STATE OF ARKANSAS SECURITIES DEPARTMENT HERITAGE WEST BUILDING, SUITE 300 201 EAST MARKHAM STREET LITTLE ROCK, AR 72201 TELEPHONE: 501.324.9260 FAX: 501.324.9268 Website: www.securities.arkansas.gov FMLA Form 010 ARKANSAS CONSENT TO SERVICE OF PROCESS ____________________________________________, the Applicant, hereby agrees that suits and actions may be commenced against it, for any cause arising under Act 554 of 2003, as amended, in the proper courts of any county in the State of Arkansas, in which a cause of action may arise or in which the plaintiff may reside, by the service of any process or pleading which is authorized by the laws of the State of Arkansas, on the Securities Commissioner of the State of Arkansas, said service of process in such cases to be as valid and binding as if due service of process has been made personally on the proper officers of the Applicant. Nothing herein contained shall subject the Applicant to the jurisdiction of the State of Arkansas, otherwise than herein expressly agreed, and nothing shall deprive the Applicant of the right that it may have to remove any suit to Federal Court. STATE OF COUNTY OF ) ) ) The undersigned states that he/she has executed this form on behalf of, and with the authority of, the Applicant. The undersigned and Applicant represent that the information and statements contained herein, including exhibits attached hereto, and other information filed herewith, all of which are made a part hereof, are current, true and correct to the best of their knowledge and belief. (Signature) Date (Print Name) Title Subscribed and sworn to before me this ________ day of ________________, __________. NOTARY PUBLIC My Commission Expires: FMLA Form 010 Page 1 of 1 Effective Date: January 1, 2004 Amended: January 2007 American LegalNet, Inc. www.FormsWorkflow.com