Form Pf - Reporting Form For Investment Advisers To Private Funds And Certain Commodity Pool Operators And Commodity Trading Advisors Page 50

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Page 39 of 43
Form PF
Information about private equity funds that you advise
(to be completed by large private fund advisers only)
Section 4
Section 4: Information about private equity funds that you advise.
You must complete a separate Section 4 for each private equity fund that you advise. However, with
respect to master-feeder arrangements and parallel fund structures, you may report collectively or
separately about the component funds as provided in the General Instructions.
Item A. Reporting fund identifying information
65.
(a)
Name of the reporting fund .............................................................................
(b)
Private fund identification number of the reporting fund ...............................
Item B. Reporting fund financing and investments
Do you or any of your related persons guarantee, or are you or any of your related
66.
(a)
persons otherwise obligated to satisfy, the obligations of any portfolio company in
which the reporting fund invests?
(You are not required to respond “yes” simply because a portfolio company is a
primary obligor and is also your related person.)
Yes
No
(b)
If you responded “yes” to Question 66(a) above, report the total dollar value
of all such guarantees and other obligations ....................................................
67.
What is the weighted average debt-to-equity ratio of the controlled portfolio
companies in which the reporting fund invests (expressed as a decimal to the
tenths place)?
(Weighting should be based on gross assets of each controlled portfolio company as a
percentage of the aggregate gross assets of the reporting fund’s controlled portfolio
companies.)
68.
What is the highest debt-to-equity ratio of any controlled portfolio company in
which the reporting fund invests (expressed as a decimal to the tenths place)?
69.
What is the lowest debt-to-equity ratio of any controlled portfolio company in
which the reporting fund invests (expressed as a decimal to the tenths place)?
70.
What is the aggregate gross asset value of the reporting fund's controlled
portfolio companies?
71.
What is the aggregate principal amount of borrowings categorized as current
liabilities on the most recent balance sheets of the reporting fund's controlled
portfolio companies?
What is the aggregate principal amount of borrowings categorized as long-term
72.
liabilities on the most recent balance sheets of the reporting fund's controlled
portfolio companies?

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