Renewable Unsecured Subordinated Note Subscription Agreement

EX-4.4 8 a2207060zex-4_4.htm EX-4.4

Exhibit 4.4

To purchase a renewable unsecured subordinated note(s), please complete both sides of this form and write a check made payable to Twin Cities power Holdings, LLC. Mail this form, your check and any other documents requested below in the enclosed postage-prepaid business reply envelope. If you use your own envelope, please mail your investment to: Twin Cities Power Holdings, LLC, PO Box 4126, Hopkins, MN 55343. If you have any questions, please call ###-###-####.

NOTE PURCHASE AMOUNT (minimum principal amount $1,000 per note)

INTEREST PAYMENT SCHEDULE (Please select one for each note)

Note Term

Principal Amount

Monthly*

Quarterly

semi-Annually

Annually

Maturity

Three Month

N/A

Six Month

N/A

One Year

Two Year

Three Year

Four Year

Five Year

Ten Year

Total

*Monthly interest payment date (e.g. 1st, 15th, etc.) .

Form of Ownership (please select one)
o	Individual Investor (with optional beneficiary)	o	Custodian for a Minor

o	Joint Tenants with Right of Survivorship	o	Other IRA, SEP, 40l(k), 403(b), Keogh, trust, corporation, partnership, etc. (Please include with this form a trust resolution or the appropriate corporation or partnership documents authorizing you to make this investment.)

Note Purchaser (please circle one)

Full Name of Individual Investor/First Joint Tenant/Minor/Entity/Administrator/Trustee

						/ /
First Name	Middle Name	Last Name		Social Security Number/Tax ID Number		Date of Birth (if applicable)

Occupation:

Age:

Full Name of Beneficiary/Second Joint Tenant/Custodian/Transfer on Death (please circle one if applicable)

						/ /
First Name	Middle Name	Last Name		Social Security Number/Tax ID Number		Date of Birth (not required for custodians)

Primary Address (Original correspondence will be sent to this address.)			Secondary Address (Optional—copies of correspondence will be sent in this address.)


Individual Investor, IRA Administrator, Trustee, Custodian, partnership, etc.			Beneficiary, IRA Owner, Joint Tenant, Partner, etc.


Address			Address


City	State	Zip	City	State	Zip


Daytime Phone (Include Area Code)	E-mail Address		Daytime Phone (Include Area Code)	E-mail Address

What is your approximate net worth, excluding the value of your primary residence? $________

What is your annual income? $________

What percent of your net worth is currently invested in securities (stocks, bonds, notes, LLC or partnership interests) that are not traded on a stock exchange or NASDAQ?________%

Password When you call about your investment you may be asked to verify your identification by answering the following question:

What is your mother’s maiden name?____________

Direct Deposit TCPH will electronically deposit your principal and interest payments directly into the account listed in the Direct Deposit section on the reverse side of this form, please complete and sign the reverse side of this form for automatic deposit to either your checking or savings account.

CERTIFICATION Under penalties of perjury, I hereby declare and certify that: (i) I am a bona fide resident of the state listed in the primary mailing address; (ii) I have received and read the prospectus provided by Twin Cities Power Holdings, LLC and understand the risks related to the notes and to the company; (iii) neither Twin Cities Power Holdings, LLC, its affiliates or agents have recommended this investment to me or given me investment legal or tax advice regarding the notes or the company’s creditworthiness; (iv) I have independently determined that this investment is suitable for me without relying on such advice from Twin Cities Power Holdings, LLC or its affiliates or agents; (v) the notes are illiquid due to significant transfer restrictions and the lack of a secondary market; (vi) the notes are obligations of Twin Cities Power Holdings, LLC only, they are not bank certificates of deposit and they are not guaranted or insured by the FDIC or any other entity; (vii) I risk the loss of my entire principal amount and all accrued but unpaid interest when purchasing the notes and have the financial ability to withstand these losses; (viii) I am purchasing the notes to fulfill my investment objective of earning current taxable interest income; (ix) the social security number or tax identification number listed above is correct; and (x) I am not subject to backup withholding, either because the Internal Revenue Service has not notified me that I am subject to backup withholding as a result of a failure to report all interest or dividends or I have been notified that I am no longer subject to backup withholding. I understand that my purchase offer is subject to the terms contained in the prospectus and to state securities regulations, may be rejected in whole or in part and will not become effective until accepted by Twin Cities Power Holdings, LLC.

SIGN HERE		SIGN HERE


Signature of Individual Investor/First Joint Tenant/Custodian/Authorized Person	Date	Signature of Second Joint Tenant (if applicable)	Date

(please complete reverse side)

Office Use Only

TCPH ________

RLLC _______

DATE ______________

TCPH

DIRECT DEPOSIT

Direct Deposit Account Information (please check one)

o I currently receive or have received direct deposit payments for other notes purchased from Twin Cities Power Holdings, LLC. Please deposit all principal and interest payments for this new note into the same account.

o Please deposit my principal and interest payments into the same checking account that I am using to make this investment. The correct account information is listed on the enclosed check that I am using to purchase this note.

o Please deposit my principal and interest payments into the account listed below. (If this is a checking account, please attach a VOIDED check to the bottom of this form. If this is a savings account, please confirm the bank routing number and the account number with your financial institution.)


Account Owner Name(s)

	o Checking	o Savings	o Other
Account Number

o o o o o o o o o
Bank Routing Number (9 digits)	Bank Name	Branch Location

Some financial institutions (e.g., brokerage firms, custodians, mutual savings banks, credit unions, money market funds, etc.) also require “for further credit” information to correctly identify direct deposit accounts. If your financial institution requires this additional information, please list it below. If you are unsure if this additional information is required, please call your financial institution.

For further credit: ____________________________

Direct Deposit Authorization

As the investor of record and authorized signatory of the account listed above, I hereby authorize Twin Cities Power Holdings, LLC, its affiliates, or its agents (collectively referred to hereinafter as “TCPH”) to deposit interest and principal payments owed to me, by initiating credit entries in the account to my financial institution listed on this form. Further, I authorize my financial institution to accept and to credit any credit entries initiated by TCPH to the listed account. In the event of an erroneous credit entry, I also authorize TCPH to debit the account for an amount not to exceed the original amount of the erroneous credit.

This authorization is to remain in full force and effect until TCPH and my financial institution have received written notice from me of its termination in such time and in such manner as to afford TCPH and my financial institution reasonable opportunity to act on it. In the event the listed account is closed, I will promptly notify TCPH of an alternate account into which payments can be made.

SIGN HERE


Authorized Signature		Date

Mail to:

TWIN CITIES POWER HOLDINGS, LLC

PO Box 4126

Hopkins, MN 55343

ATTACH VOIDED CHECK HERE