Waypoint West

Investor Status
Certification

In reference to your recent investment in Positron AI, Waypoint West needs to collect additional certification of your investor status to discern the number of accredited investors, qualified clients, and qualified purchasers in the vehicle. Please select the category that accurately describes your investor status. All information is maintained in strict confidence and used solely for regulatory and compliance purposes for Waypoint West. Thank you.

- Haley and Brooks

Select the highest classification below that applies to you, complete the investor information, and certify your status.

Investor Information

By submitting this form, the undersigned hereby certifies, represents, and warrants that the information provided herein is true, complete, and accurate as of the date indicated. The undersigned acknowledges that Waypoint West is relying upon these representations in connection with applicable exemptions under U.S. federal and state securities laws, and agrees to promptly notify the adviser of any material change in the information provided.