Fill and Sign the Capital Stock Form

RESOLUTION OF THE BOARD OF DIRECTORS OF _____________________________________ A __________________________ CORPORATION This Resolution was adopted by the Board of Directors of _______________ , a ______________________ business corporation, at a [regular/special] meeting of the Board of Directors held on the ____ day of ________, 20___ in accordance with the by- laws of the Corporation. BE IT RESOLVED by the Board of Directors of _____________________ as follows: Issuance of Common Stock : RESOLVED, that in consideration of the payment, in cash, to or on behalf of, the Corporation of the amount of money specified below opposite her name, the sufficiency of which is hereby expressly acknowledged, the President and Secretary of the Corporation are hereby authorized and directed, upon receipt by, or by others on behalf of, the Corporation of such amount of money from the person specified below, to issue to such person a certificate or certificates representing the ownership by them of the number of shares of fully paid and non-assessable shares of One and 00/100 Dollar ($1.00) par value per share common stock of the Corporation as is also set forth below opposite his name: Name Shares Consideration ____________________ ____ _______ RESOLVED FURTHER, that in consideration of the trans fer of all of the assets, whether tangible or intangible, listed on Exhibits A and B, respectively, the sufficiency and receipt of which is hereby expressly acknowledged, the President and Secretary of the Corporation are hereby author ized and directed to issue to each person specified below a certifi cate or certificates representing the owner - ship by them of the number of shares of fully paid and non-assessable shares of One and 00/100 Dollar ($1.00) par value per share common stock of the Corporation as are also set forth below oppo site their respective names: Name Shares Consideration ________________________ ____ Equipment listed on Exhibit A ________________________ ____ Equipment listed on Exhibit B SO RESOLVED, this the ___________ day of _________________, 20___. ______________________________ Director ______________________________ Director ______________________________ Director CERTIFICATE I, __________________, Secretary of _______________________, a _____________________ Corporation, do hereby certify that the above resolution was adopted by the Board of Directors of the Corporation on the ____ day of _____________________, 20__. DATED this the ______ day of _______________, 20__. ___________________________________ Secretary