Solicitation Of Interest {440-3008}

Oregon Department of Consumer and Business Services Division of Finance and Corporate Securities -- Securities Section 350 Winter St. NE, Rm. 410, Salem, Oregon 97301-3881 Mailing address: P.O. Box 14480, Salem, OR 97309-0405 503-378-4140 Fax: 503-947-7862 http://dfcs.oregon.gov SOLICITATION OF INTEREST ORS 59.035(11), OAR 441-035-0045 Name of company: Street address of principal office: City: Name of chief executive officer: Company phone number: Date of organization: Amount of proposed offering: Type of registration anticipated: SEC Reg. A Other Reason: Yes No Yes No Type of security to be offered: OAR 441-065-0225 State: ZIP: Has a registration statement been filed in Oregon? This company: Has a registration statement been filed under the Securities Act of 1933? Has never conducted business operations. Is in the development stage. Is currently conducting operations. Has shown a profit for the previous fiscal year. Other (specify): Business 1. Describe in general what business the company does or proposes to do, including products or goods that are or will be produced or services that are or will be rendered. (Include additional sheets, if necessary.) 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. (Include additional sheets, if necessary.) FISCAL USE ONLY: 62110-1088 440-3008 (11/09/COM) Page 1 American LegalNet, Inc. www.FormsWorkFlow.com Offering proceeds 3. Describe in general how the company intends to use the proceeds of the proposed offering. (Include additional sheets, if necessary.) Key personnel of the company 4. Attach the following information for all officers and directors or people occupying similar positions: Name, title, office street address, phone number, employment history (employers, titles, and dates of positions held during the past five years), and education (degrees, schools, and dates). Signature and affirmation I hereby affirm that if the division approves this Solicitation of Interest, it will be for solicitation of interests only; That no money or other consideration will be solicited and none will be accepted; That no sales of the securities will be made or commitment to purchase accepted until the delivery of a final offering circular that includes the complete information about the issuer and the offering; That an indication of interest made by a prospective investor involves no obligation or commitment of any kind; and That this offer will be made pursuant to an exemption from registration under the Oregon Securities Laws, and that no sale may be made until the offering statement is qualified by the SEC, if applicable, and the security is registered in Oregon. I am the duly authorized Title or position of Name of company and I have read and am familiar with the information in this solicitation of interest form and with all other materials or documents to be used in connection with the solicitation of interest to be made pursuant thereto. I am aware of and will comply with all applicable requirements in ORS 59.035(11) and OAR 441-035-0045 promulgated thereunder and the Oregon Securities Laws. To the best of my knowledge, information, and belief, the information contained in this form and in the solicitation materials is true, correct, and complete. I am duly authorized to execute this form and to make this affirmation for and on behalf of the company. Name of company Typed name and title of applicant Authorized signature Date 440-3008 (11/09/COM) Page 2 American LegalNet, Inc. www.FormsWorkFlow.com