Form Mloe-2 - Limited Offering Of Securities Under The Maryland Limited Offering Exemption Disclosure Document Page 2

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(e)
Telephone number: (
)
(f)
Name and street address of Maryland agent:
3.
Securities being offered:
(a)
Total number of securities authorized by type and class
(e.g.,
common
shares,
preferred
shares,
debt,
limited
liability company interests, etc.):
(b)
Total number of securities, by type and class, now
outstanding:
(c)
Type, number, and amount of securities offered:
(1)
Type:
(2)
Minimum/Maximum number:
(3)
Minimum/Maximum amount: $
NOTE:
If a minimum number is required to be sold as
a condition to the final sale of any security in this
offering, please state:
(d)
Minimum purchase per investor (if any):
(1)
Type:

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