COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Send this form along with the required $100.00 fee to: Department of Financial Institutions Securities Division PO Box 9033 Plaintiff(s) Olympia, WA 98507-9033 360-902-8760 -against- Index No. : Calendar No. : JUDICIAL SUBPOENA : : : SOLICITATION OF INTEREST FORM Defendant(s) : . .NAME .OF. COMPANY:._________________________________________________________ ...... .. ........... .............................. Street address of principal office: __________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK Company telephone number: ______________________________________________________ TO Date of organization: ____________________________________________________________ Amount of the proposed offering: __________________________________________________ GREETINGS: Name of Chief Executive Officer:__________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in• This is a solicitation of interest only. No, money, or other consideration is being and at any recessed room , on the day of 20 at o'clock in the noon, solicited and none will be accepted. or adjourned date, to testify and give evidence as a witness in this action on the part of the • No sales of the securities will be made or commitment to purchase accepted until the delivery of a final offering circular that includes complete information about the issuer Your failure to and the offering.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. • An indication of interest made by a prospective investor involves no obligation or commitment of any kind. Witness, Honorable Court in County, , one of the Justices of the day of , 20 • This offer is being made pursuant to the requirements of federal and state securities laws. Neither the federal nor the state authorities have confirmed the accuracy or determined the adequacy of this document or any other document presented to you in (Attorney must sign above and type name below) connection with this offer. No sale may be made until the offering statement is qualified by the SEC if made pursuant to Regulation A and is registered in this state. This Company: Attorney(s) for ( ) Has never conducted operations. ( ) Is in the development stage. ( ) Is currently conducting operations. ( ) Has shown a profit in the last fiscal year. Office and P.O. Address ( ) Other (specify)___________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : BUSINESS 1. Plaintiff(s) Calendar No. : JUDICIAL SUBPOENA -againstDescribe in general what business the company does:and proposes to do, including what products or goods are or will be produced or services that are or will be rendered. : 2. Describe in general how these products or services are to be produced or rendered and : how and when the company intends to carry out its activities. Defendant(s) : ...................................................... OFFERING PROCEEDS 3. Describe in general how the company intends to use the proceeds of the proposed THE PEOPLE OF THE STATE OF NEW YORK offering. TO KEY PERSONNEL OF THE COMPANY 4. Provide the following information for all officers and directors: • Name GREETINGS: • Title • COMMAND Address WE Office Street YOU, that all business and excuses being laid aside, you and each of you attend before , the HonorableTelephone Number at the Court • located at County of• Employment History (Employers, titles and dates of positions held during the past five in room , on the day of , 20 , at o'clock in the noon, and at any recessed years), and; or adjourned date, to testify and give evidence as a witness in this action on the part of the • Education (degrees, schools and dates) 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 Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com