This questionnaire may be used by those wishing to create a new business entity and by those wishing to maintain their business records. We suggest that "maintenance" be done no less often than annually. Accordingly, this is your "Annual Meeting Questionnaire."

"Maintenance" is important. To assist you with the maintenance of your business records, we ask that you provide us with the information requested in the following pages. If you believe we already have the information requested, or if there is no change from the information you gave us last year, please so indicate at the end of the questionnaire.

* 1. Business Name

* 2. State of Organization

* 3. Type of Business Entity