OMB APPROVAL NO. 3245-0188 EXPIRATION DATE: 09/30/2014

PERSONAL FINANCIAL STATEMENT

U.S. SMALL BUSINESS ADMINISTRATION As of ,

Name Business Phone

Residence Address Residence Phone

City, State, & Zip Code

Business Name of Applicant/Borrower

ASSETS

Cash on hand & in Banks Savings Accounts IRA or Other Retirement Account

Accounts & Notes Receivable

Life Insurance-Cash Surrender Value Only (Complete Section 8)

Stocks and Bonds (Describe in Section 3)

Real Estate (Describe in Section 4)

Automobiles - Total Present Value

Other Personal Property (Describe in Section 5)

Other Assets (Describe in Section 5)

Total

(Omit Cents) LIABILITIES (Omit Cents) $ Accounts Payable $$ Notes Payable to Banks and Others $$ (Describe in Section 2)

$Installment Account (Auto) $

$

Mo. Payments $Installment Account (Other) $

$Mo. Payments $

Loan on Life Insurance $

$Mortgages on Real Estate $

(Describe in Section 4)

$Unpaid Taxes $

$

(Describe in Section 6) Other Liabilities $

$

(Describe in Section 7) Total Liabilities $

Net Worth $

$ Total $

SBA Form 413 (05-12) Previous Editions Obsolete

Mail to the following address, if your firm is located in one of the states below:

Mail to the following address, if your firm is located in one of the states below:

US Small Business Administration DPCE Central Office Duty Station Parkview Towers 1150 First Avenue 10th Floor, Suite 100I King of Prussia, PA 19406

US Small Business Administration Division of Program Certification and Eligibility 455 Market Street, 6th Floor San Francisco, CA 94105

MA, ME, NH, CT, VT, RI, NY, PR (Puerto Rico), VI (US Virgin Islands), NJ, PA, MD, VA, WV, DC, DE, GA, AL, NC, SC, MS, FL, KY, TN

IL, OH, MI, IN, MN, WI, TX, NM, AR, LA, OK, MO, IA, NE, KS, CO, WY, ND, MT, UT, SD, CA, HI, GU (GUAM), NV, AZ, WA, AK, ID, OR

Section 1. Source of Income

SalaryNet Investment IncomeReal Estate IncomeOther Income (Describe below)*

Description of Other Income in Section 1.

Contingent Liabilities

$ As Endorser or Co-Maker $$ Legal Claims & Judgments $$ Provision for Federal Income Tax $$ Other Special Debt $

*Alimony or child support payments need not be disclosed in "Other Income" unless it is desired to have such payments counted toward total income.

(Describe in Section 5)

(Describe in Section 5)

(Describe in Section 5, and include Year/Make/Model)

1

Complete this form for: (I) each proprietor; (2) general partner; (3) managing member of a limited liability company (LLC); (4) each owner of 20% or more of the equity of the Applicant (including the assets of the owner's spouse and any minor children); and (5) any person providing a guaranty on the loan.

Return completed form to: 7(a) loans - to the lender processing the SBA application; 504 loans - to the Certified Development Company processing the SBA application; ALL Disaster loans - to the Disaster Processing and Disbursement Center at 14925 Kingsport Road, Fort Worth, TX 76155-2243; and 8(a)/BD - applicants who are individuals claiming social and economic disadvantaged status and their spouses - electronically at http://www.sba.gov or send hard copy with paper application to either of the two following offices listed below:

Section 3. Stocks and Bonds. (Use attachments if necessary. Each attachment must be identified as a part of this statement and signed).

Number of Shares Name of Securities Cost Market Value Date of Total ValueQuotation/Exchange Quotation/Exchange

Section 4. Real Estate Owned. (List each parcel separately. Use attachment if necessary. Each attachment must be identified as a part of this statement and signed.)

Property A Property B Property C Type of Real Estate (e.g. Primary Residence, Other Residence, Rental Property, Land, etc.) Address

Date Purchased

Original Cost

Present Market Value

Name &Address of Mortgage Holder

Mortgage Account Number

Mortgage Balance

Amount of Payment per Month/YearStatus of Mortgage

(Describe, and if any is pledged as security, state name and address of lien holder, amount of lien, termsSection 5. Other Personal Property and Other Assets.of payment and if delinquent, describe delinquency)

Section 6. Unpaid Taxes. (Describe in detail, as to type, to whom payable, when due, amount, and to what property, if any, a tax lien attaches.)

Section 7. Other Liabilities. (Describe in detail.)

SBA Form 413 (05-12) Previous Editions Obsolete 2

(Use attachments if necessary. Each attachment must be identified as a part of this statement and signed.)Section 2. Notes Payable to Banks and Others.

Original Current Payment Frequency How Secured or EndorsedName and Address of Noteholder(s) Balance Balance Amount (monthly,etc.) Type of Collateral

Management Resume (Duplicate as needed) To be completed for each owner, partner, or shareholder and key management personnel,

Name: Work Experience (List chronologically, beginning with present employment.)

• Company Name /Location __________________________________________________________ From: To: Title:_________________________________________ Duties: _______________________________________________________________________

_____________________________________________________________________

____________________________________________________________________________

• Company Name /Location __________________________________________________________ From: To: Title:_________________________________________ Duties: _______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________________ • Company Name/Location__________________________________________________

From:________To: _________ Title:__________________________________________Duties: ____________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________________ Military Service Background

Branch: From: To:

_ Honorable Discharge? ____yes___ no

Vietnam Veteran? yes __no

Are you employed by the U.S. Government? Agency/Position:____________________

Education

College or Technical Training Name and Location

Dates Attended From/To

Major Degree Certificate

Please include additional relevant information:

Signature: ______________ Date: _

Management Resume (Duplicate as needed) To be completed for each owner, partner, or shareholder and key management personnel,

Name: Work Experience (List chronologically, beginning with present employment.)

• Company Name /Location __________________________________________________________ From: To: Title:_________________________________________ Duties: _______________________________________________________________________

_____________________________________________________________________

____________________________________________________________________________

• Company Name /Location __________________________________________________________ From: To: Title:_________________________________________ Duties: _______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________________ • Company Name/Location__________________________________________________

From:________To: _________ Title:__________________________________________Duties: ____________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________________ Military Service Background

Branch: From: To:

_ Honorable Discharge? ____yes___ no

Vietnam Veteran? yes __no

Are you employed by the U.S. Government? Agency/Position:____________________

Education

College or Technical Training Name and Location

Dates Attended From/To

Major Degree Certificate

Please include additional relevant information:

Signature: ______________ Date: _

HISTORY OF BUSINESS

1. Nature of Business

2. Owner(s) % of Ownership Title

3. Established: Month Year

4. Owned and Managed by borrower since: Month Year

5. Business Hours:

6. Number of Employees:

7. Types of Products / Services:

8. Import: Yes No

Percentage From countries:

Export: Yes No

Percentage To countries:

9. Method (s) & Term (s) of buying and selling:

Buying: Selling:

10. Customer Profile:

11. Servicing Area(s):

12. Future plans for growth / expansion:

13. How will this loan benefit your company?

CERTIFICATE OF SECRETARY I hereby certify that I am the Secretary of

(Name as it appears on Articles of Incorporation)

A _____________________________ Corporation,

(State in which incorporated)

And that the following people hold positions and/or own stock in this Corporation, in the form and/or amount designated below as of (date):

I Title Ownership 0/o Name President Corporate Secretary

Other Officer: Other Officer: Other 0fficer:

Stock is also held by the following which are not officers or managers of the corporation: Name Ownership 0/o

Signature of Secretary:_ _ Date: _

CERTIFICATE BY SECRETARY OF ADOPTION BY SHAREHOLDERS' VOTE.

THIS IS TO CERTIFY: That I am duly-elected, qualified and acting Secretary of the above named corporation and that the above and foregoing Code of By-Laws was submitted to the shareholders at their first meeting held on the date set forth in the Bylaws and recorded in the minutes thereof, was ratified by the vote of shareholders entitled to exercise the majority of the voting power of said corporation.

IN W ITNESS WHEREOF, I have hereunto set my hand this _

(Date)

Signature of Secretary:

U.S. SMALL BUSINESS ADMINISTRATION

RESOLUTION OF BOARD OF DIRECTORS OF

SBA LOAN NO.

(For Corporate Applicants)

(Name of Applicant) (1) RESOLVED, that the officers of this corporation named below, or any one of them, or their, or any one of their, duly elected or appointed successors in office, be and they are hereby authorized and empowered in the name and on behalf of this corporation and under its corporate seal to execute and deliver to the (hereinafter called "Lender") or the Small Business Administration (hereinafter called "SBA"), as the case may be, in the form required by Lender or SBA, the following documents: (a) application for a loan or loans, the total thereof not to exceed in principal amount $____________, maturing upon such date or dates and bearing interest at such rate or rates as may be

(2) FURTHER RESOLVED, that the aforesaid officers or any one of them, or their duly elected or appointed successors in office, be and they are hereby authorized and empowered to do any acts, including but not limited to the mortgage, pledge, or hypothecation from time to time with Lender or SBA of any or all assets of this corporation to secure such loan or loans, renewals and extensions, and to execute in the name and on behalf of this corporation and under its corporate seal or otherwise, any instruments or

(3) FURTHER RESOLVED, that any indebtedness heretofore contracted and any contracts or agreements heretofore made with Lender or SBA on behalf of this corporation, and all acts of officers or agents of this corporation in connection with said indebtedness or said contracts or agreements, are hereby ratified and confirmed;

(4) FURTHER RESOLVED, that the officers referred to in the foregoing resolutions are as follows:

(Typewrite name)

(Typewrite name)

(Typewrite name)

(Typewrite name)

(Typewrite name)

(Title)

(Title)

(Title)

(Title)

(Title)

(Signature)

(Signature)

(Signature)

(Signature)

(Signature)

agreements deemed necessary or proper by Lender or SBA, in respect of the collateral securing any indebtedness of this corporation;

(5) FURTHER RESOLVED, that Lender or SBA is authorized to rely upon the aforesaid resolutions until receipt of written notice of any change.

CERTIFICATION I HEREBY CERTIFY that the foregoing is a true and correct copy of a resolution regularly presented to and adopted by the Board of Directors of at a meeting duly called and held at on the

(Name of Applicant) day of , at which a quorum was present and

voted, and that such resolution is duly recorded in the minute book of this corporation; that the officers named in said resolution have been duly elected or appointed to, and are the present incumbents of, the respective offices set after their respective names; and that the signatures set opposite their respective names are their true and genuine signatures.

(Seal) Secretary

SBA FORM 160 (11-85) REF: SOP 50 10 EDITION OF 11-67 WILL BE USED UNTIL STOCK IS EXHAUSTED

Business Finance Capital

prescribed by Lender or SBA; (b) applications for any renewals or extensions of all or any part of such loan or loans and or any other loans, heretofore or hereafter made by Lender or SBA to this corporation; (c) the promissory note or notes of this corporation evidencing such loan or loans or any renewals or extensions thereof; and (d) any other instruments or agreements of this corporation which may be required by Lender or SBA in connection with such loans, renewals, and/or extension; and that said officers in their discretion may accept any such loan or loans in installments and give one or more notes of this corporation therefor, and may receive and endorse in the name of this corporation any checks or drafts representing such loan or loans or any such installments;

COMPANY NAME:

COMPANY ADDRESS:

BUSINESS FINANCE CAPITAL

1055 W. 7th STREET, SUITE 2250

LOS ANGELES, CA 90017

TO WHOM IT MAY CONCERN:

THIS IS TO INFORM YOU THAT ________________________________WILL OCCUPY __________% OF THE PREMISES AT __________________________________________________________________. THE PROPERTY CONSISTS OF A ________________SQUARE FOOT BUILDING. WE INTEND TO OCCUPY THE PROPERTY NOT LATER THAN __________________________________.

THERE ARE CURRENTLY _________TENANT(S) LEASING __________________SQUARE FEET AND GENERATING $_________________IN MONTHLY INCOME. THEIR LEASE WILL EXPIRE ON _________________. I UNDERSTAND THAT EXISTING TENANTS, WHO WILL REMAIN IN THE BUILDING PAST THE CLOSE OF ESCROW, WILL BE REQUIRED TO SIGNA SUBORDINATION AGREEMENT PRIOR TO THE CLOSE OF ESCROW.

SINCERELY,

Page 1 of 3

COMMERCIAL LEASE This Lease is made between (“Lessor”), and , (“Lessee”). Lessee hereby offers to lease from Lessor the real property located at _____________________________________, (the “Real Property”), upon the following terms and conditions. (This document shall hereafter be referred to as the “Lease”). TERMS AND CONDITIONS 1. Term and Rent. Lessor leases to Lessee the above Real Property for a term of ______________ years, commencing ____________________________, at the annual rental of _______________ Dollars ($ ), payable in equal installments in advance on the first day of each month for that month’s rental, during the term of this Lease. All rental payments shall be made to Lessor at the address specified below. 2. Use. Lessee shall use and occupy the Real Property only for the commercial purposes allowed by applicable zoning and other laws. The Real Property shall be used for no other purpose. 3. SBA Provisions. If this Lease is executed by a Lessor and/or Lessee, who are participating in the U.S. Small Business Administration 504 Loan Program, then the parties hereto agree and acknowledge that this Lease shall be construed to comply with the requirements of such program including, but not limited to, those found in Title 13 of the Code of Federal Regulations, the SBA Standard Operating Procedures 50-10 and all other relevant statutes laws, codes, regulations and procedures. Without limiting the applicability of all relevant law, the following conditions shall apply:

(1) The Lessee shall lease from Lessor all of the Real Property;

(2) This Lease shall be junior and subordinate to any and all deeds of trust in favor of the SBA which relate to the Real Property;

(3) The annual rent hereunder shall not exceed the annual payments on the deed of trust in favor of the SBA secured

by the Real Property, annual payments of deeds of trust senior to such SBA deed of trust, taxes, insurance and maintenance.

(4) This Lease shall be assigned, for collateral purposes, to the SBA.

(5) The term of this Lease shall not expire prior to the maturity date of the subject SBA 504 Loan. Provided, the

Lease term may include options to renew the Lease, so long as the options are exercisable solely by the Lessee.

(6) Any leases of the Real Property other than to the Lessee shall be between the Lessee and the third party sublessee. 4. Trade Fixtures and Equipment. Lessee shall have the right to install trade fixtures and equipment on the premises so long as the same do not damage or injure the premises. All personal property installed on the premises by Lessee which can be removed without permanent injury to the premises shall constitute trade fixtures, the title to which shall remain in Lessee. 5. Care and Maintenance of Real Property. Lessee acknowledges that the Real Property is in good order and repair, unless otherwise indicated herein. Lessee shall, at his own expense and at all times, maintain the Real Property in good and safe condition, including plate glass, electrical wiring, plumbing and heating installations and any other system or equipment upon the Real Property and shall surrender the same, at termination hereof, in as good condition as received, normal wear and tear excepted. Lessee shall be responsible for all repairs required, including the roof, exterior walls, structural foundations, and any other structural and mechanical defect of the commercial building or equipment that existed at the time of the finalization of the loan process. Lessee shall also maintain in good condition such portions adjacent to the Real Property, such as sidewalks, driveways, lawns and shrubbery, which would otherwise be required to be maintained by Lessor. 6. Alterations. All alterations or improvements requiring expenditure greater than $2,000.00 shall be first approved in writing by Lessor.

7. Ordinances and Statutes. Lessee shall comply with all statutes, ordinances, regulations, covenants, conditions and requirements of all municipal, state and federal authorities (including owner’s association and similar entities) now in force, or which may hereafter be

Page 2 of 3

in force, pertaining to the Real Property, occasioned by or affecting the use thereof by Lessee. 8. Assignment and Subletting. Lessee shall not assign this Lease or sublet any portion of the Real Property without prior written consent of the Lessor, which shall not be unreasonably withheld. Any such assignment or subletting without consent shall be void and, at the option of the Lessor, may terminate this Lease. 9. Utilities. All applications and connections for necessary utility services on the Real Property shall be made in the name of Lessee only, and Lessee shall be solely liable for utility charges as they become due, including those for sewer, water, gas, electricity, and telephone services. 10. Entry and Inspection. Lessee shall permit Lessor or Lessor’s agents (and/or Lessor’s lenders and/or their agents and representatives) to enter upon the Real Property at reasonable times and upon reasonable notice, for the purpose of inspecting the same, and will permit Lessor at any time within ninety (90) days prior to the expiration of this Lease, to place upon the Real Property any usual “To Let” or "For Lease” signs, and permit persons desiring to lease the same to inspect the Real Property thereafter. 11. Possession. If Lessor is unable to deliver possession of the Real Property at the commencement hereof, Lessor shall not be liable for any damage caused thereby, nor shall this Lease be void or voidable, but Lessee shall not be liable for any rent until possession is delivered. Lessee may terminate this Lease if possession is not delivered within one hundred twenty days of the commencement of the term hereof. 12. Indemnification of Lessor. Lessor shall not be liable for any damage or injury to Lessee, or any other person, or to any property, occurring on the Real Property or any part thereof, and Lessee agrees to indemnify and hold Lessor harmless from any claims for damages, no matter how caused, except for those caused by the sole negligence or sole unlawful conduct of Lessor. 13. Insurance. Lessee, at Lessee’s expense, shall maintain on the premises and other improvements that are a part of the premises, a policy of standard fire, casualty and extended coverage insurance, for the maximum allowable replacement value of the premises and improvements. The insurance policy shall be issued from a company approved by the Lessor, in the names of the Lessor, Lessee and the holders of any deeds of trust or mortgages against said property, as their interest may appear. Lessee shall also, at Lessee’s own cost, maintain an insurance policy for the full insurable value of all fixtures and equipment, and to the extent possible, all merchandise that is, at any time during the terms of this lease, in or on the premises against damage or destruction by fire, theft, vandalism, malicious mischief and the elements. 14. Eminent Domain. If the Real Property or any part thereof or any estate therein, or any other part of the building materially affecting Lessee’s use of the Real Property, shall be taken by eminent domain, this Lease shall terminate on the date when title vests pursuant to such taking. The rent, and any additional rent, shall be apportioned as of the termination date, and any rent paid for any period beyond that date shall be repaid to Lessee. Lessee shall not be entitled to any part of the award for such taking or any payment in lieu thereof, but Lessee may file a claim for any taking of fixtures and improvements owned by Lessee, and for moving expenses. 15. Destruction of Real Property. In the event of destruction of the Real Property during the term hereof, from any cause, Lessee shall, at Lessee’s own cost and expense, promptly commence the work of repairing, rebuilding, and replacing the premises to their prior condition. During all such period of damage, destruction, repair, rebuilding, restoring and replacing, the lease and rents due thereunder shall remain in full force and effect. If such repairs are not made by Lessee in a timely manner, Lessor, in Lessor’s sole discretion and option, may proceed to undertake the same. The amount of any insurance proceeds payable under any policy of fire and casualty insurance shall be available to Lessor for such purposes. 16. Lessor’s Remedies on Default. If Lessee defaults in the payment of rent, or any additional rent, or defaults in the performance of any of the other covenants or conditions hereof, Lessee shall have breached the lease and Lessor may, in addition any other remedy available herein or by law, re-enter and regain possession of said premises in the manner provided by the laws of unlawful detainer in the State of California then in effect. However, unless the Lessee shall abandon or vacate the premises, the Lessor will not terminate the lease for any breach of the Lessee or exercise the right of re-entry as provided in this lease until after five days’ written notice in the case of rent default and twenty days written notice in the case of other defaults has been given by the Lessor to the Lessee specifying the nature of Lessee’s default; and, during said five or twenty day period, as the case may be, the Lessee may cure said default and if so cured, then the Lessor shall not be entitled to terminate this lease or exercise its right of re-entry by reason of the breach for which such notice was given.

Page 3 of 3

All notices required by law, or by this lease, to be given to either party may be given personally or by depositing the same in the U.S. mail as follows: TO THE LESSOR AT: ______________________________________________________________________. TO THE LESSEE AT: ______________________________________________________________________. 17. Security Deposit. Lessee shall deposit with Lessor on the signing of this Lease the sum of ______________________________ Dollars ($ ) as security for the performance of Lessee’s obligations under this Lease, including without limitation the surrender of possession of the Real Property to Lessor as herein provided. If Lessor applies any part of the deposit to cure any default of Lessee, Lessee shall on demand deposit with Lessor the amount so applied so that Lessor shall have the full deposit on hand at all times during the term of this Lease. 18. Tax Increase. In the event there is any increase during any year of the term of this Lease in real property taxes over and above the amount of such taxes assessed for the tax year during which the term of this Lease commences, whether because of increased rate, valuation or otherwise, Lessee shall pay to Lessor upon presentation of paid tax bills an amount equal to the increase in taxes upon the land and building on which the Real Property is situated. In the event that such taxes are assessed for a tax year extending beyond the term of the Lease, the obligation of Lessee shall be proportionate to the portion of the Lease term included in such year. All such tax obligations of Lessee hereunder shall be added to and become a part of the rent paid under this Lease. 19. Common Area Expenses. In the event the Real Property is situated in a shopping center, a commercial building or other complex in which there are common areas, Lessee agrees to pay Lessee’s pro-rata share of maintenance, taxes, and insurance for the common area. All such obligations of Lessee hereafter shall be added to and become a part of the rent paid under this Lease. 20. Attorney’s Fees. In case suit should be brought for recovery of the Real Property, or for any sum due hereunder, or because of any act which may arise out of the possession of the Real Property, by either party, the prevailing party shall be entitled to all costs incurred in connection with such action, including a reasonable attorney’s fee. 21. Waiver. No failure of Lessor to enforce any term hereof shall be deemed to be a waiver. 22. Notices. Any notice which either party may or is required to give, shall be given by personal delivery or mailing the same, postage prepaid, to Lessee at the Real Property (or at the address indicated below), or Lessor at the address specified below, or at such other places as may be designated by the parties from time to time. 23. Heirs, Assigns, Successors. This Lease is binding upon and inures to the benefit of the heirs, assigns and successors in interest of the parties. 24. Subordination. This Lease is and shall be subordinated to all existing and future liens, mortgages, deeds of trust, ground leases, hypothecations, security devices and encumbrances (“Security Instruments”) against the Real Property now or hereafter placed upon the Real Property, to any and all advances made under any of said Security Instruments. Lessee covenants and agrees to execute and deliver, upon demand, those instruments reasonably necessary to effect such subordination. Self-executing: The agreements contained in this Paragraph shall be effective without the execution of any further documents; the power given herein is coupled with an interest and is irrevocable. Provided, that upon written request from a Lender or Lessor in connection with a sale, financing or refinancing of the Premises, Lessee and Lessor shall execute such further writings as may be reasonably require to separately document any subordination, attornment and/or other relevant terms provided for herein. 25. Entire Agreement. The foregoing constitutes the entire agreement between the parties and may be modified only by a writing signed by both parties.

Signed this __________ day of ________________________________________. LESSOR: LESSEE: By: _____________________________ By: __________________________________

_____________________________ __________________________________ (Print Name and Title) (Print Name and Title)

DOCUMENT VERIFICATION REQUEST TO: Department of Homeland Security Name: Home Address: DOB: ________________________ I authorize the Department of Homeland Security to release information regarding my immigration status to Business Finance Center because I am applying for a U.S. Small Business Administration loan. _________________________________________ Signature Date Lender: Business Finance Capital_______________ Contact: ___________________________________ Address: 1055 W. 7th Street, Suite 2250___________

Los Angeles, CA 90017_______________

Phone: 213.232.1681________________________ Fax: 213.797.6722________________________

Version 6-21-13

JOB CREATION FORM Business Name: _________________________ Number of Jobs:

Jobs Prior to Loan Jobs to be created within the

next 2 years after SBA Funding

Jobs to be Saved (if not

for SBA Funding the jobs would be lost)

Justification for including Saved Jobs in total: Signature: Date Date

GOVERNMENT FINANCING Have you or any officers ever had any other government financing? Yes No If yes, explain.

Name of Agency

Original Amount

& Loan Number

Borrower Name &

Date of Request

Balance

Collateral

Status

Has the business ever had any other government financing? Yes No If yes, explain.

Name of Agency

Original Amount

& Loan Number

Borrower Name &

Date of Request

Balance

Collateral

Status

Signature: Print Name Date

SBA 504 LOAN APPLICATION QUESTIONS

OPERATING COMPANY: _________________ ______ Questions to be answered by each 20% or more owner of the Operating Company Owner Name:_________________________________________________

1) Are any of your personal assets held in a Trust? Yes____ No____ Name of Trust:__________________________________ Which assets? ____________________

2) Have you ever had a bankruptcy or a judgment against you? Yes____ No____

3) Have you been a principal of a company that declared bankruptcy? Yes____ No____

4) Are you party to any pending judgments or lawsuits? Yes____ No____

5) Do you have 20% or more ownership in any company? Yes____ No____

Names of Companies:____________________________________________________________

6) Do you have a management succession plan (someone who can take over business operation in case you can no longer operate it)? Yes____ No____ Who?:_________________________________________________________________________

If you answered yes to any of the above, please explain. (Attach separate sheet if necessary.) ____________________________________________________________________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________