Form U-2 Form U-2 Uniform Consent to Service of Process Know all men by these presents: That the undersigned ___________________________________ (a corporation), (a partnership), a ( ) organized under the laws of ___________________________ or (an individual), [strike out inapplicable nomenclature] for purposes of complying with the laws of the States indicated hereunder relating to either the registration or sale of securities, hereby irrevocably appoints the officers of the States so designated hereunder and their successors in such offices, its attorney in those States so designated upon whom may be served any notice, process or pleading in any action or proceeding against it arising out of, or in connection with, the sale of securities or out of violation of the aforesaid laws of the States so designated; and the undersigned does hereby consent that any such action or proceeding against it may be commenced in any court of competent jurisdiction and proper venue within the States so designated hereunder by service of process upon the officers so designated with the same effect as if the undersigned was organized or created under the laws of that State and have been served lawfully with process in that State. It is requested that a copy of any notice, process or pleading served hereunder be mailed to: _________________________________________________________________________________________ (Name) _________________________________________________________________________________________ (Address) Place an "X" before the names of all the States for which the person executing this form is appointing the designated Officer of each State as its attorney in that State for receipt of service of process: ___AL ___AK ___AZ ___AR ___CA ___CO ___CT ___DE ___DC ___KY ___LA ___ME ___MD Secretary of State Administrator of the Division of Banking and Corporations, Department of Commerce and Economic Development The Corporation Commission The Securities Commissioner Commissioner of Corporations Securities Commissioner Banking Commissioner Securities Commissioner Dept. of Insurance & Securities Regulation Director, Division of Securities Commissioner of Securities Administrator, Securities Division Commissioner of the Division of Securities __FL __GA ___GUAM ___HI ___ID ___IL ___IN ___IA ___KS ___OH ___OR ___OK ___PA Dept. of Banking and Finance Commissioner of Securities Administrator, Department of Finance Commissioner of Securities Director, Department of Finance Secretary of State Secretary of State Commissioner of Insurance Secretary of State Secretary of State Director, Department of Insurance and Finance Securities Administrator Pennsylvania does not require filing of a Consent to Service of Process Commissioner of Financial Institutions Director of Business Regulation Securities Commissioner ___MA ___MI ___MN Secretary of State Commissioner, Office of Financial & Insurance Services Commissioner of Commerce ___PR ___RI ___SC American LegalNet, Inc. www.FormsWorkFlow.com ___MS ___MO ___MT ___NE ___NV ___NH ___NJ ___NM ___NY ___NC ___ND Secretary of State Securities Commissioner State Auditor and Commissioner of Insurance Director of Banking and Finance Secretary of State Secretary of State Chief, Securities Bureau Director, Securities Division Secretary of State Secretary of State Securities Commissioner ___SD ___TN ___TX ___UT ___VT ___VA ___WA ___WV ___WI ___WY Director of the Division of Securities Commissioner of Commerce and Insurance Securities Commissioner Director, Division of Securities Commissioner of Banking, Insurance, Securities & Health Administration Clerk, State Corporation Commission Director of the Department of Licensing Commissioner of Securities Commissioner of Securities Secretary of State Dated this___________________________________ day of _________________________, 20___ (SEAL) _____________________________________________________ By __________________________________________________ _____________________________________________________ Title CORPORATE ACKNOWLEDGMENT State or Province of______________) County of _______________________) ss. On this______day of _____________, 20_____before me ____________________the undersigned officer, personally appeared_____________________________________known personally to me to be the___________________of the above named corporation and (Title) acknowledged that he, as an officer being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as an officer. IN WITNESS WHEREOF I have hereunto set my hand and official seal. ____________________________________________ Notary Public/Commissioner of Oath My Commission Expires_________________ (SEAL) INDIVIDUAL OR PARTNERSHIP ACKNOWLEDGMENT State or Province of ____________) County of _____________________) ss. On this _______day of ______________, 20______, before me, _______________, the undersigned officer, personally appeared____________________________to me personally known and known to me to be the same person(s) whose name(s) is (are) signed to the foregoing instrument, and acknowledged the execution thereof for the uses and purposes therein set forth. In WITNESS WHEREOF I have hereunto set my hand and official seal. ____________________________________________ Notary Public/Commissioner of Oaths American LegalNet, Inc. www.FormsWorkFlow.com My Commission Expires______________ (SEAL) American LegalNet, Inc. www.FormsWorkFlow.com