Smith Family Trust — Subscription Agreement

In Progress

Countersignatures

Manage countersigners for this subscription agreement.

# Name Email Status Actions

March 15, 2026 · 2:34 PM

John Smith changed countersigner #3 from “Tom Wilson (tom@external.com)” to “Lisa Wong (lisa.wong@lpcorp.com)”

March 12, 2026 · 10:15 AM

John Smith added countersigner #2 “David Park (david.park@external.com)”

March 10, 2026 · 3:00 PM

Initial countersigner configuration set

Summary

Deal

Verivend Growth Fund III

Document

Subscription Agreement

Submitted

March 10, 2026

Primary Signer

John Smith

john@smithfamily.com

Signed

Commitment

$500,000

Veriform Submission

Submitted March 10, 2026 · Subscription Agreement — Verivend Growth Fund III

Veriform

Subscription Agreement

Verivend Growth Fund III · Smith Family Trust

Submitted

Section 1: Investor Information

Full Legal Name * Smith Family Trust
Investor Type * Trust
Tax Identification Number * ***-**-4523
Date of Formation 04/22/2018
State of Formation Delaware

Section 2: Contact Information

Email Address * john@smithfamily.com
Phone Number * (212) 555-0184
Street Address * 742 Evergreen Terrace, Suite 200
City * New York
State / Province * New York
Postal Code * 10022
Country * United States

Section 3: Investment Details

Capital Commitment Amount * $500,000.00
Source of Funds * Trust Assets
Institutional Investor (FINRA 4512(c))? No

Section 4: Investor Accreditation

Accreditation Status Verified
Verification Method Third-Party Verification Letter
Uploaded Document Accreditation_Letter_2026.pdf

Section 5: Banking Information

Bank Name * JPMorgan Chase
Account Name * Smith Family Trust
Routing Number * ***-***-289
Account Number * ***-****-7614

Section 6: Representations & Acknowledgements

I confirm that all information provided is true and accurate to the best of my knowledge.
I have read and agree to the terms of the Limited Partnership Agreement.
I acknowledge that this investment involves substantial risk of loss and is suitable for my financial situation.

Signatures

Signer

John Smith

john@smithfamily.com

Signed March 10, 2026 · 3:12 PM

Signature

John Smith

IP: 72.89.xxx.xxx · DocuSign ID: 8F2A-C9E1