EXHIBIT D
NOTICE OF WITHDRAWAL OF TENDER
Regarding Institutional Shares of
Cross Shore Discovery Fund
Tendered Pursuant to the Offer to Purchase
Dated December 16, 2015
THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE
AT, AND THIS NOTICE OF WITHDRAWAL MUST BE RECEIVED
BEFORE 11:59 P.M., EASTERN TIME, ON JANUARY 15, 2016
UNLESS THE OFFER IS EXTENDED.
FOR SHAREHOLDERS WHO HOLD THEIR SHARES
DIRECTLY WITH THE FUND
For Certified Mail, Return Receipt Requested:
Cross Shore Discovery Fund
Institutional Shares
P.O. Box 6110
Indianapolis, IN 46208
For Overnight Mail:
Cross Shore Discovery Fund
Institutional Shares
2960 North Meridian Street, Suite 300
Indianapolis, IN 46206
Fax: (317) 937-3014
FOR SHAREHOLDERS WHO HOLD THEIR SHARES THROUGH
FIDELITY BROKERAGE SERVICES, LLC
By Mail:
National Financial Services, LLC/FBS
Attn: Alternative Investment Services
499 Washington Boulevard
Jersey City, NJ 07310
Fax: (508) 229-9523
For additional information:
Phone: (844) 300-7828
Ladies and Gentlemen:
The undersigned wishes to withdraw the tender of its Institutional Shares of Cross Shore Discovery Fund (“Shares”), or the tender of a portion of such Shares, for purchase by the Cross Shore Discovery Fund that previously was submitted by the undersigned in a Letter of Transmittal dated .
This tender was in the amount of:
| | |
¨ | | All Shares. |
| |
¨ | | Portion of Shares expressed as a specific dollar value. $ |
| |
¨ | | Portion of Shares expressed as a specific number of Shares. |
| |
| | |
The undersigned recognizes that upon the submission on a timely basis of this Notice of Withdrawal of Tender, properly executed, the Shares (or portion of the Shares) previously tendered will not be purchased by the Cross Shore Discovery Fund pursuant to the terms of the Offer of Purchase referenced above.
| | | | |
| | | | |
Signature of Shareholder | | | | Signature of Joint Shareholder or Other Person whose signature is required |
| | |
| | | | |
Print Name of Shareholder | | | | Print Name Joint Shareholder or Other Person whose signature is required |
| | |
| | | | |
Signature of Authorized Representative (if applicable) | | | | Signature of other Authorized Representative whose signature is required (if applicable) |
| | |
| | | | |
Print Name of Authorized Representative (if applicable) | | | | Print Name of other Authorized Representative whose signature is required (if applicable) |
| | |
| | | | |
Print Title of Authorized Representative and Relationship to Shareholder (if applicable) | | | | Print Title of other Authorized Representative whose signature is required and Relationship to Shareholder (if applicable) |
2