Form BF-2 (Rev 01/10) STATE OF NEW MEXICO SECURITIES DIVISION 2550 CERRILLOS ROAD SANTA FE, NM 87505 SECURITIES LICENSEE'S BLANKET BOND KNOW ALL PERSONS BY THESE PRESENTS: THAT WE ______________________________________________, as principal, and the (Name of Licensee) ________________________________________, as surety, are bound unto the State of New Mexico in (Surety) the penal sum of $_______________________ for the payment of which we bind ourselves firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that whereas the above named principal has applied to the Director of the Securities Division for licensure as a ___________________________. NOW THEREFORE, if the above named principal and those licensees employed by him and licensed as provided by law shall strictly comply with the duties and obligations imposed upon such licensees by the New Mexico Uniform Securities Act and shall satisfy any loss or damages suffered by a purchaser injured by a sale or contract for sale made in violation of the New Mexico Uniform Securities Act or of any order issued by the Director of the Securities Division under any provision of the New Mexico Uniform Securities Act, then this obligation shall be void, otherwise it shall remain in full force and effect. Provided further that any such purchaser having a cause of action shall have the right to bring an action on this bond except, however, no action may be maintained to enforce any liability on this bond unless brought within five (5) years after the sale or other act on which such action is based. EXCEPT, THAT the surety shall have the right to terminate its obligation under this bond by filing written notice with the Director of the Securities Division thirty (30) days prior to the effective date of such termination. PROVIDED, HOWEVER, in no event shall the liability of the surety exceed the penal sum of $_________________________. EXECUTED on the ___________day of _______________________, ________. BOND NO. _________________________ By: _______________________________ (Licensee ­ Signature) _______________________________ (Title) Persons executing for surety other than corporate officers must attach Power of Attorney authorizing them to execute bonds for surety. ________________________________ (Surety ­ Signature) By: ________________________________ (Title) American LegalNet, Inc. www.FormsWorkFlow.com ACKNOWLEDGMENT OF INDIVIDUAL STATE OF ______________________) ) ss. COUNTY OF ____________________) On this ______ day of ______________, _____, before me personally appeared ____________, to me known to be the person described in and who executed the foregoing instrument, as principal, and acknowledged to me that he/she executed the same as his/her free act and deed. ________________________________ Notary Public (Notarial seal) My commission expires: ____________________________ ACKNOWLEDGMENT OF PARTNERSHIP STATE OF ______________________) ) ss. COUNTY OF ____________________) On this ______ day of ______________, _____, before me personally appeared ____________, to me known to be a member of the firm who executed the foregoing instrument and acknowledged to me that he/she executed the same as and for the act and deed of said firm. ________________________________ Notary Public (Notarial seal) My commission expires: _____________________________ ACKNOWLEDGMENT OF CORPORATION/ LIMITED LIABILITY COMPANY STATE OF ______________________) ) ss. COUNTY OF ____________________) On this ______ day of ______________, _____, before me personally appeared ____________, and said that he/she is the ____________________ of _________________________________, the coporation/limited liability company heretofore named as principal in the foregoing instrument; that he/she executed the instrument for and in its behalf, by authority of its Board of Directors/Members. ________________________________ Notary Public (Notarial seal) My commission expires: _____________________________ American LegalNet, Inc. www.FormsWorkFlow.com