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Form 260.102.14(C) - Notice Of Transaction Pursuant To Corporations Code Section 25102(F) Page 2

DEPARTMENT OF CORPORATIONS FILE NO., if any:

(Department of Corporations Use Only)

Fee paid $________________

___________________________________________

________________________

___________________________________________

Receipt No. ______________

Insert File number(s) of Previous Filings Before the

Department, if any.

Fee: $25.00 $35.00 $50.00 $150.00 $300.00

(Circle the appropriate amount of fee. See Corporations Code Section 25608(c))

COMMISSIONER OF CORPORATIONS

STATE OF CALIFORNIA

NOTICE OF TRANSACTION PURSUANT TO CORPORATIONS CODE SECTION 25102(f)

A. Check one: Transaction under ( ) Section 25102(f) ( ) Rule 260.103.

ELECTRONIC FILING REQUIREMENT AND HARDSHIP EXCEPTION:

This notice must be filed electronically through the Internet process made available by the

Department of Corporations on , unless the issuer claims the hardship exception as

described in Number 8 below.

1. Name of Issuer:

____________________________________________________________________________________

2. Address of Issuer:

____________________________________________________________________________________

Street

City

State

Zip

Mailing Address:

____________________________________________________________________________________

Street

City

State

Zip

3. Area Code and Telephone Number: _______________________________________________________

4. Issuer's state (or other jurisdiction) of incorporation or organization:

____________________________________________________________________________________

5. Title of class or classes of securities sold in transaction:

____________________________________________________________________________________

6. The value of the securities sold or proposed to be sold in the transaction, determined in accordance with

Corporations Code Sec. 25608(g) in connection with the fee required upon filing this notice, is (fee based on

amount shown in line (iii) under "Total Offering"):

California

Total Offering

(a)(i) in money

$_____________

(ii) in consideration other than money

$_____________

(iii) total of (i) and (ii)

$_____________

(b) ( ) Change in rights, preferences, privileges or restrictions of or on outstanding securities

($25.00 fee.) (See Rule 260.103.)

260.102.14(c) (Rev. 7/05)

Form 260.102.14(C) - Notice Of Transaction Pursuant To Corporations Code Section 25102(F) Page 2

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