Investor Application Form (continued)

Investor Application Form (continued) G Certification Regarding initial Public Equay Offerings: tt tiiiit Rule 5130 "Rastected Persons" re card may elect t M to wrest in new Mae, net, it yOur indredual account 4 ei9tfe for such transactions. °tease MIS the appropriate daternart the ;in:8e~ has urtheed those stars/nu bekw react> appy to 4 a. 4 the Undesired n a .. Nioton, partrersr-r 'tin “ , ,- .,.. .tryy. *tech apply to am pers Sawn; a Ilseelittiel Inter= n Ow Unefethred The Investor is any of she folksesiney ;a: AMARA reinter fink a teer brake dealer Asi An officer. director. genera) panntr, associated peson or ~year &afire/IA member firma ~Coveted Woke Des. K) An are O. a Cased Broke Oslo if the agent is engaged r the Tralin2eini bank") or Straiten busmen (<4 An ~ha jonrot Venter of a person specified minor :O ads, te) AMC* or pew. actng in a fotspurt capacey to a Coveted Erse Defier, inducing attorneys. accountants and reseal torailtsre s. CC A pins So het