STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVER SI GHT NOTICE OF TRANSACTION PURSUANT TO CORPORATIONS CODE SECTION 25102(f) DBO 260.102.14(c) (Register 2009, No. 39)(Rev. 3 - 18 ) Fee: $25.00 $35.00 $50.00 $150.00 $300.00 ( Check the appropriate amount of fee. See Corporations Code Section 25608(c)) A. Check one: Transaction under Section 25102(f) Rule 260.103 ( F ee : $25.00 ) ELECTRONIC FILING REQUIREMENT AND HARDSHIP EXCEPTION: This notice must be filed electronically through the Internet process made available by the Department of Business Oversight at www.dbo.ca.gov , unless the issuer claims the hardship exception as described in Number 8 below. 1. Name of Issuer: 2. Address of Issuer: Street City State Zip Mailing Address: Street City State Zip 3. Area Co de and Telephone Number: 4. Issuer's state (or other jurisdiction) of incorporation or organization: 5. Title of class or classes of securities sold in transaction: (a) Date of First Sale : 6. The value of the securities sold or proposed to be sold in the transaction, determined in accordance with Corporations Code Sec. 25608(g) in connection with the fee required upon filing this notice, is (fee based on amount shown in line (iii) under "Total Offering"): California Total Offering (a)(i) in money $ $ (ii) in consideration other than money $ $ (iii) total of (i) and (ii) $ $ (b) Change in rights, preferences, privileges or restrictions of or on outstanding securities ($25.00 fee.) (See Rule 260.103.) American LegalNet, Inc. www.FormsWorkFlow.com STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVER SI GHT NOTICE OF TRANSACTION PURSUANT TO CORPORATIONS CODE SECTION 25102(f) DBO 260.102.14(c) (Register 2009, No. 39)(Rev. 3 - 18) Page 2 of 2 7. Type of filing under Securities Act of 1933, if applicable: 8. Hardship Exception for electronic filing. An issuer may file this paper notice in person or by mail only if either of the following exceptions apply. The issuer shall check applicable box and include the reason(s) and description(s) for the hardship exception in the space provided. Comput er equipment including hardware and software is unavailable to the issuer without unreasonable burden or expense. If this is the case, describe below both of the following; the reason(s) that the computer equipment including hardware and software is unavai lable without unreasonable burden or expense, and the description(s) of the unreasonable burden or expense. The issuer cannot obtain and provide information (including credit card or other identifying information) requested on the Department's electron ic notice or through the Internet filing process. If this is the case, describe below both of the following: the reason(s) that the issuer cannot obtain and provide the requested information on the electronic notice or through the Internet filing process without unreasonable burden or expense, and the description(s) of the unreasonable burden or expense to the issuer to make the electronic filing. After checking the applicable hardship exception above, the issuer shall describe below the reason(s) and de scription(s) for that hardship exception. (If additional space is needed, attach a separate sheet to this notice.) 9. Check if issuer already has a consent to service of process on file with the Commissioner. (Instruction: Each issuer (other than a California Corporation) filing a notice under Section 25102(f) must file a consent to service of process (Form 260.165), unless it already has a consent to service on file with the Commissioner. If no consent to service of process is on file with the Commissioner, a ttach the consent to this notice.) 10. Authorized Signature on behalf of issuer Print name and title of signatory Date Name, Address and Phone number of contact person: American LegalNet, Inc. www.FormsWorkFlow.com