Model Promotional Shares Lock-In Agreement Form (Page 4 of 4) in pdf

Model Promotional Shares Lock-In Agreement Form Page 4

A manually signed copy of the Agreement signed by the Signatories to be filed

with the Administrators prior to the Effective Date;

Copies of the Agreement and a statement of the per share initial public offering

price to be provided to the Issuer's stock transfer agent;

Appropriate stock transfer orders to be placed with the Issuer's stock transfer agent

against the sale or transfer of the shares covered by the Agreement prior to its

expiration, except as may otherwise be provided in this Agreement;

The above stock restriction legends to be placed on the periodic statement sent to

the registered owner if the securities subject to this Agreement are uncertificated

securities.

Pursuant to the requirements of this Agreement, the Signatories have entered into this

Agreement, which may be written in multiple counterparts and each of which shall be considered

an original. The Signatories have signed the Agreement in the capacities, and on the dates,

indicated.

IN WITNESS WHEREOF, the Signatories have executed this Agreement.

(ISSUERS NAME)

By______________________________________

________________________________________

President

_________________________________________

Signature

_________________________________________

Printed Name of Security Holder

_________________________________________

Title, if applicable

Model Promotional Shares Lock-In Agreement Form Page 4