Form
133.30
3. If there is a record of earnings for the issuer, the value per share of the stock based upon a
reasonable times-earnings factor (setting out the factor used) related to the industry
represented by the issuer.
4. Any other basis for full justification of the value per share of the stock.
5. Attach a written undertaking by the issuer to furnish to its shareholders and dealers deemed
by the issuer to be likely to trade the securities of the issuer a current balance sheet, a
comparative 3-year income statement and analysis of shareholder's equity (or for the period
of the existence of the issuer, if such period of existence is less than 3 years), and annual
financial statements thereafter.
6. Attach a written undertaking by a registered Texas securities dealer who is financially able,
setting out:
(a) The dealer’s willingness to make a market in the issue of securities;
(b) The price at which the dealer will begin the market; and
(c) The procedures which the dealer intends to follow for the purpose of assuring an orderly
market.
7. Supplementary data to assist in determining the character of the share distribution and the
number of publicly held shares;
(a) Identification of 10 largest holders of record, including beneficial owners (if known) of
holdings of record by nominees;
Name of Holder
# Shares
Name of Holder
# Shares
________________________ _________ _______________________ _________
________________________ _________ _______________________ _________
________________________ _________ _______________________ _________
________________________ _________ _______________________ _________
________________________ _________ _______________________ _________
08-16-2010