Dual Listing Application Form. This is a Official Federal Forms form and can be use in Additional Listing Applications NASDAQ.
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The NASDAQ Stock Market® Dual Listing Application (This listing application should be executed and submitted by an issuer currently listed on a national securities exchange and seeking dual listing on The NASDAQ Stock Market.) PART I: Company Information COMPANY NAME ADDRESS OF PRINCIPAL EXECUTIVE OFFICES STATE OF INCORPORATION DATE OF INCORPORATION Market Choice: An issuer seeking to list on either the Global Select Market or the Global Market will be approved for the market tier with the highest listing standards that the company meets. NASDAQ Global Select Market® NASDAQ Global Market® NASDAQ Capital Market® Application - Primary Contact Please provide a primary contact for the purposes of processing this Listing Application. NAME FIRM ADDRESS PHONE FAX EMAIL Company Contact If the primary contact supplied above is someone other than an employee of the company, please provide a contact at the company. NAME ADDRESS PHONE EMAIL PART II: Security Information Description of issue(s) to be listed (include current symbol(s), par or stated value, warrant expiration date and exercise price, ratio for American Depositary Shares to underlying shares, and other relevant information): 1 American LegalNet, Inc. www.FormsWorkFlow.com PART III: Board Member Information Please provide the following information regarding any individuals that have either joined or left the applicant's board since the date of the applicant’s last proxy statement. Attach an additional sheet, if necessary. New Board Members Provide each board member’s full name (first, middle and last). NAME DATE SERVICE COMMENCED PRIMARY EMPLOYER AND POSITION (IF APPLICABLE) DEEMED INDEPENDENT UNDER NASDAQ’S RULES Yes No BOARD COMMITTEE PARTICIPATION (IF ANY) Audit Committee Compensation Committee Nominations Committee Other (please specify) Departing Board Members NAME DATE SERVICE ENDED Board Composition and Committees Submit a completed Corporate Governance Certification Form, a copy of which can be found in the NASDAQ OMX Listing Center. Please note that this form need not necessarily accompany the company’s initial submission. PART IV: Additional Information and Documentation The fact that an applicant may meet NASDAQ’s numerical guidelines does not necessarily mean that its application will be approved. In connection with the review of any application, and as set forth in the NASDAQ Listing Rules, NASDAQ reserves the right to request additional information or documentation, public or non-public, deemed necessary to make a determination regarding a security’s qualification for initial inclusion, including but not limited to, any material provided to or received from the Securities and Exchange Commission or other regulatory authority. Please provide the following information in a separate attachment to this application. Regulatory Proceedings/Litigation Provide a detailed description of any ongoing, undisclosed investigation involving either the Company or any of its executive officers or directors being conducted by the SEC, FINRA, the CFTC, the Department of Justice or any other federal or state criminal authority. 2 American LegalNet, Inc. www.FormsWorkFlow.com Affirmation - Please sign and date the application. I, , as NAME OF INDIVIDUAL of TITLE COMPANY NAME hereby certify, to the best of my knowledge and belief, that the information contained in the application is true and correct, as of the date below, and will notify NASDAQ promptly of any material changes. Signature of Company Officer SIGNATURE DATE Submission Send the Application and supporting documentation to: The NASDAQ Stock Market LLC Listing Qualifications 9600 Blackwell Road Rockville, MD 20850 ©April 2011, The NASDAQ OMX Group, Inc. All rights reserved. The NASDAQ Stock Market, NASDAQ, The NASDAQ Global Select Market, The NASDAQ Global Market and The NASDAQ Capital Market are registered trademarks of The NASDAQ OMX Group, Inc. 3 American LegalNet, Inc. www.FormsWorkFlow.com