Panoptic Fund Administration, LLC - New Hedge Fund Questionnaire

This client questionnaire is intended to supply Panoptic Fund Administration, LLC with the necessary information to provide you with a fee proposal for administration services.

Contact Information
Client name:
Client corporate title:
Client organization:

Investment advisor registered:	Yes No State SEC

Client’s telephone number:
Client’s fax number:
Client’s e-mail address:


Basic Fund Information
Name of fund(s):
Fund structure/type:
Number of funds: (if master/feeder number of feeders)
Investment strategy:
Launch date:	Select Date

Prime broker(s):
Auditors:
Attorneys onshore/offshore:


Additional information about your fund:	Human check: Sum of 2 & 3 =

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