Paper-based Client Acknowledgement Form
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2 Client Acknowledgement Form Thank you for choosing Evolution Private Managed Accounts. Our program has been designed to provide efficiency and flexibility for high net worth investors. Evolution Private Managed Accounts Minimum: CDN $250,000 Annual Investment Advisory Fee Range: %, determined between dealer, financial advisor and client. How the Management and Investment Advisory Fees Work For Class I, we calculate the total client fee by adding together the management fee and the negotiated annual Investment Advisory Fee. See Section 6D of this document for the Fee Schedule, detailing the management fees. For Classes E/A and F, the management fee and operating expenses are calculated daily, and reflected in the net asset value of the fund. When the value of the qualifying investments held by the Family Group falls below the Evolution Private Managed Accounts program minimum, an additional 0.15% will be applied. See the respective prospectuses of the CI and United Funds and/ or the most updated version of the G5 20 Series prospectus as well as the fund facts for specific fund fees. Fee Payment Details for Class I Management and investment advisory fees are calculated daily and charged quarterly. Fees are redeemed as securities from your account. (Please refer to Section 6 of this form and to the United Fund s simplified prospectus and fund facts for more details on management fees and investment advisory fees.) 1. Registration Type Nominee Plan Client Name Plan 2. Client Information Language Preference: English French (If no language preference is indicated, English will be selected) Client 1 (Primary Unitholder/Annuitant Information) Last Name Mr. Mrs. Miss. Ms. Dr. Corporation/Trust First Name & Middle Initial(s) Street Address (Including Apt. No., P.O. Box No.) City Province Postal Code Address Birthdate Social Insurance Number Client 2 Mr. Mrs. Miss Ms. Dr. Corporation/Trust Last Name First Name & Middle Initial(s) Street Address (Including Apt. No., P.O. Box No.) City Province Postal Code Address Birthdate Social Insurance Number Client 3 Mr. Mrs. Miss Ms. Dr. Corporation/Trust Last Name First Name & Middle Initial(s) Street Address (Including Apt. No., P.O. Box No.) City Province Postal Code Address Birthdate Social Insurance Number 3. Dealer and Representative Information Dealer Name Name of Advisor Dealer Code Rep Code Address Phone Number Fax Number Page 2 of 7
3 4. Fund Manager Substitutions Substitutions by CI Investments (the Manager ), using this form, can only be made where the replacement fund is of the same asset class, and maintains the same percentage. Fund substitutions cannot be done in part, and must replace the existing fund completely wherever the fund may be held within the Investment Policy (IP) Group. Fund(s) to be replaced From: Replacement fund(s) (must be same asset class) To: 5a. Investment Instructions Invest all proceeds upon receipt of this document Invest all proceeds only once all transfers/monies have been received 5b. Account Types to be governed under this IP Group Account Name Account Number Account Type* (RRSP, Open, Corporate) Account Value Marginal Tax Rate *This section is used for linking purposes only to determine which accounts/account types will be managed under this IP Group. It is not used for initiating transfers. 6. Fee Designation (applicable to Class I securities only) 6A. Management Fees (Payable to CI Investments Inc.) CI Investments Inc. (the Manager ) has agreed to provide various management and administrative services to me (us) under the account(s) within the IP Group. In consideration for carrying out these services, I (we) agree to pay the management fee (the Management Fee ) set out in Section 6D. The Management Fee will be calculated automatically by the Manager, and will be paid by pro-rated redemption of my (our) securities held in the Funds. The Management Fee for each Fund will be applied to the aggregate daily net asset value of the securities in my (our) account(s) at the end of each day, calculated daily and charged at the end of each quarter, plus applicable taxes. 6B. Investment Advisory Fee (Compensation for your Dealer) My (Our) Dealer has agreed to provide investment advisory services to me (us) under the account(s) within the IP Group. In consideration for carrying out these services, I (we) agree to pay the Investment Advisory Fee (the Investment Advisory Fee ) set out below to the Manager. The Investment Advisory Fee will be calculated by the Manager, and will be paid by pro-rated redemption of my (our) securities held in the Funds. The Investment Advisory Fee % (0-1.25%) will be applied to the aggregate daily net asset value of the securities in my (our) account(s) at the end of each day, calculated daily and charged at the end of each quarter, plus applicable taxes. The Investment Advisory Fee payable on securities purchased during a month will be pro-rated for such month. When no fee is indicated above for an asset allocation update to an existing IP Group, the previously negotiated Investment Advisory Fee will continue to apply. 6C. Assante Fee-Based Account(s) Investment Advisory Fee Override Please indicate Assante Fee Based Account number(s) to be held within the IP Group. The Investment Advisory Fee indicated in Section 6B will not be applied to the listed account(s) as there will be a fee collected directly by your Dealer. Page 3 of 7
4 6D. Management Fees, including IP Groups below the program minimum An IP Group is a group of linked household accounts which contribute to the overall portfolio allocation and Class I Fee Tier eligibility. Investors have the option to link multiple IP Groups and/or account(s) outside of the Evolution program into a Family Group under the Family Account Linking Option by submitting an Account Linking Form, in which case the Class I Fee Tier will be determined based on the amount of qualifying investments held by the Family Group. For additional information, please refer to the CI and United Fund simplified prospectuses and speak with your financial advisor. Unless otherwise specified, the fee schedule is applicable to the Class I and IT8 securities of the corporate class and trust (where available) versions of the mandates listed below. For more information, please refer to the most recently filed CI and United funds simplified prospectus. Base Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Up to $149,999 $150,000 - $499,999 $500,000 - $999,999 $1,000,000 - $2,499,999 $2,500,000 - $4,999,999 $5,000,000 and above* Canadian Money Market CI Money Market CI Short-Term Canadian Fixed Income Canadian Fixed Income Short Term Income CI Income Fund Signature Dividend Diversified Income Enhanced Income Global Fixed Income Global Fixed Income CI US Income US$ Canadian Equity Canadian Equity Alpha Canadian Equity Growth Canadian Equity Small Cap Canadian Equity Value CI Canadian Investment Cambridge Canadian Equity CI Can-Am Small Cap Harbour Harbour Voyageur Signature Select Canadian Synergy Canadian U.S. Equity US Equity Alpha US Equity Growth US Equity Small Cap US Equity Value US Equity Value Currency Hedged Cambridge American Equity CI American Managers CI American Small Companies CI American Value Synergy American Page 4 of 7
5 Unless otherwise specified, the fee schedule is applicable to the Class I and IT8 securities of the corporate class and trust (where available) versions of the mandates listed below. For more information, please refer to the most recently filed CI and United funds simplified prospectus. Base Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Up to $149,999 $150,000 - $499,999 $500,000 - $999,999 $1,000,000 - $2,499,999 $2,500,000 - $4,999,999 $5,000,000 and above* Global Equity Black Creek Global Leaders Cambridge Global Dividend Cambridge Global Equity CI Global Value Harbour Global Equity Signature Global Dividend Synergy Global Cambridge Growth Companies Signature Global Equity International Equity International Equity Alpha International Equity Growth International Equity Value International Equity Value Currency Hedged Black Creek International Equity CI International Value REIT/Gold/Emerging Markets Real Estate Investment Signature Gold Signature Emerging Markets Emerging Markets Equity Asset Allocation Select 100e Managed Portfolio Select 20i80e Managed Portfolio Select 30i70e Managed Portfolio Select 40i60e Managed Portfolio Select 50i50e Managed Portfolio Select 60i40e Managed Portfolio Select 70i30e Managed Portfolio Select 80i20e Managed Portfolio Select Income Managed When the value of the qualifying investments held by the Family Group falls below the Evolution Private Managed Accounts program minimum, an additional 0.15% will be applied to the fees indicated above. *Management Fees may be negotiable for qualifying investment amounts above $10,000, Authorization and Acknowledgement IP Group Name Profile ID Number I (We) agree and acknowledge that: (a) I (We) have completed the Investor Profile Questionnaire ( IPQ ) with my (our) financial advisor as my (our) Dealer s representative, and hereby direct and authorize CI Investments Inc. (the Manager ), based on my (our) IPQ and information provided in this form, (i) to determine the fund allocation between my (our) account(s) within my (our) IP Group; (ii) to generate an Investment Policy Statement ( IPS ) setting out the fund allocation of my (our) portfolio; (iii) to arrange for trades of securities in order to maintain the portfolio, including its tax efficiency, for my (our) IP Group; (iv) to recommend changes to my (our) portfolio during its annual portfolio review; and (v) to arrange for trades of securities in order to implement recommended changes to my (our) portfolio, as confirmed by my Dealer to be suitable. (b) If a Separately Managed Account is included in my (our) IP Group, it will not be eligible for any rebalancing services as described in Section 7(a)(iii) or the annual portfolio review as described in Section 7(b)(iv). Page 5 of 7
6 (c) To recommend changes to my (our) portfolio, the Manager shall provide a report outlining its recommendations to my (our) Dealer. My (Our) Dealer shall confirm to the Manager the suitability of the recommended changes based on the Dealer s information about me (us), including my (our) risk tolerance and investment objectives. (d) I (we) agree to be bound by all investment decisions made by the Manager for my (our) accounts within my (our) IP Group pursuant to the discretionary authority granted herein, and all related transactions shall be binding on me (us), my (our) heirs, successors and assigns. The investment decisions made by the Manager shall be made without reference to my (our) personal or financial circumstances, and only in accordance with my (our) IPS. (e) In the event the Manager is forced to remove a fund from the Evolution program due to its closure, termination or any other similar reason that no longer allows the fund to participate in the program, I (we) authorize the Manager to remove the fund(s) from my (our) portfolio and transition the existing fund allocation(s) to a similar fund that is available within the Evolution program, as confirmed to be suitable by my (our) Dealer. (f) The information provided to the Manager in my (our) Investment Profile Questionnaire is accurate as of the date below. (g) Changes in my (our) financial situation, investment objectives or in my (our) risk tolerance may result in the need for an updated IPS. I (We) understand the importance of keeping my (our) IPS updated and will notify my (our) financial advisor of any material changes. My (our) financial advisor, as the Dealer s representative, shall be responsible for gathering and periodically updating my (our) personal information and confirming the suitability of my (our) investments within the Evolution program. My (our) financial advisor shall advise me (us) and the Manager should such investments be no longer suitable. (h) I (We) authorize the Manager to redeem, on a quarterly basis, securities of funds held by me (us) in order to pay the Management Fee indicated in Sections 6A and 6D to the Manager and to pay the Investment Advisory Fee indicated in Section 6B. (i) I (We) will assume responsibility for any tax consequences which may result from account transactions, including the payment of any fees, and the redemption of securities to cover such fees, if applicable. I (We) understand that my Dealer, financial advisor and the Manager do not offer tax advice and I (we) agree to consult with my (our) tax advisor regarding the tax consequences of my (our) investment in the Evolution program and in Class I securities, including the deductibility for tax purposes of any Class I fee(s) paid. (j) I (We) agree to the terms of the Evolution program as outlined in the most recently-filed United Funds simplified prospectus, including the eligibility requirements and the additional fees associated with my (our) investment should I (we) no longer qualify. (k) My (our) Dealer shall send to me (us) a copy of the most-recently-filed fund facts of each of the funds I (we) will invest in within the Evolution program, once the fund allocation between my (our) account(s) is determined. (l) The Manager, on behalf of my (our) Dealer shall issue a consolidated statement that includes holdings / transaction activities of all persons who are a part of this IP Group. My (our) personal information, including my (our) social insurance number, may be shared with others within my (our) IP due to such consolidated reporting, as well as the issuance of tax receipts to all persons within my (our) IP group in one package. The Manager may reject purchase applications within 1 business day of receipt, in which case all monies received will be refunded immediately. I have requested this document to be drawn in the English language. J ai demandé que ce document soit rédigé en anglais. Client Name Client Signature Date Client Name Client Signature Date Client Name Client Signature Date 8. Advisor Authorization and Acknowledgement You have now reviewed the Evolution Private Managed Account Investor Profile Questionnaire with your client(s) and you have completed it together. Please sign below and record the date confirming the following: 1. that you are satisfied the information provided is thorough and accurately reflects the personal financial situation, attitudes and investment objectives of your client(s); 2. you have entered the IPQ answers and client information into the Evolution Advisor Interface and submitted it; 3. you will forward your client their IPS; 4. no fund substitutions, other than what is outlined in Section 4 of this document, have been included in this client s portfolio. Advisor Name Advisor Signature Date Page 6 of 7
7 Commissions, trailing commissions, management fees and expenses may all be associated with investments in Evolution Private Managed Accounts. Mutual funds are not guaranteed, their values change frequently and past performance may not be repeated. Please read the CI or United prospectus and fund facts and/or the most updated version of the G5l20 Series prospectus and fund facts. Evolution is a registered trademark of CI Investments Inc. EVOLUTION ADMINISTRATION 15 York Street, Sixth Floor, Toronto, Ontario, M5J 0A3 Telephone: Fax: investmentpolicy@ci.com _E (10/17) Page 7 of 7
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