COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : FIS 0531 (6/01) Office of Financial & Insurance Services : Calendar No. : Division of Securities JUDICIAL SUBPOENA Prospectus Instructions Plaintiff(s) -against- Index No. : The following outline indicates, in general, the subjects and extent to which they should be covered in the : average prospectus. It must not, however, be constructed as a complete outline for any individual prospectus. : The prospectus is for the purpose of informing prospective purchasers fully of all material facts Defendant(s) : concerning . . . . . . . . . . and .the .issuer. and .for. retention .by. the. purchaser and should be written in story . . . . . . . . . the security . . . . . . . . . . . . . . . . . . . . . . . . . . . form. The prospectus is to be used as required by Order of the Office of Financial and Insurance Services (OFIS). No prospectus shallTHE STATE OF NEW YORK THE PEOPLE OF be used unless it has been submitted to OFIS and no prospectus shall be used if OFIS has objected thereto. TO IT IS TO BE NOTED THAT THE USE OF THE NAME OF THE OFFICE OF FINANCIAL AND INSURANCE SERVICES, EXCEPT IN THE CONTEXT IN THE DISCLAIMERS NOTED BELOW, MAY BE MADE ONLY UPON WRITTEN APPROVAL BY OFIS. GREETINGS: The FIRST or COVER PAGE should contain only the following (unless OFIS requires otherwise): WE COMMAND Name of Issuer YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Principal Business Address located at County of in room Name of Security , on the day of , 20 , at o'clock in the noon, and at any recessed Face or Par Value Per Unit and Other a witness in or adjourned date, to testify and give evidence asDescription this action on the part of the Offering Table - (containing at least the following information and footnotes) Underwriting Aggregate Aggregate Price Per Number of Aggregate Gross Your failure to comply with this subpoena is punishable as a contempt&of court and will make you liable to Discounts & Proceeds to Discounts Unit Units Proceeds Commissions issued for a maximum penalty of $50 and all damages sustained as a the party on whose behalf this subpoena wasPer Issuer ( ) Commissions ( ) Unit result of your failure to comply. Witness, ( ) should , one of footnote to indicate FootnotesHonorable be added as appropriate. There should be at least onethe Justices of the Court in the amount of County, expenses of the offering,other than underwriting discounts and day of 20 estimated commissions and that the Aggregate Discounts and Commissions and Aggregate Proceeds to Issuer columns are before any deduction for such expenses of offering other than underwriting discounts and commissions. (Attorney must sign above and type name below) Impoundment of Proceeds (A summary paragraph should follow the above table and set out any provisions with respect to impoundment of proceeds) Attorney(s) for Disclaimers (The applicable of the following disclaimers should appear) A REGISTRATION STATEMENT RELATING TO THESE SECURITIES HAS BEEN FILED WITH THE DEPARTMENT OF CONSUMER & INDUSTRY SERVICES, MICHIGAN Office THE DEPARTMENT HAS NOT OFFICE OF FINANCIAL AND INSURANCE SERVICES. and P.O. Address This form is issued under Act 265, PA 1964, as amended. The form Telephone No.: should be used as a guide to compliance under Section 304 of the Facsimile No.: Act. Our Web address is http://cis.state.mi.us/ofis Our toll free number is 1-877-999-6442 Page 1 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. UNDERTAKEN TO PASS UPON THE VALUE OF : THESE SECURITIES NOR TO MAKE ANY RECOMMENDATIONSPlaintiff(s) AS TO THEIR PURCHASE.JUDICIAL SUBPOENA -against- : THE USE OF THE PROSPECTUS IS CONDITIONED UPON ITS CONTAINING ALL MATERIAL FACTS AND THAT ALL STATEMENTS CONTAINED THEREIN ARE TRUE : AND CAN BE SUBSTANTIATED. THE DEPARTMENT HAS NOT PASSED UPON THE ACCURACY OR ADEQUACY OF THIS PROSPECTUS. : NO BROKER-DEALER, SALESMAN, AGENT OR ANY OTHER PERSON HAS BEEN Defendant(s) : . . . . . . . . . . . . . . .AUTHORIZED .TO.GIVE .ANY. INFORMATION. OR TO MAKE ANY ........... .. .... ... ............ .. REPRESENTATIONS, IN CONNECTION WITH THE OFFERING HEREBY MADE, OTHER THAN THOSE CONTAINED IN THIS PROSPECTUS OR EFFECTIVE LITERATURE. THE PEOPLE OF THE STATE OF NEW YORK TO *THESE SECURITIES ARE OFFERED FOR SALE ONLY IN THE STATE OF MICHIGAN TO BONA FIDE RESIDENTS OF MICHIGAN AND NOT FOR RESALE TO NONRESIDENTS OF MICHIGAN. *This paragraph is not required where there is a full registration under the Securities Act of 1933 or if there is a filing under exemption under GREETINGS: Regulation A of that Act. It is required where the offering is to be INTRASTATE with no filing under the above Act and in addition such WE COMMAND YOU, that steps as may be excuses being laid the offeringandintrastateyou attend before other proper all business and required to insure aside, you is each of , the Honorable at the Court should be taken. located at County of THIS the A BEST EFFORTS OFFERING, AND THE ISSUERin the in room , on IS day of , 20 , at o'clock RESERVES THE RIGHT recessed noon, and at any or adjourned date,TO testify andOR REJECT ANYaSUBSCRIPTION AND on the PROMPTLY NOTIFY THE to ACCEPT give evidence as witness in this action WILL part of the SUBSCRIBER OF ACCEPTANCE OR REJECTION. THERE IS NO ASSURANCE THAT THIS OFFERING WILL ALL BE SOLD. THERE ARE NO ASSURANCES AS TO WHAT SIZE THE ISSUER MAY REACH. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to THE ISSUER HAS NOT YET ENGAGED IN BUSINESS. THE SECURITIES OFFERED the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a HEREBY INVOLVE A HIGH DEGREE OF RISK. THE OFFERING PRICE HAS BEEN result of your failure to comply. ARBITRARILY SELECTED BY THIS ISSUER. NO MARKET EXISTS FOR THESE SECURITIES, AND UNLESS A MARKET IS ESTABLISHED, PURCHASERS MIGHT Witness, Honorable TO SELL THEM. , one of the Justices of the NOT BE ABLE Court in County, day of , 20 THERE IS NO ASSURANCE THAT OUR OPERATIONS WILL BE PROFITABLE OR THAT LOSSES WILL NOT OCCUR. (Attorney must sign above and type name below) IT IS NOT THE POLICY OF THE ISSUER TO REDEEM THESE SECURITIES. ANY REPRESENTATIONS CONTRARY TO ANY OF THE FOREGOING SHOULD BE REPORTED FORTHWITH TO THE OFFICE OFAttorney(s) for INSURANCE SERVICES FINANCIAL AND AT 611 West Ottawa Street, 2nd Floor-Ottawa Building, P.O. Box 30701, Lansing, MI 48909-8201, or Telephone (877) 999-6442. Name(s) of Broker-Dealer(s) - (These should appear just above the Date of the Prospectus) Office and P.O. Address Date of Prospectus - (This should appear at the bottom of the First Page) Page 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. In the REMAINING PAGES of the prospectus, using the following capitalized headings, there : Plaintiff(s) should be set out under each heading, in narrative or story form, JUDICIAL SUBPOENA all pertinent information pertaining to the issuer under that heading, adding any information not requested here in these instructions -against: and omitting any items called for under the heading in the instructions if that item does not apply. : NOTE: Use of the name of the Office of Financial and Insurance Services of the Michigan Department of Consumer and Industry Services, except in the context in the above : disclaimers, may be made only upon written approval. Defendant(s) : ...................................................... HISTORY AND BUSINESS State and date of incorporation, if the issuer is a corporation. If issuer is not a corporation, describe the form of organization in detail. THE PEOPLE OF THE STATE OF NEW YORK Location of the issuer's principal business office. TO Name(s) of the issuer's parent(s), if any, together with the medium(s) through which control is available in each case. GREETINGS: Name(s) of the issuer's subsidiaries, if any, together with the medium(s) through which control is available in each case and the location of the principal plants of such subsidiaries. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court General development of the issuer's business over the past five years. located at County of inDetailed characteron the business engaged in and 20 be engaged in by issuer and each noon, and at any recessed room , of day of , to , at o'clock in the of its orsubsidiaries. adjourned date, to testify and give evidence as a witness in this action on the part of the Period of time during which the present type of business has been conducted. Industries to whom ato comply withof thesubpoenasales are made and the percentcourt and will taken by liable to Your failure major portion this issuer's is punishable as a contempt of of total sales make you each. 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. Individual persons or companies taking more than 20% of the issuer's total sales. Witness, Honorable Court in County, Seasonal and cyclical characteristics of the business. day of , one of the Justices of the , 20 Nature of each intangible asset, process, patent, formula, copyright, trademark, etc., owned or leased by the issuer and material to the conduct of its business, regardless of whether or not such assets are set forth on the balance sheet of the issuer. If a value is placed on said asset in the balance sheet state the (Attorney must sign above and type name below) method of computing same. Product. Attorney(s) for Extent of market. Office and P.O. Address Page 3 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. TABLE - (Table should be captioned "CAPITALIZATION" and contain at least the following information) : Plaintiff(s) Amount Authorized by Names of Charter, Declaration of Securities -againstPartnership Agreement or Appropriate Action of Proper Officials of Issuer JUDICIALUnits & Dollar SUBPOENA Units and Dollar Amount Outstanding as of : _______________, _____ Amount to be Outstanding (After Offering) : : The above table should contain the foregoing information as to each of the securities of the Defendant(s) issuer. : ...................................................... Footnotes should be used to set out, if any, the number of shares or dollar amount of securities which the issuer is now or may be in the future committed or required to issue by reason of options, subscriptions, warrants, rights, or conversion privileges, or which the issuer has THE PEOPLE OF THE STATE OF NEW YORKdetails fully, giving prices, consideration to be paid, the earmarked for specific use(s). Explain amounts paid to date, length of options, or rights named above, and reason for granting same TO and to whom granted, etc. The table and footnotes should then be followed by a description of the various securities of the issuer under captions giving the name of the security and such description should cover the following: GREETINGS: Voting rights. Pre-emptive rights. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Preferences as to assets. , the Honorable at the Security. Court Preferences as to dividends. Sinking fund provisions. located at County of Rights to accumulated dividends. Conversion or exchange rights. in room , on the day of , 20 , at o'clock in the noon, and at any recessed Maturity dates. Redemption, retirement, or liquidation provision. or adjourned date, to testify and give evidence as a witness in this action on the part of the Interest rates. Dividend rates. Any other provisions of a material nature. Any future changes. Where issuer has been incorporated within the last 2 years set out the consideration received Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to for all outstanding common stock, in accordance with the following form: 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. Number of Shares Actual Value Remarks Actual Cash Witness, Honorable Notes Court in Real Estate County, , one of the Justices of the day of , 20 Plant Equipment (Attorney must sign above and type name below) Patents Promotion Other Intangible Assets Commissions Attorney(s) for Salaries Dividends Stock Subscriptions (unpaid) Totals Office and P.O. Address NOTE: Prepare a similar schedule of the consideration received for any preferred or other class of outstanding capital stock or any other type of equity security. Page 4 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : UNDERWRITING : Plaintiff(s) Calendar No. JUDICIAL SUBPOENA State whether the securities are to be sold by the president, vice president, secretary or -against: treasurer, or by other individuals, or by dealers. : State whether or not any commission or other remuneration is to be paid. Where the securities are to be sold by dealers, set out: : Defendant(s) : . . . . . . . . . . . . . . .Names. of. all . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . the dealers. Whether or not the offering is based on a firm commitment as principals or is on an agency basis. Material provisions of all underwriting or related agreements. Financial or other interests, if any, THE PEOPLE OF THE STATE OF NEW YORK that underwriters, dealers, or the issuer have in one another. TO TABLE USE OF PROCEEDS - (this table should contain the following information) GREETINGS: ITEM DOLLAR AMOUNT Commissions WEOffering Expenses COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Other Uses located at County of in room If the proceeds are to be supplemented by20 , on the day of , borrowing, the amount ofin the , at o'clock the borrowings and the any recessed noon, and at various to testify dollar amounts they will finance this action on the part of the or adjourned date, items andand give evidence as a witness inshould follow the above table. All of the information as to source of borrowings and commitments and nature thereof and the terms of the borrowings should also be disclosed and explained. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to MANAGEMENT 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. Names, age, official positions, and residence addresses of all officers, directors, managing members, trustees, executive manager, officials and other executives. Witness, Honorable , one of the Justices of the Court in Remuneration including salaries and bonuses paid to the above and any change to be made in County, day of , 20 such remuneration over the ensuing year. History of the business experience of the principal officers and other executives. (Attorney must sign above and type name below) Describe any outside affiliation of the above, which is or may become a material advantage or detriment to the issuer. Designate which of the above will devote part time and how much time to the company's affairs. Attorney(s) for Describe any outside affiliations of the above, which is or may become a material advantage or detriment to the issuer. Names of all persons owning of record or beneficiallyOfficeor more ofAddress 10% and P.O. the outstanding stock of any class, or 10% or more of the outstanding stock of all classes together with the number of shares of each class held by each such person. Telephone No.: Facts as to any agreement or proposed agreement or plan of compensation, profit sharing Facsimile No.: device, bonus, commission, or salary agreement not set forth above. Page 5 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) FINANCIAL DATA -against- Calendar No. : JUDICIAL SUBPOENA : Financial statements complying with the requirements set forth below must be included in the prospectus. Where practicable, the financial statements should be shown in comparative form. : The accountant's certificate and all notation necessary to make the financial statements clear, complete and accurate must be included. : Balance Sheet, Profit and Loss Statement, and Analysis of Surplus, as of the close of Defendant(s) : . . . . . . . . . . . . . . .the .last. fiscal .year.or. for .the .last. fiscal .year,. certified by an independent public .. .. .... ... . .. .. .. .... ... .... accountant. Interim Balance Sheet as of a date within 90 days of submittal of application and Profit and Loss Statement and Analysis THE PEOPLE OF THE STATE OF NEW YORK of Surplus for the interim period between the close of the last fiscal year and the date of the Balance Sheet. TO Profit and Loss Statements and Analysis of Surplus for 2 years prior to the last fiscal year (or for such part thereof during which the company operated). GREETINGS: Statement as to any material changes in the financial condition of the issuer occurring since the date of the latest balance sheet. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court MISCELLANEOUS located at County of in room The following information should also be ,presented in a suitable manner: , 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 Names and addresses of counsel who have passed on the legality of the issue. A statement as to any legal actions which to the knowledge of the issuer are being brought or are with brought against it, and a brief a contempt of court and will make Your failure to comply to be this subpoena is punishable as summary with respect thereto; also you liable to statement as to any judgments not for a maximum penalty of the party on whose behalf this subpoena was issued existing against the issuer. $50 and all damages sustained as a result of your failure to comply. Indicate the policy of the issuer with respect to frequency and scope of reports and certified statements to be given stockholders, together with date of issuer's fiscal year Witness, Honorable , one of the Justices of the end. Court in County, day of , 20 Any additional information that is pertinent. (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Page 6 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com