WPC  V0h-% K S7]|Γ8*̑ZrWB6U]ˆjnC-JEu3"qbO-o5O?DYϵ ՚cOn< s J@u݊U. %U 4 4 nD 04G N{ w@} 4 #! ^  m <6X9`(CourierX'  7   0 .   Page 1 of 2 ; DEPARTMENT OF COMMERCE ; UTAH SECURITIES DIVISION ; FORM 14.2n 1 ; Limited Offering Exemption Notification ; ( ) Progress Report ( ) Rule R177 14 2n(5); ( ) Final Report ( ) Rule R177 14 2n(6); Date: ; 1. Name of Issuer: ; 2. Address of Issuer: ; City: State: Zip Code: ; 3.'\  `TimesRoman3|x<6X9`(CourierXx6X@KX@'\  `TimesRoman]\  PCP'\  `TimesRomanXo\  PCXP( U$   SI[SPD*Z-'TiHP LaserJet 5Si/5Si MX,,,,,,08-'U U!   )XXR)XTRX3' Letter3'3'Letterhead3'T_Page1of3 `     h      p      x (Rev.2/9/90)  @nn$STATEOFUTAH@NNDEPARTMENTOFCOMMERCE@UTAHSECURITIESDIVISIONXXR@%Form142p  @a a  ReorganizationExemptionApplication      1.  (#(#K(#       ` (NameofApplicant) x   2.  (#(#K(# X     `     h      p   (#(#K(#   ` (AddressofApplicant)     p     (Telephone#) (x  3.  (#(#K(# X   (#(#K(#   `     h      p   (#(#K(#   ` (Name&AddressofCorrespondent) p     (Telephone#)  4.  (#(#K(#     ` (Expecteddateofcommencementofoffering)  5.  Transactiontobeexempt(checkone): h    `  Reclassification/Recapitalization H    `  Merger/Consolidation (!x    `  (#(#K(#   `  (#(#K(#@(#(#K(#   `  (#(#K(#   `  (Name&Addressofotherparty/partiestotransaction) '#&    `  TransferofAssets )$(    `  (#(#K(#   `  (#(#K(#   `       H.)-    `  (#(#K(#   `  (Name&Addressofotherparty/partiestotransactions) (0x+/ NXX_Page2of3  Form142pX_XN h 6.  Securitiestobedistributed:  p   0 `  NXX_ԀTITLE h   AMOUNTCONSIDERATION @2!  P` (#` (#   (#(#K(#     (#(#K(# H     (#(#K(# (  7.  Securitiestobeexchanged(ifany): h    򀀀TITLEAMOUNTCONSIDERATION!!E(# H  X_XN  (#(#K(#@(#(#K(#    (#(#K(#      (#(#K(# p 8.  Presentnumberofholdersofapplicant:(#(#K(# P   Presentnumberofholderofotherperson(ifany):(#(#K(#@(#(#K(# 0   Numberofholdersifofferingiscompleted:(#(#K(# ` 9.0  Briefdescriptionofthetransaction,includingdatesandnamesofpersonsinvolved:@(#(#     (#(#K(#      (#(#K(# ""   (#(#K(# $$   (#(#K(# p&!&   (#(#K(# P(#(   (#(#K(# 0*%*   (#(#K(# ,`',   (#(#K(# -@).   (#(#K(#  / +0 NXX_Page3of3  Form142pX_XNStateof `     h   ) 0    `     h   )ssCountyof `     h   )  `   Theundersigned,   h      p      x ,beingfirstduly  @ sworn,deposesandsaysthathehasexecutedtheforegoingapplicationforandonbehalfoftheapplicant""I(#.      Thatheisthe   h   ofsuchapplicantandisfullyauthorizedtoexecute    andfilesuchapplication;thatheisfamiliarwithsuchapplication;andthattothebestofhisknowledge,informationandbelief,thestatementsmadeinsuchapplicationaretrueandthedocumentssubmittedherewitharetruecopiesoftheoriginalsthereof.   `     h   (#(#K(# p     `     h   (Signature) ` Subscribedandsworntobeforemethis    dayof     x  ,19(#(#K(# @    `     h   (#(#K(#  p 񀀀   `     h   (NotaryPublic) `    `     h   Mycommissionexpires:񀀀(#(#K(# @   Theundersigneddirectors,partnerorpartnersoftheissuernamedhereindoherebyaffirmthattheyhavereadthisapplicationandallexhibitsthereto,andthatthecontentsthereofaretruetothebestoftheirknowledgeandbelief;andfurtherthat     `     h 񀀀isherebyauthorizedtoexecutethisapplicationonbehalfof  theissuer,andcontinuingauthorityisherebydelegatedtohimtofileanyamendments,supplementaryorperiodicinformationtheretoasmaybeapplicableorrequired,pursuanttotheUtahUniformSecuritiesAct,andrulespromulgatedthereunder.NXX_  NAME `     h     SIGNATURE P#! X_XN   `     h     (#(#K(# %X #    `     h     (#(#K(# &8"%      `     h     (#(#K(# ($'    `     h     (#(#K(# *%)    `     h     (#(#K(# ,'+    `     h     (#(#K(#