exv10w4






Exhibit 10.4




CGM Account No.: ____________________________



_________
Please check here if employed by Morgan Stanley
Smith Barney LLC or an affiliate.



_________
Please check here if employed by Citigroup Global
Markets Inc. or an affiliate.




BRISTOL ENERGY FUND L.P.

(a New York limited partnership)

Subscription Agreement




Selling Agent:



_________
Please check here if Morgan Stanley Smith Barney
LLC served as your selling agent.



_________
Please check here if Citigroup Global Markets Inc.
served as your selling agent.





 









 








Ceres Managed Futures LLC

55 East 59th Street — 10th Floor

New York, New York 10022




Re: Bristol Energy Fund L.P.




Ladies and Gentlemen:




     1. Subscription for Units. I hereby irrevocably subscribe for the amount of Units (and
partial Units rounded to four decimal places) of Limited Partnership Interest (“Units”) of Bristol
Energy Fund L.P. (the “Partnership”) as indicated on page B-7 hereof. I understand that Citigroup
Global Markets Inc., a corporation organized under the laws of the State of New York (“CGM”), and
Morgan Stanley Smith Barney LLC, a limited liability company organized under the laws of the State
of Delaware (“MSSB”), act as selling agents for the Partnership. I hereby authorize CGM to debit
my brokerage account in the amount of my subscription as described in the Private Placement
Offering Memorandum and Disclosure Document of the Partnership dated August 1, 2009, as amended or
supplemented from time to time (the “Memorandum”).



     I understand that all capitalized terms used in this subscription agreement (this
“Subscription Agreement”) that are not separately defined herein shall have the respective meanings
set forth in the Memorandum.



     I am aware that this subscription is not binding on the Partnership unless and until it is
accepted by Ceres Managed Futures LLC, a limited liability company organized under the laws of the
State of Delaware and the Partnership’s general partner (the “General Partner”), which may reject
this subscription in whole or in part for any reason whatsoever. I understand that the General
Partner will advise me within five business days of receipt of my funds and this Subscription
Agreement if my subscription has been rejected. I further understand that if this subscription is
not accepted, the full amount of my subscription will be promptly returned to me without deduction.



     2. Representations, Warranties and Covenants of Subscriber. As an inducement to the General
Partner on behalf of the Partnership to sell me the Units for which I have subscribed I hereby
represent, warrant and agree as follows:



     (a) I am over 21 years old, am legally competent to execute this Subscription Agreement and
have received and reviewed the Memorandum and the Partnership’s most recent monthly statement and
annual report, if any, and except as set forth in the Memorandum, no representations or warranties
have been made to me by the selling agent indicated by check-mark on the cover of this Subscription
Agreement (the “Selling Agent”), the Partnership, its General Partner or their agents, with respect
to the business of the Partnership, the financial condition of the Partnership, the deductibility
of any item for tax purposes or the economic, tax, or any other aspects or consequences of a
purchase of a Unit, and I have not relied upon any information concerning the offering, written or
oral, other than that contained in the Memorandum or provided by the General Partner (as the same
may have been relayed to me by the Selling Agent) at my request. In addition, I have been
represented by such legal and tax counsel and others selected by me as I have found it necessary to
consult concerning this transaction. I am in compliance with all federal and state regulatory
requirements applicable to this investment. With respect to the tax aspects of my investment, I am
relying upon the advice of my own personal tax advisors and upon my own knowledge with respect
thereto.



     (b) I have carefully reviewed the various conflicts of interest set forth in the Memorandum,
including those arising from the fact that the General Partner is indirectly owned by CGM, a
selling agent



B-2









 




and the commodity broker/dealer for the Partnership, and is an affiliate of MSSB, a selling
agent for the Partnership.




     (c) I hereby acknowledge and agree to the terms of the Customer Agreement between the
Partnership and CGM and to the payment to CGM of the flat rate brokerage fee as described in the
Memorandum. I understand that lower brokerage fees might be available, but that the General
Partner will not negotiate with CGM or any other broker to obtain such lower rates. I further
understand that MSSB will be compensated by a payment of a portion of the flat rate brokerage fee
received by CGM that is calculated based on the number of limited partners in the Partnership that
are customers of MSSB.



     (d) The Partnership has made available to me, prior to the date hereof, the opportunity to
ask questions of, and to receive answers from, the General Partner and its representatives,
concerning the terms and conditions of the offering, and has afforded me access to obtain any
information, documents, financial statements, records and books (i) relating to the Partnership,
its business, the offering and an investment in the Partnership, and (ii) necessary to verify the
accuracy of any information, documents, financial statements, records and books furnished in
connection with the offering. All materials and information requested by me, including any
information requested to verify any information furnished, have been made available and have been
examined to my satisfaction.



     (e) I understand that the Partnership offering has not been registered under the Securities
Act of 1933, as amended (the “Act”), or pursuant to the provisions of the securities or other laws
of certain jurisdictions, in reliance on exemptions for private offerings contained in the Act and
in the laws of certain jurisdictions. I am fully aware of the restrictions on sale,
transferability and assignment of the Units as set forth in the Limited Partnership Agreement (the
“Partnership Agreement”) of the Partnership as amended from time to time, and that I must bear the
economic risk of my investment in the Partnership for an indefinite period of time because the
offering has not been registered under the Act. I understand that the Units cannot be offered or
sold unless they are subsequently registered under the Act or an exemption from such registration
is available and that any transfer requires the consent of the General Partner, who may determine
not to permit any specific transfer.



     (f) I represent that I am aware of the speculative nature of this investment and of the high
degree of risk involved, that I can bear the economic risks of this investment and that I can
afford a complete loss of my investment. As evidence of the foregoing, I hereby represent to you
that I: (i) have sufficient liquid assets to pay the purchase price for my interest in the
Partnership; (ii) have adequate means of providing for my current needs and possible personal
contingencies and have no present need for liquidity of my investment in the Partnership; (iii)
have adequate net worth and sufficient means to sustain a complete loss of my investment in the
Partnership; (iv) either (A) I am an accredited investor as defined in Rule 501 (a) of the Act, the
terms of which are set forth in Exhibit I to this Subscription Agreement by virtue of the
subparagraph indicated on page B-7 or (B) I have a net worth (exclusive of home, furnishings and
automobiles) at least three times my investment in the Partnership or my actual gross income for
the last two calendar years was, and my projected gross income for the current calendar year will
be, not less than three times my investment in the Partnership for each year; (v) have substantial
experience in making similar investments; (vi) have, alone or with my purchaser representative,
sufficient knowledge to be able to evaluate the merits and risks of this investment; and (vii) have
made this decision to invest in the Partnership based on my own or my purchaser representative’s
independent evaluation.



     (g) I will not transfer or assign this Subscription Agreement, or any of my interest herein.
I am acquiring my interest in the Partnership hereunder for my own account and for investment
purposes only and not with a view to or for the transfer, assignment, resale or distribution
thereof, in whole or in part. I have no present plans to enter into any such contract,
undertaking, agreement or arrangement. I understand that, by making an investment in the
Partnership, I will be a limited partner. I understand that the General



B-3









 




Partner may in its absolute discretion require any limited partner to redeem all or part of
his Units, upon ten days’ notice to such limited partner.




     (h) If I am not a citizen or resident of the United States for U.S. tax purposes, I agree to
pay or reimburse CGM, MSSB or the Partnership for any taxes, including but not limited to
withholding tax imposed with respect to my Units.



     (i) I understand that as part of the Partnership’s responsibility for the prevention of money
laundering, CGM, MSSB or the General Partner may require a detailed verification of identity and
the source of payment. In the event of delay or failure by me to produce any information required
for verification purposes, the General Partner may refuse to accept my application and subscription
funds relating thereto or may refuse to process a redemption request until proper information has
been provided.



     (j) FOR ALL ACCREDITED INVESTORS. I hereby represent and affirm that (i) I have a net worth
alone or with my spouse exceeding 10 times my investment; (ii) I have either alone or with
my professional advisor the capacity to protect my interests in connection with this transaction or
(iii) I am able to bear the economic risk of the investment.



     (k) I represent that the information contained herein is complete and accurate as of the date
hereof and may be relied upon by the General Partner. I further represent that I will notify the
General Partner immediately of any adverse change in any such information which may occur prior to
the acceptance of my subscription and will promptly send the General Partner written confirmation
thereof.



     (l) If I am a collective investment vehicle, I am in compliance with all applicable Federal
regulatory requirements including the registration rules of the Commodity Futures Trading
Commission (“CFTC”).



     (m) I understand that my subscription payment must be received by the Partnership on or
before the specified settlement date.



     3. Acceptance of Limited Partnership Agreement and Power of Attorney. I hereby apply to
become a limited partner as of the date upon which the sale of my Units becomes effective, and I
hereby agree to each and every term of the Partnership Agreement as if my signature were subscribed
thereto.



     (a) I hereby constitute and appoint the General Partner of the Partnership, with full power
of substitution, as my true and lawful attorney to execute, acknowledge, file and record in my
name, place and stead: (i) the Partnership Agreement substantially in the form included as an
Appendix to the Memorandum; (ii) all certificates and other instruments which the General Partner
shall deem appropriate to create, qualify, continue or dissolve the Partnership as a limited
partnership in the jurisdictions in which the Partnership may be formed or conduct business; (iii)
all agreements amending or modifying the Partnership Agreement that may be appropriate to reflect a
change in any provision of the Partnership Agreement or the exercise by any person of any right or
rights thereunder not requiring my specific consent, or requiring my consent if such consent has
been given, and any other change, interpretation or modification of the Partnership Agreement in
accordance with the terms thereof; (iv) such amendments, instruments and documents which the
General Partner deems appropriate under the laws of the State of New York or any other state or
jurisdiction to reflect any change, amendment or modification of the Partnership Agreement of any
kind referred to in subparagraph (iii) hereof; (v) filings with agencies of any federal, state or
local governmental unit or of any jurisdiction which the General Partner shall deem appropriate to
carry out the business of the Partnership; and (vi) all conveyances and other instruments which the
General Partner shall deem appropriate to effect the transfer of my Partnership interest pursuant
to the Partnership Agreement or of Partnership assets and to reflect the dissolution and
termination of the Partnership. The foregoing appointment (x) is a special power of attorney
coupled with an interest, is irrevocable and shall survive my



B-4









 




subsequent death, incapacity or disability and (y) shall survive the delivery of an assignment
by me of the whole or any portion of my interest, except that where an assignee of the whole of
such interest has been approved by the General Partner for admission to the Partnership as a
substituted Limited Partner, the power of attorney shall survive the delivery of such assignment
for the sole purpose of enabling the General Partner to execute, acknowledge and file any
instrument necessary to effect such substitution.




     (b) FOR INDIVIDUAL INVESTORS AND TRUSTEES EXECUTING THIS SUBSCRIPTION AGREEMENT IN THE STATE
OF NEW YORK. I acknowledge that the above constitution and appointment of the General Partner of
the Partnership as my true and lawful attorney does not apply to individuals executing this
Subscription Agreement in the State of New York. Any such individual shall instead read and sign
the New York State Power of Attorney in Exhibit III to this Subscription Agreement and have his or
her signature thereto notarized.



     4. Indemnification. I hereby agree to indemnify and hold harmless the Partnership, the
Selling Agent, the General Partner and its affiliated persons from any and all damages, losses,
costs and expenses (including reasonable attorneys’ fees) which they may incur by reason of any
breach by me of the covenants, warranties and representations contained in this Subscription
Agreement.



     5. Survival. All representations, warranties and covenants contained in this Subscription
Agreement and the indemnification contained in paragraph 4 shall survive (a) the acceptance of the
subscription; (b) changes in the transactions, documents and instruments described in the
Memorandum that are not material; and (c) the death or disability of the undersigned.



     6. Miscellaneous. This subscription is not revocable by me and constitutes the entire
agreement among the parties hereto with respect to the subject matter hereof and may not be amended
orally. This Agreement shall be construed in accordance with and be governed by the laws of the
State of New York.



     7. Employee-Benefit Plans. By so indicating on page B-7 hereof, the undersigned hereby
represents and warrants whether or not the subscriber is a “Benefit Plan Investor” within the
meaning of U.S. Department of Labor Regulation 29 C.F.R. § 2510.3-101, as amended by the Pension
Protection Act of 2006 (the “Plan Assets Regulation”). Generally, a “Benefit Plan Investor” is any
plan or fund organized by an employer or employee organization subject to Title I of the Employee
Retirement Income Security Act of 1974, as amended (“ERISA”), or any plans subject to Section 4975
of the Internal Revenue Code of 1986 (the “Code”) to provide retirement, deferred compensation,
welfare or similar benefits to employees or beneficiaries, including an entity described in Section
(g) of the Plan Assets Regulation, in which 25% or more of any class of equity interests is owned
by such plans and that is primarily engaged in the business of investing capital. If the
undersigned is investing with the assets of, or on behalf of, an employee-benefit plan subject to
ERISA, or plan subject to Section 4975 of the Code (the “Plan”) (such undersigned, the “Fiduciary”)
then the Fiduciary further represents and agrees as follows with respect to the Plan:



     (a) Either (i) or (ii): (i) none of CGM, MSSB, the General Partner or any of their
employees, financial advisors or affiliates (A) manages any part of the investment portfolio of the
Plan, or (B) has an agreement or understanding, written or unwritten, with the Fiduciary under
which the Fiduciary regularly receives information, recommendations or advice concerning
investments which are used as a primary basis for the Plan’s investment decisions and which
are individualized to the particular needs of the Plan.



     or (ii) The relationship between the Plan and CGM, MSSB, the General Partner or any of
their employees, financial advisors or affiliates comes within (A) or (B) above with respect to
only a portion of the Plan’s assets and the investment in the Partnership is being made by
the Fiduciary from a portion of Plan assets with respect to which such relationship does not exist.



B-5









 





     (b) Although an executive or a financial advisor of CGM or MSSB may have suggested that the
Fiduciary consider the investment in the Partnership, the Fiduciary has studied the Memorandum and
has made the investment decision solely on the basis of the Memorandum and without reliance on such
suggestion.



     (c) The Plan is in compliance with all applicable Federal regulatory requirements.



     (d) The undersigned Fiduciary acknowledges that it is: (i) independent of CGM, MSSB, the
General Partner and all of their affiliates; (ii) capable of making an independent decision
regarding the investment of Plan assets; (iii) knowledgeable with respect to the Plan in
administrative matters and funding matters related thereto, and (iv) able to make an informed
decision concerning participation in the Partnership.



     (e) The undersigned Fiduciary, if the Plan is an IRA or Keogh account of which CGM or MSSB is
the custodian, hereby directs said custodian as custodian of the Plan to subscribe for the amount
indicated on page B-7 hereof. In addition, the Fiduciary represents and confirms that all of the
information contained in this Subscription Agreement and relating to the subscribing Plan is
complete and accurate. Please complete this Subscription Agreement by filling in the blanks and executing it on the
following page.




B-6











 





EXECUTION PAGE




I. For Client Use:





	A.	 	Subscription Amount: I hereby subscribe for $                     (minimum $25,000).
	 
	B.	 	Accreditation: Please select one of the following.






	 	1.	 	                     I am an accredited investor under paragraph ___of Exhibit I on page B-10.





OR





	 	2.	 	                     I am a non-accredited investor.
	 
	 	 	 	If you selected #2 above, please fill in the Prospective Purchaser Questionnaire (Exhibit II,
page B-10) and, if applicable, the Purchaser Representative Questionnaire (Exhibit II-1, page
B-12).






	C.	 	Benefit Plan Investor Status: The subscriber is ___or is not ___a “Benefit Plan Investor” as
defined in paragraph 7 above.
	 
	D.	 	New York Individual Investor or Trustee Status [FOR INDIVIDUAL INVESTORS ONLY]: Please select
one of the following.






	 	1.	 	                     I am an individual investor executing this Subscription Agreement in the State of New
York.





OR





	 	2.	 	                     I am an individual trustee executing this Subscription Agreement in the State of New
York on behalf of a trust.





OR





	 	3.	 	                     I am executing this Subscription Agreement outside of the State of New York.
	 
	 	 	 	If you selected #1 or #2 above, please read and sign the New York State Power of
Attorney (Exhibit III, page B-17) and have your signature notarized.






	E.	 	1. Representation: The foregoing statements are complete and accurate as of the date hereof and
may be relied upon by the General Partner. I further represent that I will notify the General
Partner immediately of any adverse change in any such information and will promptly send the
General Partner written confirmation thereof.
	 
	 	 	2. Signature: If joint ownership, all parties must sign (if fiduciary, partnership or
corporation, indicate capacity of signatory under signature line).





[Signature Page on Next Page]




B-7









 








          IN WITNESS WHEREOF, I have executed this Subscription Agreement including Power of Attorney
as of the date below.




	 	 	 
	 

	 	 
	Signature

	 	Signature
	 
	 	 
	 

	 	 
	Title (if applicable)

	 	Title (if applicable)
	 
	 	 
	3. Date:                                                             

	 	Date:                                                             







	F.	 	Please complete Registration Data on the next page.





II. For Branch Use:



The General Partner’s acceptance is conditioned
upon receiving an attestation from a Citigroup
Global Markets Inc. or Morgan Stanley Smith Barney
LLC (as indicated on the cover of this
Subscription Agreement) Branch Manager as to the
following:





The Branch Manager has received all
documents required to open this account and
acknowledges the suitability of this
investment for the client. In recommending
the purchase of Units, the Branch Manager,
on behalf of Citigroup Global Markets Inc.
or Morgan Stanley Smith Barney LLC has
determined the suitability of the
subscriber and will maintain records
containing the basis of the suitability
determination. Prior to executing the
purchase of Units, the Branch Manager, on
behalf of Citigroup Global Markets Inc. or
Morgan Stanley Smith Barney LLC has
informed the subscriber of facts relating
to the liquidity and marketability of the
Units. If the account is a partnership or
trust, the Branch Manager acknowledges that
he/she has reviewed the partnership or
trust documents which allow investments in
limited partnerships whose principal
business is in futures trading, and that
the anti-money laundering and
know-your-customer documentation for this
subscriber is complete.



III. For General Partner’s Use:




ACCEPTED:

CERES MANAGED

FUTURES LLC




By:                                                                   
             




     Name:            
                                                                    

     Title:                                                                      
          





B-8









 








Registration Data




	 	 	 	 	 
	 

	 	 	 	 
	Name of Limited Partner

(Please Print)

(See Note 1 Below)

	 	 	 	Name of Joint Limited Partner (if any)

(Please Print)
	 
	 	 	 	 
	 
	 	 	 	 
	 

	 	 	 	 
	Residence Street Address

(See Note 2 Below)

	 	 	 	Mail Address (if different than
Residence Address)
	 
	 	 	 	 
	 
	 	 	 	 
	 

	 	 	 	 
	City          State          Zip Code

	 	 	 	City          State          Zip Code
	 
	 	 	 	 
	 
	 	 	 	 
	 

Social Security or Federal Employer I.D. Number

	 	 	 	 
	 
	 	 	 	 
	 

	 	 	 	If Joint Ownership, check one:
	 
	 	 	 	 
	 

CGM Account Number

	 	 	 	/ / Joint Tenants with right to Survivorship
(all parties must sign)
	 
	 	 	 	 
	Note 1: If subscriber is an ERISA
plan or account, please so indicate
(e.g.: “XYZ Co. Pension Plan,” “Dr.
A Keogh Account,” “Mr. B IRA Account”).

	 	 	 	/ / Tenants in Common



/ / Community Property
	 
	 	 	 	 
	 

	 	 	 	If Fiduciary or Corporation, check one:
	Note 2: The address given above must
be the residence address of the Limited
Partner. Post Office boxes and other
nominee addresses will not be accepted.

	 	 	 	

/ / Trust / / Partnership



/ / Corporation






B-9









 






EXHIBIT I




     “Accredited investor” shall mean any person who comes within any of the following categories,
or who the issuer reasonably believes comes within any of the following categories, at the time of
the sale of the securities to that person:



     (1) Any bank as defined in section 3(a)(2) of the Act; any savings and loan association or
other institution as defined in section 3(a)(5)(A) of the Act whether acting in its individual or
fiduciary capacity or any broker or dealer registered pursuant to section 15 of the Securities
Exchange Act of 1934; insurance company as defined in section 2(13) of the Act; investment company
registered under the Investment Company Act of 1940 or a business development company as defined in
section 2(a)(48) of that Act; Small Business Investment Company licensed by the U.S. Small Business
Administration under section 301(c) or (d) of the Small Business Investment Act of 1958; any plan
established and maintained by a state, its political subdivisions, or any agency or instrumentality
of a state or its political subdivisions, for the benefit of its employees, if such plan has total
assets in excess of $5,000,000; employee benefit plan within the meaning of the Employee Retirement
Income Security Act of 1974, if the investment decision is made by a plan fiduciary, as defined in
section 3(21) of such Act, which is either a bank, savings and loan association, insurance company,
or registered investment adviser, or if the employee benefit plan has total assets in excess of
$5,000,000, or if a self-directed plan, with investment decisions made solely by persons that are
accredited investors;



     (2) Any private business development company as defined in section 202(a)(22) of the
Investment Advisers Act of 1940;



     (3) Any organization described in Section 501(c)(3) of the Internal Revenue Code, any
corporation, Massachusetts or similar business trust, or partnership, not formed for the specific
purpose of acquiring the securities offered, with total assets in excess of $5,000,000;



     (4) Any director, executive officer, or general partner of the issuer of the securities being
offered or sold, or any director, executive officer or general partner of a general partner of that
issuer;



     (5) Any natural person whose individual net worth, or joint net worth with that person’s
spouse, at the time of his purchase exceeds $1,000,000;



     (6) Any natural person who had an individual income in excess of $200,000 in each of the two
most recent years or joint income with that person’s spouse in excess of $300,000 in each of those
years and has a reasonable expectation of reaching the same income level in the current year;



     (7) Any trust, with total assets in excess of $5,000,000, not formed for the specific purpose
of acquiring the securities offered, whose purchase is directed by a sophisticated person as
described in Rule 506(b)(2)(ii); and



     (8) Any entity in which all of the equity owners are accredited investors.



B-10









 





EXHIBIT II

Prospective Purchaser Questionnaire

To be completed by non-accredited investors




The purpose of this Questionnaire is to determine whether you meet the standards imposed by
Regulation D promulgated under the Securities Act of 1933, since the Units have not been and will
not be registered under that Act and are being sold in reliance upon the exemption provided by
Section 4(2) of that Act. Please complete these questions as thoroughly as possible.



     (i) I have a net worth (exclusive of home, furnishings and automobiles) either individually or
jointly with my spouse of at least three times my investment in the Partnership.



Yes
  o No

 o


     (ii) My gross income for each of the past two years and my projected gross income for the
current year is not less than three times my investment in the Partnership.



Yes
  o No

 o


     (iii) In the space below, please provide information regarding other types of investments
which you have made during the last five years:



     (Check if applicable)



	 	 	 	 	 	 	 	 	 	 	 
	Stocks

	 	 
 

	 	 	 	Limited Partnership Interests:
	 	 
 

	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	Bonds

	 	 
 

	 	 	 	Real Estate
	 	 
 

	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	Mutual Funds

	 	 
 

	 	 	 	Oil and Gas
	 	 
 

	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	Commodities

	 	 
 

	 	 	 	Equipment
	 	 
 

	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	Options

	 	 
 

	 	 	 	Other (specify)
	 	 
 

	 	 






     (iv) Please indicate below the highest educational degree you hold.



     (v) Describe below your principal business activities during the last five years and provide
any additional information which would evidence your ability to evaluate the merits and risks of
investing in the Partnership.



     (vi) If you cannot demonstrate to the General Partner’s satisfaction that you have such
knowledge and experience in financial and business matters that you are capable of evaluating the
merits and risks of investment in the Partnership (e.g., you are a lawyer or accountant or you have
sufficient prior investment or business experience), you must seek advice from a Purchaser
Representative.




In evaluating the merits and risks of this investment, will you seek the advice of any other
person?




Yes
  o No

 o




If YES, please identify below each such person and indicate his business address and telephone
number and have him complete and return one copy of the Purchaser Representative Questionnaire
accompanying this Subscription Agreement.




If YES, has your Purchaser Representative disclosed to you whether or not any material
relationship (that he has with the Partnership or any of its affiliates) exists and whether or not
he expects to receive any compensation from the Partnership or its affiliates as a result of this
sale?




Yes
  o No

 o



B-11









 





EXHIBIT II-1

Questionnaire for Purchaser Representatives

For non-accredited investors only, if applicable




Bristol Energy Fund L.P.

(the “Partnership”)



THIS QUESTIONNAIRE IS TO BE COMPLETED AND DELIVERED TO THE GENERAL PARTNER OF THE PARTNERSHIP PRIOR
TO THE DETERMINATION BY THE GENERAL PARTNER WHETHER OFFERS FOR SUBSCRIPTIONS FOR UNITS OF LIMITED
PARTNERSHIP INTEREST MAY BE ACCEPTED FROM:




                                                                 
 (THE “INVESTOR”).

           (Fill in name of investor)



INSTRUCTIONS



This Questionnaire is being given to each person who has been designated as a “purchaser
representative” by an individual who has expressed an interest in purchasing Units in the
Partnership. The purpose of this Questionnaire is to determine whether you are qualified to act as
a purchaser representative (as that term is defined in Regulation D under the Securities Act of
1933) since the Units have not been and will not be registered under that Act and are being sold in
reliance upon an exemption contained in the Act.



Please contact Ceres Managed Futures LLC at 55 East 59th Street — 10th Floor,
New York, New York 10022, telephone number (212) 559-2011, if you have any questions in answering
this Questionnaire.




Your answers will, at all times, be kept strictly confidential. However, you agree that, should
the investor whom you are representing agree to purchase Units, the Partnership may present this
Questionnaire to such parties as it deems appropriate in order to insure itself that the offer and
sale of Units in the Partnership to such investor will not result in the loss of the exemption from
registration under the Act which is being relied upon by the Partnership in connection with the
sale of the Units.



Please complete this Questionnaire as thoroughly as possible and sign, date and return one copy to
the General Partner at the above address. Attach additional pages if necessary to fully answer any
question.

If the answer to any question is “None” or “Not applicable”, please so state.




B-12









 








	 	 	 
	Name of Purchaser Representative:

	 	 
	 

	 	 
	 
	 	 
	Name of Represented Investor:

	 	 
	 

	 	 
	 
	 	 
	Your Business Address:

	 	 
	 

	 	 
	 
	 	 
	Your Occupation:

	 	 
	 

	 	 
	 
	 	 
	Your Bus. Tel. No.:

	 	 
	 

	 	 





          1. Have you received and reviewed the Private Placement Offering Memorandum and Disclosure
Document (as supplemented from time to time) with regard to the offering of Units in the
Partnership which has previously been delivered to the investor?




          Yes
  o No

 o




          2(a). Describe principal business positions you have held during the last five years, or
since graduation from college, whichever is the shorter period. Please be specific listing dates
of employment and if possible provide us with telephone numbers where previous employers can be
contacted:




          (b). Describe any other business, financial or investment experience that would help you to
evaluate the merits and risks of an investment in the Partnership:




          (c). Have you had experience in advising investors with respect to similar investments in the
past?




          Yes
  o No

 o



If you have answered “yes” to this question, please describe briefly such experience indicating
amounts you have caused to be invested, number of offerings you have reviewed and their names if
possible.




          3(a). Please place ONE check mark next to the space which indicates the HIGHEST level of
education you have completed; on the lines following, PLEASE DESCRIBE IN DETAIL any business or
professional education you have received, listing names of schools, degrees received and dates of
attendance.





 o Completed College, awarded degree, B.A., B.S. or equivalent




 o Some Postgraduate Education




 o Two years of Postgraduate Training, awarded M.A. or equivalent




 o Completed Postgraduate Training and received Ph.D. (list date degree
obtained and awarding school)




 o Professional School, awarded J.D., or M.B.A. (list date degree obtained and
awarding school)




 o Other (PLEASE EXPLAIN IN DETAIL YOUR EDUCATIONAL BACKGROUND AND LIST DATES
OF ATTENDANCE AND NAMES OF SCHOOLS)



	 
	 


	 

	 


	 

	 


	 

	 








B-13









 






          (b). List any professional licenses or registrations held by you; if none are held please
note this in writing on the space provided below:




          (c). Are you registered as a broker-dealer within your state?

Yes o  No  o




          (d). Are you registered as an investment advisor in your state?

Yes o  No  o




          (e). List all memberships in professional organizations; if you belong to no professional
organizations please indicate this on the space provided below:




          4(a). In advising the investor, will you be relying in part on the investor’s own expertise
in certain areas? Yes o  No  o




          (b). If yes, please state the basis for your reliance, i.e., number of deals you know this
investor has invested in, amounts invested and the dates of these previous investments. Please
note that what is sought here is not a reference to the general soundness of the business judgment
of the investor but rather a specific basis for relying upon the investor’s own expertise:




          (c). In advising the investor, will you be relying in part on the expertise of an additional
Purchaser Representative? Yes o  No  o




          NOTE: YOU MAY NOT RELY ON AN ADDITIONAL PURCHASER REPRESENTATIVE UNLESS EACH ADDITIONAL
PURCHASER REPRESENTATIVE HAS COMPLETED A QUESTIONNAIRE AND HAS BEEN ACKNOWLEDGED BY THE INVESTOR TO
BE HIS PURCHASER REPRESENTATIVE.




          (d). If the answer to (c) is “yes,” please list the name and address of any additional
Purchaser Representative:




          5(a). Have you ever been convicted in a criminal proceeding, or are you the subject of a
criminal proceeding which is presently pending (except for traffic violations)? Yes o  No  o




          (b). Have you ever been the subject of any order, judgment or decree enjoining, barring or
suspending you from acting as an investment advisor, broker or dealer or from engaging in any
practice in connection with the purchase or sale of any security?




          Yes o  No  o




          (c). If the answer to either (a) or (b) is “yes,” please explain:






B-14









 








          6(a). Do you or any of your affiliates have, with the General Partner or any of its
affiliates1, any relationship, that a reasonable investor might consider important, in
making their decision as to whether or not to designate you as their Purchaser Representative (i.e.
a “material” relationship within the meaning of Regulation D)? Yes o  No  o




          (b). Is such a material relationship contemplated?




          Yes o  No  o




          (c). Has such a material relationship existed during the past two years?




          Yes o  No  o



NOTE: THE RECEIPT OF ANY SALES COMMISSION WITH RESPECT TO THE INVESTOR’S PURCHASE OF UNITS
CONSTITUTES COMPENSATION TO BE RECEIVED AS A RESULT OF A MATERIAL RELATIONSHIP.




          (d). If the answer to (a), (b) or (c) is “yes,” please describe your relationship to the
Partnership and indicate the amount of compensation you have received or you expect to receive as a
result of this relationship:




          (e). Was the information, if any, set forth in response to 6(d) above, disclosed in writing
to the proposed investor, prior to his acknowledgement that you are to act as his Purchaser
Representative in connection with this investment?




          Yes o  No  o




          (f) Are you an affiliate, officer, director or employee of either the Partnership or its
General Partner?




          Yes o  No  o




          I understand that the Partnership as well as the investor will be relying on the accuracy and
completeness of my responses to the foregoing questions, and I hereby represent and warrant to the
Partnership as follows:





          (i) The answers to the above questions are complete and correct and may be relied upon
by the Partnership in determining whether the offering in connection with which I have
executed this Questionnaire is exempt from registration under the Securities Act of 1933 and
also by the investor in determining my suitability to be his advisor in connection with his
possible investment in the Partnership;




          (ii) I will notify the Partnership immediately of any material change in any statement
made herein occurring prior to the closing of the purchase by the above-named investor of
any interest in the Partnership.





 




			
	1	 	The term “affiliate” of a person means a person
that directly or indirectly, through one or more intermediaries, controls,
or is controlled by, or is under common control with such person.




B-15









 











          (iii) If I have not checked “yes” in answer to question 6(a), 6(b) or 6(c) I have no
“material relationship” as that term is defined in Regulation D, and if I have not checked
“yes” in answer to question 6(f), I am not an affiliate, officer, director or employee of
either the Partnership or of the General Partner, or any of their affiliates, nor am I a
direct or beneficial owner of ten percent (10%) or more of any class of the equity
securities of the General Partner or any of its affiliates.




          (iv) I personally (or, if I have checked “yes” in answer to question 4(a) or (b)
above, together with the investor or the additional Purchaser Representative or Purchaser
Representatives indicated above) have such knowledge and experience in financial and
business matters that I am capable of evaluating the merits and risks of the investor’s
prospective investment in the Partnership.



          IN
WITNESS WHEREOF, I have signed this Questionnaire this
                    
day of
                    ,
200     .



	 	 	 	 	 
	 	 	 
	 	       	 
	 	(Signature) 	 
	 	 	 
	 	 	
 	 
	 	 	(Print Name) 	 
	 	 	 	 




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EXHIBIT III

BRISTOL ENERGY FUND L.P.

(THE “PARTNERSHIP”)



SUPPLEMENTAL DOCUMENT


FOR


SUBSCRIPTIONS IN NEW YORK


MADE ON OR AFTER


SEPTEMBER 1, 2009



NEW YORK STATE LIMITED POWER OF ATTORNEY



[THIS DOCUMENT MUST BE NOTARIZED]



     The New York Legislature recently enacted changes to Title 15 of Article 5 of the New York
State General Obligations Law which require this additional document to be signed by certain
subscribers to the Partnership. Subscribers who are (i) natural persons investing for their own
account or as trustee for the benefit of a trust and (ii) executing this Subscription Agreement in
the State of New York on or after September 1, 2009 must complete the form below. The limited
power of attorney contained herein replaces the limited power of attorney which appears in
paragraph 3 of the Subscription Agreement. Terms not defined shall retain the meaning given to
them in the Subscription Agreement.



     (1) Subscriber section (to be completed by the Subscriber and notarized):



     I,              
                 
                    
              , hereby apply to become a limited partner as of the date upon which
the sale of my Units becomes effective, and I hereby agree to each and every term of the
Partnership Agreement as if my signature were subscribed thereto. As principal, I hereby
constitute and appoint the General Partner of the Partnership, with full power of substitution, as
my agent and true and lawful attorney to execute, acknowledge, file and record in my name, place
and stead: (i) the Partnership Agreement substantially in the form included as an Appendix to the
Memorandum; (ii) all certificates and other instruments which the General Partner of the
Partnership shall deem appropriate to create, qualify, continue or dissolve the Partnership as a
limited partnership in the jurisdictions in which the Partnership may be formed or conduct
business; (iii) all agreements amending or modifying the Partnership Agreement that may be
appropriate to reflect a change in any provision of the Partnership Agreement or the exercise by
any person of any right or rights thereunder not requiring my specific consent, or requiring my
consent if such consent has been given, and any other change, interpretation or modification of the
Partnership Agreement in accordance with the terms thereof; (iv) such amendments, instruments and
documents which the General Partner deems appropriate under the laws of the State of New York or
any other state or jurisdiction to reflect any change, amendment or modification of the Partnership
Agreement of any kind referred to in subparagraph (iii) hereof; (v) filings with agencies of any
federal, state or local governmental unit or of any jurisdiction which the General Partner shall
deem appropriate to carry out the business of the Partnership; and (vi) all conveyances and other
instruments which the General Partner shall deem appropriate to effect the transfer of my
Partnership interest pursuant to the Partnership Agreement or of Partnership assets and to reflect
the dissolution and termination of the Partnership. The foregoing appointment (x) is a special
power of attorney coupled with an interest, is irrevocable and shall survive my subsequent



B-17









 





death, incapacity or disability, (y) shall survive the delivery of an assignment by me of the
whole or any portion of my interest, except that where an assignee of the whole of such interest
has been approved by the General Partner for admission to the Partnership as a substituted Limited
Partner, the power of attorney shall survive the delivery of such assignment for the sole purpose
of enabling the General Partner to execute, acknowledge and file any instrument necessary to effect
such substitution and (z) is not intended to revoke or terminate any prior powers of attorney. I
hereby represent and warrant to the General Partner of the Partnership and any future lawful
substitution as agent thereby that, so long as I hold an interest in the Partnership, I shall not
enter into any subsequent power of attorney that has the effect of revoking or terminating this
power of attorney.




     In the event of a conflict between the provisions of this Power of Attorney and the
Partnership Agreement and/or the Subscription Agreement, the provisions of this Power of Attorney
shall control. If it is determined by a court of competent jurisdiction that any provision of this
Power of Attorney is invalid under applicable law, such provision will be ineffective only to the
extent of such prohibition or invalidity, without invalidating the remainder of this Power of
Attorney.



[Signature Page on Next Page]





B-18









 








In Witness Whereof I have read the statutory cautionary legends beginning on the next page and I
have hereunto signed my name on                                         , 20                    .




PRINCIPAL signs here: ==>                                                             




	 	 	 	 	 	 	 
	STATE OF NEW YORK

	 	 	)	 	 	 
	 

	 	 	)	 ss.:
	 	 
	COUNTY OF                     

	 	 	)	 	 	 






     On the                      day of                      , in the year              
        , before me, the undersigned, a
Notary Public in and for said state, personally appeared                                                             , personally
known to me or proved to me on the basis of satisfactory evidence to be the person whose name is
subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her
capacity, and that by his/her signature on the instrument, the person or the entity upon behalf of
which the person acted, executed the instrument.



	 	 	 
	 

Notary Public

	 	 






     (2) General Partner section (to be completed by the General Partner and notarized):



     I,                                                             , as an Authorized Person and on behalf
 of the General Partner,
have read the foregoing Power of Attorney. The General Partner is the person identified therein as
agent for the principal named therein.



     The General Partner acknowledges its legal responsibilities.



     Agent signs here: ==>                                         



	 	 	 	 	 	 	 
	STATE OF NEW YORK

	 	 	)	 	 	 
	 

	 	 	)	 ss.:
	 	 
	COUNTY OF                     

	 	 	)	 	 	 






     On the                      day of                     , in the year          
           , before me,
the undersigned, a
Notary Public in and for said state, personally appeared                                                             , personally
known to me or proved to me on the basis of satisfactory evidence to be the person whose name is
subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her
capacity, and that by his/her signature on the instrument, the person or the entity upon behalf of
which the person acted, executed the instrument.



	 	 	 
	 

Notary Public

	 	 






B-19









 






NEW YORK LIMITED POWER OF ATTORNEY

CAUTIONARY LEGENDS




     The following disclosure is required to be included verbatim in all powers of attorney subject
to Title 15 of Article 5 of the New York State General Obligations Law:




CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important
document. As the “principal,” you give the person whom you choose
(your “agent”) authority to spend your money and sell or dispose of
your property during your lifetime without telling you. You do not
lose your authority to act even though you have given your agent
similar authority.




When your agent exercises this authority, he or she must act
according to any instructions you have provided or, where there are
no specific instructions, in your best interest. “Important
Information for the Agent” at the end of this document describes
your agent’s responsibilities. Your agent can act on your behalf
only after signing the Power of Attorney before a notary public.




You can request information from your agent at any time. If you are
revoking a prior Power of Attorney by executing this Power of
Attorney, you should provide written notice of the revocation to
your prior agent(s) and to the financial institutions where your
accounts are located.




You can revoke or terminate your Power of Attorney at any time for
any reason as long as you are of sound mind. If you are no longer
of sound mind, a court can remove an agent for acting improperly.




Your agent cannot make health care decisions for you. You may
execute a “Health Care Proxy” to do this.




The law governing Powers of Attorney is contained in the New York
General Obligations Law, Article 5, Title 15. This law is available
at a law library, or online through the New York State Senate or
Assembly websites, www.senate.state.ny.us or
www.assembly.state.ny.us.




If there is anything about this document that you do not understand,
you should ask a lawyer of your own choosing to explain it to you.




IMPORTANT INFORMATION FOR THE AGENT:




When you accept the authority granted under this Power of Attorney,
a special legal relationship is created between you and the
principal. This relationship imposes on you legal responsibilities



B-20









 






that continue until you resign or the Power of Attorney is
terminated or revoked. You must:




(1) act according to any instructions from the principal, or, where
there are no instructions, in the principal’s best interest;




(2) avoid conflicts that would impair your ability to act in the
principal’s best interest;




(3) keep the principal’s property separate and distinct from any
assets you own or control, unless otherwise permitted by law;




(4) keep a record of all receipts, payments, and transactions
conducted for the principal; and




(5) disclose your identity as an agent whenever you act for the
principal by writing or printing the principal’s name and signing
your own name as “agent” in either of the following manner:
(Principal’s Name) by (Your Signature) as Agent, or (your signature)
as Agent for (Principal’s Name).




You may not use the principal’s assets to benefit yourself or give
major gifts to yourself or anyone else unless the principal has
specifically granted you that authority in this Power of Attorney or
in a Statutory Major Gifts Rider attached to this Power of Attorney.
If you have that authority, you must act according to any
instructions of the principal or, where there are no such
instructions, in the principal’s best interest. You may resign by
giving written notice to the principal and to any co-agent,
successor agent, monitor if one has been named in this document, or
to the principal’s guardian if one has been appointed. If there is
anything about this document or your responsibilities that you do
not understand, you should seek legal advice.




Liability of agent:




The meaning of the authority given to you is defined in New York’s
General Obligations Law, Article 5, Title 15. If it is found that
you have violated the law or acted outside the authority granted to
you in the Power of Attorney, you may be liable under the law for
your violation.




B-21