Form Mloe-1 - Notice Claiming Maryland Limited Offering Exemption (Mloe)

Form Mloe-1 - Notice Claiming Maryland Limited Offering Exemption (Mloe) - 2004

FORM MLOE-1

State of Maryland

Office of the Attorney General

Securities Division

NOTICE CLAIMING MARYLAND LIMITED OFFERING EXEMPTION (MLOE)

Under The Maryland Securities Act

Section 11-602(9) and Regulations 02.02.04.09-.13

If the aggregate dollar amount of the securities offered everywhere exceeds $150,000 in any

transaction under the Maryland Limited Offering Exemption (MLOE), the issuer shall deliver this

Notice to the Securities Commissioner by the end of business on the fifteenth day after the first sale

of securities in Maryland. This Notice shall be considered filed with the Division for purposes of

MLOE as of the date the Division receives the Notice, Form U-2 (Uniform Consent to Service of

Process), and filing fee of $400 paid by check. Make checks payable to "Office of the Attorney

General", and submit to “Maryland Division of Securities, 200 St. Paul Place, Baltimore, Maryland

21202-2020”. For copies of the statutes, regulations, and forms, contact the Maryland Division of

Securities at 410-576-7050.

Please attach additional sheets if additional space is required.

Indicate “Not

Applicable” if an item does not apply.

Name of Issuer

Address of Issuer

______________________________________________ (

)

City, State, Zip Code

Telephone Number

_________________________________

______________________________________

e-mail

website address

Other contact to whom communications regarding this Notice should be directed:

Name

Address

(

)

City, State, Zip Code

Telephone Number

Form Mloe-1 - Notice Claiming Maryland Limited Offering Exemption (Mloe) - 2004