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STATE OF UTAH
DEPARTMENT OF COMMERCE
DIVISION OF SECURITIES
FORM 10-2-1B

Certification

STATE OF UTAH________________________)
________________________________________)ss.
COUNTY OF____________________________)

The undersigned, ________________________ an officer, director, promoter, holder of 10% of the outstanding stock, underwriter or sales agent, or attorney for ________________________ (the "Company"), being first duly sworn, does hereby certify under oath that the information in the Company's registration statement submitted to the Utah Division of Securities of the Department of Commerce is true, accurate and complete to the best of his or her knowledge and that he or she has been diligent in confirming there are no promoters, material transactions, payments to related parties, stock distribution arrangements or material compensation arrangements which are not disclosed in the registration statement.

Dated______________________________________

Signature___________________________________

Affiliation with Company______________________

Subscribed and sworn to before me this ______ day of________________, 19_____.

Notary Public__________________________________

Commission Expires____________________________