Business SEC Request Form

Business SEC Request Form

Parties and Request Identification

Client Name:

Corporation Limited Liability Company (LLC) Partnership Other:

Recitals

WHEREAS, Client Name: seeks professional services to prepare, review and submit securities-related filings and associated disclosures as requested below; and

WHEREAS, Service Provider Name: agrees to provide such services under the terms and conditions set forth in this Business SEC Request Form;

WHEREAS, the parties intend that this instrument constitute an agreement governing the specified engagement and the handling of confidential information exchanged in furtherance of the engagement.

Requested Filing / Services

Type of Securities Filing / Service (check all that apply):

Initial filing Amendment Periodic/Annual filing Prospectus / Offering Document Other:

Payment Terms

Total Fee (USD):

Lump sum upon engagement acceptance Milestone schedule:

Late fee: on overdue amounts, calculated monthly and compounded as permitted by law.

All fees are exclusive of applicable taxes and out-of-pocket expenses unless otherwise agreed in writing. Service Provider will invoice Client in accordance with the payment schedule above. Client shall pay invoices within the number of days specified in the invoice unless otherwise agreed.

Term and Termination

Engagement Start Date:

Anticipated Completion/End Date:

Either party may terminate this engagement for convenience by providing written notice to the other party at least days prior to termination. Termination for cause may occur immediately upon written notice if the other party materially breaches this agreement and fails to cure within days after receipt of notice.

Upon termination, Client shall pay Service Provider for all services performed and reasonable expenses incurred through the effective date of termination, together with any non‑cancelable commitments made on behalf of Client.

Confidentiality

Each party shall keep confidential and shall not, without the prior written consent of the other party, disclose any non‑public information, documents, data or analysis disclosed in connection with this engagement ("Confidential Information"), except to the extent required by applicable law or regulation. Confidential Information does not include information that is or becomes publicly available without breach of this agreement, or information rightfully received from a third party without restriction.

Service Provider may disclose Confidential Information to its employees, affiliates and advisers who have a need to know and are bound by confidentiality obligations at least as protective as those contained herein. Upon termination or upon Client's written request, Service Provider will return or destroy Client's Confidential Information, except to the extent retention is required by law or professional obligations.

Governing Law; Compliance

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to principles of conflicts of law. Each party represents that it will comply with all applicable laws, rules and regulations in the performance of its obligations under this Agreement.

Representations; Indemnity

Client represents that all information provided to Service Provider for the purpose of preparing filings will be true, accurate and complete in all material respects. Client shall indemnify and hold harmless Service Provider from and against any losses, liabilities, claims, damages and expenses (including reasonable attorneys' fees) arising from Client's breach of its representations or willful misconduct.

Entire Agreement

This Business SEC Request Form, including its recitals, schedules and attachments if any, constitutes the entire agreement between the parties concerning the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral, relating to such subject matter. Any modification must be in writing and signed by duly authorized representatives of both parties.

Acknowledgment and Certifications

By executing below, the signatories warrant that they are duly authorized to bind their respective parties and certify that the information provided in this form is true and accurate to the best of their knowledge.

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