Form Pf - Reporting Form For Investment Advisers To Private Funds And Certain Commodity Pool Operators And Commodity Trading Advisors Page 21

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Page 10 of 43
Form PF
Information about the hedge funds you advise
(to be completed by all Form PF filers that advise hedge funds)
Section 1c
Legal name of the counterparty
Indicate below if the
Exposure (% of
reporting fund’s
(or, if multiple affiliated
counterparty is affiliated with
entities, counterparties)
a major financial institution
net asset value)
[drop-down list of counterparty names]
(a)
Other:
[Not applicable]
[drop-down list of counterparty names]
(b)
Other:
[Not applicable]
[drop-down list of counterparty names]
(c)
Other:
[Not applicable]
[drop-down list of counterparty names]
(d)
Other:
[Not applicable]
[drop-down list of counterparty names]
(e)
Other:
[Not applicable]
23.
Identify the five counterparties that have the greatest mark-to-market net counterparty
credit exposure to the reporting fund, measured in U.S. dollars.
(For purposes of this question, you should treat affiliated entities as a single group to the
extent exposures may be contractually or legally set-off or netted across those entities
and/or one affiliate guarantees or may otherwise be obligated to satisfy the obligations of
another. CCPs should not be regarded as counterparties for purposes of this question.)
(In your response, you should take into account: (i) mark-to-market gains and losses on
derivatives; and (ii) any loans or loan commitments.)
(However, you should not take into account: (i) margin posted to the counterparty; or
(ii) holdings of debt or equity securities issued by the counterparty.)
Legal name of the counterparty
Indicate below if the
(or, if multiple affiliated
counterparty is affiliated with
Exposure (in
entities, counterparties)
a major financial institution
U.S. dollars)
[drop-down list of counterparty names]
(a)
Other:
[Not applicable]
[drop-down list of counterparty names]
(b)
Other:
[Not applicable]
[drop-down list of counterparty names]
(c)
Other:
[Not applicable]
[drop-down list of counterparty names]
(d)
Other:
[Not applicable]
[drop-down list of counterparty names]
(e)

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