COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : STATE OF SOUTH CAROLINA JUDICIAL SUBPOENA Plaintiff(s) SECRETARY OF STATE -against: MARK HAMMOND REGISTRATION AND/OR BIENNIAL RENEWAL : APPLICATION OF BUSINESS OPPORTUNITY : DISCLOSURES REQUIRED BY SOUTH CAROLINA LAW “The State of South Carolina has not reviewed and does not approve, recommend, endorse or sponsor any Defendant(s) : . . . . . business .opportunity.. The .information .contained. in.this.disclosure .has not been verified by the State. If ...... ........ ... ........ ...... . .. ....... you have any questions about this investment, see an attorney before you sign a contract or agreement.” [] NEW [] RENEWAL of Business Opportunity Number ___________(Renewals Only) THE PEOPLE OF THE STATE OF NEW YORK 1. Name of seller (list all names under which the seller has done, is doing, or intends to do business) __________________________________________________________________________________ __________________________________________________________________________________ 2. The name of the registered agent is ______________________________________________________ TO 3. The street address of the registered agent is _______________________________________________ GREETINGS: In the city of ____________________________________, being laid aside, you and each of you WE COMMAND YOU, that all business and excuses SC _______________________________attend before (Zip Code) , the Honorable at the Court at County ofList names, addresses, and located seller’s officers, directors, trustees, general partners, general 4. titles of in room managers,, principal executives, and other persons charged with responsibility for the seller’s business any recessed on the day of , 20 , at o'clock in the noon, and at or adjourned date, relating to andsale ofevidence opportunities. in this action on the part of the activities to testify the give business as a witness Name Address Title _________________________________________________________________________________ _________________________________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to _________________________________________________________________________________ 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. _________________________________________________________________________________ Witness, Honorable seller has: , one of the Justices of the The length of time the Court in a) Sold business opportunities _______________________________________________________ County, day of , 20 5. b) Sold business opportunities involving the product, equipment, supplies, or services currently being offered to the (Attorney must sign above and purchaser_________________________________________________________ type name below) 6. Include a full and detailed description of the actual services that the business opportunity seller undertakes to perform for the purchaser. Attorney(s) for 7. Include a copy of a financial statement not older than 13 (thirteen) months of the seller, updated to reflect any material changes in the seller’s financial condition which shall either be an audited statement or shall be stated under penalty of perjury by the seller or his agent. 8. Office and P.O. Address Is training of any type promised by the seller? [] Yes [] No If yes, please submit a complete description of the training and length of training. If a fee is to be charged for such training, the seller set forth in detail an itemization of all costs to be covered by the Telephone No.: fee _______________________________________________________________________________ Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : 9. JUDICIAL SUBPOENA Plaintiff(s) Does the seller promise services to be performed in connection with placement of equipment, product or supplies at various locations? -against: [] Yes [] No If yes, please submit your disclosure statement, setting forth full nature of these services, nature of : agreements to be made with owners or managers of these locations where the purchaser’s equipment, product or supplies will be placed _______________________________________________________ : 10. Is the business opportunity seller required to secure a bond or establish a trust deposit pursuant to § 39Defendant(s) : . . . . . . . . 57-40? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... [] Yes [] No If yes, please complete either of the following: a) “As required by South Carolina law, the seller has secured a bond issued by _________________ __________________________________________________________________________________ THE PEOPLE OF THE STATE OF to do business in this State. Before signing a contract to purchase this a surety company authorized NEW YORK business opportunity, you should check with the surety company to determine the bond’s current TO status.” Or b) “As required by South Carolina law, the seller has established a trust account number ___________ __________________________________________________________________________________ (please GREETINGS: include name and address of the bank or savings institution) 11. If the seller fails to deliver the product, equipment or supplies necessary to begin substantial operation WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before of the business within forty-five days of the delivery date stated in your contract, you may notify the , the Honorable in writing and demand that the contract be the at canceled. Court seller located at County of 12. Does the sellerthe any day of concerning 20 earnings, or range of sales or earnings thatand at any recessed make statement in room , on , sales , at o'clock in the noon, may be through this business opportunity? or adjourned date, to testify and give evidence as a witness in this action on the part of the []Yes [] No If yes, please include disclosure of the following: a) The total number of purchasers of business opportunities involving the product, equipment, supplies or services being offered who this seller’s knowledge have as a contempt earnings in the amount Your failure to comply with to thesubpoena is punishable actually receivedof court and will make you liable to or range specified, this subpoena was issued for a maximum penalty of $50 and all damages sustained as a the party on whose behalf within three years prior to the date of the disclosure statement _________________ result of your failure to comply. b) The total number of the purchasers of business opportunities involving the product, equipment, supplies or being offered within three years prior to the date of the disclosure statement____________ Witness, Honorable Court in County, , one of the Justices of the day of DATE ______________________ , 20 _______________________________________ (Name of business Opportunity) BY:____________________________________ (Attorney must sign above and type name below) (Signature) ___________________________________ (Name Attorney(s) forof Seller) FILING INSTRUCTIONS: 1. 2. 3. This form must be filed by the last day of the month in which the registration expires. Address Office and P.O. If the space in this form in insufficient, please attach additional sheets containing a reference to the appropriate paragraph in this form. Filing Fee (Payable to the Secretary of State at the time of filing this application)-$100.00. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Form Approved by South Carolina Secretary of State 4/98 American LegalNet, Inc. www.USCourtForms.com