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["Name of Fund"]
[]
["(Name of person completing form)",{"$nulls":4},"(Date of completion of form - dd/mm/yy)"]
[]
["(Position held)",{"$nulls":4},"(Email address)"]
[]
["(Telephone number, including international dialing code)",{"$nulls":4},"(Facsimile number, including international dialing code)"]
[]
[]
["Please put an X in one of each of the boxes below to indicate the type of entity:"]
["Unit Trust","IBC","Partnership",null,null,"Public","Private"]
[]
[]
["Please put an X in one of the boxes to indicate the type that best describes your fund:"]
["Hedge Fund"]
["Fund of Funds"]
["Umbrella Fund"]
["Master/Feeder Fund"]
["Other (please specify)"]
[]
["Please state the jurisdiction of the fund administrator:"]
[]
[]
["Please indicate whether the fund is listed on any stock exchange:"]
["Yes",null,"No"]
["If yes, please state the name of the stock exchange(s):"]
[]
[]
[]
[]
["Please indicate the size of assets in the fund (in US $):"]
["Gross Assets (This year))",{"$nulls":4},"Gross Assets (Last Year)"]
["Net Assets (This year)",{"$nulls":4},"Net Assets (Last Year)"]
[]
["Please indicate whether the fund has check writing capabilities:"]
["Yes",null,"No"]
[]
["Is the fund open to ECCU residents?                   If yes, % of subscribers that are ECCU residents"]
["Yes",null,"No",null,null,null,"%"]
[]
[]
["Notes on Completion:"]
[1,"Who must report?  All mutual funds; all licensed fund managers and administrators should complete a separate form in respect of each fund which it manages or administers."]
[2,"Report all amounts in US Dollars using the exchange rate prevailing at close of business on the reporting date, based on valuation methods used in the preparation of financial statements."]
[3,"Form is to be prepared based on June 30 and December 31 financial information and is due within 60 days of the end of the reporting period"]

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["Name of Fund"]
[]
["Reporting Period"]
["From"]
["To"]
[]
["Currency of Fund"]
[null,null,"Position in Currency of Fund",null,"Position in $US"]
[null,"Financial Position"]
[]
[1,"Total Assets"]
[]
[2,"Beginning Net Asset Value"]
[3,"Total Subscriptions"]
[4,"Total Redemptions"]
[5,"Total Dividends/Distributions"]
[6,"Net Income/ (Net Loss)"]
[7,"Ending Net Asset Value"]
[]
[]
[null,"Asset Allocation"]
[]
[8,"Investment in Master Fund"]
[9,"Long equities"]
[10,"Short equities"]
[11,"Long debt instruments"]
[12,"Short debt instruments"]
[13,"Other funds"]
[14,"Money market instruments"]
[15,"Derivatives - assets"]
[16,"Derivatives - liabilities"]
[17,"Other investments - assets"]
[18,"Other investments - liabilities"]
[]
[19,"Amount of assets denominated in EC Dollars"]
[]
[null,"Summary Expenses"]
[]
[20,"Management"]
[21,"Performance"]
[22,"Administration"]
[23,"Professional"]
[]
[]
[null,"Largest Group Counterpary Exposure as a % of NAV"]
[]
[null,"Foreign Exchange Exposure (Net Open Position) as a % of NAV"]