Select Preferred Stock Potential Investor Form

Select Milk Producers, Inc. Preferred Stock Offering Inquiry

By completing this Inquiry Form, you are attesting that you meet the Accredited Investor requirements, agree to be bound to the Confidentiality Agreement, and are consenting to Privacy Policy. All of the details for the items mentioned are in the SMP Preferred Stock Inquiry Form, below.

Once we have received your completed inquiry form, we will send a confirmation email to the email address specified as the "Primary Email". We will review your submitted form and its information to verify you meet internal qualifications. If you meet those qualifications, you will receive further information to access the SMP Preferred Stock Offering.

Please only fill out one inquiry per "Primary Email" address and fill out the form completely. To complete the form and submit it to us, you must hit the submit button at the end of the form.

SMP Preferred Stock Offering Inquiry

Step 1 of 5

20%

Please select the most accurate choice below, that best describes how you heard about this offering:

How did you hear about this offering?(Required)

I am a CURRENT SMP Member

I am a FORMER SMP Member

I am related to an SMP Member

I was referred by a SMP Member

I was referred by someone else

I am an Employee of SMP or one if its subsidiaries, JVs, or affiliates

Other

Name of SMP Member you are related to(Required)

Please enter the first and last name of the SMP Member you are related to

First Last

Name of the SMP Member that referred you(Required)

Please enter the first and last name of the SMP Member that referred you to this officer.

First Last

Name of person who referred you(Required)

Please enter the first and last name of the person who referred you to this offering.

First Last

Employed by(Required)

Please select the entity you are employed by

Select Milk Producers, Inc.

Subsidiary, Joint Venture, or Affiliate

Subsidiary, Joint Venture, or affiliate(Required)

Please enter the name of the Subsidiary, Join Venture, or Affiliate you an employee of.

Please tell us how you heard about this offering(Required)

Please give a brief statement on how you heard about this offering. Example: "Friend of SMP Member, Member Name."

Your Information

Please provide your full name(Required)

First Last

Best phone number to reach you (Primary)(Required)

Please provide your Primary phone number

Secondary Phone Number

Please provide a secondary phone number if applicable

Your Primary Email(Required)

Secondary Email

Please provide a secondary email if applicable

Producer Number(Required)

Please enter your Select Milk Producers, Inc. Producer Number (this is the 3 digit number assigned to your member dairy)

Dairy Name(Required)

Please enter the full name of the Select Milk Producers, Inc. Member Dairy Name

Former SMP Producer Number(Required)

Please enter your former SMP Producer Number

Former SMP Member Dairy Name(Required)

Please enter your former SMP Member Dairy Name

Accredited Investor Attestation(Required)

Accredited Investor - By Category
To be considered an Accredited Investor, you must meet one or more or the requirements for the category you are investing as.
For Investors who are INDIVIDUALS.
- The Investor’s net worth, or joint net worth with the Investor’s spouse, exceeds $1,000,000 excluding the value of the Investor’s primary residence.
-OR-
- In each of the two most recent years, the Investor had individual income in excess of $200,000 or joint income with the Investor’s spouse in excess of $300,000, and the Investor reasonably expects to reach the same income level this year.

For Investors that are ENTITIES (other than trusts).
- The Investor has total assets in excess of $5,000,000 and
- the Investor has engaged in substantive business activities prior to receiving an opportunity to purchase the Shares, and was not organized for the specific purpose of acquiring the Shares.
-OR-
- All of the owners (looking up the chain of ownership to natural persons) of the Investor are individuals who satisfy the requirements of at least one of the categories for an INDIVIDUAL above.

For Investors that are TRUSTS.
- The Investor has total assets in excess of $5,000,000 and
- the Investor was not formed for the specific purpose of acquiring the Shares and
- the purchase of the Shares by the Investor is directed by a person who has such knowledge and experience in financial and business matters that he is capable of evaluating the merits and risks of the investment in the Shares.

For Investors that are accredited investors under a CATEGORY NOT DESCRIBED above.
- The Investor is a category of accredited investor that is not described in the categories above.
Note: Please be prepared to describe the Investor’s accredited investor status to the Company.

I meet the Accredited Investor Requirements

Click here to review a PDF Version of these requirements

Confidentiality Agreement(Required)

The Prospective Investor understands that the Confidential Information contained in the Data Room, including the Memorandum and the Exhibits thereto, is confidential and proprietary information of the Company and is being furnished to the Prospective Investor solely for such Prospective Investor’s confidential use with the express understanding that, without the Company’s prior express written permission, the Prospective Investor will not disclose the Memorandum or any Confidential Information or discuss any Confidential Information, including any information in the Memorandum, or make reproductions of any Confidential Information or use any Confidential Information for any purpose other than evaluation a potential investment in the Shares.

I agree to be bound by the terms of this Confidentiality Agreement

Click here to review a PDF Version of this agreement

Consent to share your information(Required)

I authorize Select Milk Producers, Inc. to share my personal information with third parties solely for administration of this Select Milk Producers, Inc. preferred stock offering.

I agree to the privacy policy.

Click here to review a PDF Version of this Privacy Policy