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Form Njbos-6 - Registration Statement For Registration By Notification - State Of New Jersey Page 4

Page 4

including their maximum and minimum amount. _____________________________

____________________________________________________________________

(3). State the estimated amounts of other selling expenses, including legal, engineering and

accounting expenses. ___________________________________________________

____________________________________________________________________

E. (1). The name and address of every underwriter, agent, broker-dealer or other recipient of a

commission, discount or finder’s fee. (Submit the underwriting agreement or form of

underwriting agreement as an exhibit.) _____________________________________

____________________________________________________________________

(2). If the securities are not to be offered through an underwriter, describe the plan of dis-

tribution. ____________________________________________________________

____________________________________________________________________

(3). Identify the agent or broker-dealer registered in New Jersey who will offer the securities

or state the applicable exemption. _________________________________________

____________________________________________________________________

F. Description of any stock options outstanding or to be created in connection with this offering.

____________________________________________________________________

G. List dollar amounts of options held by each of the following:

Dollar amount

Name and address

of options held

1. Each director or officer

__________________________

____________

of the issuer or person

occupying a similar status.

__________________________

____________

Form Njbos-6 - Registration Statement For Registration By Notification - State Of New Jersey Page 4