These forms are to be used by previously approved advisors only.

Note: All Referral Clients must be provided with a complete copy of GIM’s Form ADV Part 2 required by Rule 204-3 under the Advisers Act (the “Brochure”) and the separate written disclosure document required by Rule 206(4)-3 under the Advisers Act. Advisor shall procure and deliver to GIM the acknowledgment of receipt of the Brochure and the Disclosure Document. The acknowledgement shall have been signed and dated by each Referral Client and, when so delivered to GIM, shall be accompanied by a true and complete copy of the Disclosure Document delivered to such Referral Client. Any prospective client that eventually becomes a Referral Client has the right to rescind the GIM Joint Services Agreement¬† for a complete refund of management fees within five (5) business days after execution of the document. Subsequent to the initial five business day period, either party may terminate this agreement by giving not less than ten (10) days notice in writing to the other party.

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