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Please complete this investor registration form to request access to the secure website containing confidential information in connection with Acosta’s Senior Notes. If approved, you will be sent a confirmation email with instructions on how to access the secure website.
This form is only for use by (i) holders of the 7.750% Senior Notes due 2022 (the “Notes”) issued by Acosta, Inc. (as ultimate successor by merger to Anna Merger Sub, Inc.) (the “Issuer”), (ii) beneficial owners of the Notes, (iii) bona fide prospective investors in the Notes, (iv) bona fide market makers in the Notes affiliated with an initial purchaser of the Notes or (v) bona fide securities analysts (to the extent providing analysis of an investment in the Notes).
Please use this form to request access to the secure website containing confidential information to be provided under the indenture governing the Notes. If approved, you will be sent a confirmation email to access the secure site.
By requesting access to this information you represent to and covenant with the Issuer that:
- you are either (a) (i) a holder of the Notes, a beneficial owner of the Notes, a bona fide prospective investor in the Notes or a bona fide market maker in the Notes affiliated with an initial purchaser of the Notes and (ii) either a "qualified institutional buyer" (QIB) as defined in Rule 144A of the Securities Act of 1933, as amended (the "Securities Act"), or not a "U.S. person" as defined in Rule 902 of the Securities Act, or (b) a bona fide securities analyst providing an analysis of an investment in the Notes;
- you will not use the information in violation of applicable securities laws or regulations;
- you will keep such information confidential and will not communicate the information to any individual, corporation/company, partnership, limited liability company, joint venture, association, joint stock company, trust, unincorporated organization, government (or any agency or political subdivision thereof) or any other entity (“Person”); and
- you (a) will not use such information in any manner intended to compete with the business of the Issuer and (b) are not a Person (which includes such Person’s affiliates) that (i) is principally engaged in a similar business as the Issuer or (ii) derives a significant portion of your revenues from operating or owning a similar business as the Issuer.