Investor Relations Form - Kimmeridge Texas Gas

Upon approval of your application, and if you qualify under the stated criteria, you will receive an email with instructions on how to access a secured confidential website.

By submitting this application, you agree that we reserve the right to modify or revoke the terms of your access to the secured confidential website at any time and without notice.

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Name

First

Last

Title

Institution

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Representations from Applicant - Please check the box that applies to you:

Noteholder: The institution/company or individual (if request is on behalf of the individual named above) (1) confirms that it is a beneficial owner of the Company’s 8.500% Senior Notes due 2030 (the “Notes”) in the amount set forth below; and (2) agrees (i) to keep confidential all information obtained in the secured area of the Company’s website and the Company’s quarterly conference call, (ii) not to distribute such information to any third party and (iii) to not use such information for any purpose other than evaluating its investment in the Notes.

Bona fide prospective investor: The institution/company or individual (if request is on behalf of the individual named above) (1) confirms that it is a prospective beneficial owner of the Notes; and (2) agrees (i) to keep confidential all information obtained in the secured area of the Company’s website and the Company’s quarterly conference call, (ii) not to distribute such information to any third party and (iii) to not use such information for any purpose other than evaluating any potential investment in the Notes. Further, the institution/company or individual (if request is on behalf of the individual named above) confirms that it is (i) a “qualified institutional buyer” (or “QIB”) as defined in Rule 144A under the Securities Act of 1933, as amended (the “Securities Act”), (ii) (a) not a “U.S. person” as contemplated by Rule 903(a)(1) of Regulation S under the Securities Act or (b) a dealer or other professional fiduciary organized, incorporated or (if an individual) resident in the U.S. holding a discretionary account or similar account (other than an estate or trust) for the benefit or account of a non U.S. person, as defined by Regulation S under the Securities Act (any such person satisfying the description of (i) or (ii), “a qualifying prospective purchaser”) and in the case of each of (i) or (ii) is considering acquiring any of the Notes for its own account or for a discretionary account or accounts on behalf of one or more qualifying prospective purchasers (as to which it has been instructed and has the authority to make the statements herein)

Name following Representations

Securities analyst: The institution/company or individual (if request is on behalf of the individual named above) (1) confirms that it is a securities analyst; and (2) agrees (i) to keep confidential all information obtained in the secured area of the Company’s website and the Company’s quarterly conference call, (ii) not to distribute such information or any information or advice extrapolated therefrom to any third party unless, to the best of its knowledge, such third party is, or has indicated that it is considering becoming, a holder of the Notes and (iii) to not use such information for any purpose other than providing analysis on an investment in the Notes. The institution/company or individual confirms it is a reputable securities analyst who regularly covers or intends to cover the Notes.

Market making financial institution: The institution/company (1) confirms that it is a reputable market maker who regularly makes or intends to make a market in the Notes and (2) agrees (i) to keep confidential all information obtained in the secured area of the Company’s website and the Company’s quarterly conference call, (ii) not to distribute such information or any information or advice extrapolated therefrom to any third party and (iii) to not use such information for any purpose other than market making in the Notes.

Other: Brief description of inquiry

Each institution/company or individual must select the following boxes:

The institution/company or individual (if request is on behalf of the individual named above) agrees that it will notify the Company if any of the representations it makes in this Investor Relations Form cease to be correct.
The institution/company or individual (if request is on behalf of the individual named above) confirms that it is not a competitor to the Company or its Subsidiaries.

By entering your full legal name in the field below, you acknowledge and agree that it serves as your electronic signature, binding you to the terms and conditions outlined in this form.

Date

After you submit this Investor Relations Form and if you qualify under the applicable criteria, you will be entitled to access the secured area of the Company’s website. The Company expressly reserve the right to deny access to any persons who submit the Investor Relations Form if the Company is not satisfied that such person meets the applicable requirements as set forth in the Indenture. Further, in accordance with the Indenture, the Company reserves the right to deny access to any noteholder, bona fide prospective investor, securities analyst or market making financial institution that is a competitor or to the extent the Company determines in their sole discretion that the provision of information to such person may be harmful to the Company or its subsidiaries.

Please direct any questions to the Company’s Investor Relations division at: Kimmeridge Texas Gas, LLC.