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Notice Of Transaction Pursuant To Rule 830-X-6-.12 Form - Alabama Securities Commission Page 3

The value of the securities sold or proposed to be sold in the transaction, determined in

accordance with Code of Alabama 1975, § 10-2B-6.21c, is:

Alabama

Other States

in money ………………………………..

(a)

(i)

$__________ $__________

in consideration other than money ……..

(ii)

$__________ $__________

total of (i) and (ii) ………………………

(iii)

$__________ $__________

Exemption relied upon under Securities Act of 1933.

________________________________________________________________________

List all exempt offerings made in the State of Alabama during the past four (4) years by

the issuer or any other issuer of which any of the persons named in Item 6 were a

principal. Include the name of the issuer, the name of the person listed in Item 6 and the

Alabama exemption relied up on by such issuer.

10.

________________________________________________________________________

11.

Date of Notice _______________

____________________________________

Issuer

( )

Check if issuer already has a

____________________________________

Consent to service of process on

Authorized Signature on behalf of issuer

File with the Commissioner

________________________________

Print name and title of signatory

Name, Address and Phone number of contact person:

________________________________________________________________________

Instruction: Each issuer (other than an Alabama corporation) filing a notice under Rule 830-X-6-.12 must

file a consent to service of process with a certified resolution (Forms U-2 and U-2A), unless it already has

a consent to service of process on file with the commissioner.

Notice Of Transaction Pursuant To Rule 830-X-6-.12 Form - Alabama Securities Commission Page 3