Form Loe - Notice Of Limited Offering Exemption - Delaware Department Of Justice Page 3

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5. Control Person(s) Background
Has any control person listed above ever been:
Yes G G G G
No G G G G
(a) convicted of a felony?
(b) convicted of a misdemeanor involving any aspect of
Yes G G G G
No G G G G
the securities business?
Yes G G G G
No G G G G
(c) adjudicated bankrupt?
Yes G G G G
No G G G G
(d) a principal of any company which was reorganized in bankruptcy?
Yes G G G G
No G G G G
(e) the assignor of a general assignment for the benefit of creditors?
(f) the subject of (or a principal of a company that has been the subject
of) any administrative, civil or criminal proceeding instituted by a state
Yes G G G G
No G G G G
or federal securities regulatory agency?
If the response to any of the above questions is yes,
explain in detail:
(Continue on a separate sheet if necessary)

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