These securities are exempt from federal registration and have not been approved or disapproved by the Securities and Exchange Commission or any state securities commission, nor has the federal or any state securities commission passed on the accuracy or adequacy of this document. Any representation to the contrary is a criminal offense.
Notes are not secured by any specific loans or assets, though they are guaranteed by Enterprise Community Partners, Inc. Notes are not deposits or obligations of, or guaranteed or endorsed by, any bank, and are not insured by the FDIC, SIPC, or any other agency.
Notes are issued to investors who invest for specific terms with the expectation of a fixed rate of return. Notes are subject to certain risks as disclosed in the prospectus, which should be read before investing.
There can be no assurance that we will have sufficient cash reserves to satisfy all outstanding obligations.
If you have any difficulty filling out this form, or need additional information, please call Enterprise at 877.389.9239
IMPORTANT NOTICE - The USA PATRIOT Act. Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who purchases a Note. When you purchase a Note we will verify the following information: your name, address, date of birth and potentially other identifying information.
By submitting this form I hereby acknowledge receipt of the prospectus for Enterprise Community Impact Notes. I agree to be bound by its terms, and acknowledge that all notices and documents will be delivered electronically to the e-mail address(es) provided on this investment application.
As required by law and under penalty of perjury, I certify that (1) the Social Security and other taxpayer identifications numbers (SSN and TIN respectively) provided on this form are correct, and (2) currently I am not under IRS notification that I am subject to back-up withholding. If the correct SSN and/or TIN is not supplied, ECLF is required to withhold 28% of dividends and/or redemptions, and your Note may be redeemed. The IRS does not require your consent to any provision of this document other than certifications to avoid back-up withholding.