March 2014 Investment Manager Application Updated 7 March 2014 APPLICATION FORM TO ACT AS INVESTMENT MANAGER TO IRISH AUTHORISED INVESTMENT FUNDS oNL THIS FORM MUST BE COMPLETED BY ENTITIES WHO ARE PROPOSED INVESTMENT MANAGERS TO IRISH AUTHORISED INVESTMENT FUNDS1 AND WHO ARE NOT AUTHORISED UNDER ONE OF THE FOLLOWING DIRECTIVES: DIRECTIVE 2009/65/EC (UCITS); DIRECTIVE 2006/48/EC (BANKS); DIRECTIVE 2004/39/EC (MIFID) AND DIRECTIVE 2011/61/EU (AIFMD) THIS FORM MUST BE COMPLETED AND SIGNED BY THE APPLICANT FIRM ALL QUESTIONS MUST BE ANSWERED IN FULL Name of Applicant Firm: ……………………………………………………. Registered Address: ……………………………………………………. Telephone: ……………………………………………………. Website Address: ……………………………………………………. Email: ……………………………………………………. Date of Application: ……………………………………………………. CERTIFICATION BY THE APPLICANT FIRM I (we) confirm that I (we) have truthfully answered the relevant questions in this form and disclosed any other information, which might be reasonably considered relevant for the purposes of this application. I (we) will promptly notify the Central Bank of any changes to the information provided and supply any additional information, which may come to light in the period during which the application is being considered Name: _____________________________________ Authorised Signatory of the Applicant Firm Position held: _____________________________________ 1 UCITS under the European Communities (UCITS) Regulations 2011;Unit trusts under the Unit Trusts Act 1990; Investment companies under the Companies Act 1990 Part XIII; Investment limited partnerships under the Investment Limited Partnerships Act 1994; Common contractual funds under the Investment Funds, Companies and Miscellaneous Provisions Act 2005 SECTION 1 BACKGROUND & EXPERTISE BACKGROUND 1.1 Date of establishment: ...…………………………………………. 1.2 Primary activity: ...…………………………………………. 1.3 Number of employees : …………………………………………… 1.4 Countries of operation: …………………………………………… EXPERIENCE 1.5 Experience of the applicant in the investment management of investment funds: 1.5.1 Insert/attach details of the applicant’s track record in the investment management of investment funds, focussing on asset type / investment strategy, geographic/economic sector, etc; 1.5.2 In the case of newly established firms, or firms with no previous track record in the investment management of investment funds, a detailed Curriculum Vitae showing the expertise of the key individuals/directors/senior management must be provided to include: - date of birth Indication of residency details of relevant professional qualifications memberships of any professional bodies, exchanges or associations obtained or applied for Organisation structure chart showing reporting lines; Comprehensive information on relevant investment fund/asset management experience of the relevant individuals. PROPOSED INVESTMENT FUND(s) 1.6 Identify the investment fund(s) which the applicant intends to manage and provide a summary of the authorisation status, investment policies, asset classes and strategies involved and the target investors (retail/qualifying). SECTION 2 REGULATORY INFORMATION 2.1 Confirm the applicant is authorised or registered for the purpose of asset management and subject to supervision. Attach: 2.1.1 2.1.2 evidence of regulatory status and relevant contact details (name registration number, contact name, address, telephone number and email) for the regulatory body concerned. Details of services and relevant instrument types for which the applicant has received authorisation 2.2 Confirm that the applicant has not, in the last 10 years, been the subject of an investigation into allegations of misconduct or malpractice in connection with investment business or any other financial services, or is currently under investigation by any regulatory authority? If “Yes”, attach full details on a separate sheet. 2.3 The Central Bank will, on a case-by-case basis, consider applications from an unregulated firm. SECTION 3 OWNERSHIP STRUCTURE 3.1 Attach an organisation chart detailing the applicant’s shareholder structure and/or position within the group, showing relevant percentage holdings. 3.2 Provide details of all shareholders who directly or indirectly hold shares or other interest in the applicant firm which represents 10 per cent or more of its capital or voting rights (“qualifying shareholders”). 3.2.1 In the case of corporate owners, provide latest audited accounts for direct parents of the applicant firm. Where the entity does not produce audited accounts, please provide a copy of latest unaudited accounts/management accounts. 3.2.2 In the case of individual owners, provide detailed curriculum vitae including all relevant information and full employment history. 3.2.3 If the relevant owner is a trust, summary details of the trust must be provided; SECTION 4 FINANCIAL INFORMATION 4.1 Provide details of the applicant’s assets under management in the table below: UCITS € Alternative Investment Funds (AIF) € NonInvestment Funds€ Total € Retail Institutional Private 4.2 Financial Statements of Accounts Attach a copy of the latest audited accounts. Where audited accounts are not available, the Central Bank will consider the following alternatives: 1. Where the applicant is not required to/does not produce audited financial statements, provide a copy of its latest tax returns; 2. Where the applicant is not required to/does not produce audited financial statements or tax returns, provide a copy of latest available unaudited financial statements/management accounts. 3. Where an applicant is newly established or does not produce standalone accounts an auditor’s confirmation of financial position is required. 4. Where an applicant does not produce standalone accounts and its financial data is consolidated at group level, provide a copy of the most recent consolidated accounts, referencing financial data specific to the applicant, in particular, the level of paid up share capital. T +353 1 224 6000 F +353 1 478 2196 www.centralbank.ie [email protected] Cúirt Uíbh Eachach, Bloc D, Bóthar Fhearchair, Baile Átha Cliath 2, Éire Iveagh Court, Block D, Harcourt Road, Dublin 2, Ireland
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