Form 4-5bi - Corporate Indemnity Bond Of Issuer

Form 4-5bi - Corporate Indemnity Bond Of Issuer - 1998

Page 1 of 3

(Rev. 11/16/1998)

STATE OF UTAH

DEPARTMENT OF COMMERCE

DIVISION OF SECURITIES

FORM 4-5BI

Corporate Indemnity Bond of Issuer

State of

)

ss.

County of

)

KNOW ALL MEN BY THESE PRESENTS,

County, state of

, as Principal, and

County,

state of

, as Surety, hereby agree as follows:

, Surety is a surety corporation duly qualified to do business in the state of Utah.

WHEREAS

, Principal seeks registration of its securities with the State of Utah, Department

WHEREAS

of Commerce, Division of Securities, ("Division"), under the provisions of the Utah Uniform

Securities Act, ("Act"), and Rules of the Division, ("Rules"), promulgated thereunder.

, Principal's registration statement is effective for no more than twelve months from

WHEREAS

the date the Division declares the registration statement effective.

, Principal is permitted by the Act and Rules to appoint Agent(s) to offer to sell or

WHEREAS

sell securities of Principal which are registered with the Division in the state of Utah.

, Principal and Surety do bind themselves, and each of their heirs, assigns,

AND WHEREAS

executors and administrators, jointly and severally, firmly by these presents.

, Surety will be liable unto any person having a right of action under

NOW, THEREFORE

Section 61-1-22 of the Act in the sum of

lawful

TWENTY-FIVE THOUSAND DOLLARS ($25,000)

money of the United States of America for the acts or transactions of the Agent(s) of Principal during

the effectiveness of Principal's registration statement.

Form 4-5bi - Corporate Indemnity Bond Of Issuer - 1998