Form TO-2 Information to be Included in Short-term Ownership Information Statements pursuant to Sections 552.03(3) and 552.03(4), Wis. Stats. Name of Target Company Address of Principal Office Item A. Name and address of Person Filing. Name Address Item B. Number of shares or Units of any Equity Security of the Target Company which are Beneficially Owned Directly or Indirectly by Person Filing and each of His Associates. Number of shares or Units of target company beneficially owned Directly or Indirectly Person(s) filing this form TO-2 Associate(s) of Person(s) filing this form TO-2 Item C. Certification of Intent of Person Filing. The person filing must certify that the securities were acquired by him in the ordinary course of his business and not for the purpose or having the effect of changing or influencing the control of the issuer nor in connection with or as a participant in any transaction having such purpose or effect, and that he does not intend to ma ke a take-over offer involving the target company. An exhibit "C" should be attached stating the details of the disclosures required under Item C. American LegalNet, Inc. www.USCourtForms.com Signatures In Witness Whereof, the person filing this form has caused this form to be prepared and executed on his or its behalf (and has affixed hereto its official seal) this day of , 19 . Name of Person Filing ( ( By ( ( ( By ( If person filing is a corporation (Corporate Seal) -------President -------Secretary If person filing is a partnership, limited partnership, syndicate or other group ( ( ( By ( (Where there is a (delegated attorney- ( (in-fact authorized ( ( (to sign by all (members ( ( ( ( ( By ( ( ( ( ( ( ( ( By ( ( ( ( ( ( (Where each member ( By ( (is signing ( (individually ( ( ( By ( ( ( ( ( ( ( ( ( By ( ( ( ( ( ( Delegated Attorney-in-fact partner, general partner, limited partner, or member partner, general partner, limited partner, or member partner, general partner, limited partner, or member partner, general partner, limited partner, or member partner, general partner, limited partner, or member American LegalNet, Inc. www.USCourtForms.com STATE OF COUNTY OF ) ) ss. ) day of , , , to me known to be the person(s) , , and Personally appeared before me this 19 , the above-named who executed the foregoing application (as , respectively, of the above-named and person filing) and (each), being first duly sworn, stated upon oath that said application, and all exhibits submitted herewith, were true and correct at the date of said application. (Notary) (Notary's Seal) American LegalNet, Inc. www.USCourtForms.com