Form Mloe-1 - Notice Claiming Maryland Limited Offering Exemption (Mloe) - 2004 Page 6

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MLOE-1/Page 6
(iv)
Is subject to a United States Postal Service false representation or cease
and desist order entered under 39 U.S.C. §3005 within five years before the first
sale of securities in this offering or is subject to a temporary restraining order or
preliminary injunction entered under 39 U.S.C. §3007 or 18 U.S.C. §1345 with
respect to conduct alleged to have violated 39 U.S.C. §3005.
Yes
No
If "Yes", please provide complete details using
additional sheets.
(v) Is subject to a state administrative order entered by a state securities
administrator in which fraud or deceit was found, if the final order was entered
within five years before the first sale of securities in this offering.
Yes
No
If "Yes", please provide complete details using
additional sheets.
18.
Is the issuer, any of its predecessors, or any of its affiliates subject to an order issued by
the Securities Commissioner or subject to an order, judgment, or decree of a court of
competent jurisdiction temporarily, preliminarily, or permanently restraining or enjoining
the person for failure to file a Form MD-1 or Form MLOE-1.
Yes
No
If "Yes", please provide complete details using
additional sheets.
19.
If any of the questions in paragraphs 17 or 18 were answered "Yes", please provide a
copy of the order, judgment, decree, injunction or other action.
I do solemnly declare and affirm under penalties of perjury that to the best of my
knowledge, information and belief, the contents of the foregoing document are true and correct.
Signature:
Printed Name:
Title:
Date of Notice:

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