Fill and Sign the Issue Shares Form

RESOLUTION OF THE BOARD OF DIRECTORS OF _______________________ AUTHORIZING THE ISSUANCE OF CORPORATE STOCK At a meeting duly called by the secretary of the Corporation, and held on the _____ day of ___________________, 20____, the Board of Directories of ______________________________, a _________________ Corporation adopted the following resolution: 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 specifed below opposite her name, the sufciency 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 specifed below, to issue to such person a certifcate or certifcates 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 sufciency 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 specifed below a certif cate or certifcates 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 - 1 - _________________ _______ ___________________ _________________ _______ ___________________ THE UNDERSIGNED DIRECTORS, BEING ALL THE BOARD OF DIRECTORS OF ____________________________ DO HEREBY EXPRESSLY ADOPT AND CONSENT TO THE FOREGOING RESOLUTIONS. _________________________________ Director _________________________________ Director _________________________________ Director ATTEST: ______________________________ __________, Secretary - 2 -