Next Wave Impact: Sustainability and Equity Fund Information Form Information Request We are gathering a list of women who are interested in our next fund, which will launch in 2020. This form gives us a bit of information about you and registers your interest in receiving more information when we officially open it up for investment. You can see more info about our current fund, team, and portfolio at www.nextwaveimpact.com. Thank you for your interest! OK Question Title * 1. What is your name? OK Question Title * 2. What is your email? OK Question Title * 3. What state do you reside in? (If you are outside the US, please list your country) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other (please specify) OK Question Title * 4. How many early-stage investments have you made previously? None 1-4 5-9 10-19 20+ OK Question Title * 5. Next Wave Impact's Fund will be in the $10M-$20M range, invested over three to four years, beginning in 2020. Investors will send in 1/3 of their total commitment each year, for three years, such that they are fully invested at the end of 2022. "Capital calls" will happen once a year. How much do expect to invest if you join the fund? (This is not a commitment, but just an expression of interest.) $100,000 ($33,333 at each capital call) $50,000 ($16,667 at each capital call) $30,000 ($10K at each capital call) More than $100K and less than $250K $250K-499K $500K-$1M More than $1M OK Question Title * 6. How did you find out about this investment opportunity? I've invested in a previous fund (Next Wave Impact, Rising Tide Pilot) An investor from one of the previous funds An investor in this fund An event or other (please specify) OK Question Title * 7. If someone referred you, what is their name(s)? OK Question Title * 8. Are you interested in the learning-by-doing components of the fund? Yes, I'd love to actively participate in the screening of companies and/or on the due diligence teams Maybe, I'd possibly be interested in participating in some of the learning activities No, this is more of a passive investment for me I don't really know yet! Other (please specify) OK Question Title * 9. Do you have specific sector expertise in any of the following industries? Education/Edtech Fintech Clean Energy/CleanTech Environment/Conservation Climate Change Communications Health Medical Devices Security Water Waste Management Agtech Sustainable Food Consumer Enterprise Internet OK Question Title * 10. Is there anything else you'd like us to know? OK DONE! THANKS. WE WILL BE IN TOUCH SOON.