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Form Rq - Application For Registration Of Securities By Qualification - Alabama Office Of The Securities Commission Page 3

Item 7. Fees:

(a) Amount of fees submitted with this application $_______________.

NOTE: Basic filing fee is $40 plus a registration fee of .1% of the aggregate offering

in Alabama.

Item 8. Federal Registration:

(a) Has an application for registration of this offering been filed with the Securities and

Exchange Commission?

Yes _________ No __________. If yes, answer (b) and (c) below.

(b) Check one of the following:

Full Registration under the Securities Act of 1933 _________; Exempt from registration

under the Securities Act of 1933 pursuant to Regulation A _____ or Regulation B _____

Other _______.

Item 9. Has application for registration been made in any other States or jurisdictions?

Yes ________ No _________. If yes, answer (a) and (b) below.

(a) List states in which application has been made for registration of this issue. ________

(b) List all states which have approved any such application.

Form Rq - Application For Registration Of Securities By Qualification - Alabama Office Of The Securities Commission Page 3