		10 - 15
	More Than 15

5) How did you find out about Dovedale Capital Ventures?

6) Contact Information (*Indicates required fields).

Full Name
Address
City
State
Zip code
Country
Telephone (plus area code)
Email Address
Market Position

Please confirm your information *