Application of Requirements for Registration of Securities by Qualification

{Ala. Code § 8-6-7, § 8-6-8 and Commission Rule 830-X-4}

1. A filing fee of $40.00 in the form of a non-personal check or money order payable to the Alabama Securities Commission.
2. A registration fee of one tenth of one percent of the aggregate offering price of the securities which are to be offered in the State of Alabama, no less than $100.00, but not to exceed a fee of $1,500.00.
3. An originally signed and originally notarized Consent to Service of Process, Form U-2, appointing Alabama’s Secretary of State to accept service of process.
4. An originally signed and sealed Corporate Resolution, Form U-2A.
5. An originally signed and originally notarized Application for Registration of Securities by Qualification, Form RQ.
6. One copy of the prospectus.
7. All other documents required to be submitted with the Application for Registration of Securities by Qualification, see PART II of this form.