NYS DEPARTMENT OF STATE MISCELLANEOUS RECORDS BUREAU ONE COMMERCE PLAZA, 99 WASHINGTON AVENUE ALBANY, NY 12231-0001 This form constitutes TWO DISTINCT NOTICES, each of which must be filed in DUPLICATE. A fee of $75 must accompany each State Notice and each Further State Notice. Checks, money orders and bank drafts should be made payable to Department of State; amounts over $500 must be paid by money order, bank draft or certified check. Mail completed form and fee to the Miscellaneous Records Bureau at the above address. Please do not send cash through the mail. DO NOT send offering literature to the Secretary of State. State Notice Under §359-e, subd. 2 of the General Business Law of the State of New York (FEE: $75 / State Notice. This notice must be filed by every security broker or dealer prior to engaging in the business of selling or offering for sale securities to the public in the State of New York.) NAME OF DEALER OR BROKER LIST BUSINESS OR POST OFFICE ADDRESS and “X” TYPE BELOW “X” ONE Œ Q Q BUSINESS ADDRESS POST OFFICE/MAILING ADDRESS IF A CORPORATION, STATE OR COUNTRY IN WHICH INCORPORATED IF A PARTNERSHIP, THE NAMES OF THE GENERAL PARTNERS Further State Notice Under §359-e, subd. 8 of the General Business Law of the State of New York (FEE: $75/Further State Notice. This notice to be filed for each issue to be offered, except those specifically exempted by §359-f.) NAME OF DEALER, BROKER OR SYNDICATE MANAGER LIST BUSINESS OR POST OFFICE ADDRESS and “X” TYPE BELOW “X” ONE Œ Q Q BUSINESS ADDRESS POST OFFICE/MAILING ADDRESS IF A CORPORATION, STATE OR COUNTRY IN WHICH INCORPORATED NAME OF SECURITY OR SECURITIES (CLASS) NAME OF ISSUER OF SECURITIES MAIL ADDRESS FOR ISSUER OF SECURITIES (i.e., POSTAL ADDRESS) STATE OR COUNTRY IN WHICH ORGANIZED DOS-125 (Rev. 5/98) American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com