Document ID: 16785

Text:
This Investor Questionnaire (this Questionnaire) must be completed by each potential investor in connection with the offer and sale of the shares of the common stock, par value $0.0001 per share (the Securities), of Corindus Vascular Robotics, Inc., a Delaware corporation (the Company). The Securities are being offered and sold by the Company without registration under the Securities Act of 1933 , as amended (the Act), and the securities laws of certain states, in reliance on the exemptions contained in Section4(2) of the Act and on Regulation D promulgated thereunder and in reliance on similar exemptions under applicable state laws. The Company must determine that a potential investor meets certain suitability requirements before offering or selling Securities to such investor. The purpose of this Questionnaire is to assure the Company that each investor will meet the applicable suitability requirements. The information supplied by you will be used in determining whether you meet such criteria, and reliance upon the private offering exemptions from registration is based in part on the information herein supplied.

Named Entities:
31
34
Price
72
75
Act
108
109
Regulation

Tokenized Text:
This
Investor
Questionnaire
(
this
Questionnaire
)
must
be
completed
by
each
potential
investor
in
connection
with
the
offer
and
sale
of
the
shares
of
the
common
stock
,
par
value
$
0
.
0001
per
share
(
the
Securities
)
,
of
Corindus
Vascular
Robotics
,
Inc
.
,
a
Delaware
corporation
(
the
Company
)
.
The
Securities
are
being
offered
and
sold
by
the
Company
without
registration
under
the
Securities
Act
of
1933
,
as
amended
(
the
Act
)
,
and
the
securities
laws
of
certain
states
,
in
reliance
on
the
exemptions
contained
in
Section4
(
2
)
of
the
Act
and
on
Regulation
D
promulgated
thereunder
and
in
reliance
on
similar
exemptions
under
applicable
state
laws
.
The
Company
must
determine
that
a
potential
investor
meets
certain
suitability
requirements
before
offering
or
selling
Securities
to
such
investor
.
The
purpose
of
this
Questionnaire
is
to
assure
the
Company
that
each
investor
will
meet
the
applicable
suitability
requirements
.
The
information
supplied
by
you
will
be
used
in
determining
whether
you
meet
such
criteria
,
and
reliance
upon
the
private
offering
exemptions
from
registration
is
based
in
part
on
the
information
herein
supplied
.