Colorado Division of Securities 1560 Broadway Street, Suite 900 Denver, CO 80202 File No. _________________________ NOTICE OF PROPOSED RELEASE OF FUNDS FROM ESCROW Pursuant to the requirements of section 11-51-302(6), C.R.S., this notice of proposed release of funds from escrow and the following information is submitted: 1. Name of Offering: . 2. Name of Issuer: . 3. Address of Issuer: . 4. Was the offering registered under Statute section 11-51-303, C.R.S., in Colorado? ______YES ______NO If so, list the date the registration statement became effective. _____/_____/_____. 5. Was the offering registered under Statute section 11-51-304, C.R.S., in Colorado? _____YES_____NO. If so, list the registration statement number assigned by the Colorado Division of Securities: . 6. List the gross amount of proceeds received from the sale of any and all of the securities registered in Colorado: . 7. Has the offering closed? ________YES________NO. Will any additional funds be received by the issuer in exchange for securities issued in this offering? ________YES________NO. If yes, state the amount of additional funds: , 8. Has a transaction or series of transactions committing at least fifty percent (50%) of the gross proceeds for use in one or more specific lines of business been completed? _____YES _____NO. Describe the transaction or series of transactions, including the date of each transaction, the parties to each transaction, the amount committed, a description of how the proceeds are to be spent under the terms of each transaction, and the specific lines of business. (use a separate page if necessary): FORM ES (Rev. 7-2006) 9. Name and address of the depository holding the funds in escrow: 10. Name and address of person to be contacted regarding this filing: __________________________________ Date __________________________________ Signature __________________________________________ Type name and title of person submitting application FORM ES (Rev. 7-2006)