COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA securities@oag.state.md.us : FORM SRQ-1 : QUARTERLY STATUS REPORT OF REGISTRATION AND USE OF PROCEEDS : 1. Name of issuer: Defendant(s) : ...................................................... Address: Maryland file no.: Original effective date in Maryland: THE PEOPLE OF THE STATE OF NEW YORK 2. Description of securities: 3. Period covered by current report: TO thru 4. Name of all broker-dealers and individual issuer agents offering in Maryland the securities described in #2: GREETINGS: 5. OFFERING STATISTICS WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Price Minimum Maximum located at Amount $ County of Offering Amount $ Offering Per Share $ in room , on the day of , 20 , at o'clock in the noon, and at any recessed PROCEEDS TO UNDERWRITING or adjourned date, to testify and give evidence as a witness in this action on the part of the THE COMPANY SHARES Total amount offered in Maryland . . . . . . . . . . . . . $ DISCOUNT/COMMISSIONS $ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Aggregate subscriptions received or amount soldwas issued for a maximum penalty of $50 and all damages sustained as a the party on whose behalf this subpoena $ $ to date . . of . . . . . failure. to .comply.. . . . . . . . . . result . . your . . . . . . . . . . . . . Aggregate subscriptions received or amount sold Witness, . . . . . . . . . since last report . . . . . . Honorable. . . . . . . . . . . . Court in County, day of Unsold amount of remaining offering . . . . . . . . . . Amount remaining to break escrow, or . . . . . . . . . $ , 20 , one of the Justices of the $ $ $ $ $ (Attorney must sign above and type name below) Date escrow was satisfied: Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) Calendar No. JUDICIAL SUBPOENA Form SRQ-1/Page 2 6. State briefly the nature and extent of each of the issuer’s principal activities since the effective date in Maryland: -against- : : : Defendant(s) : .... ......... 7a. USE OF. PROCEEDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Set forth the manner in which the net proceeds have been used (approximations): THE PEOPLE OF THE DESCRIPTION OF USE STATE OF NEW YORK AMOUNT REPORTED ON LAST REPORT AMOUNT USED SINCE LAST REPORT AGGREGATE AMOUNT USED TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 7b. DESCRIPTION OF ANY CHANGES IN USE OF PROCEEDS If there is any deviation between the stated use of proceeds in the offering disclosure and the actual use, please describe specifically the amount andto comply with this subpoena is punishable as a contempt of court and will make you liable to Your failure the reasons for the deviation: the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 8. Please attach a list of subscribers, including the name, address and amount of subscription of each subscriber. I, (name and title) , hereby affirm, under the penalties of perjury, (Attorney must sign above and type name below) that the information provided on this form is complete, true and accurate. Signature of Executive Officer: Attorney(s) for Printed Name: Title of Executive Officer: Date Signed: forms\secur\srq-1.frm/1/99 Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com