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FORM ADV (Paper Version)

•

UNIFORM APPLICATION FOR INVESTMENT ADVISER

REGISTRATION

AND

• REPORT BY EXEMPT REPORTING ADVISERS

DOMESTIC INVESTMENT ADVISER EXEUCTION PAGE

You must complete the following Execution Page to Form ADV. This execution page must be signed and

attached to your initial submission of Form ADV to the SEC and all amendments.

Appointment of Agent for Service of Process

By signing this Form ADV Execution Page, you, the undersigned adviser, irrevocably appoint the Secretary

of State or other legally designated officer, of the state in which you maintain your principal office and

place of business and any other state in which you are submitting a notice filing, as your agents to receive

service, and agree that such persons may accept service on your behalf, of any notice, subpoena, summons,

order instituting proceedings, demand for arbitration, or other process or papers, and you further agree that

such service may be made by registered or certified mail, in any federal or state action, administrative

proceeding or arbitration brought against you in any place subject to the jurisdiction of the United States, if

the action, proceeding or arbitration (a) arises out of any activity in connection with your investment

advisory business that is subject to the jurisdiction of the United States, and (b) is founded, directly or

indirectly, upon the provisions of: (i) the Securities Act of 1933, the Securities Exchange Act of 1934, the

Trust Indenture Act of 1939, the Investment Company Act of 1940, or the Investment Advisers Act of

1940, or any rule or regulation under any of these acts, or (ii) the laws of the state in which you maintain

your principal office and place of business or of any state in which you are submitting a notice filing.

Signature

I, the undersigned, sign this Form ADV on behalf of, and with the authority of, the investment adviser. The

investment adviser and I both certify, under penalty of perjury under the laws of the United States of

America, that the information and statements made in this ADV, including exhibits and any other

information submitted, are true and correct, and that I am signing this Form ADV Execution Page as a free

and voluntary act.

I certify that the adviser’s books and records will be preserved and available for inspection as required by

law. Finally, I authorize any person having custody or possession of these books and records to make them

available to federal and state regulatory representatives.

Signature:

__________________________

Date:

____________________

Printed Name: __________________________

Title:

____________________

Adviser CRD Number: ____________________

SEC 1707 (07-17)

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Form Adv (Paper Version) - Uniform Application For Investment Adviser Registration And Report By Exempt Reporting Advisers