Form Loe - Notice Of Limited Offering Exemption - Delaware Department Of Justice (Page 6 of 6) in pdf

Form Loe - Notice Of Limited Offering Exemption - Delaware Department Of Justice Page 6

8. Power of Attorney

The issuer hereby irrevocably appoints the Securities Commissioner for the State of Delaware,

and his/her successors in office, attorney for the issuer, upon whom may be served any notice,

process, or pleading in any action or proceeding against the issuer arising out of or in connection

with the offer or sale of securities, or out of the violation or alleged violation of the laws of the

State of Delaware, and the issuer hereby consents that any such action or proceeding against the

issuer may be commenced in any court, tribunal, or administrative agency of competent

jurisdiction and proper venue within Delaware by service of process upon said appointee with the

same effect as if the issuer were a resident of Delaware and had lawfully been served with process

in Delaware. The undersigned, being first duly sworn, deposes and says that he/she has executed

this form on behalf of, and with the authority of, said issuer.

9. Signature

The undersigned is the duly authorized representative of the issuer.

Name of Signer (Printed): ______________________________________________________________

Title of Signer: ______________________________________________________________________

Signature: ___________________________________________________________________________

Sworn to and subscribed before me this

day of

, 20

_____________________________________

Notary

My commission expires on:

Form Loe - Notice Of Limited Offering Exemption - Delaware Department Of Justice Page 6