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

Form Mloe-1 - Notice Claiming Maryland Limited Offering Exemption (Mloe) - 2004 Page 4

MLOE-1/Page 4

11.

(a)

Date this offering began:

(b)

Date of the first sale in Maryland (See Maryland Securities Act, Corporations and

Associations Article, §11-801, Annotated Code of Maryland):

12.

(a)

Aggregate price of all securities offered everywhere: $

(b)

Aggregate price of all securities offered in Maryland: $

(c)

Number of units offered:

(d)

Price per unit offered: $

(e)

Warrants __________________________________________________________

13.

On separate sheets, please state the name, home address and position of each officer,

director, managing member, general partner, or trustee of the issuer.

If the general partner or trustee is a corporation or other entity, provide the requested

information for each officer, director, managing member, or general partner of that entity.

14.

On separate sheets, state the name and home address of each beneficial owner of 10

percent or more of the outstanding shares of any class of equity ownership of the issuer.

15.

On separate sheets, state the name, CRD number, address and telephone number of each

broker/dealer authorized by the issuer to sell securities of the issuer in this offering.

16.

On separate sheets, state the name, CRD number, address and telephone number of each

individual or finder authorized by the issuer to sell securities of the issuer in this offering.

Is (are) the person(s) affiliated with the issuer? Yes

If "yes", in what capacity:

Type and value of any remuneration to the person(s) for sale of securities (if "none",

please so state):

Is this person a broker-dealer or a broker-dealer agent?

Yes

Form Mloe-1 - Notice Claiming Maryland Limited Offering Exemption (Mloe) - 2004 Page 4