STATE OF CALIFORNIA ­DEPARTMENT OF BUSINESS OVERSIGHT GUIDELINES FOR FRANCHISE REGISTRATION DBO ­ 310.111 (Rev. 11-15) Form B - Supplemental Information SUPPLEMENTAL INFORMATION 1. A. B. C. D. E. Disclose: The states in which this proposed registration application is effective. The states in which this proposed registration application is or will be shortly on file. The states that have refused to register this franchise offering. The states that have revoked or suspended the right to offer franchises. The states in which this proposed registration of these franchises has been withdrawn within the last five years, and the reasons for revocation or suspension. 2. Source of Funds for Establishing New Franchises Disclose franchisor's total costs for performing its pre-opening obligations to provide goods or services in connection with establishing each franchise, including real estate, improvements, equipment, inventory, training and other items stated in the offering. State separately the sources of all required funds. American LegalNet, Inc. www.FormsWorkFlow.com