be Commit/i 

DELCOE

VF IM, Corp.

120 8. Warner Road, PO. Box 837
Valley Forge, PA 19482
610-687-2400

DISCLOSURE STATEMENT AND 
ACKNOWLEDGMENT 

VFIM, Corp. has been authorized by Valley Forge Asset Management Corp. (?Valley Forge?),
a registered Investment Adviser, to refer prOSpective clients to Valley Forge. VFIM is not a registered

investment advisor and is not responsible for the services which Valley Forge may provide to you or the 
fees Valley Forge may charge you from time to time. 

FIM is to be paid an amount equal to 50% of the fees paid by referrals as long as you remain a
client of Valley Forge. is to he paid up to of?the investment advisory Fees for general
mvj-rlt-ciirig. public relations and liaison services and up to For solicitation serx-'ie-cs. "il'iis may not be

.   f'xi oilicr soiituatum arm:igasrments. solicitors are generally paid   

Valley Forge has represented to VFIM that Valley Forge will charge rates in accordance with Valley

Forge?s Form ADV Part II ?ling with the Securities and Exchange Commission Valley Forge

has not advised VFHVI that you will be charged any amount in addition to the advismy fee for the cost of

obtaining your account through VFIM, nor has Valley Forge advised VFIM that Valley Forge will charge

any differential among Valley Forge?s clients if such differential is attributable to the existence of Valley

Forge?s agreement to compensate VFIM. The agreement between VFIM and Valley Forge states that

Valley Forge may negotiate rates with its clients and proSpects in the circumstances and to the extent set -
forth in Valley Forge?s Form ADV (Part II) filing with the Securities and Exchange Commission

Valley Forge?s fees for service are set forth in its filings with the SEC. on Form ADV (Part II), -

a copy'of'the- current version of which, as received from Valley Forge is enclosed with this-Disclosure --  I 
Statement. The disclosures made on Form ADV Part II are made by Valley Forge and not The: . 
rates disclosed in this disclosurestatement or in Valley F-orge?s Fonn ADV Part 11 may change from time. - 
time: - -- -

business relationship with Valley Forge with respect to this referral is ?set forth in a written
agreement between Valley Forge and VFIM. VFIM and Valley Forge may have other business
relationships from time to time but are not af?liated by common control. The officer or employee of
signing this disclosure on behalf is not an employee of, or under common control with,
Valley Forge but may have another relationship with it.

  
 
   
  

Very Truly 
VF

?an, ?My, 

isclosure Statement and also the
Management.



 

 

I acknowledge receipt and have read the foregoing Consultant?s
accompanying Form ADV Part II relating to Valley Forge Ass

 


Print Name: Lei tbs.? Signature:

Date: Sluice?