Solicitation Of Interest Form Page 2
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1
2Solicitation of
ROSS MILLER
Interest Form
Secretary of State
555 East Washington Ave., #5200
NAC 90.538
Las Vegas, Nevada 89101
Phone (702) 486-2440
State of Nevada
Fax (702) 486-2452
PAGE 2
Website:
ABOVE SPACE FOR OFFICE USE ONLY
OFFERING PROCEEDS
3. Describe in general how the company intends to use the proceeds of the proposed offering*:
KEY PERSONNEL OF THE COMPANY
4. Provide the following information for all officers and directors or persons occupying similar positions*:
a) Name
b) Title
c) Telephone Number
d) Office Street Address
e) Employment History
f) Employers: title and dates of positions held during the past 5 years
g) Education: degrees, schools and dates
NOTE TO USERS: This form sets forth the minimum information required for soliciting indications of interest under
federal and state securities laws. You may include additional information if you think it necessary or desirable.
Remember that any discussion in the document is subject to the anti-fraud provisions of the federal and state
securities laws and must thereby be complete. Also, any discussion of potential rewards of the proposed
investment must be balanced by the discussion of the possible risks. You may alter the graphic presentation of
this form in any was as long as the minimum information is clearly presented.
* If additional space is needed, please attach page to this form.
Nevada Secretary of State Solicitation of Interest Form Page 2
Revised 12-17-10
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